Genetic characterization of naturally spawned Snake River fall-run Chinook salmon

USGS Publications Warehouse

Marshall, A.R.; Blankenship, H.L.; Connor, W.P.

1999-01-01

We sampled juvenile Snake River chinook salmon Oncorhynchus tshawytscha to genetically characterize the endangered Snake River fall-run population. Juveniles from fall and spring–summer lineages coexisted in our sampling areas but were differentiated by large allozyme allele frequency differences. We sorted juveniles by multilocus genotypes into putative fall and spring lineage subsamples and determined lineage composition using maximum likelihood estimation methods. Paired sMEP-1* and PGK-2* genotypes—encoding malic enzyme (NADP+) and phosphoglycerate kinase, respectively—were very effective for sorting juveniles by lineage, and subsamples estimated to be 100% fall lineage were obtained in four annual samples. We examined genetic relationships of these fall lineage juveniles with adjacent populations from the Columbia River and from Lyons Ferry Hatchery, which was established to perpetuate the Snake River fall-run population. Our samples of naturally produced Snake River fall lineage juveniles were most closely aligned with Lyons Ferry Hatchery samples. Although fall-run strays of Columbia River hatchery origin found on spawning grounds threaten the genetic integrity of the Snake River population, juvenile samples (a) showed distinctive patterns of allelic diversity, (b) were differentiated from Columbia River populations, and (c) substantiate earlier conclusions that this population is an important genetic resource. This first characterization of naturally produced Snake River fall chinook salmon provides a baseline for monitoring and recovery planning.

Identification of the Spawning, Rearing and Migratory Requirements of Fall Chinook Salmon in the Columbia River Basin, Annual Report 1992.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rondorf, Dennis W.; Miller, William H.

1994-03-01

This document is the 1992 annual progress report for selected studies of fall chinook Salmon Oncorhynchus tshawytscha conducted by the National Biological Survey (NBS) and the US Fish and Wildlife Service. The decline in abundance of fall chinook salmon in the Snake River basin has become a growing concern. Effective recovery efforts for fall chinook salmon cannot be developed until we increase our knowledge of the factors that are limiting the various life history stages. This study attempts to identify those physical and biological factors which influence spawning of fall chinook salmon in the free-flowing Snake River and their rearingmore » and seaward migration through Columbia River basin reservoirs.« less

Deepwater Spawning of Fall Chinook Salmon (Oncorhynchus tshawytscha) near Ives and Pierce Island of the Columbia River, 2004-2005 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mueller, Robert

2005-10-01

Pacific Northwest National Laboratory conducted video-based boat surveys to identify fall Chinook salmon (Oncorhynchus tshawytscha) spawning areas located in deep water (greater than 1 m) downstream of Bonneville Dam in fall 2004. This report documents the number and extent of Chinook salmon spawning near Ives and Pierce Islands of the Columbia River and is the sixth in a series of reports prepared since 1999. The main objectives of this study were to find deepwater spawning locations of fall Chinook salmon in the main Columbia River channel, collect additional data on physical habitat parameters at spawning sites, and provide estimates ofmore » adult spawners in the surveyed area. The primary search area was adjacent to the upper portion of Pierce Island, and the secondary search zone was downstream of this area near the lower portion of Pierce Island. A secondary objective was to document the occurrence of any chum salmon (O. keta) redds in the deeper sections downstream of Hamilton Creek (slough zone search area). Fall Chinook salmon redd numbers were down slightly from the record number found during 2003. The number of fall Chinook redds found in the Ives-Pierce Island complex (river km 228.5) during 2004 was 293, which does not include the number of shallow water redds found by visual observation by boat by the Oregon Department of Fish and Wildlife. The redds encompassed an area of 14.6 ha occurring adjacent to the lower part of Ives Island and Pierce Island. Peak spawning activity, based on redd counts and live fish seen near redds, was on or near November 16, 2004. An expanded redd count based on percentage video coverage in the primary and secondary search zones was 3,198 fall Chinook salmon redds at water depths exceeding approximately 1.0 m (approximately 125 kcfs) with an estimated spawning population of 10,800. Fall Chinook salmon redds were found at water depths from 1.07 to 7.6 m and were constructed predominantly of medium cobbles ranging in size

Migration behavior and dispersal of adult spring Chinook salmon released into Lake Scanewa on the upper Cowlitz River during 2005

USGS Publications Warehouse

Perry, R.W.; Kock, Tobias J.; Kritter , M.A; Rondorf, Dennis W.

2007-01-01

During 2005, we conducted a radio-telemetry study to answer a number of basic questions about the migration behavior of adult Spring Chinook salmon (Oncorhynchus tshawytscha) released into the upper Cowlitz River watershed. We also conducted a pilot study of adult Coho salmon (Oncorhynchus kisutch) using radio-tags recovered from adult spring Chinook salmon. This data is included as an Appendix. Our study was designed to evaluate the dispersal of adult spring Chinook salmon to determine the proportion of the run 1) spawning in the Cispus River, 2) spawning in the Cowlitz River, 3) passing downstream through Cowlitz Falls Dam into Riffe Lake, and 4) remaining in Lake Scanewa. We also examined spatial patterns of movement in the study area and temporal patterns of fish movements. Last, we examined differences in migration behavior between hatchery and wild fish and male and female fish.

Redd Site Selection and Spawning Habitat Use by Fall Chinook Salmon: The Importance of Geomorphic Features in Large Rivers

PubMed

Geist; Dauble

1998-09-01

/ Knowledge of the three-dimensional connectivity between rivers and groundwater within the hyporheic zone can be used to improve the definition of fall chinook salmon (Oncorhynchus tshawytscha) spawning habitat. Information exists on the microhabitat characteristics that define suitable salmon spawning habitat. However, traditional spawning habitat models that use these characteristics to predict available spawning habitat are restricted because they can not account for the heterogeneous nature of rivers. We present a conceptual spawning habitat model for fall chinook salmon that describes how geomorphic features of river channels create hydraulic processes, including hyporheic flows, that influence where salmon spawn in unconstrained reaches of large mainstem alluvial rivers. Two case studies based on empirical data from fall chinook salmon spawning areas in the Hanford Reach of the Columbia River are presented to illustrate important aspects of our conceptual model. We suggest that traditional habitat models and our conceptual model be combined to predict the limits of suitable fall chinook salmon spawning habitat. This approach can incorporate quantitative measures of river channel morphology, including general descriptors of geomorphic features at different spatial scales, in order to understand the processes influencing redd site selection and spawning habitat use. This information is needed in order to protect existing salmon spawning habitat in large rivers, as well as to recover habitat already lost.KEY WORDS: Hyporheic zone; Geomorphology; Spawning habitat; Large rivers; Fall chinook salmon; Habitat management

Chromium Toxicity Test for Fall Chinook Salmon (Oncorhynchus tshawytscha) Using Hanford Site Groundwater: Onsite Early Life-Stage Toxicity Evaluation

DOE Office of Scientific and Technical Information (OSTI.GOV)

Patton, Gregory W; Dauble, Dennis D; Chamness, Mickie A

The objective of this study was to evaluate site-specific effects for early life-stage (eyed eggs to free swimming juveniles) fall chinook salmon that might be exposed to hexavalent chromium from Hanford groundwater sources. Our exposure conditions included hexavalent chromium obtained from Hanford groundwater wells near the Columbia River, Columbia River water as the diluent, and locally adapted populations of fall chinook salmon. This report describes both a 96-hr pretest using rainbow trout eggs and an early life-stage test beginning with chinook salmon eggs.

Early life history and survival of natural subyearling fall chinook salmon in the Snake and Clearwater rivers in 1995

USGS Publications Warehouse

Connor, William P.; Bjornn, Theodore C.; Burge, Howard L.; Garcia, Aaron P.; Rondorf, Dennis W.

1997-01-01

The objectives of this segment of our study were to (1) describe the early life history characteristics of naturally produced subyearling fall chinook salmon in the Snake and Clearwater rivers, and (2) estimate survival for juvenile fall chinook salmon emigrating from the Snake and Clearwater rivers to the tail race of Lower Granite Dam.

Physiological development and vulnerability to Ceratomyxa shasta of fall-run Chinook Salmon in the Upper Klamath River Watershed

USGS Publications Warehouse

Maule, Alec G.; Vanderkooi, Scott P.; Hamilton, John B; Stocking , Richard; Bartholomew, Jerri

2009-01-01

We evaluated a stock for restoring runs of fall Chinook salmon Oncorhynchus tshawytscha in the Upper Klamath River basin by monitoring its development in Iron Gate Hatchery and in net-pens in the Williamson River and Upper Klamath Lake in Oregon. We transferred age-1 hatchery fall Chinook salmon to net-pens in October 2005 and age-0 fall Chinook salmon in May 2006. Indices of smolt development were assessed in the hatchery and after 3 and 14 d in net-pens. Based on gill Na+, K+-ATPase activity and plasma thyroxine (T4) concentration, age-1 Chinook salmon were not developing smolt characteristics in the hatchery during October. Fish transferred to the river or lake had increased plasma cortisol in response to stress and increased T4 accompanying the change in water, but they did not have altered development. Variables in the age-0 Chinook salmon indicated that the fish in the hatchery were smolting. The fish in the river net-pens lost mass and had gill ATPase activity similar to that of the fish in the hatchery, whereas the fish transferred to the lake gained mass and length, had reduced condition factor, and had higher gill ATPase than the fish in the river. These results, along with environmental variables, suggest that the conditions in the lake were more conducive to smoltification than those in the river and thus accelerated the development of Chinook salmon. No Chinook salmon in the hatchery or either net-pen became infected with the myxosporean parasite Ceratomyxa shasta (the presence of which in the river and lake was confirmed) during either trial or when held for 90 d after a 10-d exposure in net-pens (2006 group). We concluded that that there is little evidence of physiological impairment or significant upriver vulnerability to C. shasta among this stock of fall Chinook salmon that would preclude them from being reintroduced into the Upper Klamath River basin.

Identification of the Spawning, Rearing, and Migratory Requirements of Fall Chinook Salmon in the Columbia River Basin, Annual Report 1993.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rondorf, Dennis W.; Tiffan, Kenneth F.

1994-12-01

Recovery efforts for the endangered fall chinook salmon necessitates knowledge of the factors limiting the various life history stages. This study attempts to identify those physical and biological factors which affect spawning of the fish in the free-flowing Snake River and their rearing seward migration through Columbia River basin reservoirs. The spawning was generally a November event in 1993, with some activity in late Oct. and early Dec. Spawning habitat availability was assessed by applying hydraulic and habitat models to known fall chinook salmon spawning sites. Juveniles were seined and PIT tagged in the free-flowing Snake River, and in themore » Columbia River in he Hanford Reach and in McNary Reservoir. Subyearling fish were marked at McNary Dam to relate river flow and migration patterns of juveniles to adult returns. Hydroacoustic surveys were conducted on McNary and John Day reservoirs and in net pens.« less

Effects of Hydroelectric Dam Operations on the Restoration Potential of Snake River Fall Chinook Salmon (Oncorhynchus tshawytscha) Spawning Habitat Final Report, October 2005 - September 2007.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hanrahan, Timothy P.; Richmond, Marshall C.; Arntzen, Evan V.

2007-11-13

This report describes research conducted by the Pacific Northwest National Laboratory for the Bonneville Power Administration (BPA) as part of the Fish and Wildlife Program directed by the Northwest Power and Conservation Council. The study evaluated the restoration potential of Snake River fall Chinook salmon spawning habitat within the impounded lower Snake River. The objective of the research was to determine if hydroelectric dam operations could be modified, within existing system constraints (e.g., minimum to normal pool levels; without partial removal of a dam structure), to increase the amount of available fall Chinook salmon spawning habitat in the lower Snakemore » River. Empirical and modeled physical habitat data were used to compare potential fall Chinook salmon spawning habitat in the Snake River, under current and modified dam operations, with the analogous physical characteristics of an existing fall Chinook salmon spawning area in the Columbia River. The two Snake River study areas included the Ice Harbor Dam tailrace downstream to the Highway 12 bridge and the Lower Granite Dam tailrace downstream approximately 12 river kilometers. These areas represent tailwater habitat (i.e., riverine segments extending from a dam downstream to the backwater influence from the next dam downstream). We used a reference site, indicative of current fall Chinook salmon spawning areas in tailwater habitat, against which to compare the physical characteristics of each study site. The reference site for tailwater habitats was the section extending downstream from the Wanapum Dam tailrace on the Columbia River. Fall Chinook salmon spawning habitat use data, including water depth, velocity, substrate size and channelbed slope, from the Wanapum reference area were used to define spawning habitat suitability based on these variables. Fall Chinook salmon spawning habitat suitability of the Snake River study areas was estimated by applying the Wanapum reference reach

Fall Chinook Salmon Survival and Supplementation Studies in the Snake River and Lower Snake River Reservoirs, 1995 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Williams, John G.; Bjomn

1997-03-01

In 1994, the National Marine Fisheries Service and the US Fish and Wildlife Service began a cooperative study to investigate migrational characteristics of subyearling fall chinook salmon in the Snake River. The primary study objectives were to (1) determine the feasibility of estimating detection and passage survival probabilities of natural and hatchery subyearling fall chinook salmon released in the Snake River (Chapter 1), (2) investigate relationships between detection and passage survival probabilities and travel time of subyearling fall chinook salmon and environmental influences such as flow volume and water temperature (Chapter 1), (3) monitor and evaluate dispersal of hatchery subyearlingmore » chinook salmon into nearshore rearing areas used by natural fish (Chapter 2), and (4) monitor and evaluate travel time to Lower Granite Dam, growth from release in the Snake River to recapture at Lower Granite Dam, ATPase levels of fish recaptured at Lower Granite Dam, and survival from release in the free-flowing Snake River to the tailrace of Lower Granite Dam (Chapter 2).« less

A spatial model to assess the effects of hydropower operations on Columbia River fall Chinook Salmon spawning habitat

USGS Publications Warehouse

Hatten, James R.; Tiffan, Kenneth F.; Anglin, Donald R.; Haeseker, Steven L.; Skalicky, Joseph J.; Schaller, Howard

2009-01-01

Priest Rapids Dam on the Columbia River produces large daily and hourly streamflow fluctuations throughout the Hanford Reach during the period when fall Chinook salmon Oncorhynchus tshawytscha are selecting spawning habitat, constructing redds, and actively engaged in spawning. Concern over the detrimental effects of these fluctuations prompted us to quantify the effects of variable flows on the amount and persistence of fall Chinook salmon spawning habitat in the Hanford Reach. Specifically, our goal was to develop a management tool capable of quantifying the effects of current and alternative hydrographs on predicted spawning habitat in a spatially explicit manner. Toward this goal, we modeled the water velocities and depths that fall Chinook salmon experienced during the 2004 spawning season, plus what they would probably have experienced under several alternative (i.e., synthetic) hydrographs, using both one- and two-dimensional hydrodynamic models. To estimate spawning habitat under existing or alternative hydrographs, we used cell-based modeling and logistic regression to construct and compare numerous spatial habitat models. We found that fall Chinook salmon were more likely to spawn at locations where velocities were persistently greater than 1 m/s and in areas where fluctuating water velocities were reduced. Simulations of alternative dam operations indicate that the quantity of spawning habitat is expected to increase as streamflow fluctuations are reduced during the spawning season. The spatial habitat models that we developed provide management agencies with a quantitative tool for predicting, in a spatially explicit manner, the effects of different flow regimes on fall Chinook salmon spawning habitat in the Hanford Reach. In addition to characterizing temporally varying habitat conditions, our research describes an analytical approach that could be applied in other highly variable aquatic systems.

Impacts of the Columbia River hydroelectric system on main-stem habitats of fall chinook salmon

USGS Publications Warehouse

Dauble, D.D.; Hanrahan, T.P.; Geist, D.R.; Parsley, M.J.

2003-01-01

Salmonid habitats in main-stem reaches of the Columbia and Snake rivers have changed dramatically during the past 60 years because of hydroelectric development and operation. Only about 13% and 58% of riverine habitats in the Columbia and Snake rivers, respectively, remain. Most riverine habitat is found in the upper Snake River; however, it is upstream of Hells Canyon Dam and not accessible to anadromous salmonids. We determined that approximately 661 and 805 km of the Columbia and Snake rivers, respectively, were once used by fall chinook salmon Oncorhynchus tshawytscha for spawning. Fall chinook salmon currently use only about 85 km of the main-stem Columbia River and 163 km of the main-stem Snake River for spawning. We used a geomorphic model to identify three river reaches downstream of present migration barriers with high potential for restoration of riverine processes: the Columbia River upstream of John Day Dam, the Columbia-Snake-Yakima River confluence, and the lower Snake River upstream of Little Goose Dam. Our analysis substantiated the assertion that historic spawning areas for fall chinook salmon occurred primarily within wide alluvial floodplains, which were once common in the mainstem Columbia and Snake rivers. These areas possessed more unconsolidated sediment and more bars and islands and had lower water surface slopes than did less extensively used areas. Because flows in the main stem are now highly regulated, the predevelopment alluvial river ecosystem is not expected to be restored simply by operational modification of one or more dams. Establishing more normative flow regimes - specifically, sustained peak flows for scouring - is essential to restoring the functional characteristics of existing, altered habitats. Restoring production of fall chinook salmon to any of these reaches also requires that population genetics and viability of potential seed populations (i.e., from tributaries, tailrace spawning areas, and hatcheries) be considered.

Effects of hydropower operations on spawning habitat, rearing habitat, and standing/entrapment mortality of fall Chinook salmon in the Hanford Reach of the Columbia River

USGS Publications Warehouse

Anglin, Donald R.; Haeseker, Steven L.; Skalicky, Joseph J.; Schaller, Howard; Tiffan, Kenneth F.; Hatten, James R.; Hoffarth, Paul; Nugent, John; Benner, David; Yoshinaka, Marv

2006-01-01

This report describes research conducted primarily in 2003 and 2004 to evaluate the effects of upstream dam operations on spawning and rearing conditions for fall Chinook salmon, Oncorhynchus tshawytscha, in the Hanford Reach of the Columbia River. Results from habitat modeling tasks which continued in 2005 and 2006 are also included in this report. This study is focused on the effects of streamflows and streamflow fluctuations on 1) entrapment and entrapment mortality of juveniles, 2) adult spawning habitat, and 3) juvenile rearing habitat. An independent peer review was conducted on the draft version of this report utilizing three reviewers, each with different areas of expertise and different levels of knowledge regarding hydrodynamic modeling, fall Chinook biology, life history, and habitat requirements, and fishery issues relating to hydropower development and operations. Peer review comments have been incorporated into this final version.

Snake River Fall Chinook Salmon life history investigations

USGS Publications Warehouse

Erhardt, John M.; Bickford, Brad; Hemingway, Rulon J.; Rhodes, Tobyn N.; Tiffan, Kenneth F.

2017-01-01

Predation by nonnative fishes is one factor that has been implicated in the decline of juvenile salmonids in the Pacific Northwest. Impoundment of much of the Snake and Columbia rivers has altered food webs and created habitat favorable for species such as Smallmouth Bass Micropterus dolomieu. Smallmouth Bass are common throughout the Columbia River basin and have become the most abundant predator in lower Snake River reservoirs (Zimmerman and Parker 1995). This is a concern for Snake River Fall Chinook Salmon Oncorhynchus tshawytscha (hereafter, subyearlings) that may be particularly vulnerable due to their relatively small size and because their main-stem rearing habitats often overlap or are in close proximity to habitats used by Smallmouth Bass (Curet 1993; Tabor et al. 1993). Concern over juvenile salmon predation spawned a number of large-scale studies to quantify its effect in the late 1980s, 1990s, and early 2000s (Poe et al. 1991; Rieman et al. 1991; Vigg et al. 1991; Fritts and Pearsons 2004; Naughton et al. 2004). Smallmouth Bass predation represented 9% of total salmon consumption by predatory fishes in John Day Reservoir, Columbia River, from 1983 through 1986 (Rieman et al. 1991). In transitional habitat between the Hanford Reach of the Columbia River and McNary Reservoir, juvenile salmon (presumably subyearlings) were found in 65% of Smallmouth Bass (>200 mm) stomachs and comprised 59% of the diet by weight (Tabor et al. 1993). Within Lower Granite Reservoir on the Snake River, Naughton et al. (2004) showed that monthly consumption (based on weight) ranged from 5% in the upper reaches of the reservoir to 11% in the forebay. However, studies in the Snake River were conducted soon after Endangered Species Act (ESA) listing of Snake River Fall Chinook Salmon (NMFS 1992). During this time, Fall Chinook Salmon abundance was at an historic low, which may explain why consumption rates were relatively low compared to those from studies conducted in the

Imaging fall Chinook salmon redds in the Columbia River with a dual-frequency identification sonar

USGS Publications Warehouse

Tiffan, K.F.; Rondorf, D.W.; Skalicky, J.J.

2004-01-01

We tested the efficacy of a dual-frequency identification sonar (DIDSON) for imaging and enumeration of fall Chinook salmon Oncorhynchus tshawytscha redds in a spawning area below Bonneville Dam on the Columbia River. The DIDSON uses sound to form near-video-quality images and has the advantages of imaging in zero-visibility water and possessing a greater detection range and field of view than underwater video cameras. We suspected that the large size and distinct morphology of a fall Chinook salmon redd would facilitate acoustic imaging if the DIDSON was towed near the river bottom so as to cast an acoustic shadow from the tailspill over the redd pocket. We tested this idea by observing 22 different redds with an underwater video camera, spatially referencing their locations, and then navigating to them while imaging them with the DIDSON. All 22 redds were successfully imaged with the DIDSON. We subsequently conducted redd searches along transects to compare the number of redds imaged by the DIDSON with the number observed using an underwater video camera. We counted 117 redds with the DIDSON and 81 redds with the underwater video camera. Only one of the redds observed with the underwater video camera was not also documented by the DIDSON. In spite of the DIDSON's high cost, it may serve as a useful tool for enumerating fall Chinook salmon redds in conditions that are not conducive to underwater videography.

Acute exposure to gas-supersaturated water does not affect reproductive success of female adult chinook salmon late in maturation

USGS Publications Warehouse

Gale, William L.; Maule, A.G.; Postera, A.; Peters, M.H.

2004-01-01

At times, total dissolved gas concentrations in the Columbia and Snake rivers have been elevated due to involuntary spill from high spring runoff and voluntary spill used as a method to pass juvenile salmonids over dams. The goal of this project was to determine if acute exposure to total dissolved gas supersaturation (TDGS) affects the reproductive performance of female chinook salmon late in their maturation. During this study, adult female spring chinook salmon were exposed to mean TDGS levels of 114.1 % to 125.5%. We ended exposures at first mortality, or at the appearance of impending death. Based on this criterion, exposures lasted from 10 to 68 h and were inversely related to TDGS. There was no effect of TDGS on pre-spawning mortality or fecundity when comparing treatment fish to experimental controls or the general hatchery population four to six weeks after exposures. Egg quality, based on egg weight and egg diameter, did not differ between treatment and control fish. Fertilization rate and survival to eyed-stage was high (>94%) for all groups. With the exception of Renibacterium salmoninarum (the causative agent of bacterial kidney disease; BKD), no viral or bacterial fish pathogens were isolated from experimental fish. The prevalence (about 45%) and severity of R. salmoninarum did not differ among the groups or the general hatchery population. We conclude that these acute exposures to moderate levels of gas-supersaturated water-perhaps similar to that experienced by immigrating adult salmon as they approach and pass a hydropower dam on the Columbia River-did not affect reproductive success of female chinook salmon late in their maturation. These results are most applicable to summer and fall chinook salmon, which migrate in the summer/fall and spawn shortly after reaching their natal streams. Published in 2004 by John Wiley and Sons, Ltd.

Snake River fall Chinook salmon life history investigations: Annual report 2011 (April 2011 - March 2012)

USGS Publications Warehouse

Tiffan, Kenneth F.; Connor, William P.; Bellgraph, Brian J.; Kock, Tobias J.; Mullins, Frank; Steinhorst, R. Kirk; Christiansen, Helena E.; McCormick, Stephen D.; Ortega, Lori A.; Carter, Kathleen M.; Arntzen, Evan V.; Klett, Katherine J.C.; Deng, Z. Daniel; Abel, Tylor K.; Linley, Timothy J.; Cullinan, Valerie I.; St John, Scott J.; Erhardt, John M.; Bickford, Brad; Schmidt, Amanda; Rhodes, Tobyn N.

2013-01-01

Chapter Four – We conducted monthly beam trawling in Lower Granite and Little Goose reservoirs to describe the seasonal abundance of benthic epifauna that are potentially important as prey to juvenile fall Chinook salmon. The predominant taxa collected were Siberian prawns, the opossum shrimp Neomysis mercedis, and the amphipod Corophium sp. Prawns were relatively abundant at shallow sites in both reservoirs in June, but were more abundant at deep sites in lower and middle reservoir reaches in autumn. Prawn densities were commonly <0.2/m2. Prawn length-frequency data indicated that there were at least two size classes. Juvenile prawns present in shallow water more often than adult prawns, which were generally only found in deep water by autumn. Ovigerous prawns had an average of 171 eggs, which represented about 11.5% of their body weight. Limited diet analyses suggested that prawns consumed Corophium, Neomysis, and aquatic insects. Neomysis dominated all catches both in terms of abundance and biomass, and they were more abundant in Lower Granite compared to Little Goose reservoir. Neomysis were more abundant at shallow sites than at deep sites. Corophium were present in our collections but were never abundant, probably because our trawl was not effective at capturing them. The caloric content of prawns (4,782 Kcal), Neomysis (4,962 Kcal), and Corophium (4,926 Kcal) indicates that these prey would be energetically profitable for juvenile salmon. Subyearling fall Chinook salmon prey heavily on Neomysis and Corophium at times, but the importance of prawns as prey is uncertain.

Habitat quality of historic Snake River fall Chinook salmon spawning locations and implications for incubation survival: part 1, substrate quality

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hanrahan, Timothy P.; Geist, David R.; Arntzen, Evan V.

2005-07-01

We evaluated substrate quality at two historic fall Chinook salmon (Oncorhynchus tshawytscha) spawning sites in the Snake River, Idaho, USA. The primary objective of this evaluation was to measure sediment permeability within these areas to determine the potential quality of the habitat in the event that anadromous salmonids are reintroduced to the upper Snake River. Riverbed sediments within the two sites in the upper Snake River were sampled using freeze cores and hydraulic slug tests. Sediment grain size distributions at both sites were typical of gravel-bed rivers with the surface layer coarser than the underlying substrate, suggesting the riverbed surfacemore » was armored. Despite the armored nature of the bed, the size of the largest material present on the riverbed surface was well within the size limit of material capable of being excavated by spawning fall Chinook salmon. The percentage of fines was low, suggesting good quality substrate for incubating salmon embryos. Geometric mean particle sizes found in this study compared to a 55% to 80% survival to emergence based on literature values. Hydraulic slug tests showed moderate to high hydraulic conductivity and were comparable to values from current fall Chinook salmon spawning areas in the Hells Canyon Reach of the Snake River and the Hanford Reach of the Columbia River. Predicted estimates of mean egg survival at both sites (48% and 74%) equaled or exceeded estimates from fall Chinook salmon spawning areas in the Hells Canyon Reach and the Hanford Reach.« less

Investigating passage of ESA-listed juvenile fall Chinook salmon at Lower Granite Dam during winter when the fish bypass system is not operated. 2006 Annual Report

USGS Publications Warehouse

Tiffan, Kenneth F.; Kock, Tobias J.; Connor, William P.

2007-01-01

During the winter of 2005-06, we radio and PIT tagged and released 48 juvenile fall Chinook salmon to evaluate over-wintering behavior and dam passage in the lower Snake River, Washington. Fish were released at the upstream end of the Lower Granite Dam forebay in November and December 2005. Fixed radio telemetry detection sites located in forebay and tailrace areas of Lower Granite, Little Goose, Lower Monumental and Ice Harbor dams were used to monitor fish movements and dam passage through early-May 2006. Of the 48 fish released during our study, 39 (81 %) passed Lower Granite Dam and were detected at downstream detection sites, 29 (60%) passed Little Goose Dam, 25 (52%) passed Lower Monumental Dam, and 15 (31%) passed Ice Harbor Dam. Thirty-seven (95%), 23 (79%), 16 (64%), and 9 (60%) of the fish that passed Lower Granite, Little Goose, Lower Monumental, and Ice Harbor dams respectively, did so when the fish bypass system was not operated. Passage of tagged fish past lower Snake River dams generally declined during the winter, but increased again after bypass began in April. Fish residence times in reservoirs and forebays was lengthy during the winter (up to 118 d), and varied by reservoir and time of year. We observed no diel passage trends. Only 15 of the 48 fish were subsequently detected at a PIT-tag interrogation site the following spring. We believe that passage of overwintering juvenile fall Chinook salmon during winter is due more to chance than directed downstream movement. Since the primary route of passage during the winter is through powerhouse turbines, the potential exists for increased mortality for over-wintering juvenile fall Chinook salmon in the Snake River. Our findings also have implications for transportation studies of subyearling fall Chinook salmon in the Snake River. Specifically, the finding that some fish can pass undetected during the winter may bias smolt-to-adult return rate calculations that are typically used to measure the

Prerelease disease treatment with potassium permanganate for Fall Chinook salmon smolts

USGS Publications Warehouse

Smith, Stanley D.; Gould, Rowan W.; Zaugg, Wally S.; Harrell, Lee W.; Mahnken, Conrad V.W.

1995-01-01

Standard potassium permanganate treatment (2 mg KMnO4/L freshwater for 1 h on three consecutive days) was applied to presmolts (parr) and smolts of fall chinook salmon (Oncorhynchus tshawytscha). Smoltification was determined by gill Na+,K+-ATPase activity. Treatments were conducted 73, 59, 45, 31, 16, and 2 d prior to full-strength seawater entry in aquaria. Potassium permanganate did not affect either growth or survival in seawater over 25 d. We observed a delayed rise in gill Na+,K+-ATPase activity in fish treated 16 d prior to seawater entry.

Research, monitoring, and evaluation of emerging issues and measures to recover the Snake River fall Chinook salmon ESU, 1/1/2014 - 12/31/2014

USGS Publications Warehouse

Connor, William P.; Mullins, Frank L.; Tiffan, Kenneth F.; Perry, Russell W.; Erhardt, John M.; St John, Scott J.; Bickford, Brad; Rhodes, Tobyn N.

2015-01-01

The portion of the Snake River fall Chinook Salmon Oncorhynchus tshawytscha ESU that spawns upstream of Lower Granite Dam transitioned from low to high abundance during 1992–2014 in association with U.S. Endangered Species Act recovery efforts and other Federally mandated actions. This annual report focuses on (1) numeric and habitat use responses by natural- and hatchery-origin spawners, (2) phenotypic and numeric responses by natural-origin juveniles, and (3) predator responses in the Snake River upper and lower reaches as abundance of adult and juvenile fall Chinook Salmon increased. Spawners have located and used most of the available spawning habitat and that habitat is gradually approaching redd capacity. Timing of spawning and fry emergence has been relatively stable; whereas the timing of parr dispersal from riverine rearing habitat into Lower Granite Reservoir has become earlier as apparent abundance of juveniles has increased. Growth rate (g/d) and dispersal size of parr also declined as apparent abundance of juveniles increased. Passage timing of smolts from the two Snake River reaches has become earlier and downstream movement rate faster as estimated abundance of fall Chinook Salmon smolts in Lower Granite Reservoir has increased. In 2014, consumption of subyearlings by Smallmouth Bass was highest in the upper reach which had the highest abundance of Bass. With a few exceptions, predation tended to decrease seasonally from April through early July. A release of hatchery fish in mid-May significantly increased subyearling consumption by the following day. We estimated that over 600,000 subyearling fall Chinook Salmon were lost to Smallmouth Bass predation along the free-flowing Snake River in 2014. More information on predation is presented in Appendix A.3 (page 51). These findings coupled with stock-recruitment analyses presented in this report provide evidence for density-dependence in the Snake River reaches and in Lower Granite Reservoir that was

Using remotely sensed imagery and GIS to monitor and research salmon spawning: A case study of the Hanford Reach fall chinook (Oncorhynchus Tshawytscha)

DOE Office of Scientific and Technical Information (OSTI.GOV)

RH Visser

2000-03-16

The alteration of ecological systems has greatly reduced salmon populations in the Pacific Northwest. The Hanford Reach of the Columbia River, for example, is a component of the last ecosystem in eastern Washington State that supports a relatively healthy population of fall chinook salmon ([Oncorhynchus tshawytscha], Huntington et al. 1996). This population of fall chinook may function as a metapopulation for the Mid-Columbia region (ISG 1996). Metapopulations can seed or re-colonize unused habitat through the mechanism of straying (spawning in non-natal areas) and may be critical to the salmon recovery process if lost or degraded habitat is restored (i.e., themore » Snake, Upper Columbia, and Yakima rivers). For these reasons, the Hanford Reach fall chinook salmon population is extremely important for preservation of the species in the Columbia River Basin. Because this population is important to the region, non-intrusive techniques of analysis are essential for researching and monitoring population trends and spawning activities.« less

Seasonal use of shallow water habitat in the Lower Snake River reservoirs by juvenile fall Chinook salmon

USGS Publications Warehouse

Tiffan, Kenneth F.; Connor, William P.

2012-01-01

The U.S. Army Corps of Engineers (COE) is preparing a long term management plan for sediments that affect the authorized project purposes of the Lower Granite, Little Goose, Lower Monumental, and Ice Harbor reservoirs (hereafter, the lower Snake River reservoirs), and the area from the mouth of the Snake River to Ice Harbor Dam. We conducted a study from spring 2010 through winter 2011 to describe the habitat use by juvenile Chinook salmon within a selected group of shallow water habitat complexes (< 6 m deep) in the lower Snake River reservoirs to help inform the long-term plan. Natural fry and parr were present within all four shallow water habitat complexes that we studied from early spring through early summer, and parr ( = 40,345 ± 18,800 [error bound]) were more abundant than fry ( = 24,615 ± 5,701). Water < 2 m deep was highly used for rearing by natural fall Chinook salmon subyearlings (fry and parr combined; hereafter natural subyearlings) based on duration of use and relative group abundances during spring and summer, whereas the 2–6 m depth interval was more highly used by migratory hatchery fall Chinook salmon subyearlings and spring, summer, and fall Chinook salmon yearlings. Overall mean spring-summer apparent density of natural subyearlings was 15.5 times higher within the < 2 m depth interval than within the 2–6 m depth interval. Density of natural subyearlings also decreased as the distance a given shallow water habitat complex was located from the riverine spawning areas increased. Reservoir-type juveniles (or fish likely destined to become reservoir-type juveniles) were present in the lower Snake River reservoirs from fall 2010 through winter 2011; however, use of shallow water habitat by reservoir-type juveniles was limited during our study. We only collected 38 reservoir-type juveniles in shallow water habitat sites in beach and lampara seines during the fall. Radiotelemetry data revealed that though many tagged fish passed shallow water

Snake River fall Chinook salmon life history investigations, 1/1/2013 – 12/31/2013

USGS Publications Warehouse

Tiffan, Kenneth F.; Connor, William P.

2015-01-01

Smallmouth bass predation on subyearling fall Chinook salmon was examined in the upper portion of Lower Granite Reservoir during 2013. During the time subyearlings were present in the reservoir, smallmouth bass were collected, their stomach contents removed for diet analysis, and their abundance estimated with mark-recapture techniques. In 2013, the greatest consumption of subyearlings by smallmouth bass occurred in late May and early June—as much as 50% of their diet by weight. Sand rollers were the most common non-salmonid fish consumed by smallmouth bass. In the section of the reservoir above the confluence with the Clearwater River, the abundance of bass was higher in non-riprap habitat than in riprap, but the opposite was true in the section below the confluence. We estimated that over 168,000 subyearlings were lost to smallmouth bass predation in 2013. Given the predominance of sand rollers in the diet of smallmouth bass, we believe this species reduces predation on subyearling fall Chinook salmon. A complete report of our findings is provided in the Appendix.

Landscape-level model to predict spawning habitat for Lower Columbia River fall Chinook salmon (Oncorhynchus tshawytscha)

Treesearch

D. Shallin Busch; Mindi Sheer; Kelly Burnett; Paul McElhany; Tom Cooney

2013-01-01

We developed an intrinsic potential (IP) model to estimate the potential of streams to provide habitat for spawning fall Chinook salmon (Oncorhynchus tshawytscha) in the Lower Columbia River evolutionarily significant unit. This evolutionarily significant unit is a threatened species, and both fish abundance and distribution are reduced from...

Variables influencing the presence of subyearling fall Chinook salmon in shoreline habitats of the Hanford Reach, Columbia River

USGS Publications Warehouse

Tiffan, K.F.; Clark, L.O.; Garland, R.D.; Rondorf, D.W.

2006-01-01

Little information currently exists on habitat use by subyearling fall Chinook salmon Oncorhynchus tshawytscha rearing in large, main-stem habitats. We collected habitat use information on subyearlings in the Hanford Reach of the Columbia River during May 1994 and April-May 1995 using point abundance electrofishing. We analyzed measures of physical habitat using logistic regression to predict fish presence and absence in shoreline habitats. The difference between water temperature at the point of sampling and in the main river channel was the most important variable for predicting the presence and absence of subyearlings. Mean water velocities of 45 cm/s or less and habitats with low lateral bank slopes were also associated with a greater likelihood of subyearling presence. Intermediate-sized gravel and cobble substrates were significant predictors of fish presence, but small (<32-mm) and boulder-sized (>256-mm) substrates were not. Our rearing model was accurate at predicting fish presence and absence using jackknifing (80% correct) and classification of observations from an independent data set (76% correct). The habitat requirements of fall Chinook salmon in the Hanford Reach are similar to those reported for juvenile Chinook salmon in smaller systems but are met in functionally different ways in a large river.

Pen rearing and imprinting of fall Chinook salmon. Annual report 1989

USGS Publications Warehouse

Beeman, J.W.; Novotny, J.F.

1990-01-01

The goal of this project is to compare net-pen rearing methods to traditional hatchery methods of rearing upriver bright fall chinook salmon (Oncorhvnchus tshawvtscha). Fish were reared at several densities in net pens at three Columbia River backwater sites during 1984-1987, and in a barrier net at one site during 1984-1986; methods included both fed and unfed treatments. The purpose of this report is to summarize the results obtained from the unfed treatments and the current return of adults from all fed treatments and the barrier net. Zooplankton were the primary food item of unfed fish. Fish reared in net pens utilized insects colonizing the nets as an additional food source, whereas those reared in the barrier net did not. Growth and production of fish reared in the unfed treatments were low. Instantaneous growth rates of unfed fish were much lower than those of the fed treatments and hatchery controls except when zooplankton densities were high and chironomid larvae were important in the diet of unfed fish reared in pens. Only fish in the barrier net treatment resulted in consistent net gains in growth and production over the rearing periods. Adult returns of fish from all fed and unfed treatments are lower than those of control fish reared at the hatchery. Returns appear to be inversely related to rearing density. Even though adult returns are lower than those of traditional hatchery methods, a cost-benefit analysis, as return data becomes more complete, may prove these methods to be an economical means of expanding current hatchery production, particularly if "thinning" releases were used.

Post-mortem sporulation of Ceratomyxa shasta (Myxozoa) after death in adult Chinook salmon

USGS Publications Warehouse

Kent, Michael L.; Soderlund, K.; Thomann, E.; Schreck, Carl B.; Sharpton, T.J.

2014-01-01

Ceratomyxa shasta (Myxozoa) is a common gastrointestinal pathogen of salmonid fishes in the Pacific Northwest of the United States. We have been investigating this parasite in adult Chinook salmon (Oncorhynchus tshawytscha) in the Willamette River, Oregon. In prior work, we observed differences in the pattern of development of C. shasta in adult salmon compared to juvenile salmon. Adult salmon consistently had large numbers of prespore stages in many of the fish that survived to spawn in the fall. However, myxospores were rarely observed, even though they were exposed and presumably infected for months before spawning. We evaluated the ability of C. shasta to sporulate following fish death because it is reported that myxosores are common in carcasses of Chinook salmon. We collected the intestine from 30 adult salmon immediately after artificial spawning and death (T0). A total of 23 fish were infected with C. shasta based on histology, but only a few myxospores were observed in 1 fish by histology. Intestines of these fish were examined at T0 and T7 (latter held at 17 C for 7 days) using quantified wet mount preparations. An increase in myxospore concentrations was seen in 39% of these fish, ranging between a 1.5- to a 14.5-fold increase. The most heavily infected fish exhibited a 4.6-fold increase from 27,841 to 129,352 myxospores/cm. This indicates, supported by various statistical analyses, that under certain conditions presporogonic forms are viable and continue to sporulate after death in adult salmon. Considering the life cycle of C. shasta and anadromous salmon, the parasite may have evolved 2, non-mutually exclusive developmental strategies. In young fish (parr and smolts), the parasite sporulates shortly after infection and is released into freshwater from either live or dead fish before their migration to seawater, where the alternate host is absent. The second strategy occurs in adult salmon, particularly spring Chinook salmon, which become infected upon

Identification of the Spawning, Rearing, and Migratory Requirements of Fall Chinook Salmon in the Columbia River Basin, Annual Report 1994.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rondorf, Dennis W.; Tiffan, Kenneth F.

1996-08-01

Spawning ground surveys were conducted in 1994 as part of a five year study of Snake River chinook salmon Oncorhynchus tshawyacha begun in 1991. Observations of fall chinook salmon spawning in the Snake River were limited to infrequent aerial red counts in the years prior to 1987. From 1987-1990, red counts were made on a limited basis by an interagency team and reported by the Washington Department of Fisheries. Starting in 1991, the U.S. Fish and Wildlife Service (USFWS), and other cooperating agencies and organizations, expanded the scope of spawning ground surveys to include: (1) additional aerial surveys to improvemore » red counts and provide data on the timing of spawning; (2) the validation (ground truthing) of red counts from aerial surveys to improve count accuracy; (3) underwater searches to locate reds in water too deep to allow detection from the air; and (4) bathymetric mapping of spawning sites for characterizing spawning habitat. This document is the 1994 annual progress report for selected studies of fall chinook salmon. The studies were undertaken because of the growing concern about the declining salmon population in the Snake River basin.« less

Water velocity, turbulence, and migration rate of subyearling fall Chinook salmon in the free-flowing and impounded Snake River

USGS Publications Warehouse

Tiffan, Kenneth F.; Kock, Tobias J.; Haskell, Craig A.; Connor, William P.; Steinhorst, R. Kirk

2009-01-01

We studied the migratory behavior of subyearling fall Chinook salmon Oncorhynchus tshawytscha in free-flowing and impounded reaches of the Snake River to evaluate the hypothesis that velocity and turbulence are the primary causal mechanisms of downstream migration. The hypothesis states that impoundment reduces velocity and turbulence and alters the migratory behavior of juvenile Chinook salmon as a result of their reduced perception of these cues. At a constant flow (m3 /s), both velocity (km/d) and turbulence (the SD of velocity) decreased from riverine to impounded habitat as cross-sectional areas increased. We found evidence for the hypothesis that subyearling Chinook salmon perceive velocity and turbulence cues and respond to these cues by varying their behavior. The percentage of the subyearlings that moved faster than the average current speed decreased as fish made the transition from riverine reaches with high velocities and turbulence to upper reservoir reaches with low velocities and turbulence but increased to riverine levels again as the fish moved further down in the reservoir, where velocity and turbulence remained low. The migration rate (km/d) decreased in accordance with longitudinal reductions in velocity and turbulence, as predicted by the hypothesis. The variation in migration rate was better explained by a repeatedmeasures regression model containing velocity (Akaike’s information criterion ¼ 1,769.0) than a model containing flow (2,232.6). We conclude that subyearling fall Chinook salmon respond to changes in water velocity and turbulence, which work together to affect the migration rate.

Quantifying flow-dependent changes in subyearling fall chinook salmon rearing habitat using two-dimensional spatially explicit modeling

USGS Publications Warehouse

Tiffan, K.F.; Garland, R.D.; Rondorf, D.W.

2002-01-01

We used an analysis based on a geographic information system (GIS) to determine the amount of rearing habitat and stranding area for subyearling fall chinook salmon Oncorhynchus tshawytscha in the Hanford Reach of the Columbia River at steady-state flows ranging from 1,416 to 11,328 m3/s. High-resolution river channel bathymetry was used in conjunction with a two-dimensional hydrodynamic model to estimate water velocities, depths, and lateral slopes throughout our 33-km study area. To relate the probability of fish presence in nearshore habitats to measures of physical habitat, we developed a logistic regression model from point electrofishing data. We only considered variables that were compatible with a GIS and therefore excluded other variables known to be important to juvenile salmonids. Water velocity and lateral slope were the only two variables included in our final model. The amount of available rearing habitat generally decreased as flow increased, with the greatest decreases occurring between 1,416 and 4,814 m3/s. When river discharges were between 3,682 and 7,080 m3/s, flow fluctuations of 566 m3/s produced the smallest change in available rearing area (from -6.3% to +6.8% of the total). Stranding pool area was greatly reduced at steady-state flows exceeding 4,531 m3/s, but the highest net gain in stranding area was produced by 850 m3/s decreases in flow when river discharges were between 5,381 and 5,664 m3/s. Current measures to protect rearing fall chinook salmon include limiting flow fluctuations at Priest Rapids Dam to 850 m3/s when the dam is spilling water and when the weekly flows average less than 4,814 m3/s. We believe that limiting flow fluctuations at all discharges would further protect subyearling fall chinook salmon.

Evaluation of the Contribution of Fall Chinook Salmon Reared at Columbia River Hatcheries to the Pacific Salmon Fisheries, 1989 Final Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Vreeland, Robert R.

1989-10-01

In 1979 this study was initiated to determine the distribution, contribution, and value of artificially propagated fall chinook salmon from the Columbia River. Coded wire tagging (CWT) of hatchery fall chinook salmon began in 1979 with the 1978 brood and was completed in 1982 with the 1981 brood of fish at rearing facilities on the Columbia River system. From 18 to 20 rearing facilities were involved in the study each brood year. Nearly 14 million tagged fish, about 4% of the production, were released as part of this study over the four years, 1979 through 1982. Sampling for recoveries ofmore » these tagged fish occurred from 1980 through 1986 in the sport and commercial marine fisheries from Alaska through California, Columbia River fisheries, and returns to hatcheries and adjacent streams. The National Marine Fisheries Service coordinated this study among three fishery agencies: US Fish and Wildfire Service, Oregon Department of Fish and Wildlife, and Washington Department of Fisheries. The objectives of this study were to determine the distribution, fishery contribution, survival, and value of the production of fall chinook salmon from each rearing facility on the Columbia River system to Pacific coast salmon fisheries. To achieve these objectives fish from each hatchery were given a distinctive CWT. 81 refs., 20 figs., 68 tabs.« less

Investigating passage of ESA-listed juvenile fall Chinook salmon at Lower Granite Dam during winter when the fish bypass system is not operated

USGS Publications Warehouse

Kock, Tobias J.; Tiffan, Kenneth F.; Connor, William P.

2007-01-01

to chance than directed downstream movement. Since the primary route of passage during the winter is through powerhouse turbines, the potential exists for increased mortality for over-wintering juvenile fall Chinook salmon in the Snake River. Our findings that some fish can pass undetected during the winter likely bias traditional smolt-to-adult return rate calculations that are typically used to measure the success of juvenile transportation studies.

Grande Ronde Endemic Spring Chinook Salmon Supplementation Project; Lostine River Operations and Maintenance 2003 Smolt Acclimation and Adult Return Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zollman, Richard L.; Eschler, Russell; Sealey, Shawn

2009-03-31

The Nez Perce Tribe (NPT), through funding provided by the Bonneville Power Administration (BPA), has implemented a Chinook salmon supplementation program (250,000 smolts) on the Lostine River, a tributary to the Grande Ronde River of Oregon. The Grande Ronde Endemic Spring Chinook Salmon Supplementation project, which involves supplementation of the Upper Grande Ronde River and Catherine Creek in addition to the Lostine River, was established to prevent extirpation and increase the number of threatened Snake River spring/summer Chinook salmon (Oncorhynchus tshawytscha) returning to the Grande Ronde River. This report covers the seventh season (1997-2003) of adult Chinook salmon broodstock collectionmore » in the Lostine River and the fifth season (1999-2003) of acclimating the resultant progeny. Production of Lostine River spring Chinook salmon smolts currently occurs at Lookingglass Fish Hatchery (LGH). The Lostine River supplementation program utilizes two strategies to obtain egg source for production of smolts for supplementation: captive broodstock and conventional broodstock. The captive broodstock strategy involves (1) capture of natural juvenile spring Chinook salmon smolts from the Lostine River, (2) rearing those to adult and spawning them, and (3) rearing the resultant progeny for eventual acclimation and release back into the Lostine River. The conventional broodstock strategy involves (1) capture of natural and hatchery origin adults returning to the Lostine River, (2) holding those adults and spawning them, and (3) rearing the resultant progeny for acclimation and release back into the Lostine River. This report focuses on (1) the trapping and collection of adult spring Chinook salmon that return to the Lostine River, which provides the broodstock source for the conventional strategy and (2) the acclimation and release of juvenile spring Chinook salmon produced from the captive broodstock and conventional broodstock strategies. In 2003, acclimation

Grande Ronde Endemic Spring Chinook Salmon Supplementation Project; Lostine River Operations and Maintenance 2004 Smolt Acclimation and Adult Return Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zollman, Richard L.; Eschler, Russell; Sealey, Shawn

2009-03-31

The Nez Perce Tribe (NPT), through funding provided by the Bonneville Power Administration (BPA), has implemented a Chinook salmon supplementation program (250,000 smolts) on the Lostine River, a tributary to the Grande Ronde River of Oregon. The Grande Ronde Endemic Spring Chinook Salmon Supplementation project, which involves supplementation of the Upper Grande Ronde River and Catherine Creek in addition to the Lostine River, was established to prevent extirpation and increase the number of threatened Snake River spring/summer Chinook salmon (Oncorhynchus tshawytscha) returning to the Grande Ronde River. This report covers the eighth season (1997-2004) of adult Chinook salmon broodstock collectionmore » in the Lostine River and the sixth season (1999-2004) of acclimation of resulting Lostine River progeny. Production of Lostine River spring Chinook salmon smolts currently occurs at Lookingglass Fish Hatchery (LGH). The Lostine River supplementation program utilizes two strategies to obtain egg source for production of smolts for supplementation: captive broodstock and conventional broodstock. The captive broodstock strategy involves (1) capture of natural juvenile spring Chinook salmon smolts from the Lostine River, (2) rearing those to adult and spawning them, and (3) rearing the resultant progeny for eventual acclimation and release back into the Lostine River. The conventional broodstock strategy involves (1) capture of natural and hatchery origin adults returning to the Lostine River, (2) holding those adults and spawning them, and (3) rearing the resultant progency for acclimation and release back into the Lostine River. This report focuses on (1) the trapping and collection of adult spring Chinook salmon that return to the Lostine River, which provides the broodstock source for the conventional strategy and (2) the acclimation and release of juvenile spring Chinook salmon produced from the captive broodstock and conventional broodstock strategies. In 2004

Grande Ronde Endemic Spring Chinook Salmon Supplementation Project; Lostine River Operations and Maintenance 2007 Smolt Acclimation and Adult Return Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zollman, Richard L.; Eschler, Russell; Sealey, Shawn

2009-03-31

The Nez Perce Tribe (NPT), through funding provided by the Bonneville Power Administration (BPA), has implemented a Chinook salmon supplementation program (250,000 smolts) on the Lostine River, a tributary to the Grande Ronde River of Oregon. The Grande Ronde Endemic Spring Chinook Salmon Supplementation project, which involves supplementation of the Upper Grande Ronde River and Catherine Creek in addition to the Lostine River, was established to prevent extirpation and increase the number of threatened Snake River spring/summer Chinook salmon (Oncorhynchus tshawytscha) returning to the Grande Ronde River. This report covers the eleventh season (1997-2007) of adult Chinook salmon broodstock collectionmore » in the Lostine River and the ninth season (1999-2007) of acclimation of resulting Lostine River progeny. Production of Lostine River spring Chinook salmon smolts currently occurs at Lookingglass Fish Hatchery (LGH). The Lostine River supplementation program utilizes two strategies to obtain egg source for production of smolts for supplementation: captive broodstock and conventional broodstock. The captive broodstock strategy involves (1) capture of natural juvenile spring Chinook salmon smolts from the Lostine River, (2) rearing those to adult and spawning them, and (3) rearing the resultant progeny for eventual acclimation and release back into the Lostine River. The conventional broodstock strategy involves (1) capture of natural and hatchery origin adults returning to the Lostine River, (2) holding those adults and spawning them, and (3) rearing the resultant progeny for acclimation and release back into the Lostine River. This report focuses on (1) the trapping and collection of adult spring Chinook salmon that return to the Lostine River, which provides the broodstock source for the conventional strategy and (2) the acclimation and release of juvenile spring Chinook salmon produced from the captive broodstock and conventional broodstock strategies In 2007

Passage survival of juvenile steelhead, coho salmon, and Chinook salmon in Lake Scanewa and at Cowlitz Falls Dam, Cowlitz River, Washington, 2010–16

USGS Publications Warehouse

Liedtke, Theresa L.; Kock, Tobias J.; Hurst, William

2018-04-03

A multi-year evaluation was conducted during 2010–16 to evaluate passage survival of juvenile steelhead (Oncorhynchus mykiss), Chinook salmon (O. tshawytscha), and coho salmon (O. kisutch) in Lake Scanewa, and at Cowlitz Falls Dam in the upper Cowlitz River Basin, Washington. Reservoir passage survival was evaluated in 2010, 2011, and 2016, and included the tagging and release of 1,127 juvenile salmonids. Tagged fish were released directly into the Cowlitz and Cispus Rivers, 22.3 and 8.9 km, respectively, upstream of the reservoir, and were monitored as they moved downstream into, and through the reservoir. A single release-recapture survival model was used to analyze detection records and estimate reservoir passage survival, which was defined as successful passage from reservoir entry to arrival at Cowlitz Falls Dam. Tagged fish generally moved quickly downstream of the release sites and, on average, arrived in the dam forebay within 2 d of release. Median travel time from release to first detection at the dam ranged from 0.23 to 0.96 d for juvenile steelhead, from 0.15 to 1.11 d for juvenile coho salmon, and from 0.18 to 1.89 d for juvenile Chinook salmon. Minimum reservoir passage survival probabilities were 0.960 for steelhead, 0.855 for coho salmon and 0.900 for Chinook salmon.Dam passage survival was evaluated at the pilot-study level during 2013–16 and included the tagging and release of 2,512 juvenile salmonids. Juvenile Chinook salmon were evaluated during 2013–14, and juvenile steelhead and coho salmon were evaluated during 2015–16. A paired-release study design was used that included release sites located upstream and downstream of Cowlitz Falls Dam. The downstream release site was positioned at the downstream margin of the dam’s tailrace, which allowed dam passage survival to be measured in a manner that included mortality that occurred in the passage route and in the dam tailrace. More than one-half of the tagged Chinook salmon (52 percent

Summary of Temperature Data Collected to Improve Emergence Timing Estimates for Chum and Fall Chinook Salmon in the Lower Columbia River, 1998-2004 Progress Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Arntzen, E.; Geist, D.; Hanrahan, T.

2005-10-01

From 1999 through 2004, Pacific Northwest National Laboratory collected temperature data from within chum and fall Chinook salmon spawning gravels and the overlying river at 21 locations in the Ives Island area approximately 5 km downstream from Bonneville Dam. Sample locations included areas where riverbed temperatures were elevated, potentially influencing alevin development and emergence timing. The study objectives were to (1) collect riverbed and river temperature data each year from the onset of spawning (October) to the end of emergence (June) and (2) provide those data in-season to fisheries management agencies to assist with fall Chinook and chum salmon emergencemore » timing estimates. Three systems were used over the life of the study. The first consisted of temperature sensors deployed inside piezometers that were screened to the riverbed or the river within chum and fall Chinook salmon spawning areas. These sensors required direct access by staff to download data and were difficult to recover during high river discharge. The second system consisted of a similar arrangement but with a wire connecting the thermistor to a data logger attached to a buoy at the water surface. This system allowed for data retrieval at high river discharge but proved relatively unreliable. The third system consisted of temperature sensors installed in piezometers such that real-time data could be downloaded remotely via radio telemetry. After being downloaded, data were posted hourly on the Internet. Several times during the emergence season of each year, temperature data were downloaded manually and provided to management agencies. During 2003 and 2004, the real-time data were made available on the Internet to assist with emergence timing estimates. Examination of temperature data reveals several important patterns. Piezometer sites differ in the direction of vertical flow between surface and subsurface water. Bed temperatures in upwelling areas are more stable during

Effects of acute thermal stress on the survival, predator avoidance, and physiology of juvenile fall Chinook salmon

USGS Publications Warehouse

Mesa, M.G.; Weiland, L.K.; Wagner, P.

2002-01-01

We subjected juvenile fall chinook salmon from the Hanford Reach of the Columbia River to acute thermal stressors in the laboratory that were derived from field data. We assessed the effects of thermal stress on: (1) the extent of direct mortality; (2) the vulnerability of fish to predation by smallmouth bass; and (3) some general physiological stress responses and synthesis of heat shock protein 70 (hsp70). Thermally-stressed fish showed little direct mortality and no increases in vulnerability to predation. However, these fish showed transient increases in plasma concentrations of cortisol, glucose, and lactate, and a dramatic (25-fold higher than controls) and persistent (lasting 2 wk) increase in levels of liver hsp70. Our results indicate that exposure of Hanford Reach juvenile fall chinook salmon to such stressors did not lead to significant increases in direct mortality or vulnerability to predation, but did alter physiological homeostasis, which should be of concern to those managing this resource. Because our fish received only a single exposure to one of the stressors we examined, we are also concerned about the consequences of exposing fish to multiple, cumulative stressors - a likely scenario for fish in the wild.

Innate and adaptive immune responses in migrating spring-run adult chinook salmon, Oncorhynchus tshawytscha

USGS Publications Warehouse

Dolan, Brian P.; Fisher, Kathleen M.; Colvin, Michael E.; Benda, Susan E.; Peterson, James T.; Kent, Michael L.; Schreck, Carl B.

2016-01-01

Adult Chinook salmon (Oncorhynchus tshawytscha) migrate from salt water to freshwater streams to spawn. Immune responses in migrating adult salmon are thought to diminish in the run up to spawning, though the exact mechanisms for diminished immune responses remain unknown. Here we examine both adaptive and innate immune responses as well as pathogen burdens in migrating adult Chinook salmon in the Upper Willamette River basin. Messenger RNA transcripts encoding antibody heavy chain molecules slightly diminish as a function of time, but are still present even after fish have successfully spawned. In contrast, the innate anti-bacterial effector proteins present in fish plasma rapidly decrease as spawning approaches. Fish also were examined for the presence and severity of eight different pathogens in different organs. While pathogen burden tended to increase during the migration, no specific pathogen signature was associated with diminished immune responses. Transcript levels of the immunosuppressive cytokines IL-10 and TGF beta were measured and did not change during the migration. These results suggest that loss of immune functions in adult migrating salmon are not due to pathogen infection or cytokine-mediated immune suppression, but is rather part of the life history of Chinook salmon likely induced by diminished energy reserves or hormonal changes which accompany spawning.

Research, monitoring, and evaluation of emerging issues and measures to recover the Snake River fall Chinook salmon ESU, 1/1/2012 – 12/31/2013: Annual report, 1991-029-00

USGS Publications Warehouse

Connor, William P.; Mullins, Frank; Tiffan, Kenneth F.; Perry, Russell W.; Erhardt, John M.; St. John, Scott J.; Bickford, Brad; Rhodes, Tobyn N.

2014-01-01

The portion of the Snake River fall Chinook Salmon Oncorhynchus tshawytscha ESU that spawns upstream of Lower Granite Dam transitioned from low to high abundance during 1992–2014 in association with U.S. Endangered Species Act recovery efforts and other Federally mandated actions. This annual report focuses on (1) numeric and habitat use responses by natural- and hatchery-origin spawners, (2) phenotypic and numeric responses by natural-origin juveniles, and (3) predator responses in the Snake River upper and lower reaches as abundance of adult and juvenile fall Chinook Salmon increased. Spawners have located and used most of the available spawning habitat and that habitat is gradually approaching redd capacity. Timing of spawning and fry emergence has been relatively stable; whereas the timing of parr dispersal from riverine rearing habitat into Lower Granite Reservoir has become earlier as apparent abundance of juveniles has increased. Growth rate (g/d) and dispersal size of parr also declined as apparent abundance of juveniles increased. Passage timing of smolts from the two Snake River reaches has become earlier and downstream movement rate faster as estimated abundance of fall Chinook Salmon smolts in Lower Granite Reservoir has increased. In 2014, consumption of subyearlings by Smallmouth Bass was highest in the upper reach which had the highest abundance of Bass. With a few exceptions, predation tended to decrease seasonally from April through early July. A release of hatchery fish in mid-May significantly increased subyearling consumption by the following day. We estimated that over 600,000 subyearling fall Chinook Salmon were lost to Smallmouth Bass predation along the free-flowing Snake River in 2014. More information on predation is presented in Appendix A.3 (page 51). These findings coupled with stock-recruitment analyses presented in this report provide evidence for density-dependence in the Snake River reaches and in Lower Granite Reservoir that was

Predation Susceptibility of Juvenile Fall Chinook Salmon Exposed to Sudden Temperature Changes and Slightly Supersaturated Dissolved Gas

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bellgraph, Brian J.; Carter, Kathleen M.; Chamness, Michele A.

High mortality of hatchery-reared juvenile fall Chinook salmon emigrating from the Clearwater River was previously measured at the confluence of the Snake and Clearwater rivers; however, the causative mechanism of mortality is unknown. To elucidate potential mechanisms, the predation susceptibility of juvenile fall Chinook salmon was assessed during simulated passage from the Clearwater River and through the confluence of the Clearwater and Snake rivers, with and without cool water flow augmentation. Emigrant-sized juvenile salmon were acclimated to temperatures typical of the Clearwater River when cool water augmentation is discharged from Dworshak Dam (10°C to 17°C) and during temperatures that wouldmore » be present without augmentation (17°C to 24°C), and were then exposed to smallmouth bass within temperatures typical of the Snake River in summer (17°C to 24°C). Slightly supersaturated total dissolved gas concentrations of 105% were also simulated to more closely approximate gas conditions of both rivers in summer. Predation susceptibility of juvenile salmon acclimated at 10°C or 17°C and exposed to predators at 17°C did not differ. However, for salmon exposed to predators at 24°C, predation susceptibility was arguably higher for juvenile salmon acclimated at 10°C (a 14°C increase) than for salmon acclimated at 17°C or 24°C (7°C and 0°C increases, respectively). These results indicate that predation susceptibility may be higher when a relatively large temperature difference exists between the Clearwater and Snake rivers; that is, when cool water flow augmentation is occurs in summer. However, further research is needed to determine if high confluence mortality measured in previous studies is related to cool water augmentation and, ultimately, whether or not this mortality has a population-level effect on the dynamics of wild Snake River fall Chinook salmon.« less

Hydraulic Characteristics of the Lower Snake River During Periods of Juvenile Fall Chinook Migration

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cook, Chris B.; Dibrani, Berhon; Richmond, Marshall C.

2006-01-30

This report documents a four-year study to assess hydraulic conditions in the lower Snake River. The work was conducted for the Bonneville Power Administration, U.S. Department of Energy, by the Pacific Northwest National Laboratory. Cold water released from the Dworshak Reservoir hypolimnion during mid- to late-summer months cools the Clearwater River far below equilibrium temperature. The volume of released cold water augments the Clearwater River, and the combined total discharge is on the order of the Snake River discharge when the two rivers meet at their confluence near the upstream edge of Lower Granite Reservoir. With typical temperature differences betweenmore » the Clearwater and Snake rivers of 10°C or more during July and August, the density difference between the two rivers during summer flow augmentation periods is sufficient to stratify Lower Granite Reservoir as well as the other three reservoirs downstream. Because cooling of the river is desirable for migrating juvenile fall Chinook salmon (Oncorhynchus tshawytscha) during this same time period, the amount of mixing and cold water entrained into Lower Granite Reservoir’s epilimnion at the Clearwater/Snake River confluence is of key biological importance to juvenile fall Chinook salmon. Data collected during this project indicates the three reservoirs downstream of Lower Granite also stratify as direct result of flow augmentation from Dworshak Reservoir. These four lower Snake reservoirs are also heavily influenced by wind forcing at the water’s surface, and during periods of low river discharge, often behave like a two-layer lake. During these periods of stratification, lower river discharge, and wind forcing, the water in the upper layer of the reservoir is held in place or moves slightly upstream. This upper layer is also exposed to surface heating and may warm up to temperatures close to equilibrium temperature. The depth of this upper warm layer and its direction of travel may also be

Grande Ronde Endemic Spring Chinook Salmon Supplementation Project; Lostine River Operations and Maintenance 2006 Smolt Acclimation and Adult Return Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zollman, Richard L.; Eschler, Russell; Sealey, Shawn

2009-03-31

The Nez Perce Tribe (NPT), through funding provided by the Bonneville Power Administration (BPA), has implemented a Chinook salmon supplementation program (250,000 smolts) on the Lostine River, a tributary to the Grande Ronde River of Oregon. The Grande Ronde Endemic Spring Chinook Salmon Supplementation project, which involves supplementation of the Upper Grande Ronde River and Catherine Creek in addition to the Lostine River, was established to prevent extirpation and increase the number of threatened Snake River spring/summer Chinook salmon (Oncorhynchus tshawytscha) returning to the Grande Ronde River. This report covers the tenth season (1997-2006) of adult Chinook salmon broodstock collectionmore » in the Lostine River and the eighth season (1999-2006) of acclimation of resulting Lostine River progeny. Production of Lostine River spring Chinook salmon smolts currently occurs at Lookingglass Fish Hatchery (LGH). The Lostine River supplementation program utilizes two strategies to obtain egg source for production of smolts for supplementation: captive broodstock and conventional broodstock. The captive broodstock strategy involves (1) capture of natural juvenile spring Chinook salmon smolts from the Lostine River, (2) rearing those to adult and spawning them, and (3) rearing the resultant progeny for eventual acclimation and release back into the Lostine River. The conventional broodstock strategy involves (1) capture of natural and hatchery origin adults returning to the Lostine River, (2) holding those adults and spawning them, and (3) rearing the resultant progeny for acclimation and release back into the Lostine River. This report focuses on (1) the trapping and collection of adult spring Chinook salmon that return to the Lostine River, which provides the broodstock source for the conventional strategy and (2) the acclimation and release of juvenile spring Chinook salmon produced from the captive broodstock and conventional broodstock strategies In 2006

Survival, development, and growth of fall Chinook salmon embryos, alevin, and fry exposed to variable thermal and dissolved oxygen regimes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Geist, David R.; Abernethy, Cary S.; Hand, Kristine D.

2006-11-15

Some fall Chinook salmon (Oncorhynchus tshawytscha) initiate spawning in the Snake River downstream of Hells Canyon Dam at temperatures that exceed 13?C and at intergravel dissolved oxygen concentrations that are less than 8 mg O2/L. Although water temperature declines and dissolved oxygen increases soon after spawning, these temperature and dissolved oxygen levels do not meet the water quality standards established by the states of Oregon and Idaho for salmonid spawning. Our objective was to determine if temperatures from 13 to 17 C and dissolved oxygen levels from 4 to greater than 8 mg O2/L during the first 40 days ofmore » incubation followed by declining temperature and rising dissolved oxygen affected survival, development, and growth of Snake River fall Chinook salmon embryos, alevins, and fry. During the first 40 days of incubation, temperatures were adjusted downward approximately 0.2 C/day and oxygen was increased in increments of 2 mg O2/L to mimic the thermal and oxygen regime of the Snake River where these fish spawn. At 40 days post-fertilization, embryos were moved to a common exposure regime that followed the thermal and dissolved oxygen profile of the Snake River through emergence. Mortality of fall Chinook salmon embryos increased markedly at initial incubation temperatures equal to or greater than 17?C, and a rapid decline in survival occurred between 16.5 C and 17 C, with no significant difference in survival at temperatures less than or equal to 16.5 C. Initial dissolved oxygen levels as low as 4 mg O2/L over a range of initial temperatures from 15 to 16.5 C did not affect embryo survival to emergence. There were no significant differences across the range of initial temperature exposures for alevin and fry size at hatch and emergence. The number of days from fertilization to eyed egg, hatch, and emergence was highly related to temperature and dissolved oxygen; it took from 6 to 10 days longer to reach hatch at 4 mg O2/L than at saturation

Status and Monitoring of Natural and Supplemented Chinook Salmon in Johnson Creek, Idaho, 2006-2007 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rabe, Craig D.; Nelson, Douglas D.

The Nez Perce Tribe Johnson Creek Artificial Propagation Enhancement Project (JCAPE) has conducted juvenile and adult monitoring and evaluation studies for its 10th consecutive year. Completion of adult and juvenile Chinook salmon studies were conducted for the purpose of evaluating a small-scale production initiative designed to increase the survival of a weak but recoverable spawning aggregate of summer Chinook salmon Oncorhynchus tshawytscha. The JCAPE program evaluates the life cycle of natural origin (NOR) and hatchery origin (HOR) supplementation fish to quantify the key performance measures: abundance, survival-productivity, distribution, genetics, life history, habitat, and in-hatchery metrics. Operation of a picket stylemore » weir and intensive multiple spawning ground surveys were completed to monitor adult Chinook salmon and a rotary screw trap was used to monitor migrating juvenile Chinook salmon in Johnson Creek. In 2007, spawning ground surveys were conducted on all available spawning habitat in Johnson Creek and one of its tributaries. A total of 63 redds were observed in the index reach and 11 redds for all other reaches for a combined count of 74 redds. Utilization of carcass recovery surveys and adult captures at an adult picket weir yielded a total estimated adult escapement to Johnson Creek of 438 Chinook salmon. Upon deducting fish removed for broodstock (n=52), weir mortality/ known strays (n=12), and prespawning mortality (n=15), an estimated 359 summer Chinook salmon were available to spawn. Estimated total migration of brood year 2005 NOR juvenile Chinook salmon at the rotary screw trap was calculated for three seasons (summer, fall, and spring). The total estimated migration was 34,194 fish; 26,671 of the NOR migrants left in the summer (July 1 to August 31, 2005) as fry/parr, 5,852 left in the fall (September 1 to November 21, 2005) as presmolt, and only 1,671 NOR fish left in the spring (March 1 to June 30, 2006) as smolt. In addition

Effects of summer flow augmentation on the migratory behavior and survival of juvenile Snake River fall Chinook salmon. Annual report 2005

USGS Publications Warehouse

Tiffan, Kenneth F.; Connor, William P.

2006-01-01

This report summarizes results of research activities conducted in 2004 and years previous to aid in the management and recovery of fall Chinook salmon Oncorhynchus tshawytscha in the Columbia River basin. For detailed summaries, we refer the reader to the abstracts given on the second page of each chapter. The Annual Reporting section includes information provided to fishery managers in-season and post-season, and it contains a detailed summary of life history and survival statistics on wild Snake River fall Chinook salmon juveniles for the years 1992-2004. Publication is a high priority of our staff. Publication provides our results to a wide audience, and it insures that our work meets high scientific standards. The Bibliography of Published Journal Articles section provides citations for peer-reviewed papers co-authored by personnel of project 1991-02900 that were written or published from 1998 to 2005.

Fall and winter microhabitat use and suitability for spring chinook salmon parr in a U.S. Pacific Northwest River

USGS Publications Warehouse

Favrot, Scott D.; Jonasson, Brian C.; Peterson, James T.

2018-01-01

Habitat degradation has been implicated as a primary threat to Pacific salmon Oncorhynchus spp. Habitat restoration and conservation are key toward stemming population declines; however, winter microhabitat use and suitability knowledge are lacking for small juvenile salmonids. Our objective was to characterize microhabitat use and suitability for spring Chinook Salmon Oncorhynchus tshawytscha parr during fall and winter. Using radiotelemetry techniques during October–February (2009–2011), we identified fall and winter microhabitat use by spring Chinook Salmon parr in Catherine Creek, northeastern Oregon. Tagged fish occupied two distinct gradient reaches (moderate and low). Using a mixed‐effects logistic regression resource selection function (RSF) model, we found evidence that microhabitat use was similar between free‐flowing and surface ice conditions. However, habitat use shifted between seasons; most notably, there was greater use of silt substrate and areas farther from the bank during winter. Between gradients, microhabitat use differed with greater use of large wood (LW) and submerged aquatic vegetation in the low‐gradient reach. Using a Bayesian RSF approach, we developed gradient‐specific habitat suitability criteria. Throughout the study area, deep depths and slow currents were most suitable, with the exception of the low‐gradient reach where moderate depths were optimal. Near‐cover coarse and fine substrates were most suitable in the moderate‐ and low‐gradient reaches, respectively. Near‐bank LW was most suitable throughout the study area. Multivariate principal component analyses (PCA) indicated co‐occurring deep depths supporting slow currents near cover were intensively occupied in the moderate‐gradient reach. In the low‐gradient reach, PCA indicated co‐occurring moderate depths, slow currents, and near‐bank cover were most frequently occupied. Our study identified suitable and interrelated microhabitat

Emigration of Natural and Hatchery Chinook Salmon and Steelhead Smolts from the Imnaha River, Oregon, Progress Report 2000-2002.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cleary, Peter; Kucera, Paul; Blenden, Michael

: 76.8% - natural chinook salmon, 68.1% - hatchery chinook salmon, 69.9% natural steelhead, and 78.0% - hatchery steelhead. A smolt-to-adult return rate (SAR) index from LGR to LGR was calculated for migrating pre-smolt and smolt natural chinook salmon, that were PIT tagged in the fall and spring at the lower trap, for brood years 1996 to 1998 (migration years 1998 to 2000). The SARs are representative of in-river Imnaha natural chinook salmon. The LGR to LGR SAR index for presmolt chinook salmon is as follows: 3.08% (BY 1996), 2.41% (BY 1997), and 2.98% (BY 1998). Smolt-to-adult return rate index for spring tagged smolts was lower: 1.75% (BY 1996), 2.24% (BY 1997) and 2.94% (BY 1998). Fall tagged natural chinook salmon from the upper and lower trap and spring tagged natural chinook salmon from the lower trap all had significantly different (p < 0.05) median and cumulative arrival timing at LGR during migration year 2001.« less

The effects of summer flow augmentation on the migratory behavior and survival of juvenile Snake River fall Chinook salmon. Annual report 2003

USGS Publications Warehouse

Tiffan, Kenneth F.; Haskell, Craig A.; Connor, William P.

2005-01-01

This report summarizes results of research activities conducted in 2002 and years previous to aid in the management and recovery of fall chinook salmon Oncorhynchus tshawytscha in the Columbia River basin. The report is divided into self-standing chapters. For detailed summaries, we refer the reader to the abstracts given on the second page of each chapter. The Annual Reporting section includes information provided to fishery managers in-season and post-season, and it contains a detailed summary of life history and survival statistics on wild Snake River fall chinook salmon juveniles for the years 1992-2002. Peer-review publication remains a high priority of this research project, and it insures that our work meets high scientific standards. The Bibliography of Published Journal Articles section provides citations for peer-reviewed papers coauthored by personnel of project 199102900 that were written or published from 1998 to 2003.

Cryopreservation of Adult Male Spring and Summer Chinook Salmon Gametes in the Snake River Basin, 1997 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Faurot, Dave; Kucera, Paul A.; Armstrong, Robyn D.

1998-06-01

Chinook salmon populations in the Northwest are decreasing in number. The Nez Perce Tribe was funded in 1997 by the Bonneville Power Administration to coordinate and initiate gene banking of adult male gametes from Endangered Species Act (ESA) listed spring and summer chinook salmon in the Snake River basin.

Adaptive genetic markers discriminate migratory runs of Chinook salmon (Oncorhynchus tshawytscha) amid continued gene flow

PubMed Central

O'Malley, Kathleen G; Jacobson, Dave P; Kurth, Ryon; Dill, Allen J; Banks, Michael A

2013-01-01

Neutral genetic markers are routinely used to define distinct units within species that warrant discrete management. Human-induced changes to gene flow however may reduce the power of such an approach. We tested the efficiency of adaptive versus neutral genetic markers in differentiating temporally divergent migratory runs of Chinook salmon (Oncorhynchus tshawytscha) amid high gene flow owing to artificial propagation and habitat alteration. We compared seven putative migration timing genes to ten microsatellite loci in delineating three migratory groups of Chinook in the Feather River, CA: offspring of fall-run hatchery broodstock that returned as adults to freshwater in fall (fall run), spring-run offspring that returned in spring (spring run), and fall-run offspring that returned in spring (FRS). We found evidence for significant differentiation between the fall and federally listed threatened spring groups based on divergence at three circadian clock genes (OtsClock1b, OmyFbxw11, and Omy1009UW), but not neutral markers. We thus demonstrate the importance of genetic marker choice in resolving complex life history types. These findings directly impact conservation management strategies and add to previous evidence from Pacific and Atlantic salmon indicating that circadian clock genes influence migration timing. PMID:24478800

Thiamine and fatty acid content of Lake Michigan Chinook salmon

USGS Publications Warehouse

Honeyfield, D.C.; Peters, A.K.; Jones, M.L.

2008-01-01

Nutritional status of Lake Michigan Chinook salmon (Oncorhynchus tshawytscha) is inadequately documented. An investigation was conducted to determine muscle and liver thiamine content and whole body fatty acid composition in small, medium and large Chinook salmon. Muscle and liver thiamine concentrations were highest in small salmon, and tended to decrease with increasing fish size. Muscle thiamine was higher in fall than spring in large salmon. The high percentage of Chinook salmon (24-32% in fall and 58-71% in spring) with muscle thiamine concentration below 500 pmol/g, which has been associated with loss of equilibrium and death in other Great Lake salmonines, suggest that Chinook appear to rely less on thiamine than other Great Lakes species for which such low concentrations would be associated with thiamine deficiency (Brown et al. 2005b). A positive correlation was observed between liver total thiamine and percent liver lipids (r = 0.53, P < 0.0001, n = 119). In medium and large salmon, liver lipids were observed to be low in fish with less than 4,000 pmol/g liver total thiamine. In individuals with greater than 4,000 pmol/g liver thiamine, liver lipid increased with thiamine concentration. Individual fatty acids declined between fall and spring. Essential omega-3 fatty acids appear to be conserved as lipid content declined. Arachidonic acid (C20:4n6), an essential omega-6 fatty acid was not different between fall and spring, although the sum of omega-6 (Sw6) fatty acids declined over winter. Elevated concentrations of saturated fatty acids (sum) were observed in whole body tissue lipid. In summary, thiamine, a dietary essential vitamin, and individual fatty acids were found to vary in Lake Michigan Chinook salmon by fish size and season of the year.

Preliminary evaluation of the behavior and movements of adult spring Chinook salmon in the Chehalis River, southwestern Washington, 2014

USGS Publications Warehouse

Liedtke, Theresa L.; Hurst, William R.; Tomka, Ryan G.; Kock, Tobias J.; Zimmerman, Mara S.

2017-01-30

Recent interest in flood control and restoration strategies in the Chehalis River Basin has increased the need to understand the current status and ecology of spring Chinook salmon (Oncorhynchus tshawytscha). Spring Chinook salmon have the longest exposure of all adult Chinook salmon life histories to the low-flow and high water temperature conditions that typically occur during summer. About 100 adult spring Chinook salmon were found dead in the Chehalis River in July and August 2009. Adult Chinook salmon are known to hold in cool-water refugia during warm summer months, but the extent to which spring Chinook salmon might use thermal refugia in the Chehalis River is unknown. A preliminary evaluation of the movements and temperature exposures of adult spring Chinook salmon following their return to the Chehalis River was conducted using radiotelemetry and transmitters equipped with temperature sensors. A total of 12 spring Chinook salmon were captured, radio-tagged, and released in the main-stem Chehalis River between May and late June 2014. Tagged fish were monitored from freshwater entry through the spawning period using a combination of fixedsite monitoring locations and mobile tracking.Water temperature and flow conditions in the main-stem Chehalis River during 2014 were atypical compared to historical averages. Mean monthly water temperatures between March and August 2014 were higher than any decade since 1960 and mean monthly discharge was 90–206 percent of the discharge in previous years. Overall, 92 percent of the tagged fish were detected, with a mean of 102 d in the detection history of tagged fish. Seven tagged fish (58 percent) moved upstream, either shortly after release (5–8 d, 57 percent), or within about a month (34–35 d, 29 percent). One fish (14 percent) remained near the release location for 98 d before moving upstream. The final fates for the seven fish that moved upstream following release included six fish that were assigned a fate of

Downstream movement of fall Chinook salmon juveniles in the lower Snake River reservoirs during winter and early spring

USGS Publications Warehouse

Tiffan, Kenneth F.; Kock, Tobias J.; Connor, William P.; Mullins, Frank; Steinhorst, R. Kirk

2012-01-01

We conducted a 3-year radiotelemetry study in the lower Snake River to (1) determine whether juvenile fall Chinook salmon Oncorhynchus tshawytscha pass dams during winter, when bypass systems and structures designed to prevent mortality are not operated; (2) determine whether downstream movement rate varies annually, seasonally, and from reservoir to reservoir; and (3) identify some of the factors that contribute to annual, seasonal, and spatial variation in downstream movement rate. Fall Chinook salmon juveniles moved downstream up to 169 km and at a sufficiently fast rate (7.5 km/d) such that large percentages (up to 93%) of the fish passed one or more dams during the winter. Mean downstream movement rate varied annually (9.2–11.3 km/d), increased from winter (7.5 km/d) to spring (16.4 km/d), and increased (from 6.9 to 16.8 km/d) as fish moved downstream from reservoir to reservoir. Fish condition factor at tagging explained some of the annual variation in downstream movement rate, whereas water particle velocity and temperature explained portions of the seasonal variation. An increase in migrational disposition as fish moved downstream helped to explain the spatial variation. The potential cost of winter movement might be reduced survival due to turbine passage at a time when the bypass systems and spillway passage structures are not operated. Efforts to understand and increase passage survival of winter migrants in large impoundments might help to rehabilitate some imperiled anadromous salmonid populations.

Behavior patterns and fates of adult steelhead, Chinook salmon, and coho salmon released into the upper Cowlitz River Basin, 2005–09 and 2012, Washington

USGS Publications Warehouse

Kock, Tobias J.; Ekstrom, Brian K.; Liedtke, Theresa L.; Serl, John D.; Kohn, Mike

2016-08-26

A multiyear radiotelemetry evaluation was conducted to monitor adult steelhead (Oncorhynchus mykiss), Chinook salmon (O. tshawytscha), and coho salmon (O. kisutch) behavior and movement patterns in the upper Cowlitz River Basin. Volitional passage to this area was eliminated by dam construction in the mid-1960s, and a reintroduction program began in the mid-1990s. Fish are transported around the dams using a trap-and-haul program, and adult release sites are located in Lake Scanewa, the uppermost reservoir in the system, and in the Cowlitz and Cispus Rivers. Our goal was to estimate the proportion of tagged fish that fell back downstream of Cowlitz Falls Dam before the spawning period and to determine the proportion that were present in the Cowlitz and Cispus Rivers during the spawning period. Fallback is important because Cowlitz Falls Dam does not have upstream fish passage, so fish that pass the dam are unable to move back upstream and spawn. A total of 2,051 steelhead and salmon were tagged for the study, which was conducted during 2005–09 and 2012, and 173 (8.4 percent) of these regurgitated their transmitter prior to, or shortly after release. Once these fish were removed from the dataset, the final number of fish that was monitored totaled 1,878 fish, including 647 steelhead, 770 Chinook salmon, and 461 coho salmon.Hatchery-origin (HOR) and natural-origin (NOR) steelhead, Chinook salmon, and coho salmon behaved differently following release into Lake Scanewa. Detection records showed that the percentage of HOR fish that moved upstream and entered the Cowlitz River or Cispus River after release was relatively low (steelhead = 38 percent; Chinook salmon = 67 percent; coho salmon = 41 percent) compared to NOR fish (steelhead = 84 percent; Chinook salmon = 82 percent; coho salmon = 76 percent). The elapsed time from release to river entry was significantly lower for NOR fish than for HOR fish for all three species. Tagged fish entered the Cowlitz River in

Research, monitoring, and evaluation of emerging issues and measures to recover the Snake River Fall Chinook Salmon ESU, 1/1/2016 - 12/31/2016

USGS Publications Warehouse

Connor, William P.; Mullins, Frank L.; Tiffan, Kenneth F.; Plumb, John M.; Perry, Russell W.; Erhardt, John M.; Hemingway, Rulon J.; Bickford, Brad; Rhodes, Tobyn N.

2017-01-01

The portion of the Snake River fall Chinook Salmon Oncorhynchus tshawytscha ESU that spawns upstream of Lower Granite Dam transitioned from low to high abundance during 1992–2016 in association with U.S. Endangered Species Act recovery efforts and other federally mandated actions. This annual report focuses on (1) numeric and habitat use responses by natural- and hatchery-origin spawners, (2) phenotypic and numeric responses by natural-origin juveniles, and (3) predator responses in the Snake River upper and lower reaches as abundance of adult and juvenile fall Chinook Salmon increased. Spawners have located and used most of the available spawning habitat and that habitat is gradually approaching redd capacity. Timing of spawning and fry emergence has been relatively stable; whereas the timing of parr dispersal from riverine rearing habitat into Lower Granite Reservoir has become earlier as apparent abundance of juveniles has increased. Growth rate (g/d) and dispersal size of parr also declined as apparent abundance of juveniles increased. Passage timing of smolts from the two Snake River reaches has become earlier and downstream movement rate faster as estimated abundance of fall Chinook Salmon smolts in Lower Granite Reservoir has increased. In 2016, we described estimated the consumption rate and loss of subyearlings by Smallmouth Bass before, during, and after four hatchery releases. Before releases, Smallmouth Bass consumption rates of subyearling was low (0–0.36 fish/bass/d), but the day after the releases consumption rates reached as high as 1.6 fish/bass/d. Bass consumption in the upper portion of Hells Canyon was high for about 1–2 d before returning to pre-release levels, but in the lower river consumption rates were reduced but took longer to return to pre-release levels. We estimated that most of the subyearlings consumed by bass were of hatchery origin. Smallmouth Bass predation on subyearlings is intense following a hatchery release, but the

Survival, development, and growth of Snake River fall Chinook salmon Embryos, Alevins, and Fry Exposed to Variable Thermal and Dissolved Oxygen Regimes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Geist, David R.; Abernethy, Cary S.; Hand, Kristine D.

2006-11-01

Fall Chinook salmon (Oncorhynchus tshawytscha) initiate spawning in the Hells Canyon reach of the Snake River, Idaho (rkm 240-397), at water temperatures above 16 C. This temperature exceeds the states of Idaho and Oregon water quality standards for salmonid spawning. These standards are consistent with results from studies of embryos exposed to a constant thermal regime, while salmon eggs in the natural environment are rarely exposed to a constant temperature regime. The objective of this study was to assess whether variable temperatures (i.e., declining after spawning) affected embryo survival, development, and growth of Snake River fall Chinook salmon alevins andmore » fry. In 2003, fall Chinook salmon eggs were exposed to initial incubation temperatures ranging from 11-19 C in 2 C increments, and in 2004 eggs were exposed to initial temperatures of 13 C, 15 C, 16 C, 16.5 C, and 17 C. In both years, temperatures were adjusted downward approximately 0.2 C/day to mimic the thermal regime of the Snake River where these fish spawn. At 37-40 days post-fertilization, embryos were moved to a common exposure regime that followed the thermal profile of the Snake River through emergence. Mortality of fall Chinook salmon embryos increased markedly at initial incubation temperatures >17 C in both years. A logistic regression model estimated that a 50% reduction in survival from fertilization to emergence would occur at an initial incubation temperature of {approx}16 C. The laboratory results clearly showed a significant reduction in survival between 15 C and 17 C, which supported the model estimate. Results from 2004 showed a rapid decline in survival occurred between 16.5 C and 17 C, with no significant differences in survival at initial incubation temperatures <16.5 C. There were no significant differences across the range of initial temperature exposures for alevin and fry size at hatch and emergence. Differences in egg mass among females (notably 2003) most likely

Monitoring and Evaluation of Yearling Fall Chinook Salmon (Oncorhynchus tshawytscha) Released from Acclimation Facilities Upstream of Lower Granite Dam; 2003 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rocklage, Stephen J.

The Nez Perce Tribe, in cooperation with the U.S. Fish and Wildlife Service and Washington Department of Fish and Wildlife, conducted monitoring and evaluation studies on Lyons Ferry Hatchery reared yearling fall Chinook salmon Oncorhynchus tshawytscha that were acclimated and released at three Fall Chinook Acclimation Project (FCAP) sites upstream of Lower Granite Dam in 2003. This was the eighth year of a long-term project to supplement natural spawning populations of Snake River stock fall Chinook salmon upstream of Lower Granite Dam. The 437,633 yearlings released from the Fall Chinook Acclimation Project facilities were short of the 450,000 fish quota.more » We use Passive Integrated Transponder (PIT) tag technology to monitor the primary performance measures of survival to mainstem dams and migration timing. We also monitor size, condition and tag/mark retention at release. We released 7,492 PIT tagged yearlings from Pittsburg Landing, 7,494 from Big Canyon and 2,497 from Captain John Rapids. Fish health sampling indicated that, overall, bacterial kidney disease levels at the acclimation facilities could be considered medium with 37-83% of the fish sampled rating medium to very high. Mean fork lengths (95% confidence interval) of the PIT tagged groups ranged from 153.7 mm (153.2-154.2 mm) at Captain John Rapids to 164.2 mm (163.9-164.5 mm) at Pittsburg Landing. Mean condition factors ranged from 1.06 at Lyons Ferry Hatchery to 1.22 at Captain John Rapids. Estimated survival (95% confidence interval) of PIT tagged yearlings from release to Lower Granite Dam ranged from 83.1% (80.7-85.5%) for Big Canyon to 91.7% (87.7-95.7%) for Captain John Rapids. Estimated survival from release to McNary Dam ranged from 59.9% (54.6-65.2%) for Big Canyon to 69.4% (60.5-78.4%) for Captain John Rapids. Median migration rates to Lower Granite Dam, based on all observations of PIT tagged yearlings from the FCAP facilities, ranged from 5.8 river kilometers per day (rkm/d) for

Falls and Fall-Related Injuries among Community-Dwelling Adults in the United States

PubMed Central

Verma, Santosh K.; Willetts, Joanna L.; Corns, Helen L.; Marucci-Wellman, Helen R.; Lombardi, David A.; Courtney, Theodore K.

2016-01-01

Introduction Falls are the leading cause of unintentional injuries in the U.S.; however, national estimates for all community-dwelling adults are lacking. This study estimated the national incidence of falls and fall-related injuries among community-dwelling U.S. adults by age and gender and the trends in fall-related injuries across the adult life span. Methods Nationally representative data from the National Health Interview Survey (NHIS) 2008 Balance and Dizziness supplement was used to develop national estimates of falls, and pooled data from the NHIS was used to calculate estimates of fall-related injuries in the U.S. and related trends from 2004–2013. Costs of unintentional fall-related injuries were extracted from the CDC’s Web-based Injury Statistics Query and Reporting System. Results Twelve percent of community-dwelling U.S. adults reported falling in the previous year for a total estimate of 80 million falls at a rate of 37.2 falls per 100 person-years. On average, 9.9 million fall-related injuries occurred each year with a rate of 4.38 fall-related injuries per 100 person-years. In the previous three months, 2.0% of older adults (65+), 1.1% of middle-aged adults (45–64) and 0.7% of young adults (18–44) reported a fall-related injury. Of all fall-related injuries among community-dwelling adults, 32.3% occurred among older adults, 35.3% among middle-aged adults and 32.3% among younger adults. The age-adjusted rate of fall-related injuries increased 4% per year among older women (95% CI 1%–7%) from 2004 to 2013. Among U.S. adults, the total lifetime cost of annual unintentional fall-related injuries that resulted in a fatality, hospitalization or treatment in an emergency department was 111 billion U.S. dollars in 2010. Conclusions Falls and fall-related injuries represent a significant health and safety problem for adults of all ages. The findings suggest that adult fall prevention efforts should consider the entire adult lifespan to ensure a

Yakima River Radio-Telemetry Study: Spring Chinook Salmon, 1991-1992 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hockersmith, Eric

1994-09-01

As part of the presupplementation planning, baseline data on the productivity of spring chinook salmon (Oncorhynchus tshawytscha) in the Yakima River have been collected. However, for adult salmonids, data on habitat use, delays in passage at irrigation diversions, migration rates, and substock separation had not been previously collected. In 1991, the National Marine Fisheries Service began a 2-year radio-telemetry study of adult spring chinook salmon in the Yakima River Basin. Specific objectives addressed in this study were: to determine spawning populations` run timing, passage patterns at irrigation diversion dams, and morphometric characteristics to determine where and when substocks become separated;more » to evaluate fish passage at Yakima River Basin diversion dams including Prosser, Sunnyside, Wapato, Roza, Town Diversion, Easton, Cowiche, and Wapatox Dams; to determine spring chinook salmon migration rates between Yakima River Basin dams, prespawning behavior, temporal distribution, and habitat utilization; to identify spawning distribution and timing of spring chinook salmon; to determine the amount and cause of prespawning mortality of spring chinook salmon; and to evaluate adult fish-handling procedures for the right-bank, adult-trapping facility at Prosser Dam.« less

Behavior and movements of adult spring Chinook salmon (Oncorhynchus tshawytscha) in the Chehalis River Basin, southwestern Washington, 2015

USGS Publications Warehouse

Liedtke, Theresa L.; Zimmerman, Mara S.; Tomka, Ryan G.; Holt, Curt; Jennings, Lyle

2016-09-14

Recent interest in flood control and restoration strategies in the Chehalis River Basin has increased the need to understand the current status and ecology of spring Chinook salmon. Based on the extended period between freshwater entry and spawn timing, spring Chinook salmon have the longest exposure of all adult Chinook salmon life histories to the low-flow and high water temperature conditions that typically occur during summer. About 100 adult spring Chinook salmon were found dead in the Chehalis River in July and August 2009. Adult Chinook salmon are known to hold in cool-water refugia during warm summer months, but the extent to which spring Chinook salmon might use thermal refugia in the Chehalis River is unknown. The movements and temperature exposures of adult spring Chinook salmon following their return to the Chehalis River were investigated using radiotelemetry and transmitters equipped with temperature sensors, combined with water temperature monitoring throughout the basin. A total of 23 spring Chinook salmon were radio-tagged between April and early July 2015; 11 were captured and released in the main-stem Chehalis River, and 12 were captured and released in the South Fork Newaukum River. Tagged fish were monitored with a combination of fixed-site monitoring locations and regular mobile tracking, from freshwater entry through the spawning period.Water temperature and flow conditions in the main-stem Chehalis River during 2015 were atypical compared to historical averages. Mean monthly water temperatures between March and July 2015 were higher than any decade since 1960 and mean daily flows were 30–70 percent of the flows in previous years. Overall, 96 percent of the tagged fish were detected, with a mean of 62 d in the detection history of tagged fish. Of the 11 fish released in the main-stem Chehalis River, six fish (55 percent) moved upstream, either shortly after release (2–7 d, 50 percent), or following a short delay (12–18 d, 50 percent

Yakima River Spring Chinook Enhancement Study, 1991 Final Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Fast, David E.

1991-05-01

The population of Yakima River spring chinook salmon (Oncorhynchus tschawytscha) has been drastically reduced from historic levels reported to be as high as 250,000 adults (Smoker 1956). This reduction is the result of a series of problems including mainstem Columbia dams, dams within the Yakima itself, severely reduced flows due to irrigation diversions, outmigrant loss in irrigation canals, increased thermal and sediment loading, and overfishing. Despite these problems, the return of spring chinook to the Yakima River has continued at levels ranging from 854 to 9,442 adults since 1958. In October 1982, the Bonneville Power Administration contracted the Yakima Indianmore » Nation to develop methods to increase production of spring chinook in the Yakima system. The Yakima Nation's current enhancement policy attempts to maintain the genetic integrity of the spring chinook stock native to the Yakima Basin. Relatively small numbers of hatchery fish have been released into the basin in past years. The goal of this study was to develop data that will be used to present management alternatives for Yakima River spring chinook. A major objective of this study is to determine the distribution, abundance and survival of wild Yakima River spring chinook. The second major objective of this study is to determine the relative effectiveness of different methods of hatchery supplementation. The last three major objectives of the study are to locate and define areas in the watershed that may be used for the rearing of spring chinook; to define strategies for enhancing natural production of spring chinook in the Yakima River; and to determine the physical and biological limitations on production within the system. 47 refs., 89 figs., 67 tabs.« less

Effects of dam removal on Tule Fall Chinook salmon spawning habitat in the White Salmon River, Washington

USGS Publications Warehouse

Hatten, James R.; Batt, Thomas R.; Skalicky, Joseph J.; Engle, Rod; Barton, Gary J.; Fosness, Ryan L.; Warren, Joe

2016-01-01

Condit Dam is one of the largest hydroelectric dams ever removed in the USA. Breached in a single explosive event in October 2011, hundreds-of-thousands of cubic metres of sediment washed down the White Salmon River onto spawning grounds of a threatened species, Columbia River tule fall Chinook salmon Oncorhynchus tshawytscha. We investigated over a 3-year period (2010–2012) how dam breaching affected channel morphology, river hydraulics, sediment composition and tule fall Chinook salmon (hereafter ‘tule salmon’) spawning habitat in the lower 1.7 km of the White Salmon River (project area). As expected, dam breaching dramatically affected channel morphology and spawning habitat due to a large load of sediment released from Northwestern Lake. Forty-two per cent of the project area that was previously covered in water was converted into islands or new shoreline, while a large pool near the mouth filled with sediments and a delta formed at the mouth. A two-dimensional hydrodynamic model revealed that pool area decreased 68.7% in the project area, while glides and riffles increased 659% and 530%, respectively. A spatially explicit habitat model found the mean probability of spawning habitat increased 46.2% after dam breaching due to an increase in glides and riffles. Shifting channels and bank instability continue to negatively affect some spawning habitat as sediments continue to wash downstream from former Northwestern Lake, but 300 m of new spawning habitat (river kilometre 0.6 to 0.9) that formed immediately post-breach has persisted into 2015. Less than 10% of tule salmon have spawned upstream of the former dam site to date, but the run sizes appear healthy and stable. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

Snake River fall Chinook salmon life history investigations, 1/1/2012 - 12/31/2012: Annual report 2002-032-00

USGS Publications Warehouse

Tiffan, Kenneth F.; Connor, Willam P.; Bellgraph, Brian J.; Chittaro, Paul M.

2014-01-01

Finally, we examined the role of different invasive invertebrates in lower Snake River reservoir food webs that are food, or competitors for food, for juvenile fall Chinook salmon. The Siberian prawn, a relatively new invader, is relatively abundant but its role on the food web is largely unexplored. Prawns are successfully reproducing and their diet is 81% Neomysis (an invasive opossum shrimp) which is heavily used at times by juvenile salmon for food. Neomysis has become very abundant in lower Snake River reservoirs in recent years and may be a profitable food item for many fish species.

Validation of a freshwater Otolith microstructure pattern for Nisqually Chinook Salmon (Oncorhynchus tshawytscha)

USGS Publications Warehouse

Lind-Null, Angie; Larsen, Kim

2011-01-01

The Nisqually Fall Chinook salmon (Oncorhynchus tshawytscha) population is one of 27 stocks in the Puget Sound (Washington) evolutionarily significant unit listed as threatened under the federal Endangered Species Act (ESA). Extensive restoration of the Nisqually River delta ecosystem has taken place to assist in recovery of the stock since estuary habitat is a critical transition zone for juvenile fall Chinook salmon. A pre-restoration baseline that includes the characterization of life history strategies, estuary residence times, growth rates and habitat use is needed to evaluate the potential response of hatchery and natural origin Chinook salmon to restoration efforts and to determine restoration success. Otolith microstructure analysis was selected as a tool to examine Chinook salmon life history, growth and residence in the Nisqually River estuary. The purpose of the current study is to incorporate microstructural analysis from the otoliths of juvenile Nisqually Chinook salmon collected at the downstream migrant trap within true freshwater (FW) habitat of the Nisqually River. The results from this analysis confirmed the previously documented Nisqually-specific FW microstructure pattern and revealed a Nisqually-specific microstructure pattern early in development (“developmental pattern”). No inter-annual variation in the microstructure pattern was visually observed when compared to samples from previous years. Furthermore, the Nisqually-specific “developmental pattern” and the FW microstructure pattern used in combination during analysis will allow us to recognize and separate with further confidence future unmarked Chinook salmon otolith collections into Nisqually-origin (natural or unmarked hatchery) and non-Nisqually origin categories. Freshwater mean increment width, growth rate and residence time were also calculated.

Grande Ronde Endemic Spring Chinook Salmon Supplementation Program: Monitoring and Evaluation, 2002 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Boe, Stephen J.; Weldert, Rey F.; Crump, Carrie A.

2003-03-01

This is the fifth annual report of a multi-year project to operate adult collection and juvenile acclimation facilities on Catherine Creek and the upper Grande Ronde River for Snake River spring chinook salmon. These two streams have historically supported populations that provided significant tribal and non-tribal fisheries. Conventional and captive broodstock supplementation techniques are being used to restore spring chinook salmon fisheries in these streams. Statement of Work Objectives for 2002: (1) Plan for, administer, coordinate and assist comanagers in GRESCP M&E activities. (2) Evaluate performance of supplemented juvenile spring chinook salmon. (3) Evaluate life history differences between wild andmore » hatchery-origin (F{sub 1}) adult spring chinook salmon. (4) Describe life history characteristics and genetics of adult summer steelhead collected at weirs.« less

Investigations into the Early Life History of Naturally Produced Spring Chinook Salmon in the Grande Ronde Riiver Basin : Fish Research Project Oregon : Annual Progress Report 1 September 1995 to 1 August 1996.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jonasson, Brian C.; Carmichael, Richard W.; Keefe, MaryLouise

1997-09-01

Historically, the Grande Ronde River produced an abundance of salmonids including stocks of spring, summer and fall chinook salmon, sockeye salmon, coho salmon, and summer steelhead. During the past century, numerous factors have caused the reduction of salmon stocks such that only sustainable stocks of spring chinook salmon and summer steelhead remain. The sizes of spring chinook salmon populations in the Grande Ronde River basin also have been declining steadily and are substantially depressed from estimates of historic levels. In addition to a decline in population abundance, a reduction of spring chinook salmon spawning distribution is evident in the Grandemore » Ronde River basin. Numerous factors are thought to contribute to the decline of spring chinook salmon in the Snake River and its tributaries. These factors include passage problems and increased mortality of juvenile and adult migrants at mainstem Columbia and Snake river dams, overharvest, and habitat degradation associated with timber, agricultural, and land development practices. This study was designed to describe aspects of the life history strategies exhibited by spring chinook salmon in the Grande Ronde River basin. During the past year the focus was on rearing and migration patterns of juveniles in the upper Grande Ronde River and Catherine Creek. The study design included three objectives: (1) document the annual in-basin migration patterns for spring chinook salmon juveniles in the upper Grande Ronde River and Catherine Creek, including the abundance of migrants, migration timing and duration; (2) estimate and compare smolt survival indices to mainstem Columbia and Snake river dams for fall and spring migrating spring chinook salmon; and (3) determine summer and winter habitat utilization and preference of juvenile spring chinook salmon in the upper Grande Ronde River and Catherine Creek.« less

Monitoring and Evaluation of Yearling Fall Chinook Salmon (Oncorhynchus tshawytscha) Released from Acclimation Facilities Upstream of Lower Granite Dam; 2000 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rocklage, Stephen J.; Kellar, Dale S.

2005-07-01

The Nez Perce Tribe, in cooperation with the U.S. Fish and Wildlife Service and Washington Department of Fish and Wildlife, conducted monitoring and evaluation studies on Lyons Ferry Hatchery reared yearling fall Chinook salmon Oncorhynchus tshawytscha that were acclimated and released at three Fall Chinook Acclimation Project sites upstream of Lower Granite Dam along with yearlings released on-station from Lyons Ferry Hatchery in 2000. This was the fifth year of a long-term project to supplement natural spawning populations of Snake River stock fall Chinook salmon upstream of Lower Granite Dam. The 397,339 yearlings released from the Fall Chinook Acclimation Projectmore » facilities were short of the 450,000 fish quota. We use Passive Integrated Transponder (PIT) tag technology to monitor the primary performance measures of survival to mainstem dams and migration timing. We also monitor size, condition and tag/mark retention at release. We released 7,477 PIT tagged yearlings from Pittsburg Landing, 7,421 from Big Canyon and 2,488 from Captain John Rapids. The Washington Department of Fish and Wildlife released 980 PIT tagged yearlings from Lyons Ferry Hatchery. Fish health sampling indicated that, overall, bacterial kidney disease levels could be considered relatively low. Compared to prior years, Quantitative Health Assessment Indices were relatively low at Big Canyon and Captain John Rapids and about average at Pittsburg Landing and Lyons Ferry Hatchery. Mean fork lengths (95% confidence interval) of the PIT tagged groups ranged from 157.7 mm (157.3-158.1 mm) at Big Canyon to 172.9 mm (172.2-173.6 mm) at Captain John Rapids. Mean condition factors ranged from 1.06 at Captain John Rapids and Lyons Ferry Hatchery to 1.12 at Big Canyon. Estimated survival (95% confidence interval) of PIT tagged yearlings from release to Lower Granite Dam ranged from 87.0% (84.7-89.4%) for Pittsburg Landing to 95.2% (91.5-98.9%) for Captain John Rapids. Estimated survival from

Monitoring and Evaluation of Yearling Fall Chinook Salmon (Oncorhynchus tshawytscha) Released from Acclimation Facilities Upstream of Lower Granite Dam; 2001 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rocklage, Stephen J.; Kellar, Dale S.

2005-07-01

The Nez Perce Tribe, in cooperation with the U.S. Fish and Wildlife Service and Washington Department of Fish and Wildlife, conducted monitoring and evaluation studies on Lyons Ferry Hatchery reared yearling fall Chinook salmon Oncorhynchus tshawytscha that were acclimated and released at three Fall Chinook Acclimation Project sites upstream of Lower Granite Dam along with yearlings released on-station from Lyons Ferry Hatchery in 2001. This was the sixth year of a long-term project to supplement natural spawning populations of Snake River stock fall Chinook salmon upstream of Lower Granite Dam. The 318,932 yearlings released from the Fall Chinook Acclimation Projectmore » facilities were short of the 450,000 fish quota. We use Passive Integrated Transponder (PIT) tag technology to monitor the primary performance measures of survival to mainstem dams and migration timing. We also monitor size, condition and tag/mark retention at release. We released 7,503 PIT tagged yearlings from Pittsburg Landing, 7,499 from Big Canyon and 2,518 from Captain John Rapids. The Washington Department of Fish and Wildlife released 991 PIT tagged yearlings from Lyons Ferry Hatchery. Fish health sampling indicated that, overall, bacterial kidney disease levels could be considered relatively low. Compared to prior years, Quantitative Health Assessment Indices were relatively low at Big Canyon and Captain John Rapids and about average at Pittsburg Landing and Lyons Ferry Hatchery. Mean fork lengths (95% confidence interval) of the PIT tagged groups ranged from 155.4 mm (154.7-156.1 mm) at Captain John Rapids to 171.6 mm (170.7-172.5 mm) at Lyons Ferry Hatchery. Mean condition factors ranged from 1.02 at Lyons Ferry Hatchery to 1.16 at Big Canyon and Captain John Rapids. Estimated survival (95% confidence interval) of PIT tagged yearlings from release to Lower Granite Dam ranged from 74.4% (73.2-75.5%) for Big Canyon to 85.2% (83.5-87.0%) for Captain John Rapids. Estimated survival from

Pre-Restoration Habitat Use by Chinook Salmon in the Nisqually Estuary Using Otolith Analysis

USGS Publications Warehouse

Lind-Null, Angela; Larsen, Kimberly; Reisenbichler, Reginald

2007-01-01

INTRODUCTION The Nisqually Fall Chinook population is one of 27 stocks in the Puget Sound evolutionarily significant unit listed as threatened under the federal Endangered Species Act. The preservation of the Nisqually delta ecosystem coupled with extensive restoration of approximately 1,000 acres of diked estuarine habitat is identified as the highest priority action for the recovery of naturally spawning Nisqually River Fall Chinook salmon (Oncorhynchus tshawytscha) in the Nisqually Chinook Recovery Plan. In order to evaluate the response of Chinook salmon to restoration, a pre-restoration baseline of life history diversity and estuary utilization must be established. Otolith analysis has been proposed as a means to measure Chinook salmon life history diversity, growth, and residence in the Nisqually estuary. Over time, the information from the otolith analyses will be used to: (1) determine if estuary restoration actions cause changes to the population structure (i.e. frequency of the different life history trajectories) for Nisqually River Chinook, (2) compare pre and post restoration residence times and growth rates, and (3) suggest whether estuary restoration yields substantial benefits for Chinook salmon. Otoliths are calcium carbonate structures in the inner ear that grow in proportion to the overall growth of the fish. Daily growth increments can be measured so date and fish size at various habitat transitions can be back-calculated. Careful analysis of otolith microstructure can be used to determine the number of days that a fish resided in the estuary as a juvenile (increment counts), size at entrance to the estuary, size at egress, and the amount that the fish grew while in the estuary. Juvenile Chinook salmon can exhibit a variety of life history trajectories ? some enter the sea (or Puget Sound) as fry, some rear in the estuary before entering the sea, and some rear in the river and then move rapidly through the estuary into the sea as smolts. The

Yakima River Spring Chinook Enhancement Study Appendices, 1991 Final Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Fast, David E.

1991-05-01

This document consists of the appendices for annual report DOE/BP/39461--9 which is summarized as follows. The population of Yakima River spring chinook salmon (Oncorhynchus tschawytscha) has been drastically reduced from historic levels reported to be as high as 250,000 adults (Smoker 1956). This reduction is the result of a series of problems including mainstem Columbia dams, dams within the Yakima itself, severely reduced flows due to irrigation diversions, outmigrant loss in irrigation canals, increased thermal and sediment loading, and overfishing. Despite these problems, the return of spring chinook to the Yakima River has continued at levels ranging from 854 tomore » 9,442 adults since 1958. In October 1982, the Bonneville Power Administration contracted the Yakima Indian Nation to develop methods to increase production of spring chinook in the Yakima system. The Yakima Nation's current enhancement policy attempts to maintain the genetic integrity of the spring chinook stock native to the Yakima Basin. Relatively small numbers of hatchery fish have been released into the basin in past years. The goal of this study was to develop data that will be used to present management alternatives for Yakima River spring chinook. A major objective of this study is to determine the distribution, abundance and survival of wild Yakima River spring chinook. The second major objective of this study is to determine the relative effectiveness of different methods of hatchery supplementation. The last three major objectives of the study are to locate and define areas in the watershed that may be used for the rearing of spring chinook; to define strategies for enhancing natural production of spring chinook in the Yakima River; and to determine the physical and biological limitations on production within the system.« less

Selective attentional processing to fall-relevant stimuli among older adults who fear falling.

PubMed

Brown, Lesley A; White, Patti; Doan, Jonathan B; de Bruin, Natalie

2011-05-01

Fear of falling is known to affect more than half of community-dwelling older adults over 60 years of age. This fear is associated with physical and psychological effects that increase the risk of falling. The authors' theory is that attentional processing biases may exist in this population that serve to perpetuate fear of falling and subsequently increase fall risk. As a starting point in testing this proposition, the authors examined selective attentional processing bias to fall-relevant stimuli among older adults. Thirty older adult participants (M(age) = 70.8 ± 5.8), self-categorized to be Fearful of Falling (FF, n = 15) or Non-Fearful of Falling (NF, n = 15) completed a visual dot-probe paradigm to determine detection latencies to fall-threatening and general-threat stimuli. Attentional processing was defined using three index scores: attentional bias, congruency index, and incongruency index. Bias indicates capture of attention, whereas congruency and incongruency imply vigilance and disengagement difficulty, respectively. Both groups showed an attentional bias to fall-threat words but those who were fearful of falling also showed an incongruency effect for fall-threat words. These findings confirm that selective attentional processing profiles for fall-relevant stimuli differ between older adults who exhibit fear of falling and those who do not have this fear. Moreover, in accordance with current interpretations of selective attentional processing, the incongruency effect noted among fall-fearful older adults presents a possibility for a difficulty disengaging from fall-threatening stimuli.

Exploring life history characteristics of naturalized versus stocked chinook

USGS Publications Warehouse

Rogers, Mark W.; Kerns, Janice A; Bunnell, David B.; Claramunt, Randall M.; Collingsworth, Paris D.

2011-01-01

Naturalization of stocked populations can result in divergence of life-history traits from domestic stocks. Lake Michigan supports popular Chinook (Oncorhynchus tshawytscha) Salmon fisheries that have been sustained by stocking since the late 1960s. Natural recruitment of Chinook Salmon in Lake Michigan has increased in the last few decades and currently contributes over 50% of Chinook Salmon recruits. Samples collected as part of a lakewide mass-marking of Lake Michigan Chinook Salmon, starting with the 2006 year class, indicated hatchery fish average 30-mm longer and 130 grams heavier than naturalized fish at age-1. We hypothesized that selective forces differ for naturalized and hatchery populations resulting in divergent life-history characteristics with implications for Chinook Salmon population production and the Lake Michigan fishery. Specific life-history metrics of interest include: age- and size- at maturity, spawning run timing, fecundity, and sex ratio. Objectives: We evaluated life history characteristics between naturally recruited and stocked Chinook Salmon in Lake Michigan to help discern potential changes resulting from naturalization and implications for fisheries. A. Conduct an analysis of historical data to determine if life-history parameters changed through time as the Chinook Salmon population became increasingly naturalized. B. Conduct a two-year field study of naturalized and hatchery stocked Chinook Salmon spawning populations to quantify differences in life-history metrics of adults. C. Determine if reproductive potential differs between naturalized and hatchery stocked Chinook salmon by measuring egg thiamine levels.

Movements of adult chinook salmon during spawning migration in a metals-contaminated system, Coeur d'Alene River, Idaho

USGS Publications Warehouse

Goldstein, J.N.; Woodward, D.F.; Farag, A.M.

1999-01-01

Spawning migration of adult male chinook salmon Oncorhynchus tshawytscha was monitored by radio telemetry to determine their response to the presence of metals contamination in the South Fork of the Coeur d'Alene River, Idaho. The North Fork of the Coeur d'Alene River is relatively free of metals contamination and was used as a control. In all, 45 chinook salmon were transported from their natal stream, Wolf Lodge Creek, tagged with radio transmitters, and released in the Coeur d'Alene River 2 km downstream of the confluence of the South Fork and the North Fork of the Coeur d'Alene River. Fixed telemetry receivers were used to monitor the upstream movement of the tagged chinook salmon through the confluence area for 3 weeks after release. During this period, general water quality and metals concentrations were monitored in the study area. Of the 23 chinook salmon observed to move upstream from the release site and through the confluence area, the majority (16 fish, 70%) moved up the North Fork, and only 7 fish (30%) moved up the South Fork, where greater metals concentrations were observed. Our results agree with laboratory findings and suggest that natural fish populations will avoid tributaries with high metals contamination.

Fear of falling and falls in older adults with mild cognitive impairment and Alzheimer's disease.

PubMed

Borges, Sheila de Melo; Radanovic, Márcia; Forlenza, Orestes Vicente

2015-01-01

Cognitive impairment and fear of falling are risk factors for falls in older adults. Recurrent falls are more prevalent in older adults with cognitive impairment. We examined the number of previous falls, self-reported fear of falling, and the Falls Efficacy Scale-International (FES-I) in 104 older adults [26 with mild Alzheimer's disease (AD), 42 with mild cognitive impairment (MCI) and 36 cognitively healthy]. Older adults with AD and MCI had a higher number of falls (1.1 ± 1.2 and 1.5 ± 1.5, respectively) compared to the control group (0.3 ± 0.5, P < .001). Older adults with MCI more often reported fear of falling (74%) than patients with AD (31%) (P ≤ .002) and scored higher on the FES-I (29.7 and 23.8, respectively, P ≤ .01). The prevalence of falls in older adults with MCI and AD is higher than in subjects cognitively healthy. Older adults with MCI and AD differ in terms of reported fear of falling and falls self-efficacy.

Modeling chinook salmon with SALMOD on the Sacramento River, California

USGS Publications Warehouse

Bartholow, J.M.

2004-01-01

Four races of Pacific salmon crowd the Sacramento River below a large reservoir that prevents access to historical spawning grounds. Each race is keyed to spawn at specific times through the year. A salmon population model was used to estimate: (1) the effects that unique run timing, interacting with seasonal river flows and water temperatures, have on each race; and (2) which habitats appeared to be the most limiting for each race. The model appeared to perform well without substantive calibration. Late fall, winter, and spring run Chinook do not appear to have the same production potential as fall run Chinook even though fall run production is more variable than that for the other three races. Spring fish have the lowest production on average, and production appears to be declining through time, perhaps making that race harder to recover should the population become more depressed. Rearing habitat appears to be the factor most limiting production for all races, but water temperature is responsible for most year-to-year production variation.

Monitoring and Evaluation of Yearling Fall Chinook Salmon (Oncorhynchus tshawytscha) Released from Acclimation Facilities Upstream of Lower Granite Dam; 1999 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rocklage, Stephen J.; Kellar, Dale S.

2005-07-01

The Nez Perce Tribe, in cooperation with the U.S. Fish and Wildlife Service and Washington Department of Fish and Wildlife, conducted monitoring and evaluation studies on Lyons Ferry Hatchery reared yearling fall Chinook salmon Oncorhynchus tshawytscha that were acclimated and released at three Fall Chinook Acclimation Project (FCAP) sites upstream of Lower Granite Dam along with yearlings released on-station from Lyons Ferry Hatchery in 1999. This was the fourth year of a long-term project to supplement natural spawning populations of Snake River stock fall Chinook salmon upstream of Lower Granite Dam. The 453,117 yearlings released from the Fall Chinook Acclimationmore » Project facilities not only slightly exceeded the 450,000 fish quota, but a second release of 76,386 yearlings (hereafter called Surplus) were acclimated at the Big Canyon facility and released about two weeks after the primary releases. We use Passive Integrated Transponder (PIT) tag technology to monitor the primary performance measures of survival to mainstem dams and migration timing. We also monitor size, condition and tag/mark retention at release. We released 9,941 PIT tagged yearlings from Pittsburg Landing, 9,583 from Big Canyon, 2,511 Big Canyon Surplus and 2,494 from Captain John Rapids. The Washington Department of Fish and Wildlife released 983 PIT tagged yearlings from Lyons Ferry Hatchery. Fish health sampling indicated that, overall, bacterial kidney disease levels could be considered relatively low and did not appear to increase after transport to the acclimation facilities. Compared to prior years, Quantitative Health Assessment Indices were relatively low at Pittsburg Landing and Lyons Ferry Hatchery and relatively high at Big Canyon and Captain John Rapids. Mean fork lengths (95% confidence interval) of the release groups ranged from 147.4 mm (146.7-148.1 mm) at Captain John Rapids to 163.7 mm (163.3-164.1 mm) at Pittsburg Landing. Mean condition factors ranged from 1.04 at

Use of Aerial Photography to Monitor Fall Chinook Salmon Spawning in the Columbia River

DOE Office of Scientific and Technical Information (OSTI.GOV)

Visser, Richard H.; Dauble, Dennis D.; Geist, David R.

2002-11-01

This paper compares two methods for enumerating salmon redds and their application to monitoring spawning activity. Aerial photographs of fall chinook salmon spawning areas in the Hanford Reach of the Columbia River were digitized and mapped using Geographic Information Systems (GIS) techniques in 1994 and 1995 as part of an annual assessment of the population. The number of visible redds from these photographs were compared to counts obtained from visual surveys with fixed wing aircraft. The proportion of the total redds within each of five general survey areas was similar for the two monitoring techniques. However, the total number ofmore » redds based on aerial photographs was 2.2 and 3.0 times higher than those observed during visual surveys for 1994 and 1995, respectively. The divergence in redd counts was most evident near peak spawning activity when the number of redds within individual spawning clusters exceeded 500. Aerial photography improved our ability to monitor numbers of visible salmon redds and to quantify habitat use.« less

Adult chinook salmon passage at Little Goose Dam in relation to spill operations

USGS Publications Warehouse

Jepson, M.A.; Caudill , C.C.; Clabough, T.S.; Peery, C.A.; Beeman, J.W.; Fielding, S.

2009-01-01

Spill patterns at Little Goose Dam in 2007 were modified in anticipation of a spillway weir installation intended to improve downstream passage of juvenile salmonids. However, in spill pattern was associated with reduced daily counts of adult salmon passing the dam. Consequently, the behaviors and upstream passage times of radio-tagged adult spring–summer Chinook salmon were evaluated in response to three spillway discharge patterns at Little Goose Dam during 2008. Simultaneously, tailrace conditions were characterized by monitoring the downstream paths of GPS-equipped drogues. Two of the spill treatments (i.e., Bulk and Alternate) were variations of patterns thought to mimic those produced if a spillway weir was installed. The third treatment (Uniform) was characterized by spilling similar volumes of water through most spillbays.

Systematic Review of Falls in Older Adults with Cancer

PubMed Central

Wildes, Tanya M; Dua, Priya; Fowler, Susan A.; Miller, J. Philip; Carpenter, Christopher R.; Avidan, Michael S.; Stark, Susan

2014-01-01

Objectives lder adults frequently experience falls, at great cost to themselves and society. Older adults with cancer may be at greater risk for falls and have unique risk factors. Materials and Methods We undertook a systematic review of the available medical literature to examine the current evidence regarding factors associated with falls in older adults with cancer. PubMed, Embase, CINAHL, CENTRAL, DARE, Cochrane Database of Systematic Reviews and clinical trials.gov were searched using standardized terms for concepts of oncology/cancer, people 60 and older, screening, falls and diagnosis. Eligible studies included cohort or case-control studies or clinical trials in which all patients, or a subgroup of patients, had a diagnosis of cancer and in which falls were either the primary or secondary outcome. Results We identified 31 studies that met our inclusion criteria. Several studies suggest that falls are more common in older adults with a diagnosis of cancer than those without. Among the 11 studies that explored factors associated with outpatient falls, some risk factors for falls established in the general population were also associated with falls in older adults with cancer, including dependence in activities of daily living and prior falls. Other factors associated with falls in a general population, such as age, polypharmacy and opioid use, were not predictive of falls among oncology populations. Falls among older adults with cancer in the inpatient setting were associated with established risk factors for falls in people without cancer, but also with factors unique to an oncology population, such as brain metastases. Conclusions Falls in older adults with cancer are more common than in the general population, and are associated with risk factors unique to people with cancer. Further study is needed to establish methods of screening older adults with cancer for fall risk and ultimately implement interventions to reduce their risk of falls. Identifying

Older Adult Falls: Effective Approaches to Prevention

PubMed Central

Dellinger, Ann

2017-01-01

Purpose The issue of older adult falls combines a problem with high incidence and high injury susceptibility with an increasing population at risk. A firm understanding of both fall risk factors and effective strategies is required to reduce risk and prevent these injuries. Recent Findings Each year, 28.7% of older adults aged ≥65 sustain a fall. At the national level, this represents 29 million falls resulting in 27,000 deaths and 7 million injuries requiring medical treatment or restricted activity for at least 1 day. There are several strategies that have been shown to effectively reduce the risk or the incidence of falls. Summary More than 90% of older adults see a medical provider at least once a year providing an opportunity to identify and address fall risk factors. Comprehensive fall prevention in the primary care setting is both feasible and practical. PMID:28845383

Characteristics of walking, activity, fear of falling, and falls in community-dwelling older adults by residence.

PubMed

Wert, David M; Talkowski, Jaime B; Brach, Jennifer; VanSwearingen, Jessie

2010-01-01

Research focusing on community-dwelling older adults includes adults living in senior living residences (SLR) and independent community residences (ICR). Walking, physical activity, fear of falling, and fall history may differ on the basis of residence. We describe characteristics of walking, physical activity, fear of falling, and fall history between community-dwelling older adults by residence. Participants of this secondary analysis included community-dwelling older adults from independent living units within a senior life care community (SLR) and older adults recruited from the Pittsburgh community (ICR). Demographic information and physical (gait speed and physical activity), psychosocial (fear of falling and confidence in walking), and fall history measures were collected. Adults living in SLR compared with those in ICR were older, were more likely to live alone, and had greater disease burden. Compared with individuals in ICR, individuals in SLR reported less fear of falling (Survey of Activity and Fear of Falling in the Elderly tool fear results 0.24 and 0.50, respectively). Fewer older adults in SLR compared with those in ICR reported falling in the past year. Older adults living in SLR compared with those in ICR had similar physical function but differed in report of fear of falling and fall history. Recognizing the possible differences in psychosocial function by place of residence is important for health care providers and researchers conducting interventions and studies for community-dwelling older adults.

Falls Risk and Simulated Driving Performance in Older Adults

PubMed Central

Gaspar, John G.; Neider, Mark B.; Kramer, Arthur F.

2013-01-01

Declines in executive function and dual-task performance have been related to falls in older adults, and recent research suggests that older adults at risk for falls also show impairments on real-world tasks, such as crossing a street. The present study examined whether falls risk was associated with driving performance in a high-fidelity simulator. Participants were classified as high or low falls risk using the Physiological Profile Assessment and completed a number of challenging simulated driving assessments in which they responded quickly to unexpected events. High falls risk drivers had slower response times (~2.1 seconds) to unexpected events compared to low falls risk drivers (~1.7 seconds). Furthermore, when asked to perform a concurrent cognitive task while driving, high falls risk drivers showed greater costs to secondary task performance than did low falls risk drivers, and low falls risk older adults also outperformed high falls risk older adults on a computer-based measure of dual-task performance. Our results suggest that attentional differences between high and low falls risk older adults extend to simulated driving performance. PMID:23509627

Identifying and Quantifying Sources of Fall Chinook Salmon Spawning Gravel to the Snake River in Hells Canyon

NASA Astrophysics Data System (ADS)

Welcker, C. W.; Burke, M.

2015-12-01

The Snake River in Hells Canyon supports a growing population of spawning Fall Chinook Salmon (Oncorhynchus tshawytscha) immediately downstream of the Hells Canyon Complex (HCC) of hydroelectric dams for the last 60 years. The long-term survival of this salmon run depends on the input of spawning gravel (25-150 mm) from local tributaries balancing the losses of spawning gravel through attrition and export out of the reach between the HCC and the Salmon River confluence. We are working to quantify the gravel input of these local tributaries at different time-scales and put this into the context of historical supply and transport. Long-term total sediment production rates of these tributaries estimated through various methods have varied by over 2 orders of magnitude, but we have recently completed 10Be work to constrain these estimates. We are measuring the change in storage of Fall Chinook spawning-size gravel through repeat multibeam echosounder surveys of the riverbed. The limited amount of repeat data collected to date has shown complex patterns of change in the riverbed. One possible driver of this complexity is the episodic and spatially variable nature of sediment inputs from these tributaries. We are attempting to quantify the frequency of the debris flows or floods capable of transporting spawning gravel through digitizing historic imagery of the last 60 years to determine the recurrence interval. We are measuring the magnitude of these events by surveying tributary fans pre and post-event to measure the sediment volume and particle size produced by specific events. These floods and debris flows are driven by extreme rainfall or snowmelt events, so we have also reconstructed historical meteorological conditions to identify the triggering conditions for transport, and identify the areas where snowmelt or rainfall is the more likely trigger. We are currently testing whether the unique bedrock geology of Hells Canyon can be used as a tracer to identify the

Juvenile Chinook Salmon mortality in a Snake River Reservoir: Smallmouth Bass predation revisited

USGS Publications Warehouse

Erhardt, John M.; Tiffan, Kenneth F.; Connor, William P.

2018-01-01

Predation by nonnative fishes has been identified as a contributing factor in the decline of juvenile salmonids in the Columbia River basin. We examined the diet composition of Smallmouth Bass Micropterus dolomieu and estimated the consumption and predation loss of juvenile Chinook Salmon Oncorhynchus tshawytscha in Lower Granite Reservoir on the Snake River. We examined 4,852 Smallmouth Bass stomachs collected from shoreline habitats during April–September 2013–2015. Chinook Salmon were the second most commonly consumed fish by all size‐classes of Smallmouth Bass (≥150 mm TL) throughout the study. Over the 3 years studied, we estimated that a total of 300,373 Chinook Salmon were consumed by Smallmouth Bass in our 22‐km study area, of which 97% (291,884) were subyearlings (age 0) based on length frequency data. A majority of the loss (61%) occurred during June, which coincided with the timing of hatchery releases of subyearling fall Chinook Salmon. Compared to an earlier study, mean annual predation loss increased more than 15‐fold from 2,670 Chinook Salmon during 1996–1997 to 41,145 Chinook Salmon during 2013–2015 (in reaches that could be compared), despite lower contemporary Smallmouth Bass abundances. This increase can be explained in part by increases in Smallmouth Bass consumption rates, which paralleled increases in subyearling Chinook Salmon densities—an expected functional response by an opportunistic consumer. Smallmouth Bass are currently significant predators of subyearling Chinook Salmon in Lower Granite Reservoir and could potentially be a large source of unexplained mortality.

Fall Prevention for Older Adults Receiving Home Healthcare.

PubMed

Bamgbade, Sarah; Dearmon, Valorie

2016-02-01

Falls pose a significant risk for community-dwelling older adults. Fall-related injuries increase healthcare costs related to hospitalization, diagnostic procedures, and/or surgeries. This article describes a quality improvement project to reduce falls in older adults receiving home healthcare services. The fall prevention program incorporated best practices for fall reduction, including fall risk assessment, medication review/management, home hazard and safety assessment, staff and patient fall prevention education, and an individualized home-based exercise program. The program was implemented and evaluated during a 6-month time frame. Fewer falls occurred post implementation of the falls prevention program with no major injuries.

Falls efficacy, postural balance, and risk for falls in older adults with falls-related emergency department visits: prospective cohort study.

PubMed

Pua, Yong-Hao; Ong, Peck-Hoon; Clark, Ross Allan; Matcher, David B; Lim, Edwin Choon-Wyn

2017-12-21

Risk for falls in older adults has been associated with falls efficacy (self-perceived confidence in performing daily physical activities) and postural balance, but available evidence is limited and mixed. We examined the interaction between falls efficacy and postural balance and its association with future falls. We also investigated the association between falls efficacy and gait decline. Falls efficacy, measured by the Modified Falls Efficacy Scale (MFES), and standing postural balance, measured using computerized posturography on a balance board, were obtained from 247 older adults with a falls-related emergency department visit. Six-month prospective fall rate and habitual gait speed at 6 months post baseline assessment were also measured. In multivariable proportional odds analyses adjusted for potential confounders, falls efficacy modified the association between postural balance and fall risk (interaction P = 0.014): increasing falls efficacy accentuated the increased fall risk related to poor postural balance. Low baseline falls efficacy was strongly predictive of worse gait speed (0.11 m/s [0.06 to 0.16] slower gait speed per IQR decrease in MFES; P < 0.001). Older adults with high falls efficacy but poor postural balance were at greater risk for falls than those with low falls efficacy; however, low baseline falls efficacy was strongly associated with worse gait function at follow-up. Further research into these subgroups of older adults is warranted. ClinicalTrials.gov identifier: NCT01713543 .

Falling and fall risk in adult patients with severe haemophilia.

PubMed

Rehm, Hanna; Schmolders, Jan; Koob, Sebastian; Bornemann, Rahel; Goldmann, Georg; Oldenburg, Johannes; Pennekamp, Peter; Strauss, Andreas C

2017-05-10

The objective of this study was to define fall rates and to identify possible fall risk factors in adult patients with severe haemophilia. 147 patients with severe haemophilia A and B were evaluated using a standardized test battery consisting of demographic, medical and clinical variables and fall evaluation. 41 (27.9 %) patients reported a fall in the past 12 months, 22 (53.7 %) of them more than once. Young age, subjective gait insecurity and a higher number of artificial joints seem to be risk factors for falling. Falls seem to be a common phenomenon in patients with severe haemophilia. Fall risk screening and fall prevention should be implemented into daily practice.

Genetic variation in chinook, Oncorhynchus tshawytscha, and coho, O. Kisutch

USGS Publications Warehouse

Reisenbichler, R.R.; Phelps, S.R.

1987-01-01

We used starch-gel electrophoresis to genetically characterize the populations of chinook salmon, Oncorhynchus tshawytscha, and coho salmon, O. kisutch, in the major drainages of the north coast of Washington (the Quillayute, Uoh, Queets, and Quinault Rivers). Of 55 loci examined for electrophoretically detectable variation. 6 were polymorphic (frequency of the common allele was less than 0.95) in chinook salmon and 3 in coho salmon. Statistical tests of interdrainage and intradrainage variation for coho salmon were tenuous because most of the fish examined were from a single year class so that we could not account for variation among year classes. Nevertheless, these tests suggested that distinct stocks ofcoho salmon exist within drainages. and that variation was not significantly greater among drainages than within drainages. Interdrainage variation for wild chinook salmon was not significant. The data suggested that summer chinook salmon were electrophoretically different from fall chinook salmon, and the hatchery populations of chinook salmon were distinct from wild fish. A hatchery population developed primarily from north coast fish was electrophoretically more similar to wild chinook salmon than were the others.

Clinical and Community Strategies to Prevent Falls and Fall-Related Injuries Among Community-Dwelling Older Adults.

PubMed

Taylor-Piliae, Ruth E; Peterson, Rachel; Mohler, Martha Jane

2017-09-01

Falls in older adults are the result of several risk factors across biological and behavioral aspects of the person, along with environmental factors. Falls can trigger a downward spiral in activities of daily living, independence, and overall health outcomes. Clinicians who care for older adults should screen them annually for falls. A multifactorial comprehensive clinical fall assessment coupled with tailored interventions can result in a dramatic public health impact, while improving older adult quality of life. For community-dwelling older adults, effective fall prevention has the potential to reduce serious fall-related injuries, emergency room visits, hospitalizations, institutionalization, and functional decline. Copyright © 2017 Elsevier Inc. All rights reserved.

Characterization of estuary use by Nisqually Hatchery Chinook based on Otolith analysis

USGS Publications Warehouse

Lind-Null, Angie M.; Larsen, Kim A.; Reisenbichler, Reg

2008-01-01

INTRODUCTION The Nisqually Fall Chinook population is one of 27 stocks in the Puget Sound evolutionarily significant unit listed as threatened under the federal Endangered Species Act (ESA). Preservation and extensive restoration of the Nisqually delta ecosystem are planned to assist in recovery of the stock. A pre-restoration baseline including life history types, estuary residence time, growth rates, and habitat use are needed to evaluate the potential response of hatchery and wild Chinook salmon to restoration. Otolith analysis has been selected as a means to examine Chinook salmon life history, growth, and residence in the Nisqually estuary. Over time, the information from the otolith analyses will be used to: 1) determine if estuary restoration actions cause changes to the population structure (i.e. frequency of the different life history trajectories) for Nisqually River Chinook, 2) compare pre- and post- restoration residence times and growth rates, 3) suggest whether estuary restoration yields substantial benefits for Chinook salmon through (1) and (2), and 4) compare differences in habitat use between hatchery and wild Chinook to further protect ESA listed stock. Otoliths are calcium carbonate structures in the inner ear that grow in proportion to the overall growth of the fish. Daily growth increments can be measured so date and fish size at various habitat transitions can be back-calculated. Careful analysis of otolith microstructure can be used to determine the number of days that a fish resided in the estuary as a juvenile (increment counts), size at entrance to the estuary, size at egress, and the amount that the fish grew while in the estuary. Juvenile hatchery Chinook salmon are generally released as smolts that move quickly through the delta with much shorter residence times than for many wild fish and are not dependent on the delta as nursery habitat (Myers and Horton 1982; Mace 1983; Levings et al. 1986). The purpose of this study is to use and

Risk Factors for Falls and Fall-Related Injuries in Adults 85 Years of Age and Older

PubMed Central

Grundstrom, Anna C.; Guse, Clare E.; Layde, Peter M.

2011-01-01

Background Falls are a leading cause of morbidity and mortality in older adults. No previous studies on risk factors for falls have focused on adults 85 years and older, the most rapidly growing segment of adults. Methods We examined demographic, health, and behavioral risk factors for falls and fall-related injuries in adults 65 years and older, with a particular focus on adults 85 years and older. We analyzed self-reported information from the Behavioral Risk Factor Surveillance System (BRFSS) for 2008. Results Data was available for 120,923 people aged 65 or older and 12,684 people aged 85 or older. Of those aged 85 or older, 21.3% reported at least one fall in the past 3 months and 7.2% reported at least one fall related injury requiring medical care or limiting activity for a day or longer. Below average general health, male sex, perceived insufficient sleep, health problems requiring assistive devices, alcohol consumption, increasing body mass index and history of stroke were all independently associated with a greater risk of falls or fall related injuries. The greater risk of falling in those 85 years and older appeared to be due to the deterioration of overall health status with age; among those with excellent overall health status, there was no greater risk of falling in adults 85 years and older compared to those 65–84 years of age. Conclusions Our results suggest that those with risk factors for falls and fall-related injuries may be appropriate targets for evidence-based fall prevention programs. PMID:21862143

Risk factors for falls and fall-related injuries in adults 85 years of age and older.

PubMed

Grundstrom, Anna C; Guse, Clare E; Layde, Peter M

2012-01-01

Falls are a leading cause of morbidity and mortality in older adults. No previous studies on risk factors for falls have focused on adults 85 years and older, the most rapidly growing segment of adults. We examined demographic, health, and behavioral risk factors for falls and fall-related injuries in adults 65 years and older, with a particular focus on adults 85 years and older. We analyzed self-reported information from the Behavioral Risk Factor Surveillance System (BRFSS) for 2008. Data was available for 120,923 people aged 65 or older and 12,684 people aged 85 or older. Of those aged 85 or older, 21.3% reported at least one fall in the past 3 months and 7.2% reported at least one fall related injury requiring medical care or limiting activity for a day or longer. Below average general health, male sex, perceived insufficient sleep, health problems requiring assistive devices, alcohol consumption, increasing body mass index and history of stroke were all independently associated with a greater risk of falls or fall related injuries. The greater risk of falling in those 85 years and older appeared to be due to the deterioration of overall health status with age; among those with excellent overall health status, there was no greater risk of falling in adults 85 years and older compared to those 65-84 years of age. Our results suggest that those with risk factors for falls and fall-related injuries may be appropriate targets for evidence-based fall prevention programs. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Relationships between metabolic rate, muscle electromyograms and swim performance of adult chinook salmon

USGS Publications Warehouse

Geist, D.R.; Brown, R.S.; Cullinan, V.I.; Mesa, M.G.; VanderKooi, S.P.; McKinstry, C.A.

2003-01-01

Oxygen consumption rates of adult spring chinook salmon Oncorhynchus tshawytscha increased with swim speed and, depending on temperature and fish mass, ranged from 609 mg O2 h-1 at 30 cm s-1 (c. 0.5 BLs-1) to 3347 mg O2 h-1 at 170 cm s -1 (c. 2.3 BLs-1). Corrected for fish mass, these values ranged from 122 to 670 mg O2 kg-1 h-1, and were similar to other Oncorhynchus species. At all temperatures (8, 12.5 and 17??C), maximum oxygen consumption values levelled off and slightly declined with increasing swim speed >170 cm s-1, and a third-order polynomial regression model fitted the data best. The upper critical swim speed (Ucrit) of fish tested at two laboratories averaged 155 cm s -1 (2.1 BLs-1), but Ucrit of fish tested at the Pacific Northwest National Laboratory were significantly higher (mean 165 cm s-1) than those from fish tested at the Columbia River Research Laboratory (mean 140 cm s-1). Swim trials using fish that had electromyogram (EMG) transmitters implanted in them suggested that at a swim speed of c. 135 cm s-1, red muscle EMG pulse rates slowed and white muscle EMG pulse rates increased. Although there was significant variation between individual fish, this swim speed was c. 80% of the Ucrit for the fish used in the EMG trials (mean Ucrit 168.2 cm s-1). Bioenergetic modelling of the upstream migration of adult chinook salmon should consider incorporating an anaerobic fraction of the energy budget when swim speeds are ???80% of the Ucrit. ?? 2003 The Fisheries Society of the British Isles.

Wild Steelhead and introduced spring Chinook Salmon in the Wind River, Washington: Overlapping populations and interactions

USGS Publications Warehouse

Jezorek, I.G.; Connolly, P.J.

2010-01-01

We investigated interactions of introduced juvenile spring Chinook salmon Oncorhynchus tshawytscha with wild juvenile steelhead O. mykiss in the upper Wind River watershed (rkm 24.6 to rkm 43.8), Washington. Our objective was to determine if the presence of introduced spring Chinook salmon influenced populations of wild juvenile steelhead and if other biotic or abiotic factors influenced distribution and populations of these species. We snorkeled to assess distribution and abundance in one to six stream reaches per year during 2001 through 2007. Juvenile steelhead were found in each sampled reach each year, but juvenile Chinook salmon were not. The upstream extent of distribution of juvenile Chinook salmon varied from rkm 29.7 to 42.5. Our analyses suggest that juvenile Chinook salmon distribution was much influenced by flow during the spawning season. Low flow appeared to limit access of escaped adult Chinook salmon to upper stream reaches. Abundance of juvenile Chinook salmon was also influenced by base flow during the previous year, with base flow occurring post spawn in late August or early September. There were no relationships between juvenile Chinook salmon abundance and number of Chinook salmon spawners, magnitude of winter flow that might scour redds, or abundance of juvenile steelhead. Abundance of age-0 steelhead was influenced primarily by the number of steelhead spawners the previous year, and abundance of age-1 steelhead was influenced primarily by abundance of age-0 steelhead the previous year. Juvenile steelhead abundance did not show a relationship with base or peak flows, nor with number of escaped Chinook salmon adults during the previous year. We did not detect a negative influence of the relatively low abundance of progeny of escaped Chinook salmon on juvenile steelhead abundance. This low abundance of juvenile Chinook salmon was persistent throughout our study and is likely a result of hatchery management and habitat conditions. Should one or

Climate variability and the collapse of a Chinook salmon stock (Invited)

NASA Astrophysics Data System (ADS)

Lindley, S.; Mohr, M.; Peterson, W. T.; Grimes, C.; Stein, J.; Anderson, J.; Botsford, L. W.; Bottom, D.; Busack, C.; Collier, T.; Ferguson, J.; Garza, C.; Grover, A.; Hankin, D.; Kope, R.; Lawson, P.; Low, A.; Macfarlane, B.; Moore, K.; Palmer-Zwahlen, M.; Schwing, F. B.; Smith, J.; Tracy, C.; Webb, R. S.; Wells, B.; Williams, T.

2009-12-01

As recently as 2002, nearly 1.5 million Sacrament River fall Chinook (SRFC) were caught in fisheries or returned to the Sacramento River basin to spawn. Only 66,000 spawners returned to natural areas and hatcheries in 2008. As a result of this dramatic decline, fisheries for Chinook salmon off California and Oregon were closed to protect SRFC in 2008 and 2009. In this paper, we show that the proximate cause of this unprecedented collapse was unusual but perhaps not unprecedented oceanographic conditions in the coastal ocean that created poor feeding conditions for juvenile salmon. The ultimate cause of the collapse may be the declining resilience of the Central Valley chinook complex that has been driven by a century and a half of land and water development. A simple conceptual model illustrates how the dynamics of a salmon population supplemented by hatchery production are influenced by trends in freshwater environmental quality, hatchery production, fitness, and climate. The model predicts that SRFC will recover to higher levels of abundance when ocean conditions improve (which may already be happening), only to decline sharply when ocean conditions again turn poor. Improving the sustainability of the Chinook salmon fishery depends on reversing trends in freshwater and estuarine habitat quality and quantity, which should also benefit runs of Chinook protected by the Endangered Species Act. Ecosystem-based management and ecological risk assessment will be required to make progress on these challenging problems, which are being exacerbated by climate change and human development.

Grande Ronde Endemic Spring Chinook Salmon Supplementation Program: Facility Operation and Maintenance and Monitoring and Evaluation, 2001 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Boe, Stephen J.; Ogburn, Parker N.

2003-03-01

This is the second annual report of a multi-year project to operate adult collection and juvenile acclimation facilities on Catherine Creek and the upper Grande Ronde River for Snake River spring chinook salmon. These two streams have historically supported populations that provided significant tribal and non-tribal fisheries. Supplementation using conventional and captive broodstock techniques is being used to restore fisheries in these streams. Statement of Work Objectives for 2001: (1) Participate in implementation of the comprehensive multiyear operations plan for the Grande Ronde Endemic Spring chinook Supplementation Program (GRESCP). (2) Plan detailed GRESCP Monitoring and Evaluation for future years. (3)more » Ensure proper construction and trial operation of semi-permanent adult and juvenile facilities for use in 2001. (4) Plan for data collection needs for bull trout. (5) Ensure proper construction and trial operation of semi-permanent adult and juvenile facilities for use in 2001. (6) Collect summer steelhead. (7) Monitor adult endemic spring chinook salmon populations and collect broodstock. (8) Acclimate juvenile spring chinook salmon prior to release into the upper Grande Ronde River and Catherine Creek. (9) Monitor adult population abundance and characteristics of Grande Ronde River spring chinook salmon populations. (10) Monitor condition, movement, and mortality of spring chinook salmon acclimated at remote facilities. (11) Participate in Monitoring & Evaluation of the captive brood component of the Program to document contribution to the Program. (12) Monitor water quality at facilities. (13) Document accomplishments and needs to permitters, comanagers, and funding agencies. (14) Communicate Project results to the scientific community.« less

Falls, a fear of falling and related factors in older adults with complex chronic disease.

PubMed

Lee, JuHee; Choi, MoonKi; Kim, Chang Oh

2017-12-01

To identify factors influencing falls and the fear of falling among older adults with chronic diseases in Korea. The fear of falling and falls in older adults are significant health problems towards which healthcare providers should direct their attention. Further investigation is needed to improve nursing practice specifically decreasing risk of falls and the fear of falling in Korea. Descriptive, cross-sectional survey. A convenience sample of 108 patients was recruited at the geriatric outpatient department of a tertiary hospital in Seoul, Korea. Demographic characteristics, comorbidities, medication use, fall history, level of physical activity, activities of daily living, mobility, muscle strength, and a fear of falling were investigated. Student's t tests, chi-square tests and multiple linear regressions were used in statistical analysis. Thirty-six participants (33.3%) among 108 subjects reported experiencing ≥1 falls in the past year. Marital status and the use of antipsychotics were associated with falls, while other factors were not significantly related to falls. Only benign prostatic hypertrophy and polypharmacy were significantly related to the fear of falling in the analysis of the relationships between chronic disease, medication use and fear of falling. In the regression model, the number of comorbidities, level of physical activity, activities of daily living and mobility were predictors of a fear of falling. Medication use was marginally significant, in the model. Increasing physical activity, functional fitness and physical independence is important to decrease the fear of falling, and to encourage active and healthy lives in older adults. The findings from this study provide evidence for the development of nursing interventions for older adults. We recommend early screening for a fear of falling and nursing interventions to decrease the fear of falling through enhancing physical activity level and function. © 2017 John Wiley & Sons Ltd.

Chinook wind barosinusitis: an anatomic evaluation.

PubMed

Rudmik, Luke; Muzychuk, Adam; Oddone Paolucci, Elizabeth; Mechor, Brad

2009-01-01

Chinook, or föhn, is a weather phenomenon characterized by a rapid influx of warm, high-pressured winds into a specific location. Pressure changes associated with chinook winds induce facial pain similar to acute sinusitis. The purpose of this study was to determine the relationship between sinonasal anatomy and chinook headaches. Retrospective computed tomography (CT) sinonasal anatomy analysis of 38 patients with chinook headaches and 27 controls (no chinook headaches). The chinook headache status was blinded from the CT reviewer. Forty-one sinonasal anatomy variants, Lund-Mackay status, and sinus size (cm(3)) were recorded. There were three statistically significant sinonasal anatomy differences between patients with and without chinook headaches. The presence of a concha bullosa and sphenoethmoidal cell (Onodi cell) appeared to predispose to chinook headaches (p = 0.004). Chinook headache patients had larger maxillary sinus size (right, p = 0.015, and left, p = 0.002). The Lund-Mackay score was higher in the control patients (p = 0.003) indicating that chronic sinusitis does not play a role in chinook headaches. Chinook winds are a common source of facial pain and pressure. This is the first study to show that sinonasal anatomic variations may be a predisposing factor. Anatomic variants may induce facial pain by blocking the natural sinus ostia, thus preventing adequate pressure equilibrium.

Multiscale thermal refugia and stream habitat associations of chinook salmon in northwestern Oregon

USGS Publications Warehouse

Torgersen, Christian E.; Price, David M.; Li, Hiram W.; McIntosh, B.A.

1999-01-01

We quantified distribution and behavior of adult spring chinook salmon (Oncorhynchus tshawytscha) related to patterns of stream temperature and physical habitat at channel-unit, reach-, and section-level spatial scales in a wilderness stream and a disturbed stream in the John Day River basin in northeastern Oregon. We investigated the effectiveness of thermal remote sensing for analyzing spatial patterns of stream temperature and assessed habitat selection by spring chinook salmon, evaluating whether thermal refugia might be responsible for the persistence of these stocks in rivers where water temperatures frequently exceed their upper tolerance levels (25A?C) during spawning migration. By presenting stream temperature and the ecology of chinook salmon in a historical context, we could evaluate how changes in riverine habitat and thermal spatial structure, which can be caused by land-use practices, may influence distributional patterns of chinook salmon. Thermal remote sensing provided spatially continuous maps of stream temperature for reaches used by chinook salmon in the upper subbasins of the Middle Fork and North Fork John Day River. Electivity analysis and logistic regression were used to test for associations between the longitudinal distribution of salmon and cool-water areas and stream habitat characteristics. Chinook salmon were distributed nonuniformly in reaches throughout each stream. Salmon distribution and cool water temperature patterns were most strongly related at reach-level spatial scales in the warm stream, the Middle Fork (maximum likelihood ratio: P 0.30). Pools were preferred by adult chinook salmon in both subbasins (Bonferroni confidence interval: P a?? 0.05); however, riffles were used proportionately more frequently in the North Fork than in the Middle Fork. Our observations of thermal refugia and their use by chinook salmon at multiple spatial scales reveal that, although heterogeneity in the longitudinal stream temperature profile may

Falls and Fall Prevention in Older Adults With Early-Stage Dementia: An Integrative Review.

PubMed

Lach, Helen W; Harrison, Barbara E; Phongphanngam, Sutthida

2017-05-01

Older adults with mild cognitive impairment (MCI) and early-stage dementia have an increased risk of falling, with risks to their health and quality of life. The purpose of the current integrative review was to evaluate evidence on fall risk and fall prevention in this population. Studies were included if they examined falls or fall risk factors in older adults with MCI or early-stage dementia, or reported interventions in this population; 40 studies met criteria. Evidence supports the increased risk of falls in individuals even in the early stages of dementia or MCI, and changes in gait, balance, and fear of falling that may be related to this increased fall risk. Interventions included exercise and multifactorial interventions that demonstrated some potential to reduce falls in this population. Few studies had strong designs to provide evidence for recommendations. Further study in this area is warranted. [Res Gerontol Nurs. 2017; 10(03):139-148.]. Copyright 2016, SLACK Incorporated.

Falling and fall risk factors in adults with haemophilia: an exploratory study.

PubMed

Sammels, M; Vandesande, J; Vlaeyen, E; Peerlinck, K; Milisen, K

2014-11-01

Falls are a particular risk in persons with haemophilia (PWH) because of damaged joints, high risk of bleeding, possible impact on the musculoskeletal system and functioning and costs associated with treatment for these fall-related injuries. In addition, fall risk increases with age and PWH are increasingly entering the over 65 age group. The aim of this study was to determine the occurrence of falls during the past year and to explore which fall risk factors are present in community-dwelling PWH. Dutch speaking community-dwelling adults were included from the age of 40 years with severe or moderate haemophilia A or B, independent in their mobility and registered at the University Hospitals Leuven. They were asked to come to the haemophilia centre; otherwise a telephone survey was conducted. Demographic and social variables, medical variables, fall evaluation and clinical variables were queried. From the 89 PWH, 74 (83.1%) participated in the study. Twenty-four (32.4%) fell in the past year, and 10 of them (41.7%) more than once with an average of four falls. Living conditions, physical activity, avoidance of winter sports due to fear of falling, orthopaedic status, urinary incontinence and mobility impairments are potential fall risk factors in adult PWH. This exploratory study indicates that PWH are attentive to falling since they are at higher risk for falls and because of the serious consequences it might have. Screening and fall prevention should be stimulated in the daily practice of haemophilia care. © 2014 John Wiley & Sons Ltd.

Grande Ronde Endemic Spring Chinook Salmon Supplementation Program: Facility Operation and Maintenance and Monitoring and Evaluation, 2000 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Boe, Stephen J.; Lofy, Peter T.

2003-03-01

This is the third annual report of a multi-year project to operate adult collection and juvenile acclimation facilities on Catherine Creek and the upper Grande Ronde River for Snake River spring chinook salmon. These two streams have historically supported populations that provided significant tribal and non-tribal fisheries. Supplementation using conventional and captive broodstock techniques is being used to restore fisheries in these streams. Statement of Work Objectives for 2000: (1) Participate in implementation of the comprehensive multiyear operations plan for the Grande Ronde Endemic Spring Chinook Supplementation Program (GRESCP). (2) Plan for recovery of endemic summer steelhead populations in Catherinemore » Creek and the upper Grande Ronde River. (3) Ensure proper construction and trial operation of semi-permanent adult and juvenile facilities for use in 2000. (4) Collect summer steelhead. (5) Collect adult endemic spring chinook salmon broodstock. (6) Acclimate juvenile spring chinook salmon prior to release into the upper Grande Ronde River and Catherine Creek. (7) Document accomplishments and needs to permitters, comanagers, and funding agency. (8) Communicate project results to the scientific community. (9) Plan detailed GRESCP Monitoring and Evaluation for future years. (10) Monitor adult population abundance and characteristics of Grande Ronde River spring chinook salmon populations and incidentally-caught summer steelhead and bull trout. (11) Monitor condition, movement, and mortality of spring chinook salmon acclimated at remote facilities. (12) Monitor water quality at facilities. (13) Participate in Monitoring & Evaluation of the captive brood component of the Program to document contribution to the Program.« less

Otolith analysis of pre-restoration habitat use by Chinook salmon in the delta-flats and nearshore regions of the Nisqually River Estuary

USGS Publications Warehouse

Lind-Null, Angie; Larsen, Kim

2010-01-01

The Nisqually Fall Chinook population is one of 27 salmon stocks in the Puget Sound (Washington) evolutionarily significant unit listed as threatened under the federal Endangered Species Act (ESA). Extensive restoration of the Nisqually River delta ecosystem is currently taking place to assist in recovery of the stock as juvenile Fall Chinook salmon are dependent on the estuary. A pre-restoration baseline that includes the characterization of life history strategies, estuary residence times, growth rates, and habitat use is needed to evaluate the potential response of hatchery and natural origin Chinook salmon to restoration efforts and to determine restoration success. Otolith analysis was selected as a tool to examine Chinook salmon life history, growth, and residence in the Nisqually River estuary. Previously funded work on samples collected in 2004 (marked and unmarked) and 2005 (unmarked only) partially established a juvenile baseline on growth rates and length of residence associated with various habitats (freshwater, forested riverine tidal, emergent forested transition, estuarine emergent marsh, delta-flats and nearshore). However, residence times and growth rates for the delta-flats (DF) and nearshore (NS) habitats have been minimally documented due to small sample sizes. The purpose of the current study is to incorporate otolith microstructural analysis using otoliths from fish collected within the DF and NS habitats during sampling years 2004-08 to increase sample size and further evaluate between-year variation in otolith microstructure. Our results from this analysis indicated the delta-flats check (DFCK) on unmarked and marked Chinook samples in 2005-08 varied slightly in appearance from that seen on samples previously analyzed only from 2004. A fry migrant life history was observed on otoliths of unmarked Chinook collected in 2005, 2007, and 2008. Generally, freshwater mean increment width of unmarked fish, on average, was smaller compared to marked

Impact of fear of falling and fall history on disability incidence among older adults: Prospective cohort study.

PubMed

Makino, Keitaro; Makizako, Hyuma; Doi, Takehiko; Tsutsumimoto, Kota; Hotta, Ryo; Nakakubo, Sho; Suzuki, Takao; Shimada, Hiroyuki

2018-04-01

Fear of falling (FOF) is a major health problem for older adults, present not just in fallers, but also nonfallers. This study examined the impact of FOF and fall history on disability incidence among community-dwelling older adults from a prospective cohort study. A total of 5104 older adults living in community settings participated in baseline assessment and were followed up for about 4 years (median 52 mo, range 49-55 mo). At baseline, participants were assessed the presence of FOF and their fall history, and divided into 4 groups: Fall (-) FOF (-), Fall (+) FOF (-), Fall (-) FOF (+), and Fall (+) FOF (+). Disability incidence was defined as national long-term care insurance certification for personal support or care. During the follow-up period, 429 participants (9.9%) were newly certified as having a disability and needing personal support for long-term care insurance. Fall (-) FOF (+) group and Fall (+) FOF (+) group showed a significantly higher risk of disability incidence than Fall (-) FOF (-) group even after adjusting for covariates (Fall (-) FOF (+): hazard ratio 1.28, 95% confidence interval, 1.01-1.62, Fall (+) FOF (+): hazard ratio 1.44, 95% confidence interval, 1.05-1.98). Fear of falling could be a simple and useful predictor of disability incidence in community-dwelling older adults. Identifying and decreasing fall risk factors may prevent fall-related injuries, but excessive FOF may be associated with increased risk of disability incidence. Copyright © 2017 John Wiley & Sons, Ltd.

Comparing life history characteristics of Lake Michigan’s naturalized and stocked Chinook Salmon

USGS Publications Warehouse

Kerns, Janice A; Rogers, Mark W.; Bunnell, David B.; Claramunt, Randall M.; Collingsworth, Paris D.

2016-01-01

Lake Michigan supports popular fisheries for Chinook Salmon Oncorhynchus tshawytscha that have been sustained by stocking since the late 1960s. Natural recruitment of Chinook Salmon in Lake Michigan has increased in the past few decades and currently contributes more than 50% of Chinook Salmon recruits. We hypothesized that selective forces differ for naturalized populations born in the wild and hatchery populations, resulting in divergent life history characteristics with implications for Chinook Salmon population production and the Lake Michigan fishery. First, we conducted a historical analysis to determine if life history characteristics changed through time as the Chinook Salmon population became increasingly naturalized. Next, we conducted a 2-year field study of naturalized and hatchery stocked Chinook Salmon spawning populations to quantify differences in fecundity, egg size, timing of spawning, and size at maturity. In general, our results did not indicate significant life history divergence between naturalized and hatchery-stocked Chinook Salmon populations in Lake Michigan. Although historical changes in adult sex ratio were correlated with the proportion of naturalized individuals, changes in weight at maturity were better explained by density-dependent factors. The field study revealed no divergence in fecundity, timing of spawning, or size at maturity, and only small differences in egg size (hatchery > naturalized). For the near future, our results suggest that the limited life history differences observed between Chinook Salmon of naturalized and hatchery origin will not lead to large differences in characteristics important to the dynamics of the population or fishery.

Including fall prevention for older adults in your trauma injury prevention program--introducing Farewell to Falls.

PubMed

Corman, Ellen

2009-01-01

With data showing that more than 50% of visits to our trauma center for older adults 65 years and older are due to falls, injury prevention programs in trauma centers should be paying more attention to the area of fall prevention for older adults. Farewell to Falls, a free, home-based program of Stanford Hospital and Clinic's trauma service, utilizes a multifaceted approach to help reduce falls. In addition to improving the lives of seniors, the program fulfills a community benefit goal and provides strong hospital marketing opportunities. This program is a benefit to hospitals and the older adults they serve.

Improving nursing students' assessment of fall risk in community-dwelling older adults.

PubMed

Patton, Susan K

2016-12-09

Nationally, approximately one third of older adults fall each year. Falls and resulting injury result in decreased mobility, functional impairment, loss of independence, and increased mortality. Utilization of evidence-based protocols by health care providers to identify older adults at risk of falling is limited, and rates of participation by older adults in prevention activities is low. Because of nursing's increasing role in caring for older adults, development of fall prevention education for nursing students would result in increased awareness of the need for fall prevention in community-dwelling older adults and increased access of older adults to falls risk assessment. There is a need to extend research to inform teaching and learning strategies for fall prevention. After pretesting, a convenience sample of 52 undergraduate nursing students and 22 graduate nursing students completed an online education program and performed a falls risk assessment on an older adult. After completing the clinical assignment, students completed a posttest and self-efficacy survey. Data were analyzed using multivariate statistical tests. Results revealed an increase in knowledge and student self-reporting of efficacy of fall risk assessment skills for the older adult population. This study suggests that nursing students acquired the necessary knowledge and self-efficacy for assessing fall risk of older adults through the combination of an online learning module and participating in actual fall risk assessment of an older adult.

Economics of Fishery Failure: The Fall of the King-Analysis of U.S. West Coast Chinook Salmon (Oncorhyncus Tshawytscha)

DTIC Science & Technology

2011-09-01

anadromous fish in the Columbia River System River Basin (From: NPPC, 1992). ........................................................6 Figure 5. Major...needed to travel for stream-type species (Gilbert, 1913). The majority of Chinook spawn in the middle and upper main stems of rivers and in larger...distribution and migration 4 Upon leaving the rivers of Oregon, Washington, and British Columbia, juvenile Chinook move up the coast in a

Effectiveness of an integrated hatchery program: Can genetic-based performance differences between hatchery and wild Chinook salmon be avoided?

USGS Publications Warehouse

Hayes, Michael C.; Reisenbichler, Reginald R.; Rubin, Stephen P.; Drake, Deanne C.; Stenberg, Karl D.; Young, Sewall F.

2013-01-01

Performance of wild (W) and hatchery (H) spring Chinook salmon (Oncorhynchus tshawytscha) was evaluated for a sixth generation hatchery program. Management techniques to minimize genetic divergence from the wild stock included regular use of wild broodstock and volitional releases of juveniles. Performance of HH, WW, and HW (hatchery female spawned with wild male) crosses was compared in hatchery and stream environments. The WW juveniles emigrated from the hatchery at two to three times the rate of HH fish in the fall (HW intermediate) and 35% more HH than WW adults returned (27% more HW than WW adults). Performance in the stream did not differ statistically between HH and WW fish, but outmigrants (38% WW, 30% HW, and 32% HH fish) during the first 39 days of the 16-month sampling period composed 74% of total outmigrants. Differences among hatchery-reared crosses were partially due to additive genetic effects, were consistent with domestication (increased fitness for the hatchery population in the hatchery program), and suggested that selection against fall emigration from the hatchery was a possible mechanism of domestication.

Epidemiology of falls in older adults in Texas.

PubMed

Alamgir, Hasanat; Wong, Nicole J; Hu, Yueha; Yu, Mo; Marshall, Amanda; Yu, Shicheng

2015-02-01

The expected increase in the US older adult population implies an increased risk of fall-related injury among these individuals. We describe the epidemiology of fall morbidity among older adults in Texas, a large US state with a diverse population base. Texas Behavioral Risk Factor Surveillance System 2010 data were analyzed. The falls outcome was defined as falling: any fall in the past 3 months and a serious fall: a fall resulting in limited activities for at least 1 day or requiring medical attention. A total of 5996 subjects were included in this analysis; 17.6% (n = 1055) reported falling 1 to 5 times in the previous 3 months, and 361 (6%) experienced serious falls. Risk of falling had a significant positive association among respondents who rated their general health as fair to poor (relative risk [RR] 2.39, 95% confidence interval [CI] 1.55-3.68) and a negative association for those who reported regular physical activity (RR 0.59, 95% CI 0.42-0.82). A similar model examined the risk of serious falls and found statistically positive associations in respondents who reported fair or poor general health (RR 3.29, 95% CI 2.00-5.43). Negative associations were found for those who reported regular physical activity (RR 0.56, 95% CI 0.38-0.83) and for men (RR 0.62, 95% CI 0.39-0.98). No statistically significant correlations for either of the fall outcomes were found with residence, obesity, education, income, age, ethnicity, employment, marital status, diabetes mellitus, or cardiovascular disease. Interventions aimed at the prevention of falls should focus on maintaining and improving general health and promoting physical activity among older adults.

Grande Ronde Endemic Spring Chinook Salmon Supplementation Program : Facility Operation and Maintenance Facilities, Annual Report 2003.

DOE Office of Scientific and Technical Information (OSTI.GOV)

McLean, Michael L.; Seeger, Ryan; Hewitt, Laurie

2004-01-01

Anadromous salmonid stocks have declined in both the Grande Ronde River Basin (Lower Snake River Compensation Plan (LSRCP) Status Review Symposium 1998) and in the entire Snake River Basin (Nehlsen et al. 1991), many to the point of extinction. The Grande Ronde River Basin historically supported large populations of fall and spring chinook (Oncorhynchus tshawytscha), sockeye (O. nerka), and coho (O. kisutch) salmon and steelhead trout (O. mykiss) (Nehlsen et al. 1991). The decline of chinook salmon and steelhead populations and extirpation of coho and sockeye salmon in the Grande Ronde River Basin was, in part, a result of constructionmore » and operation of hydroelectric facilities, over fishing, and loss and degradation of critical spawning and rearing habitat in the Columbia and Snake River basins (Nehlsen et al. 1991). Hatcheries were built in Oregon, Washington and Idaho under the Lower Snake River Compensation Plan (LSRCP) to compensate for losses of anadromous salmonids due to the construction and operation of the lower four Snake River dams. Lookingglass Hatchery (LGH) on Lookingglass Creek, a tributary of the Grande Ronde River, was completed under LSRCP in 1982 and has served as the main incubation and rearing site for chinook salmon programs for Grande Ronde and Imnaha rivers in Oregon. Despite these hatchery programs, natural spring chinook populations continued to decline resulting in the National Marine Fisheries Service (NMFS) listing Snake River spring/summer chinook salmon as ''threatened'' under the federal Endangered Species Act (1973) on 22 April 1992. Continuing poor escapement levels and declining population trends indicated that Grande Ronde River basin spring chinook salmon were in imminent danger of extinction. These continuing trends led fisheries co-managers in the basin to initiate the Grande Ronde Endemic Spring Chinook Salmon Supplementation Program (GRESCSSP) in order to prevent extinction and preserve options for use of endemic

The role of exercise in fall prevention for older adults.

PubMed

Rose, Debra J; Hernandez, Danielle

2010-11-01

This article reviews the evidence for the effectiveness of stand-alone exercise interventions and multifactorial intervention strategies that include exercise in lowering fall incidence rates and/or fall risk among older adults residing in the community, acute, subacute, and long-term care settings. Stand-alone exercise programs that emphasize multiple exercise categories are effective in reducing fall rates and fall risk in community-residing older adults, and may also be effective when conducted for a sufficient duration with older adult patients in subacute settings. In contrast, multifactorial fall risk reduction programs that include exercise as a component and are delivered by a multidisciplinary team are more effective in lowering fall rates in long-term care settings. Copyright © 2010 Elsevier Inc. All rights reserved.

Direct medical costs of accidental falls for adults with transfemoral amputations.

PubMed

Mundell, Benjamin; Maradit Kremers, Hilal; Visscher, Sue; Hoppe, Kurtis; Kaufman, Kenton

2017-12-01

Active individuals with transfemoral amputations are provided a microprocessor-controlled knee with the belief that the prosthesis reduces their risk of falling. However, these prostheses are expensive and the cost-effectiveness is unknown with regard to falls in the transfemoral amputation population. The direct medical costs of falls in adults with transfemoral amputations need to be determined in order to assess the incremental costs and benefits of microprocessor-controlled prosthetic knees. We describe the direct medical costs of falls in adults with a transfemoral amputation. This is a retrospective, population-based, cohort study of adults who underwent transfemoral amputations between 2000 and 2014. A Bayesian structural time series approach was used to estimate cost differences between fallers and non-fallers. The mean 6-month direct medical costs of falls for six hospitalized adults with transfemoral amputations was US$25,652 (US$10,468, US$38,872). The mean costs for the 10 adults admitted to the emergency department was US$18,091 (US$-7,820, US$57,368). Falls are expensive in adults with transfemoral amputations. The 6-month costs of falls resulting in hospitalization are similar to those reported in the elderly population who are also at an increased risk of falling. Clinical relevance Estimates of fall costs in adults with transfemoral amputations can provide policy makers with additional insight when determining whether or not to cover a prescription for microprocessor-controlled prosthetic knees.

Comparison of Factors Associated with Fear of Falling between Older Adults with and without a Fall History.

PubMed

Lee, Seonhye; Oh, Eunmi; Hong, Gwi-Ryung Son

2018-05-14

Background : Although fear of falling (FOF) has been studied since FOF has negative consequences for the elderly, there is limited information about the risk factors of FOF, including the environment. The purpose of this study was to describe individual and environmental factors of FOF between those with and without a fall history from an ecological aspect and to examine whether individual and environmental factors differently affect the FOF according to the state of fall history in community-dwelling older adults in Korea. Methods : Data from the 2014 Survey of Living Conditions and Welfare Needs of Korean Older Adults were used. Participants were 7730 older adults. Hierarchical logistic regression analysis was conducted to examine the predictors of FOF. Results : According to the ecological model, female and discomfort with the neighborhood environment were significantly associated with greater odds of reporting FOF in both older adults with fall history and those without. A significant interaction was not observed between any variable of FOF in participants with and without a fall history. Conclusions : An ecological model including individual and environmental factors should be considered when conducting research and designing programs and decision policies related to FOF for older adults with and without a history of falling.

Characteristics and fall experiences of older adults with and without fear of falling outdoors.

PubMed

Chippendale, Tracy; Lee, Chang Dae

2018-06-01

Using a theoretical model that combines an ecological perspective and Bandura's theory of self-efficacy as a guide, we sought to compare experiences and characteristics of community dwelling older adults with and without concern about falling outdoors. A survey of randomly selected community dwelling older adults across NYC (N = 120) was conducted using the outdoor falls questionnaire. Descriptive quantitative analyses of participant characteristics were conducted for all participants and for those with and without concern about falling outside. Conventional content analysis using two coders was employed to examine outdoor fall experiences for each group. A mixed methods matrix was used to integrate qualitative and quantitative findings. Some participant characteristics were more common among those with a concern about falling outside such as decreased functional status, female gender, and number of prior outdoor falls. As per descriptions of outdoor fall experiences, participants with concern were more likely to report a fall while climbing stairs or stepping up a curb, describe an intrinsic factor as a cause of their fall, use an injury prevention strategy during the fall, sustain a moderate to severe injury, seek medical attention, have had an ambulance called, require help to get up, and describe implementation of a behavioral change after the fall. Differences exist in participant characteristics and outdoor fall experiences of those with and without concern about falling outside. The proposed model can be used to understand fear of falling outdoors and can help to inform the target population and content of intervention programs.

Neurological Gait Abnormalities And Risk Of Falls In Older Adults

PubMed Central

Verghese, Joe; Ambrose, Anne F; Lipton, Richard B; Wang, Cuiling

2009-01-01

Objective To estimate the validity of neurological gait evaluations in predicting falls in older adults. Methods We studied 632 adults age 70 and over (mean age 80.6 years, 62% women) enrolled in the Einstein Aging Study whose walking patterns were evaluated by study clinicians using a clinical gait rating scale. Association of neurological gaits and six subtypes (hemiparetic, frontal, Parkinsonian, unsteady, neuropathic, and spastic) with incident falls was studied using generalized estimation equation procedures adjusted for potential confounders, and reported as risk ratio with 95% confidence intervals (CI). Results Over a mean follow-up of 21 months, 244 (39%) subjects fell. Mean fall rate was 0.47 falls per person year. At baseline, 120 subjects were diagnosed with neurological gaits. Subjects with neurological gaits were at increased risk of falls (risk ratio 1.49, 95% CI 1.11 – 2.00). Unsteady (risk ratio 1.52, 95% CI 1.04 – 2.22), and neuropathic gait (risk ratio 1.94, 95% CI 1.07 – 3.11) were the two gait subtypes that predicted risk of falls. The results remained significant after accounting for disability and cognitive status, and also with injurious falls as the outcome. Conclusions Neurological gaits and subtypes are independent predictors of falls in older adults. Neurological gait assessments will help clinicians identify and institute preventive measures in older adults at high risk for falls. PMID:19784714

Hydraulic Characteristics of the Lower Snake River during Periods of Juvenile Fall Chinook Salmon Migration, 2002-2006 Final Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cook, C.; Dibrani, B.; Richmond, M.

2006-01-01

This report documents a four-year study to assess hydraulic conditions in the lower Snake River. The work was conducted for the Bonneville Power Administration, U.S. Department of Energy, by the Pacific Northwest National Laboratory. Cold water released from the Dworshak Reservoir hypolimnion during mid- to late-summer months cools the Clearwater River far below equilibrium temperature. The volume of released cold water augments the Clearwater River, and the combined total discharge is on the order of the Snake River discharge when the two rivers meet at their confluence near the upstream edge of Lower Granite Reservoir. With typical temperature differences betweenmore » the Clearwater and Snake rivers of 10 C or more during July and August, the density difference between the two rivers during summer flow augmentation periods is sufficient to stratify Lower Granite Reservoir as well as the other three reservoirs downstream. Because cooling of the river is desirable for migrating juvenile fall Chinook salmon (Oncorhynchus tshawytscha) during this same time period, the amount of mixing and cold water entrained into Lower Granite Reservoir's epilimnion at the Clearwater/Snake River confluence is of key biological importance. Data collected during this project indicates the three reservoirs downstream of Lower Granite also stratify as direct result of flow augmentation from Dworshak Reservoir. These four reservoirs are also heavily influenced by wind forcing at the water's surface and during periods of low river discharge often behave like a two-layer lake. During these periods of stratification, lower river discharge, and wind forcing, the water in the upper layer of the reservoir is held in place or moves slightly upstream. This upper layer is also exposed to surface heating and may warm up to temperatures close to equilibrium temperature. The thickness (depth) of this upper warm layer and its direction of travel may be of key biological importance to juvenile fall

Physical activity level and fall risk among community-dwelling older adults.

PubMed

Low, Sok Teng; Balaraman, Thirumalaya

2017-07-01

[Purpose] To find the physical activity level and fall risk among the community-dwelling Malaysian older adults and determine the correlation between them. [Subjects and Methods] A cross-sectional study was conducted in which, the physical activity level was evaluated using the Rapid Assessment of Physical Activity questionnaire and fall risk with Fall Risk Assessment Tool. Subjects recruited were 132 community-dwelling Malaysian older adults using the convenience sampling method. [Results] The majority of the participants were under the category of under-active regular light-activities and most of them reported low fall risk. The statistical analysis using Fisher's exact test did not show a significant correlation between physical activity level and fall risk. [Conclusion] The majority of community-dwelling Malaysian older adults are performing some form of physical activity and in low fall risk category. But this study did not find any significant correlation between physical activity level and fall risk among community-dwelling older adults in Malaysia.

Fall-risk prediction in older adults with cancer: an unmet need.

PubMed

Wildes, Tanya M; Depp, Brittany; Colditz, Graham; Stark, Susan

2016-09-01

Falls in older adults with cancer are more common than in noncancer controls, yet no fall-risk screening tool has been validated in this population. We undertook a cross-sectional pilot study of the Falls Risk Questionnaire (FRQ) in 21 adults aged ≥65 receiving systemic cancer therapy. Participants completed the FRQ, geriatric assessment measures, and a measure of fear-of-falling. The recruitment rate was 87.5 %, with 95.2 % completion of the FRQ and additional geriatric assessment and quality of life measures. The FRQ correlated significantly with the Timed Up and Go test (Pearson r 0.479, p = 0.028). In addition, the FRQ score correlated directly with fear-of-falling and inversely with QOL, particularly physical health and neurotoxicity subscales. In conclusion, the FRQ was feasible in older adults receiving cancer therapy and correlates with measures of physical performance, functional status, and fear-of-falling. The FRQ may prove to be a valuable fall-risk screening tool to implement fall-prevention interventions in this vulnerable population of older adults with cancer.

Influence of multiple dam passage on survival of juvenile Chinook salmon in the Columbia River estuary and coastal ocean

PubMed Central

Rechisky, Erin L.; Welch, David W.; Porter, Aswea D.; Jacobs-Scott, Melinda C.; Winchell, Paul M.

2013-01-01

Multiple dam passage during seaward migration is thought to reduce the subsequent survival of Snake River Chinook salmon. This hypothesis developed because juvenile Chinook salmon from the Snake River, the Columbia River’s largest tributary, migrate >700 km through eight hydropower dams and have lower adult return rates than downstream populations that migrate through only 3 or 4 dams. Using a large-scale telemetry array, we tested whether survival of hatchery-reared juvenile Snake River spring Chinook salmon is reduced in the estuary and coastal ocean relative to a downstream, hatchery-reared population from the Yakima River. During the initial 750-km, 1-mo-long migration through the estuary and coastal ocean, we found no evidence of differential survival; therefore, poorer adult returns of Snake River Chinook may develop far from the Columbia River. Thus, hydrosystem mitigation efforts may be ineffective if differential mortality rates develop in the North Pacific Ocean for reasons unrelated to dam passage. PMID:23576733

Umatilla River Fish Passage Operations Program, 2003-2004 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bronson, James P.; Duke, Bill B.

2005-08-01

Threemile Falls Dam (Threemile Dam), located near the town of Umatilla, is the major collection and counting point for adult salmonids returning to the Umatilla River. Returning salmon and steelhead were enumerated at Threemile Dam from August 19, 2003 to July 8, 2004. A total of 3,388 summer steelhead (Oncorhynchus mykiss); 1,482 adult, 638 jack, and 2,150 subjack fall chinook (O. tshawytscha); 8,319 adult and 667 jack coho (O. kisutch); and 2,965 adult and 270 jack spring chinook (O. tshawytscha) were counted. All fish were enumerated at the east bank facility. Of the fish counted, 34 summer steelhead and 31more » adult and 9 jack spring chinook were hauled upstream from Threemile Dam. There were 3,166 summer steelhead; 1,076 adult, 554 jack and 2,026 subjack fall chinook; 8,213 adult and 647 jack coho; and 2,152 adult and 174 jack spring chinook either released at, or allowed to volitionally migrate past, Threemile Dam. Also, 121 summer steelhead; 388 adult and 19 jack fall chinook; and 561 adult and 29 jack spring chinook were collected for brood. In addition, 239 spring chinook were collected for the outplanting efforts in the Walla Walla Basin. There were also 25 pair hatchery steelhead adults collected for the progeny maker study. The Westland Canal juvenile facility (Westland), located near the town of Echo at rivermile (RM) 27, is the major collection point for outmigrating juvenile salmonids and steelhead kelts. The canal was open for 184 days between January 12 and July 6, 2004. During that period, fish were bypassed back to the river 173 days and were trapped 10 days. An estimated 44 pounds of juvenile fish were transported from Westland to the Umatilla River boat ramp (RM 0.5). Approximately 84% of the juveniles transported were salmonids. No steelhead kelts were hauled from Westland this year. The Threemile Dam west bank juvenile bypass was opened on February 10, 2004 for outmigration sampling and continued until July 7, 2004 when sampling was

Biotic and abiotic influences on abundance and distribution of nonnative Chinook salmon and native ESA-listed steelhead in the Wind River, Washington

USGS Publications Warehouse

Jezorek, Ian G.; Connolly, Patrick J.

2015-01-01

Biotic and abiotic factors influence fish populations and distributions. Concerns have been raised about the influence of hatchery fish on wild populations. Carson National Fish Hatchery produces spring Chinook salmon Oncorhynchus tshawytscha in the Wind River, Washington, and some spawn in the river. Managers were concerned that Chinook salmon could negatively affect wild steelhead O. mykiss and that a self-sustaining population of Chinook salmon may develop. Our objectives were to assess: 1) the distribution and populations of juvenile spring Chinook salmon and juvenile steelhead in the upper Wind River; 2) the influence of stream flow and of each population on the other; and 3) if Chinook salmon populations were self-sustaining. We snorkeled to determine distribution and abundance. Flow in the fall influenced upstream distribution and abundance of juvenile Chinook salmon. Juvenile Chinook salmon densities were consistently low (range 0.0 to 5.7 fish 100 m-2) and not influenced by number of spawners, winter flow magnitude, or steelhead abundance. Juvenile steelhead were distributed through the study section each year. Age-0 and age-1 steelhead densities (age-0 range: 0.04 to 37.0 fish 100 m-2; age-1 range: 0.02 to 6.21 fish 100 m-2) were consistently higher than for juvenile Chinook salmon. Steelhead spawner abundance positively influenced juvenile steelhead abundance. During this study, Chinook salmon in the Wind River appear to have had little effect on steelhead. Low juvenile Chinook salmon abundance and a lack of a spawner-to-juvenile relationship suggest Chinook salmon are not self-sustaining and potential for such a population is low under current conditions.

Older adult falls prevention behaviors 60 days post-discharge from an urban emergency department after treatment for a fall.

PubMed

Shankar, Kalpana Narayan; Treadway, Nicole J; Taylor, Alyssa A; Breaud, Alan H; Peterson, Elizabeth W; Howland, Jonathan

2017-12-01

Falls are a common and debilitating health problem for older adults. Older adults are often treated and discharged home by emergency department (ED)-based providers with the hope they will receive falls prevention resources and referrals from their primary care provider. This descriptive study investigated falls prevention activities, including interactions with primary care providers, among community-dwelling older adults who were discharged home after presenting to an ED with a fall-related injury. We enrolled English speaking patients, aged ≥ 65 years, who presented to the ED of an urban level one trauma center with a fall or fall related injury and discharged home. During subjects' initial visits to the ED, we screened and enrolled patients, gathered patient demographics and provided them with a flyer for a Matter of Balance course. Sixty-days post enrollment, we conducted a phone follow-up interview to collect information on post-fall behaviors including information regarding the efforts to engage family and the primary care provider, enroll in a falls prevention program, assess patients' attitudes towards falling and experiences with any subsequent falls. Eighty-seven community-dwelling people between the ages of 65 and 90 were recruited, the majority (76%) being women. Seventy-one percent of subjects reported talking to their provider regarding the fall; 37% reported engaging in falls prevention activities. No subjects reported enrolling in a fall prevention program although two reported contacting falls program staff. Fourteen percent of subjects (n=12) reported a recurrent fall and 8% (7) reported returning to the ED after a recurrent fall. Findings indicate a low rate of initiating fall prevention behaviors following an ED visit for a fall-related injury among community-dwelling older adults, and highlight the ED visit as an important, but underutilized, opportunity to mobilize health care resources for people at high risk for subsequent falls.

Behavioural thermoregulation by subyearling fall (autumn) Chinook salmon oncorhynchus tshawytscha in a reservoir

USGS Publications Warehouse

Tiffan, K.F.; Kock, T.J.; Connor, W.P.; Steinhorst, R.K.; Rondorf, D.W.

2009-01-01

This study investigated behavioural thermoregulation by subyearling fall (autumn) Chinook salmon Oncorhynchus tshawytscha in a reservoir on the Snake River, Washington, U.S.A. During the summer, temperatures in the reservoir varied from 23?? C on the surface to 11?? C at 14 m depth. Subyearlings implanted with temperature-sensing radio transmitters were released at the surface at temperatures >20?? C during three blocks of time in summer 2004. Vertical profiles were taken to measure temperature and depth use as the fish moved downstream over an average of 5??6-7??2 h and 6??0-13??8 km. The majority of the subyearlings maintained average body temperatures that differed from average vertical profile temperatures during most of the time they were tracked. The mean proportion of the time subyearlings tracked within the 16-20?? C temperature range was larger than the proportion of time this range was available, which confirmed temperature selection opposed to random use. The subyearlings selected a depth and temperature combination that allowed them to increase their exposure to temperatures of 16-20?? C when temperatures 20?? C were available at lower and higher positions in the water column. A portion of the subyearlings that selected a temperature c. 17??0?? C during the day, moved into warmer water at night coincident with an increase in downstream movement rate. Though subyearlings used temperatures outside of the 16-20?? C range part of the time, behavioural thermoregulation probably reduced the effects of intermittent exposure to suboptimal temperatures. By doing so, it might enhance growth opportunity and life-history diversity in the population of subyearlings studied.

Retrospective analysis of AYK Chinook salmon growth

USGS Publications Warehouse

Ruggerone, Gregory T.; Nielsen, Jennifer L.; Agler, B.A.

2007-01-01

Harvests of Yukon and Kuskokwim Chinook salmon declined significantly during 1998- 2002 in response to fewer returning salmon. Factors affecting the decline in Chinook salmon abundance are largely unknown. Growth of salmon in freshwater and the ocean is generally thought to influence salmon survival, therefore we examined historical Chinook salmon catch trends and developed growth indices of age-1.3 and age-1.4 Yukon and Kuskokwim Chinook salmon during each year and life stage in freshwater and the ocean, 1964-2004, using measurements of salmon scale growth. Availability of Yukon scales was greater than that of Kuskokwim scales during 1964-2004.Harvests of Yukon and Kuskokwim Chinook salmon rapidly increased in the mid-1970s, then rapidly declined in the late 1990s, apparently in response to the 1976/77 ocean regime shift and the 1997/98 El Nino event. Runs of Nushagak District Chinook salmon (Bristol Bay) also appeared to have been affected by these events in addition to the 1989 regime shift. The rapid responses of Chinook salmon abundance to climate change suggest late life stages were primarily affected, at least initially. Therefore, we searched for Chinook salmon growth patterns that might be related to changes in climate.

77 FR 19597 - Listing Endangered and Threatened Species; 12-Month Finding on a Petition To List Chinook Salmon...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-02

...We, NMFS, announce a 12-month finding on a petition to list the Chinook salmon (Oncorhynchus tshawytscha) in the Upper Klamath and Trinity Rivers Basin (UKTR) as threatened or endangered and designate critical habitat under the Endangered Species Act (ESA). We have reviewed the status of the UKTR Chinook salmon Evolutionarily Significant Unit (ESU) and considered the best scientific and commercial data available, and conclude that the petitioned action is not warranted. In reaching this conclusion, we conclude that spring-run and fall-run Chinook salmon in the UKTR Basin constitute a single ESU. Based on a comprehensive review of the best scientific and commercial data currently available, and consistent with the 1998 status review and listing determination for the UKTR Chinook salmon ESU, the overall extinction risk of the ESU is considered to be low over the next 100 years. Based on these considerations and others described in this notice, we conclude this ESU is not in danger of extinction throughout all or a significant portion of its range, nor is it likely to become so in the foreseeable future.

Examining Fall Recurrence Risk of Homebound Hispanic Older Adults Receiving Home Care Services.

PubMed

Solis, Guillermina R; Champion, Jane Dimmitt

2017-03-01

Unintentional falls and injuries is a major problem among older adults and the fourth cause of death in the United States. A previous fall event doubles the risk of recurrence and lessens the person's quality of life. Hispanic older adults have higher rates of disability and lower independent functioning due to poor medical health and risk for fall recurrence. Most fall studies focus on fall risk with few studies on fall recurrence in older adults receiving home health care services unrelated to fall incident. A descriptive pilot study of 30 homebound Hispanic older adults receiving home care services who reported a fall within 3 months was conducted by a multidisciplinary team to evaluate risk of fall recurrence. A heightened risk for fall recurrence was identified with high number of chronic illnesses, high intake of medications, vision problems, and prevalence of urinary incontinence. Findings highlight significant number of intrinsic factors for fall risk recurrence and injuries in a Hispanic older adults population that is homebound and receiving home care services. A multidisciplinary evaluation and culturally appropriate interventions to lessen the risk of fall recurrence are recommended.

FDA Approved Registration of Erythromycin for Treatment of Bacterial Kidney Disease (BKD) in Juvenile and Adult Chinook Salmon : Annual Report, Reporting Period March 10, 1989 to March 9, 1990.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Moffitt, Christine A.

1991-04-01

Erythromycin is a therapeutic substance useful against bacterial kidney disease in salmon. In 1989 we began a multi year project to learn more about erythromycin applied to juvenile and adult salmon, with the goal of achieving registration of erythromycin with the US Food and Drug Administration. To begin the study, we studied the pharmacokinetics of erythromycin administered to both adult and juvenile chinook salmon. We monitored blood plasmas time curves from individual adult fish injected with two forms of injectable erythromycin using one of three routes of administration. In addition, we began experiments to evaluate hatchery applications of erythromycin tomore » individually marked adult salmon, and we recovered blood tissues from these fish at the time of spawning. To determine how to use erythromycin in juvenile salmon, we evaluated the adsorption and elimination of erythromycin applied arterially and orally to individual juvenile fish. In feeding trials we determined the palatability to juvenile chinook salmon of feed made with one of two different carriers for erythromycin thiocyanate. 35 refs., 4 figs. , 3 tabs.« less

Evaluation of a chinook salmon (Oncorhynchus tshawytscha) bioenergetics model

USGS Publications Warehouse

Madenjian, Charles P.; O'Connor, Daniel V.; Chernyak, Sergei M.; Rediske, Richard R.; O'Keefe, James P.

2004-01-01

We evaluated the Wisconsin bioenergetics model for chinook salmon (Oncorhynchus tshawytscha) in both the laboratory and the field. Chinook salmon in laboratory tanks were fed alewife (Alosa pseudoharengus), the predominant food of chinook salmon in Lake Michigan. Food consumption and growth by chinook salmon during the experiment were measured. To estimate the efficiency with which chinook salmon retain polychlorinated biphenyls (PCBs) from their food in the laboratory, PCB concentrations of the alewife and of the chinook salmon at both the beginning and end of the experiment were determined. Based on our laboratory evaluation, the bioenergetics model was furnishing unbiased estimates of food consumption by chinook salmon. Additionally, from the laboratory experiment, we calculated that chinook salmon retained 75% of the PCBs contained within their food. In an earlier study, assimilation rate of PCBs to chinook salmon from their food in Lake Michigan was estimated at 53%, thereby suggesting that the model was substantially overestimating food consumption by chinook salmon in Lake Michigan. However, we concluded that field performance of the model could not be accurately assessed because PCB assimilation efficiency is dependent on feeding rate, and feeding rate of chinook salmon was likely much lower in our laboratory tanks than in Lake Michigan.

Supplement Analysis for the Grande Ronde Basin Endemic Spring Chinook Salmon Supplementation Program EA (DOE/EA-1173/SA-01)

DOE Office of Scientific and Technical Information (OSTI.GOV)

N /A

2003-12-18

The CTUIR and ODFW propose to expand their monitoring and evaluation for the Grande Ronde spring chinook supplementation program to take additional data on summer steelhead that are trapped at the existing adult collection weirs on the upper Grande Ronde River and Catherine Creek. The weirs are a movable design and are operated seasonally during the adult chinook migration. Bull trout and summer steelhead have been trapped at the weirs since 1997 incidental to the spring chinook broodstock collection activities. Minimal data is recorded on both species as a requirement of the ESA permits, and reported to USFWS and NOAAmore » Fisheries. This supplement analysis covers a minor expansion of the program to collect more extensive life history data on summer steelhead. The weir and trap will be installed 2-3 weeks earlier (early to mid-March) than was previously needed for the spring chinook broodstock collection in order to monitor the summer steelhead migration period. The adult steelhead will be captured in the traps, anesthetized, and measured. Data will be recorded on the date of capture, fork length, sex, markings, and maturity of the fish, and scale and punch tissue samples will be taken for genetic analyses.« less

Fear of falling and gait parameters in older adults with and without fall history.

PubMed

Makino, Keitaro; Makizako, Hyuma; Doi, Takehiko; Tsutsumimoto, Kota; Hotta, Ryo; Nakakubo, Sho; Suzuki, Takao; Shimada, Hiroyuki

2017-12-01

Fear of falling (FOF) is associated with spatial and temporal gait parameters in older adults. FOF is prevalent among older adults, both those with and without fall history. It is still unclear whether the relationships between FOF and gait parameters are affected by fall history. The aim of the present study was to compare gait parameters by the presence of FOF and fall history. A total of 3575 older adults (mean age 71.7 years, 49.7% female) met the inclusion criteria for the present study. We assessed the presence of fall history and FOF by face-to-face interview, and gait parameters (gait speed, stride length, step rate, double support time and variation of stride length) at a comfortable speed using a computerized electronic walkway. Prevalences of fall history and FOF were as follows: non-fallers without FOF 52.6% (n = 1881); fallers without FOF 6.3% (n = 227); non-fallers with FOF 34.4% (n = 1229); and fallers with FOF 6.7% (n = 238). Analysis of covariance showed significant differences among the four groups in all gait variables even after adjusting for age, sex and number of medications used. It should be noted that non-fallers with FOF showed significantly slower gait speed, shorter stride length and longer double support time than did non-fallers without FOF (P < 0.001). The present results suggest that spatial and temporal gait parameters are influenced by FOF, even in the absence of fall history. The assessment of FOF might be helpful for better understanding of age-related changes in gait control. Geriatr Gerontol Int 2017; 17: 2455-2459. © 2017 Japan Geriatrics Society.

Exploring Older Adult ED Fall Patients' Understanding of Their Fall: A Qualitative Study.

PubMed

Shankar, Kalpana N; Taylor, Devon; Rizzo, Caroline T; Liu, Shan W

2017-12-01

We sought to understand older patients' perspectives about their fall, fall risk factors, and attitude toward emergency department (ED) fall-prevention interventions. We conducted semistructured interviews between July 2015 and January 2016 of community-dwelling, nondemented patients in the ED, who presented with a fall to an urban, teaching hospital. Interviews were halted once we achieve thematic saturation with the data coded and categorized into themes. Of the 63 patients interviewed, patients blamed falls on the environment, accidents, a medical condition, or themselves. Three major themes were generated: (1) patients blamed falls on a multitude of things but never acknowledged a possible multifactorial rationale, (2) patients have variable level of concerns regarding their current fall and future fall risk, and (3) patients demonstrated a range of receptiveness to ED interventions aimed at preventing falls but provided little input as to what those interventions should be. Many older patients who fall do not understand their fall risk. However, based on the responses provided, older adults tend to be more receptive to intervention and more concerned about their future fall risk, making the ED an appropriate setting for intervention.

Distinguishing between natural and hatchery Snake River fall Chinook salmon subyearlings in the field using body morphology

USGS Publications Warehouse

Tiffan, K.F.; Connor, W.P.

2011-01-01

We used body morphology to distinguish between natural- and hatchery-origin subyearling fall Chinook salmon Oncorhynchus tshawytscha in rearing areas of the Snake River and at a downstream dam during seaward migration. Using subjective eye and body shape characteristics, field personnel correctly classified 88.9–100% of natural subyearlings (N = 626) and 90.0–100% of hatchery subyearlings (N = 867) in rearing areas from 2001 to 2008. The morphological characteristics used by these personnel proved to have a quantitative basis, as was shown by digital photography and principal components analysis. Natural subyearlings had smaller eyes and pupils, smaller heads, deeper bodies, and shorter caudal peduncles than their hatchery counterparts during rearing and at the dam. A discriminant function fitted from this set of morphological characteristics classified the origin of fish during rearing and at the dam with over 97% accuracy. We hypothesize that these morphological differences were primarily due to environmental influences during incubation and rearing because it is highly probable that a large portion of the natural juveniles we studied were the offspring of hatchery × hatchery mating in the wild. The findings in this paper might provide guidance for others seeking to differentiate between natural and hatchery fish.

Outcomes of a Falls Prevention Education Program Among Older Adults in Grenada.

PubMed

Lyons, Beverly P; Hall, Raphael J

2016-10-01

In Latin America and the Caribbean, there is a scarcity of data on falls, the leading cause of death as a result of unintentional injuries, among older adults aged 65+ years of age. By 2050, 80 % of the 2 billion older adults worldwide are expected to be living in this region; therefore, it is imperative that this issue receive urgent attention from community health practitioners, health educators and policy makers. Guided by Pillar 1-awareness of the WHO fall prevention model for community-dwelling older adults, the purpose of this paper was to describe the feasibility of implementing a falls prevention awareness educational initiative in the Eastern Caribbean Island of Grenada. Sixty-two older adults, average age 67, participated in a falls awareness workshop. An anonymous pre-workshop falls assessment checklist was distributed to establish baseline information followed by an interactive workshop. Eight fall risks were identified and 52 % of the participants reported a history of falls. Based on the group's eagerness to participate, we are encouraged that falls prevention intervention initiatives are feasible among others of similar characteristics in Grenada and plan to implement Pillar II-objective falls assessment and Pillar III-on-going interventions.

Effects of a multifactorial fall prevention program on fall incidence and physical function in community-dwelling older adults with risk of falls.

PubMed

Lee, Hsuei-Chen; Chang, Ku-Chou; Tsauo, Jau-Yih; Hung, Jen-Wen; Huang, Yu-Ching; Lin, Sang-I

2013-04-01

To evaluate effects of a multifactorial fall prevention program on fall incidence and physical function in community-dwelling older adults. Multicenter randomized controlled trial. Three medical centers and adjacent community health centers. Community-dwelling older adults (N=616) who have fallen in the previous year or are at risk of falling. After baseline assessment, eligible subjects were randomly allocated into the intervention group (IG) or the control group (CG), stratified by the Physiological Profile Assessment (PPA) fall risk level. The IG received a 3-month multifactorial intervention program including 8 weeks of exercise training, health education, home hazards evaluation/modification, along with medication review and ophthalmology/other specialty consults. The CG received health education brochures, referrals, and recommendations without direct exercise intervention. Primary outcome was fall incidence within 1 year. Secondary outcomes were PPA battery (overall fall risk index, vision, muscular strength, reaction time, balance, and proprioception), Timed Up & Go (TUG) test, Taiwan version of the International Physical Activity Questionnaire, EuroQol-5D, Geriatric Depression Scale (GDS), and the Falls Efficacy Scale-International at 3 months after randomization. Participants were 76±7 years old and included low risk 25.6%, moderate risk 25.6%, and marked risk 48.7%. The cumulative 1-year fall incidence was 25.2% in the IG and 27.6% in the CG (hazard ratio=.90; 95% confidence interval, .66-1.23). The IG improved more favorably than the CG on overall PPA fall risk index, reaction time, postural sway with eyes open, TUG test, and GDS, especially for those with marked fall risk. The multifactorial fall prevention program with exercise intervention improved functional performance at 3 months for community-dwelling older adults with risk of falls, but did not reduce falls at 1-year follow-up. Fall incidence might have been decreased simultaneously in both

Grande Ronde Endemic Spring Chinook Salmon Supplementation Program: Facility Operation and Maintenance and Monitoring and Evaluation, 1999 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Boe, Stephen J.; Lofy, Peter T.

2002-11-01

This is the second annual report of a multi-year, multi-agency project to restore spring chinook salmon populations in the Grande Ronde River Basin (Grande Ronde Endemic Chinook Salmon Program--GRESCP). The Confederated Tribes of the Umatilla Indian Reservation (CTUIR) operates adult collection and juvenile acclimation facilities on Catherine Creek and the upper Grande Ronde River for Snake River spring chinook salmon. These two streams have historically supported populations that provided significant tribal and non-tribal fisheries. Supplementation using conventional and captive broodstock techniques is being used to increase natural production and restore fisheries in these two streams. Statement of Work Objectives formore » 1999: (1) Participate in development and continued implementation of the comprehensive multi year operations plan for the Grande Ronde Endemic Supplementation Program. (2) Ensure proper construction and trial operation of semi-permanent adult and juvenile facilities for use in 2000. (3) Monitor adult endemic spring chinook salmon populations and collect broodstock. (4) Plan detailed Monitoring and Evaluation for future years. (5) Monitor population abundance and characteristics and local environmental factors that may influence abundance and run timing of Grande Ronde River spring chinook populations. (6) Participate in Monitoring and Evaluation of the captive brood component of the Program to assure this component is contributing to the Program. (7) Participate in data collection for incidentally-caught bull trout and summer steelhead and planning for recovery of summer steelhead populations. (8) Document accomplishments and needs to permitters, comanagers, and funding agencies. (9) Communicate project results to the scientific community.« less

Trunk kinematics and fall risk of older adults: translating biomechanical results to the clinic.

PubMed

Grabiner, Mark D; Donovan, Stephanie; Bareither, Mary Lou; Marone, Jane R; Hamstra-Wright, Karrie; Gatts, Strawberry; Troy, Karen L

2008-04-01

This paper reviews some of our experiences over nearly 15 years of trying to determine modifiable factors that contribute to the high incidence of fall by older adults. As part of our approach, we have subjected healthy young and older adults to very large postural disturbances during locomotion, in the form of trips and slips, to which rapid compensatory responses have been necessary to avoid falling. For both trips and slips, the ability to limit trunk motion has consistently discriminated older adults who fall from both younger adults and older adults who have been able to avoid falling. We have shown that the ability to limit trunk motion can be rapidly acquired, or learned, by older adults as a result of task-specific training. The learned motor skill has demonstrated short-term retention and has been shown to effectively decrease fall-risk due to trips. Collectively, we believe the works strongly suggests that the traditional exercise-based fall-prevention and whole-body, task-specific training can synergize to reduce falls and fall-related injury in older adults.

Investigations into the Early Life History of Naturally Produced Spring Chinook Salmon in the Grande Ronde River Basin : Fish Research Project Oregon : Annual Progress Report Project Period 1 September 1998 to 31 August 1999.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jonasson, Brian C.

2000-01-01

We determined migration timing and abundance of juvenile spring chinook salmon from three populations in the Grande Ronde River basin. We estimated 13,180 juvenile chinook salmon left upper rearing areas of the Grande Ronde River from July 1998 to June 1999; approximately 0.2% of the migrants left in summer, 18% in fall and 82% in spring. We estimated 15,949 juvenile chinook salmon left upper rearing areas of Catherine Creek from July 1998 to June 1999; approximately 0.2% of the migrants left in summer, 57% in fall, 2% in winter, and 41% in spring. We estimated 14,537 juvenile chinook salmon leftmore » the Grande Ronde Valley, located below the upper rearing areas in Catherine Creek and the Grande Ronde River, from October 1998 to June 1999; approximately 99% of the migrants left in spring. We estimated 31,113 juvenile chinook salmon left upper rearing areas of the Lostine River from July 1998 to June 1999; approximately 4% of the migrants left in summer, 57% in fall, 3% in winter, and 36% in spring. We estimated 42,705 juvenile spring chinook salmon left the Wallowa Valley, located below the mouth of the Lostine River, from August 1998 to June 1999; approximately 46% of the migrants left in fall, 6% in winter, and 47% in spring. Juvenile chinook salmon PIT-tagged on the upper Grande Ronde River were detected at Lower Granite Dam from 31 March to 20 June 1999, with a median passage date of 5 May. PIT-tagged salmon from Catherine Creek were detected at Lower Granite Dam from 19 April to 9 July 1999, with a median passage date of 24 May. PIT-tagged salmon from the Lostine River were detected at Lower Granite Dam from 31 March through 8 July 1999, with a median passage date of 4 May. Juveniles tagged as they left the upper rearing areas of the Grande Ronde River in fall and that overwintered in areas downstream were detected in the hydrosystem at a higher rate than fish tagged during winter in the upper rearing areas, indicating a higher overwinter survival in the

Zero-Inflated Poisson Modeling of Fall Risk Factors in Community-Dwelling Older Adults.

PubMed

Jung, Dukyoo; Kang, Younhee; Kim, Mi Young; Ma, Rye-Won; Bhandari, Pratibha

2016-02-01

The aim of this study was to identify risk factors for falls among community-dwelling older adults. The study used a cross-sectional descriptive design. Self-report questionnaires were used to collect data from 658 community-dwelling older adults and were analyzed using logistic and zero-inflated Poisson (ZIP) regression. Perceived health status was a significant factor in the count model, and fall efficacy emerged as a significant predictor in the logistic models. The findings suggest that fall efficacy is important for predicting not only faller and nonfaller status but also fall counts in older adults who may or may not have experienced a previous fall. The fall predictors identified in this study--perceived health status and fall efficacy--indicate the need for fall-prevention programs tailored to address both the physical and psychological issues unique to older adults. © The Author(s) 2014.

Prevalence of Falls and Risk Factors in Adults with Intellectual Disability

ERIC Educational Resources Information Center

Hsieh, Kelly; Rimmer, James; Heller, Tamar

2012-01-01

The purpose of this study was to examine the prevalence of falls and risk factors for falls in 1,515 adults (greater than or equal to 18 years) with intellectual disability using baseline data from the Longitudinal Health and Intellectual Disability Study. Nearly 25% of adults from the study were reported to have had one or more falls in the past…

Umatilla River Fish Passage Operations Project : Annual Progress Report October 2007 - September 2008.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bronson, James P.; Loffink, Ken; Duke, Bill

Threemile Falls Dam (Threemile Dam), located near the town of Umatilla, is the major collection and counting point for adult salmonids returning to the Umatilla River. Returning salmon and steelhead were enumerated at Threemile Dam from June 7, 2007 to August 11, 2008. A total of 3,133 summer steelhead (Oncorhynchus mykiss); 1,487 adult, 1,067 jack, and 999 subjack fall Chinook (O. tshawytscha); 5,140 adult and 150 jack coho (O. kisutch); and 2,009 adult, 517 jack, and 128 subjack spring Chinook (O. tshawytscha) were counted. All fish were enumerated at the east bank facility. Of the fish counted, 1,442 summer steelheadmore » and 88 adult and 84 jack spring Chinook were hauled upstream from Threemile Dam. There were 1,497 summer steelhead; 609 adult, 1,018 jack and 979 subjack fall Chinook; 5,036 adult and 144 jack coho; and 1,117 adult, 386 jack and 125 subjack spring Chinook either released at, or allowed to volitionally migrate past, Threemile Dam. Also, 110 summer steelhead; 878 adult and 43 jack fall Chinook; and 560 adult and 28 jack spring Chinook were collected as broodstock for the Umatilla River hatchery program. In addition, there were 241 adult and 15 jack spring Chinook collected at Threemile Dam for outplanting in the South Fork Walla Walla River and Mill Cr, a tributary of the mainstem Walla Walla River. The Westland Canal juvenile facility (Westland), located near the town of Echo at river mile (RM) 27, is the major collection point for out-migrating juvenile salmonids and steelhead kelts. The canal was open for 158 days between February 11, 2008 and July 18, 2008. During that period, fish were bypassed back to the river 150 days and were trapped 6 days. There were also 2 days when fish were directed into and held in the canal forebay between the time the bypass was closed and the trap opened. An estimated 64 pounds of fish were transported from the Westland trapping facility. Approximately 25.8% of the fish transported were salmonids. In addition

Slipping through the cracks: A cross-sectional study examining older adult emergency department patient fall history, post-fall treatment and prevention.

PubMed

Goldberg, Elizabeth M; McCreedy, Ellen M; Gettel, Cameron J; Merchant, Roland C

2017-12-01

Falls are the leading cause of emergency department (ED) visits for fatal and non-fatal injuries among adults 65 years old and older. We aimed to better understand the fall history, risk for further falls, and actions taken to prevent further falls among this higher fall risk population. This cross-sectional study included older adults without cognitive impairment presenting to the Rhode Island Hospital ED from February to May 2017. Of the 76 participants, 35 self-reported no prior falls, and 41 self-reported at least one prior fall, of whom 20 fell on the day of ED presentation. Participants with vs. without self-reported prior falls were similar in age, gender, race, and substance use. Participants with prior falls scored lower on cognitive testing and had more comorbidities associated with falls. Only one quarter of those with prior falls reported making changes and few were evaluated by professionals to prevent future falls. This study highlights that older adult ED patients who sustain a fall are at higher risk for subsequent falls, and that greater fall prevention efforts are needed to protect this vulnerable group. [Full article available at http://rimed.org/rimedicaljournal-2017-12.asp].

Reduced vision selectively impairs spatial updating in fall-prone older adults.

PubMed

Barrett, Maeve M; Doheny, Emer P; Setti, Annalisa; Maguinness, Corrina; Foran, Timothy G; Kenny, Rose Anne; Newell, Fiona N

2013-01-01

The current study examined the role of vision in spatial updating and its potential contribution to an increased risk of falls in older adults. Spatial updating was assessed using a path integration task in fall-prone and healthy older adults. Specifically, participants conducted a triangle completion task in which they were guided along two sides of a triangular route and were then required to return, unguided, to the starting point. During the task, participants could either clearly view their surroundings (full vision) or visuo-spatial information was reduced by means of translucent goggles (reduced vision). Path integration performance was measured by calculating the distance and angular deviation from the participant's return point relative to the starting point. Gait parameters for the unguided walk were also recorded. We found equivalent performance across groups on all measures in the full vision condition. In contrast, in the reduced vision condition, where participants had to rely on interoceptive cues to spatially update their position, fall-prone older adults made significantly larger distance errors relative to healthy older adults. However, there were no other performance differences between fall-prone and healthy older adults. These findings suggest that fall-prone older adults, compared to healthy older adults, have greater difficulty in reweighting other sensory cues for spatial updating when visual information is unreliable.

Effects of Sun-style Tai Chi exercise on physical fitness and fall prevention in fall-prone older adults.

PubMed

Choi, Jung Hyun; Moon, Jung-Soon; Song, Rhayun

2005-07-01

This paper reports a study to determine changes in the physical fitness (knee and ankle muscle strength, balance, flexibility, and mobility), fall avoidance efficacy, and fall episodes of institutionalized older adults after participating in a 12-week Sun-style Tai Chi exercise programme. Fall prevention has a high priority in health promotion for older people because a fall is associated with serious morbidity in this population. Regular exercise is effective in fall prevention for older adults because of improvements in strength and balance. Tai Chi exercise is considered to offer great potential for health promotion and rehabilitation, particularly in the maintenance of good mental and physical condition in older people. A quasi-experimental design with a non-equivalent control group was used. Data were collected from September 2001 to January 2002. A total of 68 fall-prone older adults with a mean age of 77.8 years participated in the study, and 29 people in the Tai Chi group and 30 controls completed the post-test measures. The Tai Chi exercise programme was provided three times a week for 12 weeks in the experimental group. Data were analysed for group differences using t-tests. At post-test, the experimental group showed significantly improved muscle strength in knee and ankle flexors (P < 0.001) and extensors (P < 0.01), and improved flexibility (P < 0.01) and mobility (P < 0.001) compared with the control group. There was no significant group difference in fall episodes, but the relative risk ratio for the Tai Chi exercise group compared with the control group was 0.62. The experimental group reported significantly more confidence in fall avoidance than did the control group. The findings reveal that Tai Chi exercise programmes can safely improve physical strength and reduce fall risk for fall-prone older adults in residential care facilities.

Evidence-Based Practice Guideline: Fall Prevention for Older Adults.

PubMed

Kruschke, Cheryl; Butcher, Howard K

2017-11-01

Falls are a major cause of injury and death annually for millions of individuals 65 and older. Older adults are at risk for falls for a variety of reasons regardless of where they live. Falls are defined as any sudden drop from one surface to a lower surface. The purpose of this fall prevention evidence-based practice guideline is to describe strategies that can identify individuals at risk for falls. A 10-step protocol including screening for falls, comprehensive fall assessment, gait and balance screening when necessary, and an individualized fall intervention program addressing specific fall risks is presented. Reassessing fall risk and fall prevention programs will ensure a proactive approach to reducing falls in the aging population. [Journal of Gerontological Nursing, 43(11), 15-21.]. Copyright 2017, SLACK Incorporated.

Low productivity of Chinook salmon strongly correlates with high summer stream discharge in two Alaskan rivers in the Yukon drainage

USGS Publications Warehouse

Neuswanger, Jason R.; Wipfli, Mark S.; Evenson, Matthew J.; Hughes, Nicholas F.; Rosenberger, Amanda E.

2015-01-01

Yukon River Chinook salmon (Oncorhynchus tshawytscha) populations are declining for unknown reasons, creating hardship for thousands of stakeholders in subsistence and commercial fisheries. An informed response to this crisis requires understanding the major sources of variation in Chinook salmon productivity. However, simple stock–recruitment models leave much of the variation in this system’s productivity unexplained. We tested adding environmental predictors to stock–recruitment models for two Yukon drainage spawning streams in interior Alaska — the Chena and Salcha rivers. Low productivity was strongly associated with high stream discharge during the summer of freshwater residency for young-of-the-year Chinook salmon. This association was more consistent with the hypothesis that sustained high discharge negatively affects foraging conditions than with acute mortality during floods. Productivity may have also been reduced in years when incubating eggs experienced major floods or cold summers and falls. These freshwater effects — especially density dependence and high discharge — helped explain population declines in both rivers. They are plausible as contributors to the decline of Chinook salmon throughout the Yukon River drainage.

Floodplain farm fields provide novel rearing habitat for Chinook salmon

PubMed Central

Jeffres, Carson; Conrad, J. Louise; Sommer, Ted R.; Martinez, Joshua; Brumbaugh, Steve; Corline, Nicholas; Moyle, Peter B.

2017-01-01

When inundated by floodwaters, river floodplains provide critical habitat for many species of fish and wildlife, but many river valleys have been extensively leveed and floodplain wetlands drained for flood control and agriculture. In the Central Valley of California, USA, where less than 5% of floodplain wetland habitats remain, a critical conservation question is how can farmland occupying the historical floodplains be better managed to improve benefits for native fish and wildlife. In this study fields on the Sacramento River floodplain were intentionally flooded after the autumn rice harvest to determine if they could provide shallow-water rearing habitat for Sacramento River fall-run Chinook salmon (Oncorhynchus tshawytscha). Approximately 10,000 juvenile fish (ca. 48 mm, 1.1 g) were reared on two hectares for six weeks (Feb-March) between the fall harvest and spring planting. A subsample of the fish were uniquely tagged to allow tracking of individual growth rates (average 0.76 mm/day) which were among the highest recorded in fresh water in California. Zooplankton sampled from the water column of the fields were compared to fish stomach contents. The primary prey was zooplankton in the order Cladocera, commonly called water fleas. The compatibility, on the same farm fields, of summer crop production and native fish habitat during winter demonstrates that land management combining agriculture with conservation ecology may benefit recovery of native fish species, such as endangered Chinook salmon. PMID:28591141

Emigration of Natural and Hatchery Chinook Salmon and Steelhead Smolts from the Imnaha River, Oregon, October 20, 1999 to June 15, 2000 : 2000 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cleary, Peter J.

2002-12-01

This report details the smolt performance of natural and hatchery chinook salmon and steelhead from the Imnaha River to the Snake River and Columbia River dams during migration year 2000. Flow conditions in the Imnaha River and Snake River were appreciably lower during May and June in 2000, compared to historic levels at gauging stations, but flow conditions in the Imnaha and Snake River were above average during April. Overall, water conditions for the entire Columbia River were characterized by the Fish Passage Center as below normal levels. Spill occurred continuously at Lower Granite Dam (LGR), Little Goose Dam (LGO),more » and Lower Monumental Dam (LMO) from April 5, April 10, and April 4, respectively, to June 20, and encompassed the periods of migration of Imnaha River juvenile chinook salmon and steelhead, with a few exceptions. Outflow in the tailraces of LGR, LGO, and LMO decreased in May and June while temperatures increased. Chinook salmon and steelhead were captured using rotary screw traps at river kilometer (rkm) 74 and 7 during the fall from October 20 to November 24, 1999, and during the spring period from February 26 to June 15, 2000, at rkm 7. Spring trapping information was reported weekly to the Fish Passage Center's Smolt Monitoring Program. A portion of these fish were tagged weekly with passive integrated transponder (PIT) tags and were detected migrating past interrogation sites at Snake River and Columbia River dams. Survival of PIT tagged fish was estimated with the Survival Using Proportional Hazards model (SURPH model). Estimated survival of fall tagged natural chinook (with {+-} 95% confidence intervals in parenthesis) from the upper Imnaha (rkm 74) to LGR was 29.6% ({+-} 2.8 ). Natural chinook salmon tagged in the fall in the lower Imnaha River at rkm 7, which over wintered in the Snake River, had an estimated survival of 36.8% ({+-} 2.9%) to LGR. Spring tagged natural chinook salmon from the lower site had an estimated survival of

Effectiveness of Exergaming Training in Reducing Risk and Incidence of Falls in Frail Older Adults With a History of Falls.

PubMed

Fu, Amy S; Gao, Kelly L; Tung, Arthur K; Tsang, William W; Kwan, Marcella M

2015-12-01

To use Nintendo's Wii Fit balance board to determine the effectiveness of exergaming training in reducing risk and incidence of falls in older adults with a history of falls. Randomized controlled trial. Nursing home for older adults. Adults aged 65 years and older (N=60). Participants who lived in a nursing home had 6 weeks of balance training with either Wii Fit equipment or conventional exercise. Physiological Profile Assessment scores and incidence of falls were observed with subsequent intention-to-treat statistical analyses. Physiological Profile Assessment scores and incidence of falls improved significantly in both groups after the intervention (all P<.01), but participants in the Wii Fit training group showed a significantly greater improvement in both outcome measures (P=.004 and P<.001, respectively). In institutionalized older adults with a history of falls, Wii Fit balance training was more effective than conventional balance training in reducing the risk and incidence of falls. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Predicting falls in older adults using the four square step test.

PubMed

Cleary, Kimberly; Skornyakov, Elena

2017-10-01

The Four Square Step Test (FSST) is a performance-based balance tool involving stepping over four single-point canes placed on the floor in a cross configuration. The purpose of this study was to evaluate properties of the FSST in older adults who lived independently. Forty-five community dwelling older adults provided fall history and completed the FSST, Berg Balance Scale (BBS), Timed Up and Go (TUG), and Tinetti in random order. Future falls were recorded for 12 months following testing. The FSST accurately distinguished between non-fallers and multiple fallers, and the 15-second threshold score accurately distinguished multiple fallers from non-multiple fallers based on fall history. The FSST predicted future falls, and performance on the FSST was significantly correlated with performance on the BBS, TUG, and Tinetti. However, the test is not appropriate for older adults who use walkers. Overall, the FSST is a valid yet underutilized measure of balance performance and fall prediction tool that physical therapists should consider using in ambulatory community dwelling older adults.

A systematic review of risk factors associated with accidental falls, outcome measures and interventions to manage fall risk in non-ambulatory adults.

PubMed

Rice, Laura A; Ousley, Cherita; Sosnoff, Jacob J

2015-01-01

To systematically review peer-reviewed literature pertaining to risk factors, outcome measures and interventions managing fall risk in non-ambulatory adults. Twenty-one papers were selected for inclusion from databases including PubMed/Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, Scopus, Consumer Health Complete and Web of Science. Selected studies involved a description of fall related risk factors, outcomes to assess fall risk and intervention studies describing protocols to manage fall risk in non-ambulatory adults. Studies were selected by two reviewers and consultation provided by a third reviewer. The most frequently cited risk factors/characteristics associated with falls included: wheelchair related characteristics, transfer activities, impaired seated balance and environmental factors. The majority of the outcomes were found to evaluate seated postural control. One intervention study was identified describing a protocol targeting specific problems of individual participants. A global fall prevention program was not identified. Several risk factors associated with falls were identified and must be understood by clinicians to better serve their clients. To improve objective assessment, a comprehensive outcome assessment specific to non-ambulatory adults is needed. Finally, additional research is needed to examine the impact of structured protocols to manage fall risk in non-ambulatory adults. Falls are a common health concern for non-ambulatory adults. Risk factors commonly associated with falls include wheelchair related characteristics, transfer activities, impaired seated balance and environmental factors. Limited outcome measures are available to assess fall risk in non-ambulatory adults. Clinicians must be aware of the known risk factors and provide comprehensive education to their clients on the potential for falls. Additional research is needed to develop and evaluate protocols to clinically manage fall

Pre-Restoration Habitat Use by Chinook Salmon in the Nisqually Estuary Using Otolith Analysis: An Additional Year

USGS Publications Warehouse

Lind-Null, Angie; Larsen, Kim

2009-01-01

The Nisqually Fall Chinook population is one of 27 stocks in the Puget Sound evolutionarily significant unit listed as threatened under the Federal Endangered Species Act (ESA). Preservation and extensive restoration of the Nisqually delta ecosystem is currently taking place to assist in recovery of the stock as juvenile Fall Chinook salmon are dependent upon the estuary. A pre-restoration baseline that includes characterization of life history types, estuary residence times, growth rates, and habitat use is needed to evaluate the potential response of hatchery and natural origin Chinook salmon to restoration efforts and determine restoration success. Otolith analysis was selected to examine Chinook salmon life history, growth, and residence in the Nisqually Estuary. Previously funded work on wild samples collected in 2004 established the growth rate and length of residence associated with various habitats. The purpose of the current study is to build on the previous work by incorporating otolith microstructure analysis from 2005 (second sampling year), to verify findings from 2004, and to evaluate between-year variation in otolith microstructure. Our results from this second year of analysis indicated no inter-annual variation in the appearance of the tidal delta check (TDCK) and delta-flats check (DFCK). However, a new life history type (fry migrant) was observed on samples collected in 2005. Fish caught in the tidal delta regardless of capture date spent an average of 17 days in the tidal delta. There was a corresponding increase in growth rate as the fish migrated from freshwater (FW) to tidal delta to nearshore (NS) habitats. Fish grew 33 percent faster in the tidal delta than in FW habitat and slightly faster (14 percent) in the delta flats (DF) habitat compared to the tidal delta.

Brood Year 2004: Johnson Creek Chinook Salmon Supplementation Report, June 2004 through March 2006.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gebhards, John S.; Hill, Robert; Daniel, Mitch

The Nez Perce Tribe, through funding provided by the Bonneville Power Administration, has implemented a small scale chinook salmon supplementation program on Johnson Creek, a tributary in the South Fork of the Salmon River, Idaho. The Johnson Creek Artificial Propagation Enhancement project was established to enhance the number of threatened Snake River spring/summer chinook salmon (Oncorhynchus tshawytscha) returning to Johnson Creek to spawn through artificial propagation. This was the sixth season of adult chinook broodstock collection in Johnson Creek following collections in 1998, 2000, 2001, 2002, and 2003. Weir installation was completed on June 21, 2004 with the first chinookmore » captured on June 22, 2004 and the last fish captured on September 6, 2004. The weir was removed on September 18, 2004. A total of 338 adult chinook, including jacks, were captured during the season. Of these, 211 were of natural origin, 111 were hatchery origin Johnson Creek supplementation fish, and 16 were adipose fin clipped fish from other hatchery operations and therefore strays into Johnson Creek. Over the course of the run, 57 natural origin Johnson Creek adult chinook were retained for broodstock, transported to the South Fork Salmon River adult holding and spawning facility and held until spawned. The remaining natural origin Johnson Creek fish along with all the Johnson Creek supplementation fish were released upstream of the weir to spawn naturally. Twenty-seven Johnson Creek females were artificially spawned with 25 Johnson Creek males. Four females were diagnosed with high bacterial kidney disease levels resulting in their eggs being culled. The 27 females produced 116,598 green eggs, 16,531 green eggs were culled, with an average eye-up rate of 90.6% resulting in 90,647 eyed eggs. Juvenile fish were reared indoors at the McCall Fish Hatchery until November 2005 and then transferred to the outdoor rearing facilities during the Visual Implant Elastomer tagging

Effect of Ichthyophonus on blood plasma chemistry of spawning Chinook salmon and their resulting offspring in a Yukon River tributary.

PubMed

Floyd-Rump, T P; Horstmann-Dehn, L A; Atkinson, S; Skaugstad, C

2017-01-24

Ichthyophonus is a protozoan parasite of Alaska Chinook salmon Oncorhynchus tshawytscha. In this study, we determined whether spawning Chinook salmon in the Yukon River drainage exhibited a measurable stress response (i.e. elevated plasma cortisol concentrations) and detectable changes in selected blood plasma chemistry parameters when infected with Ichthyophonus. The resulting alevin were also analyzed for any differences in blood plasma chemistry caused by parental infection with Ichthyophonus. In 2010, 2011, and 2012, spawning adult Chinook salmon were collected from the Salcha River, Alaska, USA, and the prevalence of Ichthyophonus in these fish was 7.8, 6.3, and 8.3%, respectively. Fish with no clinical signs of Ichthyophonus and Ichthyophonus-positive parents were cross-fertilized to investigate potential second-generation effects as a result of Ichthyophonus infection. We found no significant difference in cortisol concentrations in blood plasma between Ichthyophonus-positive and -negative adults or between alevin from Ichthyophonus-positive and -negative parents. There were no significant differences in blood plasma parameters (e.g. alanine aminotransferase, creatine kinase, glucose) of Ichthyophonus-negative and -positive adults, with the exception of aspartate aminotransferase, which was significantly higher in plasma of Ichthyophonus-negative adults. All clinical chemistry parameters for alevin resulting from both Ichthyophonus-negative and -positive parents were not significantly different. Based on this study, which has a limited sample size and low prevalence of Ichthyophonus, offspring of Chinook salmon appear to suffer no disadvantage as a result of Ichthyophonus infection in their parents on the Salcha River.

Partial migration in introduced wild chinook salmon (Oncorhynchus tshawytscha) of southern Chile

NASA Astrophysics Data System (ADS)

Araya, Miguel; Niklitschek, Edwin J.; Secor, Dave H.; Piccoli, Philip M.

2014-08-01

Partial migration, the incidence of opposing migration behaviors within the same population, has been a key factor in the invasive ecology of Pacific salmon within South America. Here, we examined such life-cycle variation in of an introduced chinook salmon population in the Aysén watershed, one of the largest fjord systems in NW Patagonia. The chinook salmon is the most successful invasive salmonid species in Patagonia and has recently colonized numerous Patagonian watersheds of the Pacific and Atlantic Oceans. Using analyses of fish scales and otolith strontium:calcium ratios, our results suggest the presence of two distinct ecotypes in the chinook population, an ocean type and a stream type, in a 3:2 ratio. The distribution of back-calculated length at the time of emigration from river to marine habitats showed a mode of 14 cm for the ocean ecotype and 30 cm for the stream ecotype. River residence time for the ocean ecotype ranged from 1 to 10 months, while that of the stream ecotype varied between 14 and 20 months. Returning adults reproduced in riverine habitats between August and March, but reproduction by the stream ecotype was limited to the period between October and February. Our results show that exotic chinook salmon populations established in NW Patagonia present a diversity of life-history strategies, which seems to be as large as the ones exhibited by the species in its native distribution range and in other invaded ecosystems. Chinook salmon have successfully invaded most major rivers in Patagonia, placing priority on science and conservation related to their ecological impact.

Slipping and tripping: fall injuries in adults associated with rugs and carpets

PubMed Central

Rosen, Tony; Mack, Karin A.; Noonan, Rita K.

2013-01-01

Abstract: Background: Falls are a leading cause of unintentional injury among adults age 65 years and older. Loose, unsecured rugs and damaged carpets with curled edges, are recognized environmental hazards that may contribute to falls. To characterize nonfatal, unintentional fall-related injuries associated with rugs and carpets in adults aged 65 years and older. Methods: We conducted a retrospective analysis of surveillance data of injuries treated in hospital emergency departments (EDs) during 2001–2008. We used the National Electronic Injury Surveillance System-All Injury Program, which collects data from a nationally representative stratified probability sample of 66 U.S. hospital EDs. Sample weights were used to make national estimates. Results: Annually, an estimated 37,991 adults age 65 years or older were treated in U.S. EDs for falls associated with carpets (54.2%) and rugs (45.8%). Most falls (72.8%) occurred at home. Women represented 80.2% of fall injuries. The most common location for fall injuries in the home was the bathroom (35.7%). Frequent fall injuries occurred at the transition between carpet/rug and non-carpet/rug, on wet carpets or rugs, and while hurrying to the bathroom. Conclusions: Fall injuries associated with rugs and carpets are common and may cause potentially severe injuries. Older adults, their caregivers, and emergency and primary care physicians should be aware of the significant risk for fall injuries and of environmental modifications that may reduce that risk. PMID:22868399

A measure of fall risk behaviors and perceptions among community-dwelling older adults.

PubMed

Yuen, Hon Keung; Carter, Rickey E

2006-01-01

Relatively little is known about the interaction between behavioral and environmental circumstances associated with falls among community-dwelling older adults. This study is designed to develop an instrument that measures community-dwelling older adults' participation in and perceptions of fall risk behaviors. Eighty-seven community-dwelling older adults aged 60 or above (mean +/- SD = 76 +/- 7.9), who had experienced at least one fall in the past 12 months, completed a questionnaire dealing with frequency of their participation in fall risk behaviors, their perceptions of these behaviors, and their fall history. Data were subjected to exploratory factor analysis. A 20-item instrument consisting of three constructs was presented as the Fall Risk Behaviors and Perceptions Scale (FRB&PS). Two of the three constructs of the instrument were de-stabilizers and non-supports, both of which measure participation in fall risk behaviors; the third was perceptions of fall risk behaviors. Internal consistency coefficient of the FRB&PS is 0.733 with a root mean square error of approximation (RMSEA) score of 0.075, which indicates an adequate model fit. Results from the stepwise regression analyses indicated that adults aged 75 and above (the old-old) participated less frequently in fall risk activities (p = 0.025), and had more knowledge about fall risks as measured by a higher perception score (p = 0.025) than those aged 60 to 75 (the young-old). Older men tended to participate more frequently in fall risk activities (p = 0.020) than older women; in addition, those older adults who are more mobile (p = 0.002) also participated more frequently in fall risk behaviors than those who are less mobile. Preliminary findings indicate that the pilot FRB&PS is a reliable and valid instrument to measure community-dwelling older adults' participation in and perceptions of fall risk behaviors. Additional psychometric validation of the FRB&PS on predicting the likelihood of falls is

Concordance of Motion Sensor and Clinician-Rated Fall Risk Scores in Older Adults.

PubMed

Elledge, Julie

2017-12-01

As the older adult population in the United States continues to grow, developing reliable, valid, and practical methods for identifying fall risk is a high priority. Falls are prevalent in older adults and contribute significantly to morbidity and mortality rates and rising health costs. Identifying at-risk older adults and intervening in a timely manner can reduce falls. Conventional fall risk assessment tools require a health professional trained in the use of each tool for administration and interpretation. Motion sensor technology, which uses three-dimensional cameras to measure patient movements, is promising for assessing older adults' fall risk because it could eliminate or reduce the need for provider oversight. The purpose of this study was to assess the concordance of fall risk scores as measured by a motion sensor device, the OmniVR Virtual Rehabilitation System, with clinician-rated fall risk scores in older adult outpatients undergoing physical rehabilitation. Three standardized fall risk assessments were administered by the OmniVR and by a clinician. Validity of the OmniVR was assessed by measuring the concordance between the two assessment methods. Stability of the OmniVR fall risk ratings was assessed by measuring test-retest reliability. The OmniVR scores showed high concordance with the clinician-rated scores and high stability over time, demonstrating comparability with provider measurements.

Falls in Cognitively Impaired Older Adults: Implications for Risk Assessment And Prevention.

PubMed

Montero-Odasso, Manuel; Speechley, Mark

2018-02-01

To provide an overview of the role of cognition in falls, with potential implications for managing and preventing falls in older adults. Review. Observational and interventional studies addressing the role of cognition on falls. Community-dwelling older adults (65 years and older). The relationship between gait and cognition in aging and neurodegeneration was reviewed in the medical literature to highlight the role of brain motor control deficits in fall risk. The benefits of dual-task gait assessments as a marker of fall risk were reviewed. Therapeutic approaches for reducing falls by improving certain aspects of cognition were appraised. Low performance in attention and executive function are associated with gait slowing, instability, and future falls. Drug-enhancement of cognition may reduce falls in Parkinson's disease, and cognitive training, dual-task training, and virtual reality modalities are promising to improve mobility in sedentary older adults and in those with cognitive impairment and dementia. Falls remain common in older people, with higher prevalence and morbidity in those who are cognitively impaired. Disentangling the mechanism and contribution of cognitive deficits in fall risk may open new treatment approaches. Mounting evidence supports that cognitive therapies help reduce falls. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

Multifactorial screening for fall risk in community-dwelling older adults in the primary care office: development of the fall risk assessment & screening tool.

PubMed

Renfro, Mindy Oxman; Fehrer, Steven

2011-01-01

Unintentional falls is an increasing public health problem as incidence of falls rises and the population ages. The Centers for Disease Control and Prevention reports that 1 in 3 adults aged 65 years and older will experience a fall this year; 20% to 30% of those who fall will sustain a moderate to severe injury. Physical therapists caring for older adults are usually engaged with these patients after the first injury fall and may have little opportunity to abate fall risk before the injuries occur. This article describes the content selection and development of a simple-to-administer, multifactorial, Fall Risk Assessment & Screening Tool (FRAST), designed specifically for use in primary care settings to identify those older adults with high fall risk. Fall Risk Assessment & Screening Tool incorporates previously validated measures within a new multifactorial tool and includes targeted recommendations for intervention. Development of the multifactorial FRAST used a 5-part process: identification of significant fall risk factors, review of best evidence, selection of items, creation of the scoring grid, and development of a recommended action plan. Fall Risk Assessment & Screening Tool has been developed to assess fall risk in the target population of older adults (older than 65 years) living and ambulating independently in the community. Many fall risk factors have been considered and 15 items selected for inclusion. Fall Risk Assessment & Screening Tool includes 4 previously validated measures to assess balance, depression, falls efficacy, and home safety. Reliability and validity studies of FRAST are under way. Fall risk for community-dwelling older adults is an urgent, multifactorial, public health problem. Providing primary care practitioners (PCPs) with a very simple screening tool is imperative. Fall Risk Assessment & Screening Tool was created to allow for safe, quick, and low-cost administration by minimally trained office staff with interpretation and

Depressive Symptoms, Falls, and Fear of Falling in Old Korean Adults: The Korean Longitudinal Study on Health and Aging (KLoSHA).

PubMed

Park, Y; Paik, N-J; Kim, K W; Jang, H-C; Lim, J-Y

2017-01-01

Fall is a common cause of disability and death in old adults, and much research has been focused on identifying risk factors and developing preventive measures. Yet the majority of preceding research has been focused on physical performance. This study aims to evaluate the association between fall and depressive symptoms in community-dwelling elderly. Cross-sectional data of 431 men and 546 women was collected from old Korean adults living in Seongnam, Korea. Geriatric fall assessment was conducted by self-report questionnaires. Depressive symptoms were assessed by the Center for Epidemiologic Studies Depression Scale. Results indicated that depressive symptoms were associated with both fall and fear of falling in old adults. A clear gender difference was newly discovered, as depression played a stronger role in women. These results imply that clinicians should consider the negative affect of geriatric patients when assessing fall risk. Also, measures against depression might be effective in reducing falls.

Grande Ronde Basin Chinook Salmon Captive Brood and Conventional Supplementation Programs, 2001 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Carmichael, Richard W.

2003-03-01

Endangered Species Permit Number 1011 (formerly Permit No. 973) authorizes ODFW to take listed spring chinook salmon juveniles from Catherine Creek (CC), Lostine River (LR) and Grande Ronde River (GR) for research and enhancement purposes. Modification 2 of this permit authorizes ODFW to take adults for spawning and the production and release of smolts for the Captive and Conventional broodstock programs. This report satisfies the requirement that an annual report be submitted. Herein we report on activities conducted and provide cursory data analyses for the Grande Ronde spring chinook salmon Captive and Conventional broodstock projects from 1 January-31 December 2001.

Grande Ronde Basin Chinook Salmon Captive Brood and Conventional Supplementation Program, 2000 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Carmichael, Richard W.

2003-03-01

Endangered Species Permit Number 1011 (formerly Permit No. 973) authorizes ODFW to take listed spring chinook salmon juveniles from Catherine Creek (CC), Lostine River (LR) and Grande Ronde River (GR) for research and enhancement purposes. Modification 2 of this permit authorizes ODFW to take adults for spawning and the production and release of smolts for the Captive and Conventional broodstock programs. This report satisfies the requirement that an annual report be submitted. Herein we report on activities conducted and provide cursory data analyses for the Grande Ronde spring chinook salmon Captive and Conventional broodstock projects from 1 January-31 December 2000.

The relationship between orthostatic hypotension and falling in older adults.

PubMed

Shaw, Brett H; Claydon, Victoria E

2014-02-01

Falls are devastating events and are the largest contributor towards injury-related hospitalization of older adults. Orthostatic hypotension (OH) represents an intrinsic risk factor for falls in older adults. OH refers to a significant decrease in blood pressure upon assuming an upright posture. Declines in blood pressure can reduce cerebral perfusion; this can impair consciousness, lead to dizziness, and increase the likelihood of a fall. Although theoretical mechanisms linking OH and falls exist, the magnitude of the association remains poorly characterized, possibly because of methodological differences between previous studies. The use of non-invasive beat-to-beat blood pressure monitoring has altered the way in which OH is now defined, and represents a substantial improvement for detecting OH that was previously unavailable in many studies. Additionally, there is a lack of consistency and standardization of orthostatic assessments and analysis techniques for interpreting blood pressure data. This review explores the previous literature examining the relationship between OH and falls. We highlight the impact of broadening the timing, degree, and overall duration of blood pressure measurements on the detection of OH. We discuss the types of orthostatic stress assessments currently used to evaluate OH and the various techniques capable of measuring these often transient blood pressure changes. Overall, we identify future solutions that may better clarify the relationship between OH and falling risk in order to gain a more precise understanding of potential mechanisms for falls in older adults.

The relationship between chinook conditions and women's illness-related behaviours

NASA Astrophysics Data System (ADS)

Rose, M. Sarah; Verhoef, Marja J.; Ramcharan, Savitri

1995-09-01

The objective of this study was to (1) to describe the relationship between chinook conditions and illness related behaviour in women, aged 20 49 years, and (2) to examine the possibility of the existence of subgroups of chinook-sensitive women. At present no empirical evidence is available regarding a relationship between chinook conditions and illness related behaviours. This study comprises the secondary analysis of a large survery of various health and health-related factors of urban women aged 20 49 years, carried out in 1985 1986 in Calgary. The interview date was used to link behaviours to chinook conditions. We found no evidence of a significant relationship between the behaviours investigated and chinook conditions in the general population. However, the data strongly supported the concept of chinook sensitivity. Women with a history of chronic health problems were more likely to visit a health care professional on chinook days than healthy women and women in the subgroup aged less than 35 years cut down their usual daily activities during chinook conditions. Women with a history of recurring migraine headaches were less likely to take prescription medication on chinook days, and women with a history of emotional disorders were more likely to have higher scores on the accident scale and to report bursts of energy or excitement during chinook days. More research is needed to identify subgroups of susceptible persons, as well as to determine whether chinook sensitive persons are equally susceptible to weather changer of other types.

The relationship between chinook conditions and women's physical and mental well-being

NASA Astrophysics Data System (ADS)

Verhoef, Marja J.; Rose, M. Sarah; Ramcharan, Savitri

1995-09-01

The objective of this study was (1) to determine the relationship between chinook conditions and physical and psychological symptoms in women aged 20 49 years, and (2) to examine the possibility of subgroups of chinook-sensitive women. The evidence for this relationship is at present merely anecdotal. The study carried out in 1985 1986 in Calgary comprises the secondary analysis of a large survey of various health and health-related factors, including different symptoms, of urban women aged 20 49 years. The interview date was used to link these data to days on which pre-chinook, chinook, post-chinook and non-chinook conditions occurred. Between November 1, 1985 and February 28, 1986, 182 women were interviewed on pre-chinook days, 74 on chinook days, 229 on post-chinook days and 886 on non-chinook days. Autonomic reactions and skin disorders were found to be significantly related to chinook conditions. None of the psychological symptoms was related to chinook conditions. However, a significant relationship was found between symptoms and chinook conditions in women with a history of emotional disorders. This type of information is important to educate chinook-sensitive women and health professionals as well as for hospital emergency departments in order to be able to prepare for potential increases in workload.

Understanding fall meaning and context in marketing balance classes to older adults.

PubMed

Clark, Lauren; Thoreson, Sallie; Goss, Cynthia W; Zimmer, Lorena Marquez; Marosits, Mark; DiGuiseppi, Carolyn

2013-02-01

This study explored older, community-dwelling adults' attitudes and values about proposed church-delivered balance classes for fall prevention. Community observation, group interviews with stakeholders, key informant interviews, and focus groups with church members ≥ 60 years of age were analyzed in two ways: first for inductive themes expressing community sentiment about fall prevention for older adults, then for content useful in creating locally tailored social marketing messages. Four themes expressed perceptions of fall-prevention programming: de-emphasizing fall risk and emphasizing strength and independence, moving older adults out of their "comfort zones" to join classes, identifying relationships to support fall-prevention activities, and considering gender-based differences in approaches to fall prevention. A content analysis of the same dataset yielded information about preferred places in the community, promotion through churches, a tolerable price, and the balance class product itself. The qualitative results will inform the social marketing program to increase intervention delivery success.

Executive Function and Falls in Older Adults: New Findings from a Five-Year Prospective Study Link Fall Risk to Cognition

PubMed Central

Mirelman, Anat; Herman, Talia; Brozgol, Marina; Dorfman, Moran; Sprecher, Elliot; Schweiger, Avraham; Giladi, Nir; Hausdorff, Jeffrey M.

2012-01-01

Background Recent findings suggest that executive function (EF) plays a critical role in the regulation of gait in older adults, especially under complex and challenging conditions, and that EF deficits may, therefore, contribute to fall risk. The objective of this study was to evaluate if reduced EF is a risk factor for future falls over the course of 5 years of follow-up. Secondary objectives were to assess whether single and dual task walking abilities, an alternative window into EF, were associated with fall risk. Methodology/Main Results We longitudinally followed 256 community-living older adults (age: 76.4±4.5 yrs; 61% women) who were dementia free and had good mobility upon entrance into the study. At baseline, a computerized cognitive battery generated an index of EF, attention, a closely related construct, and other cognitive domains. Gait was assessed during single and dual task conditions. Falls data were collected prospectively using monthly calendars. Negative binomial regression quantified risk ratios (RR). After adjusting for age, gender and the number of falls in the year prior to the study, only the EF index (RR: .85; CI: .74–.98, p = .021), the attention index (RR: .84; CI: .75–.94, p = .002) and dual tasking gait variability (RR: 1.11; CI: 1.01–1.23; p = .027) were associated with future fall risk. Other cognitive function measures were not related to falls. Survival analyses indicated that subjects with the lowest EF scores were more likely to fall sooner and more likely to experience multiple falls during the 66 months of follow-up (p<0.02). Conclusions/Significance These findings demonstrate that among community-living older adults, the risk of future falls was predicted by performance on EF and attention tests conducted 5 years earlier. The present results link falls among older adults to cognition, indicating that screening EF will likely enhance fall risk assessment, and that treatment of EF may reduce fall risk. PMID

Executive function and falls in older adults: new findings from a five-year prospective study link fall risk to cognition.

PubMed

Mirelman, Anat; Herman, Talia; Brozgol, Marina; Dorfman, Moran; Sprecher, Elliot; Schweiger, Avraham; Giladi, Nir; Hausdorff, Jeffrey M

2012-01-01

Recent findings suggest that executive function (EF) plays a critical role in the regulation of gait in older adults, especially under complex and challenging conditions, and that EF deficits may, therefore, contribute to fall risk. The objective of this study was to evaluate if reduced EF is a risk factor for future falls over the course of 5 years of follow-up. Secondary objectives were to assess whether single and dual task walking abilities, an alternative window into EF, were associated with fall risk. We longitudinally followed 256 community-living older adults (age: 76.4±4.5 yrs; 61% women) who were dementia free and had good mobility upon entrance into the study. At baseline, a computerized cognitive battery generated an index of EF, attention, a closely related construct, and other cognitive domains. Gait was assessed during single and dual task conditions. Falls data were collected prospectively using monthly calendars. Negative binomial regression quantified risk ratios (RR). After adjusting for age, gender and the number of falls in the year prior to the study, only the EF index (RR: .85; CI: .74-.98, p = .021), the attention index (RR: .84; CI: .75-.94, p = .002) and dual tasking gait variability (RR: 1.11; CI: 1.01-1.23; p = .027) were associated with future fall risk. Other cognitive function measures were not related to falls. Survival analyses indicated that subjects with the lowest EF scores were more likely to fall sooner and more likely to experience multiple falls during the 66 months of follow-up (p<0.02). These findings demonstrate that among community-living older adults, the risk of future falls was predicted by performance on EF and attention tests conducted 5 years earlier. The present results link falls among older adults to cognition, indicating that screening EF will likely enhance fall risk assessment, and that treatment of EF may reduce fall risk.

Quantitative Gait Markers and Incident Fall Risk in Older Adults

PubMed Central

Holtzer, Roee; Lipton, Richard B.; Wang, Cuiling

2009-01-01

Background Identifying quantitative gait markers of falls in older adults may improve diagnostic assessments and suggest novel intervention targets. Methods We studied 597 adults aged 70 and older (mean age 80.5 years, 62% women) enrolled in an aging study who received quantitative gait assessments at baseline. Association of speed and six other gait markers (cadence, stride length, swing, double support, stride length variability, and swing time variability) with incident fall rate was studied using generalized estimation equation procedures adjusted for age, sex, education, falls, chronic illnesses, medications, cognition, disability as well as traditional clinical tests of gait and balance. Results Over a mean follow-up period of 20 months, 226 (38%) of the 597 participants fell. Mean fall rate was 0.44 per person-year. Slower gait speed (risk ratio [RR] per 10 cm/s decrease 1.069, 95% confidence interval [CI] 1.001–1.142) was associated with higher risk of falls in the fully adjusted models. Among six other markers, worse performance on swing (RR 1.406, 95% CI 1.027–1.926), double-support phase (RR 1.165, 95% CI 1.026–1.321), swing time variability (RR 1.007, 95% CI 1.004–1.010), and stride length variability (RR 1.076, 95% CI 1.030–1.111) predicted fall risk. The associations remained significant even after accounting for cognitive impairment and disability. Conclusions Quantitative gait markers are independent predictors of falls in older adults. Gait speed and other markers, especially variability, should be further studied to improve current fall risk assessments and to develop new interventions. PMID:19349593

Home ownership and fall-related outcomes among older adults in South Korea.

PubMed

Do, Young Kyung; Kim, Cheong-Seok

2013-10-01

Many of the previously identified environmental risk factors for fall-related outcomes (e.g. flooring, stairs and steps, kitchen, and bathrooms) are amenable to change, but the extent of the changes on these home-related risk factors are conditional on home ownership of the elderly. This study aims to test whether lack of home ownership is associated with a higher risk of falls, and a higher likelihood of reporting fear of falling and activity limitations due to fear of falling among older adults in South Korea. Using data from the first two waves (2006 and 2008) of the Korean Longitudinal Study of Aging, the associations between home ownership variables and three fall-related outcomes were examined in two regression models. A logistic regression model of any falls in the past 2 years was estimated to examine whether older adults living in short-term rental homes based on monthly rent have an increased risk of falls. A probit model accounting for sample selection was estimated to examine whether the two related outcomes, fear of falling and limiting activities due to fear of falling, are associated with home ownership status. Compared with owned home, short-term rental home predicted a higher likelihood of incident of falls and activity limitation due to fear of falling. The study findings suggest that the lack of home ownership with unstable housing tenure is an important risk factor for fall-related outcomes among older adults in South Korea. © 2012 Japan Geriatrics Society.

Application of a fall screening algorithm stratified fall risk but missed preventive opportunities in community-dwelling older adults: a prospective study.

PubMed

Muir, Susan W; Berg, Katherine; Chesworth, Bert; Klar, Neil; Speechley, Mark

2010-01-01

Evaluate the ability of the American and British Geriatrics Society fall prevention guideline's screening algorithm to identify and stratify future fall risk in community-dwelling older adults. Prospective cohort of community-dwelling older adults (n = 117) aged 65 to 90 years. Fall history, balance, and gait measured during a comprehensive geriatric assessment at baseline. Falls data were collected monthly for 1 year. The outcomes of any fall and any injurious fall were evaluated. The algorithm stratified participants into 4 hierarchal risk categories. Fall risk was 33% and 68% for the "no intervention" and "comprehensive fall evaluation required" groups respectively. The relative risk estimate for falling comparing participants in the 2 intervention groups was 2.08 (95% CI 1.42-3.05) for any fall and 2.60 (95% Cl 1.53-4.42) for any injurious fall. Prognostic accuracy values were: sensitivity of 0.50 (95% Cl 0.36-0.64) and specificity of 0.82 (95% CI 0.70-0.90) for any fall; and sensitivity of 0.56 (95% CI 0.38-0.72) and specificity of 0.78 (95% Cl 0.67-0.86) for any injurious fall. The algorithm was able to identify and stratify fall risk for each fall outcome, though the values of prognostic accuracy demonstrate moderate clinical utility. The recommendations of fall evaluation for individuals in the highest risk groups appear supported though the recommendation of no intervention in the lowest risk groups may not address their needs for fall prevention interventions. Further evaluation of the algorithm is recommended to refine the identification of fall risk in community-dwelling older adults.

Stress of formalin treatment in juvenile spring chinook salmon (Oncorhynchus tshawytscha) and steelhead trout (Salmo gairdneri)

USGS Publications Warehouse

Wedemeyer, Gary; Yasutake, W.T.

1973-01-01

The physiological stress of 200 ppm formalin treatments at 10 C is more severe in the juvenile steelhead trout (Salmo gairdneri) than in the spring chinook salmon (Oncorhynchus tshawytscha). In the steelhead, a marked hypochloremia follows a 1-hr treatment and recovery requires about 24 hr. During longer treatments, hypercholesterolemia together with reduced regulatory precision, hypercortisolemia, alkaline reserve depletion, and hypocapnia unaccompanied by a fall in blood pH occur — suggestive of compensated respiratory alkalosis. In the spring chinook, hypochloremia and reduced plasma cholesterol regulatory precision are the significant treatment side effects but recovery requires only a few hours.Formalin treatments also cause epithelial separation, hypertrophy, and necrosis in the gills of both fishes but again, consistent with the physiological dysfunctions, these are more severe in the steelhead.

Snake River fall Chinook salmon life history investigations, annual report 2008

USGS Publications Warehouse

Tiffan, Kenneth F.; Connor, William P.; Bellgraph, Brian J.; Buchanan, Rebecca A.

2010-01-01

In 2009, we used radio and acoustic telemetry to evaluate the migratory behavior, survival, mortality, and delay of subyearling fall Chinook salmon in the Clearwater River and Lower Granite Reservoir. We released a total of 1,000 tagged hatchery subyearlings at Cherry Lane on the Clearwater River in mid August and we monitored them as they passed downstream through various river and reservoir reaches. Survival through the free-flowing river was high (>0.85) for both radio- and acoustic-tagged fish, but dropped substantially as fish delayed in the Transition Zone and Confluence areas. Estimates of the joint probability of migration and survival through the Transition Zone and Confluence reaches combined were similar for both radio- and acoustic-tagged fish, and ranged from about 0.30 to 0.35. Estimates of the joint probability of delaying and surviving in the combined Transition Zone and Confluence peaked at the beginning of the study, ranging from 0.323 ( SE =NA; radio-telemetry data) to 0.466 ( SE =0.024; acoustic-telemetry data), and then steadily declined throughout the remainder of the study. By the end of October, no live tagged juvenile salmon were detected in either the Transition Zone or the Confluence. As estimates of the probability of delay decreased throughout the study, estimates of the probability of mortality increased, as evidenced by the survival estimate of 0.650 ( SE =0.025) at the end of October (acoustic-telemetry data). Few fish were detected at Lower Granite Dam during our study and even fewer fish passed the dam before PIT-tag monitoring ended at the end of October. Five acoustic-tagged fish passed Lower Granite Dam in October and 12 passed the dam in November based on detections in the dam tailrace; however, too few detections were available to calculate the joint probabilities of migrating and surviving or delaying and surviving. Estimates of the joint probability of migrating and surviving through the reservoir was less than 0

Summary of Findings from Coded Wire Tag Analysis from Spring Chinook Salmon Spawning Surveys in the Clearwater Basin, Technical Report 2001.

DOE Office of Scientific and Technical Information (OSTI.GOV)

S.P. Cramer & Associates, Inc.

2002-05-31

We recently received data on the decoded coded wire tags (CWT's) recovered from spring chinook snouts we collected during spawning surveys in the Clearwater Basin last fall (2001). We were curious about what could be learned from the tags recovered (even though our project is over), so we did some cursory analyses and have described our findings in the attached memo. Snouts were processed and codes determined by Idaho Department of Fish and Game. Most snouts did not contain CWTs, because most ad-clipped fish were not given a CWT. Further, because adults were outplanted live, we do not know whatmore » codes they contained. Each of the hatcheries from which outplanted adults were obtained had several CWT code groups returning. That means that the best we can do with the codes recovered is compare the hatchery of origin for the tag with the hatchery from which outplants were taken. The results are interesting and not exactly as we would have predicted.« less

Severe hypoglycemia is associated with high risk for falls in adults with type 1 diabetes.

PubMed

Shah, Viral N; Wu, Mengdi; Foster, Nicole; Dhaliwal, Ruban; Al Mukaddam, Mona

2018-06-12

We evaluated fall frequency and factors affecting falls among middle-aged and older adults with type 1 diabetes (T1D) from T1D Exchange Registry. Twenty-nine percent of T1D participants reported falls within the past 12 months. Severe hypoglycemia, diabetic peripheral neuropathy, and depression were associated with falls in adults with T1D. Fall is an important risk factor for osteoporotic fracture; we evaluated fall frequency and factors affecting falls among middle-aged and older adults with type 1 diabetes (T1D). Participants aged ≥ 55 years with T1D completed an email-based questionnaire on falls in the prior 12 months. Demographic, clinical, and fall-related information were gathered from the questionnaire; HbA1c was recorded from medical record data extraction. Four hundred and thirty five adults with T1D completed the fall questionnaire (mean age 64 ± 7 years, 57% females, and 97% were non-Hispanic whites). The mean diabetes duration was 36 years with mean HbA1c of 7.3%. Among the 435 participants, 126 reported at least one fall in the prior 12 months (29%). The fall frequency values in adults (55-64 years) with T1D and older adults (> 65 years) were 26 and 32%, respectively (p = 0.16). There was no significant difference in frequency of fall between female and male participants (31 vs. 26%, p = 0.33). Of 126 participants who had a fall, 44% had injuries due to fall, 24% required medical attention, and 13 participants reported fracture (10%). Severe hypoglycemia (odds ratio (OR) 3.6), diabetic peripheral neuropathy (OR 2.2), and depression (OR 1.7) were associated with falls in adults with T1D. Forty-one percent of participants were fearful of falls. This is the first study on prevalence and risk factors for falls suggesting that falls are common in T1D and severe hypoglycemia is a unique diabetes-related factor associated with threefold higher risk for falls.

The Relationship between Falls Efficacy and Improvement in Fall Risk Factors Following an Exercise Plus Educational Intervention for Older Adults with Hip Osteoarthritis.

PubMed

Arnold, C M; Faulkner, R A; Gyurcsik, N C

2011-01-01

Older adults with decreased confidence in their ability to prevent a fall may benefit from an exercise programme that includes self-efficacy-enhancing education. The objectives of this study were to explore differences in fall-risk outcomes in older adults with higher vs. lower levels of falls efficacy and to evaluate the relationship between baseline falls-efficacy status and changes in fall risk factors following two interventions. Fifty-four older adults with hip osteoarthritis and at least one risk factor for falls received aquatic exercise twice weekly plus education once weekly (EE) or aquatic exercise only, twice weekly (EO), for 11 weeks. EE participants with low baseline falls efficacy demonstrated significantly (p<0.05) greater improvement in balance and falls efficacy compared to EE participants with high baseline falls efficacy. In the EE group only, baseline falls-efficacy status (low vs. high median split on the Activities-specific Balance Confidence Scale) was significantly (p<0.05) correlated with positive balance and falls-efficacy change scores (Spearman rank r=0.45 and 0.63 respectively). Individuals with one or more fall-risk factors and low falls efficacy may benefit from receiving an intervention that combines exercise with self-efficacy-enhancing education. Falls-efficacy screening may be important for decisions regarding referral to fall-prevention programmes.

Underreporting of Fall Injuries of Older Adults: Implications for Wellness Visit Fall Risk Screening.

PubMed

Hoffman, Geoffrey J; Ha, Jinkyung; Alexander, Neil B; Langa, Kenneth M; Tinetti, Mary; Min, Lillian C

2018-04-17

To compare the accuracy of and factors affecting the accuracy of self-reported fall-related injuries (SFRIs) with those of administratively obtained FRIs (AFRIs). Retrospective observational study SETTING: United States PARTICIPANTS: Fee-for-service Medicare beneficiaries aged 65 and older (N=47,215). We used 24-month self-report recall data from 2000-2012 Health and Retirement Study data to identify SFRIs and linked inpatient, outpatient, and ambulatory Medicare data to identify AFRIs. Sensitivity and specificity were assessed, with AFRIs defined using the University of California at Los Angeles/RAND algorithm as the criterion standard. Logistic regression models were used to identify sociodemographic and health predictors of sensitivity. Overall sensitivity and specificity were 28% and 92%. Sensitivity was greater for the oldest adults (38%), women (34%), those with more functional limitations (47%), and those with a prior fall (38%). In adjusted results, several participant factors (being female, being white, poor functional status, depression, prior falls) were modestly associated with better sensitivity and specificity. Injury severity (requiring hospital care) most substantively improved SFRI sensitivity (73%). An overwhelming 72% of individuals who received Medicare-reimbursed health care for FRIs failed to report a fall injury when asked. Future efforts to address underreporting in primary care of nonwhite and healthier older adults are critical to improve preventive efforts. Redesigned questions-for example, that address stigma of attributing injury to falling-may improve sensitivity. © 2018, Copyright the Authors Journal compilation © 2018, The American Geriatrics Society.

The effect of physical restraints on fall rates in older adults who are institutionalized.

PubMed

Dunn, K S

2001-10-01

Since the Omnibus Budget Reconciliation Act (OBRA) of 1987, there has been a significant reduction in the use of physical restraints to prevent falls in older adults who are institutionalized because of the developing awareness of the physical and psychological problems associated with them. The purpose of this ex post facto descriptive study was to determine if there is a difference in falls when physical restraints are allowed or prohibited in one older adult population. Data from incident reports from a purposive sample of 97 older adults in one long-term care facility were analyzed before and after the implementation of a restraint-free policy. The results indicated no significant difference in the number of falls before and after the policy change. However, there was a significantly lower number of falls with injuries and a significantly higher number of falls without injuries. These findings suggest older adults will continue to fall with or without the use of physical restraints because of changes associated with the aging process and risk factors. Removing physical barriers from older adults and allowing freedom of movement may decrease the severity of injury sustained in a fall.

Receipt of Caregiving and Fall Risk in US Community-dwelling Older Adults.

PubMed

Hoffman, Geoffrey J; Hays, Ron D; Wallace, Steven P; Shapiro, Martin F; Yakusheva, Olga; Ettner, Susan L

2017-04-01

Falls and fall-related injuries (FRI) are common and costly occurrences among older adults living in the community, with increased risk for those with physical and cognitive limitations. Caregivers provide support for older adults with physical functioning limitations, which are associated with fall risk. Using the 2004-2012 waves of the Health and Retirement Study, we examined whether receipt of low (0-13 weekly hours) and high levels (≥14 weekly hours) of informal care or any formal care is associated with lower risk of falls and FRIs among community-dwelling older adults. We additionally tested whether serious physical functioning (≥3 activities of daily living) or cognitive limitations moderated this relationship. Caregiving receipt categories were jointly significant in predicting noninjurious falls (P=0.03) but not FRIs (P=0.30). High levels of informal care category (P=0.001) and formal care (P<0.001) had stronger associations with reduced fall risk relative to low levels of informal care. Among individuals with ≥3 activities of daily living, fall risks were reduced by 21% for those receiving high levels of informal care; additionally, FRIs were reduced by 42% and 58% for those receiving high levels of informal care and any formal care. High levels of informal care receipt were also associated with a 54% FRI risk reduction among the cognitively impaired. Fall risk reductions among older adults occurred predominantly among those with significant physical and cognitive limitations. Accordingly, policy efforts involving fall prevention should target populations with increased physical functioning and cognitive limitations. They should also reduce financial barriers to informal and formal caregiving.

Interventions to Prevent Falls in Community-Dwelling Older Adults: US Preventive Services Task Force Recommendation Statement.

PubMed

Grossman, David C; Curry, Susan J; Owens, Douglas K; Barry, Michael J; Caughey, Aaron B; Davidson, Karina W; Doubeni, Chyke A; Epling, John W; Kemper, Alex R; Krist, Alex H; Kubik, Martha; Landefeld, Seth; Mangione, Carol M; Pignone, Michael; Silverstein, Michael; Simon, Melissa A; Tseng, Chien-Wen

2018-04-24

Falls are the leading cause of injury-related morbidity and mortality among older adults in the United States. In 2014, 28.7% of community-dwelling adults 65 years or older reported falling, resulting in 29 million falls (37.5% of which needed medical treatment or restricted activity for a day or longer) and an estimated 33 000 deaths in 2015. To update the 2012 US Preventive Services Task Force (USPSTF) recommendation on the prevention of falls in community-dwelling older adults. The USPSTF reviewed the evidence on the effectiveness and harms of primary care-relevant interventions to prevent falls and fall-related morbidity and mortality in community-dwelling older adults 65 years or older who are not known to have osteoporosis or vitamin D deficiency. The USPSTF found adequate evidence that exercise interventions have a moderate benefit in preventing falls in older adults at increased risk for falls and that multifactorial interventions have a small benefit. The USPSTF found adequate evidence that vitamin D supplementation has no benefit in preventing falls in older adults. The USPSTF found adequate evidence to bound the harms of exercise and multifactorial interventions as no greater than small. The USPSTF found adequate evidence that the overall harms of vitamin D supplementation are small to moderate. The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls. (B recommendation) The USPSTF recommends that clinicians selectively offer multifactorial interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls. Existing evidence indicates that the overall net benefit of routinely offering multifactorial interventions to prevent falls is small. When determining whether this service is appropriate for an individual, patients and clinicians should consider the balance of benefits and harms based on the circumstances of prior

50 CFR 679.65 - Bering Sea Chinook Salmon Bycatch Management Program Economic Data Report (Chinook salmon EDR...

Code of Federal Regulations, 2014 CFR

2014-10-01

... 50 Wildlife and Fisheries 13 2014-10-01 2014-10-01 false Bering Sea Chinook Salmon Bycatch Management Program Economic Data Report (Chinook salmon EDR program). 679.65 Section 679.65 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE (CONTINUED) FISHERIES OF THE...

It Takes a Village to Prevent Falls: Reconceptualizing Fall Prevention and Management for Older Adults

PubMed Central

Ganz, David A.; Alkema, Gretchen E.; Wu, Shinyi

2013-01-01

Systematic evidence reviews support the efficacy of physical activity programs and multifactorial strategies for fall prevention. However, community settings where fall prevention programs occur often differ substantially from the research settings in which efficacy was first demonstrated. Because of these differences, alternative approaches are needed to judge the adequacy of fall prevention activities occurring as part of standard medical care or community efforts. This paper uses the World Health Organization Innovative Care for Chronic Conditions (ICCC) framework to rethink how fall prevention programs might be implemented routinely in both medical and community settings. We highlight examples of innovative programs and policies that provide fall prevention strategies consistent with the ICCC framework, and provide evidence where available on the effects of these strategies on processes and outcomes of care. We close by proposing a “no wrong door” approach to fall prevention and management, in which older adults who are found to be at risk for falls in either a medical or community setting are linked to a standard fall risk evaluation across three domains (physical activity, medical risks and home safety). PMID:18676787

Fall-Related Injuries in a Cohort of Community-Dwelling Older Adults Attending Peer-Led Fall Prevention Exercise Classes.

PubMed

Wurzer, Birgit; Waters, Debra Lynn; Hale, Leigh Anne

2016-01-01

To investigate reported injuries and circumstances and to estimate the costs related to falls experienced by older adults participating in Steady As You Go (SAYGO) peer-led fall prevention exercise classes. A 12-month prospective cohort study of 207 participants attending community-based SAYGO classes in Dunedin, New Zealand. Types and costs of medical treatment for injuries and circumstances of falls were obtained via standardized fall event questionnaires and phone-administered questionnaires. Eighty-four percent completed the study (160 females, 14 males, mean age = 77.5 [standard deviation = 6.5] years). More than a third of the total falls (55/148 total falls, 37%) did not result in any injuries. Most injuries (45%, n = 67) were sprains, grazes, and bruises. Medical attention was sought 26 times (18%), out of which 6 participants (4%) reported fractures (none femoral). The majority of falls occurred while walking. More falls and injuries occurred outdoors (n = 55). The number of times medical treatment was sought correlated with the number of falls in the previous year (r = 0.50, P = .02). The total number of years attending SAYGO was a significant predictor of lower total number of injuries (stepwise regression β = -0.157, t = -1.99, P = .048). The total cost of medical treatment across all reported injurious falls was estimated at NZ$6946 (US$5415). Older adults participating in SAYGO appear to sustain less severe injuries following a fall than previously reported. More falls and injuries occurred outdoors, suggesting better overall health of these participants. The role of long-term participation in fall prevention exercise classes on injurious falls warrants further investigation.

The Relationship between Falls Efficacy and Improvement in Fall Risk Factors Following an Exercise Plus Educational Intervention for Older Adults with Hip Osteoarthritis

PubMed Central

Faulkner, R.A.; Gyurcsik, N.C.

2011-01-01

ABSTRACT Purpose: Older adults with decreased confidence in their ability to prevent a fall may benefit from an exercise programme that includes self-efficacy-enhancing education. The objectives of this study were to explore differences in fall-risk outcomes in older adults with higher vs. lower levels of falls efficacy and to evaluate the relationship between baseline falls-efficacy status and changes in fall risk factors following two interventions. Method: Fifty-four older adults with hip osteoarthritis and at least one risk factor for falls received aquatic exercise twice weekly plus education once weekly (EE) or aquatic exercise only, twice weekly (EO), for 11 weeks. Results: EE participants with low baseline falls efficacy demonstrated significantly (p<0.05) greater improvement in balance and falls efficacy compared to EE participants with high baseline falls efficacy. In the EE group only, baseline falls-efficacy status (low vs. high median split on the Activities-specific Balance Confidence Scale) was significantly (p<0.05) correlated with positive balance and falls-efficacy change scores (Spearman rank r=0.45 and 0.63 respectively). Conclusions: Individuals with one or more fall-risk factors and low falls efficacy may benefit from receiving an intervention that combines exercise with self-efficacy-enhancing education. Falls-efficacy screening may be important for decisions regarding referral to fall-prevention programmes. PMID:22942514

Fall detection in homes of older adults using the Microsoft Kinect.

PubMed

Stone, Erik E; Skubic, Marjorie

2015-01-01

A method for detecting falls in the homes of older adults using the Microsoft Kinect and a two-stage fall detection system is presented. The first stage of the detection system characterizes a person's vertical state in individual depth image frames, and then segments on ground events from the vertical state time series obtained by tracking the person over time. The second stage uses an ensemble of decision trees to compute a confidence that a fall preceded on a ground event. Evaluation was conducted in the actual homes of older adults, using a combined nine years of continuous data collected in 13 apartments. The dataset includes 454 falls, 445 falls performed by trained stunt actors and nine naturally occurring resident falls. The extensive data collection allows for characterization of system performance under real-world conditions to a degree that has not been shown in other studies. Cross validation results are included for standing, sitting, and lying down positions, near (within 4 m) versus far fall locations, and occluded versus not occluded fallers. The method is compared against five state-of-the-art fall detection algorithms and significantly better results are achieved.

Executive Control Deficits as a Prodrome to Falls in Healthy Older Adults: A Prospective Study Linking Thinking, Walking, and Falling

PubMed Central

Herman, Talia; Mirelman, Anat; Giladi, Nir; Schweiger, Avraham

2010-01-01

Background. Executive function (EF) deficits may increase fall risk, even among older adults with no overt cognitive impairment. Indeed, the effects of dual tasking (DT) on gait, a challenge to executive control, are more exaggerated in persons with a history of falls. Prospective evidence is, however, lacking. Methods. We prospectively evaluated whether EF predicts falls over a 2-year period among 262 community-living, healthy, and well-functioning older adults, focusing on the 201 who reported no falls during the previous year. At baseline, participants completed a computerized cognitive battery that generated an index of EF and other cognitive domains. Gait was assessed using performance-based tests and by quantifying walking during single- and dual-task conditions. Results. The 262 participants (mean age: 76.3 ± 4.3 years, 60.3% women) had intact cognitive function on testing, a low comorbidity index, and good mobility. The EF index predicted future falls. Among those who reported no previous falls, participants in the worst EF quartile were three times more likely to fall during the 2 years of follow-up, and they were more likely to transition from nonfaller to faller sooner. DT gait variability also predicted future falls and multiple falls, whereas other measures of cognitive function, gait, and mobility did not. Conclusions. Among healthy older adults, individuals with poorer EF are more prone to falls. Higher-level cognitive functions such as those regulated by the frontal lobes are apparently needed for safe everyday navigation that demands multitasking. Optimal screening, early detection, and treatment of falls should, apparently, also target this cognitive domain. PMID:20484336

A survey of microparasites present in adult migrating Chinook salmon (Oncorhynchus tshawytscha) in south-western British Columbia determined by high-throughput quantitative polymerase chain reaction.

PubMed

Bass, A L; Hinch, S G; Teffer, A K; Patterson, D A; Miller, K M

2017-04-01

Microparasites play an important role in the demography, ecology and evolution of Pacific salmonids. As salmon stocks continue to decline and the impacts of global climate change on fish populations become apparent, a greater understanding of microparasites in wild salmon populations is warranted. We used high-throughput, quantitative PCR (HT-qRT-PCR) to rapidly screen 82 adult Chinook salmon from five geographically or genetically distinct groups (mostly returning to tributaries of the Fraser River) for 45 microparasite taxa. We detected 20 microparasite species, four of which have not previously been documented in Chinook salmon, and four of which have not been previously detected in any salmonids in the Fraser River. Comparisons of microparasite load to blood plasma variables revealed some positive associations between Flavobacterium psychrophilum, Cryptobia salmositica and Ceratonova shasta and physiological indices suggestive of morbidity. We include a comparison of our findings for each microparasite taxa with previous knowledge of its distribution in British Columbia. © 2017 John Wiley & Sons Ltd.

Fall risk assessment: retrospective analysis of Morse Fall Scale scores in Portuguese hospitalized adult patients.

PubMed

Sardo, Pedro Miguel Garcez; Simões, Cláudia Sofia Oliveira; Alvarelhão, José Joaquim Marques; Simões, João Filipe Fernandes Lindo; Melo, Elsa Maria de Oliveira Pinheiro de

2016-08-01

The Morse Fall Scale is used in several care settings for fall risk assessment and supports the implementation of preventive nursing interventions. Our work aims to analyze the Morse Fall Scale scores of Portuguese hospitalized adult patients in association with their characteristics, diagnoses and length of stay. Retrospective cohort analysis of Morse Fall Scale scores of 8356 patients hospitalized during 2012. Data were associated to age, gender, type of admission, specialty units, length of stay, patient discharge, and ICD-9 diagnosis. Elderly patients, female, with emergency service admission, at medical units and/or with longer length of stays were more frequently included in the risk group for falls. ICD-9 diagnosis may also be an important risk factor. More than a half of hospitalized patients had "medium" to "high" risk of falling during the length of stay, which determines the implementation and maintenance of protocoled preventive nursing interventions throughout hospitalization. There are several fall risk factors not assessed by Morse Fall Scale. There were no statistical differences in Morse Fall Scale score between the first and the last assessment. Copyright © 2015 Elsevier Inc. All rights reserved.

Chinook salmon foraging patterns in a changing Lake Michigan

USGS Publications Warehouse

Jacobs, Gregory R.; Madenjian, Charles P.; Bunnell, David B.; Warner, David M.; Claramunt, Randall M.

2013-01-01

Since Pacific salmon stocking began in Lake Michigan, managers have attempted to maintain salmon abundance at high levels within what can be sustained by available prey fishes, primarily Alewife Alosa pseudoharengus. Chinook Salmon Oncorhynchus tshawytscha are the primary apex predators in pelagic Lake Michigan and patterns in their prey selection (by species and size) may strongly influence pelagic prey fish communities in any given year. In 1994–1996, there were larger Alewives, relatively more abundant alternative prey species, fewer Chinook Salmon, and fewer invasive species in Lake Michigan than in 2009–2010. The years 2009–2010 were instead characterized by smaller, leaner Alewives, fewer alternative prey species, higher abundance of Chinook Salmon, a firmly established nonnative benthic community, and reduced abundance of Diporeia, an important food of Lake Michigan prey fish. We characterized Chinook Salmon diets, prey species selectivity, and prey size selectivity between 1994–1996 and 2009–2010 time periods. In 1994–1996, Alewife as prey represented a smaller percentage of Chinook Salmon diets than in 2009–2010, when alewife comprised over 90% of Chinook Salmon diets, possibly due to declines in alternative prey fish populations. The size of Alewives eaten by Chinook Salmon also decreased between these two time periods. For the largest Chinook Salmon in 2009–2010, the average size of Alewife prey was nearly 50 mm total length shorter than in 1994–1996. We suggest that changes in the Lake Michigan food web, such as the decline in Diporeia, may have contributed to the relatively low abundance of large Alewives during the late 2000s by heightening the effect of predation from top predators like Chinook Salmon, which have retained a preference for Alewife and now forage with greater frequency on smaller Alewives.

How older adults and their informal carers prevent falls: An integrative review of the literature.

PubMed

Wilkinson, Amanda; Meikle, Nicole; Law, Phoebe; Yong, Hui Jia; Butler, Philip; Kim, Justin; Mulligan, Hilda; Hale, Leigh

2018-06-01

Falls in older persons are prevalent and costly for the individual and the health system. Falls prevention guidelines have been developed from best evidence to minimise falls in older persons. To synthesise the literature on falls prevention strategies used by community dwelling older persons and/or their informal carers and to compare the commonly adopted strategies with those recommended by falls prevention guidelines. Health sciences databases for full text articles published in English plus reference list searching of included articles. An integrative review approach. Studies were included if they identified fall prevention management strategies used by community dwelling older adults and/or their informal carers. Quality appraisal was undertaken using appropriate Joanna Briggs Institute critical appraisal tools. Information relevant to the aim of the review were extracted and coded into categories then inductively sorted into sub-themes and themes. Of the seventeen studies included in the review, eleven identified older adults' falls prevention strategies, two investigated fall prevention strategies used by carers, and four explored perspectives of older persons together with their carers, representing the perspectives of an estimated 501 older persons and 102 carers. Strategies used by older adults arose because of self-awareness about their changing physical ability, and advice and support mainly from family or friends. Carer fall prevention strategy was predominantly around protection of the older adult from falling by discouraging independence. The fall self-management strategies adopted by older adults and their carers to prevent falls, in the main, do not align with international best practice fall prevention guidelines. Copyright © 2018. Published by Elsevier Ltd.

Are Older Adults Receiving Evidence-Based Advice to Prevent Falls Post-Discharge from Hospital?

ERIC Educational Resources Information Center

Lee, Den-Ching A.; Brown, Ted; Stolwyk, Rene; O'Connor, Daniel W.; Haines, Terry P.

2016-01-01

Background: Older adults experience a high rate of falls when they transition to community-living following discharge from hospital. Objectives: To describe the proportion of older adults who could recall having discussed falls and falls prevention strategies with a health professional within 6 months following discharge from hospital. To describe…

Risk Factors Associated with Falls in Older Adults with Dementia: A Systematic Review

PubMed Central

Fernando, Eresha; Fraser, Michelle; Hendriksen, Jane; Kim, Corey H.

2017-01-01

Purpose: People with dementia fall more often than cognitively healthy older adults, but their risk factors are not well understood. A review is needed to determine a fall risk profile for this population. The objective was to critically evaluate the literature and identify the factors associated with fall risk in older adults with dementia. Methods: Articles published between January 1988 and October 2014 in EMBASE, PubMed, PsycINFO, and CINAHL were searched. Inclusion criteria were participants aged 55 years or older with dementia or cognitive impairment, prospective cohort design, detailed fall definition, falls as the primary outcome, and multi-variable regression analysis. Two authors independently reviewed and extracted data on study characteristics, quality assessment, and outcomes. Adjusted risk estimates were extracted from the articles. Results: A total of 17 studies met the inclusion criteria. Risk factors were categorized into demographic, balance, gait, vision, functional status, medications, psychosocial, severity of dementia, and other. Risk factors varied with living setting and were not consistent across all studies within a setting. Conclusion: Falls in older adults with dementia are associated with multiple intrinsic and extrinsic risk factors, some shared with older adults in general and others unique to the disease. Risk factors vary between community- and institution-dwelling samples of adults with dementia or cognitive impairment. PMID:28539696

Comparative Survival Study (CSS) of PIT-Tagged Spring/Summer Chinook and Summer Steelhead : 2008 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Comparative Survival Study Oversight Committee and Fish Passage Center

2008-12-02

The Comparative Survival Study (CSS; BPA Project 199602000) began in 1996 with the objective of establishing a long term dataset of the survival rate of annual generations of salmon from their outmigration as smolts to their return to freshwater as adults to spawn (smolt-to-adult return rate; SAR). The study was implemented with the express need to address the question whether collecting juvenile fish at dams and transporting them downstream in barges and trucks and releasing them downstream of Bonneville Dam was compensating for the effect of the Federal Columbia River Power System (FCRPS) on survival of Snake Basin spring/summer Chinookmore » salmon migrating through the hydrosystem. The Completion of this annual report for the CSS signifies the 12th outmigration year of hatchery spring/summer Chinook salmon marked with Passive Integrated Transponder (PIT) tags as part of the CSS and the 9th complete brood year return as adults of those PIT-tagged fish (report covers adult returns from 1997-2006 hatchery Chinook juvenile migrations). In addition, the CSS has provided PIT-tags to on-going tagging operations for wild Chinook since 2002 (report covers adult returns from 1994-2006 wild Chinook juvenile migrations). The CSS tags wild steelhead on the lower Clearwater River and utilized wild and hatchery steelhead from other tagging operations in evaluations of transportation (report covers adult returns from 1997-2005 wild and hatchery steelhead migrations). The primary purpose of this report is to update the time series of smolt-to-adult survival rate data and related parameters with additional years of data since the completion of the CSS 10-yr retrospective analysis report (Schaller et al 2007). The 10-yr report provided a synthesis of the results from this ongoing study, the analytical approaches employed, and the evolving improvements incorporated into the study as reported in CSS annual progress reports. This current report specifically addresses the

Physiological status of naturally reared juvenile spring chinook salmon in the Yakima River: Seasonal dynamics and changes associated with smolting

USGS Publications Warehouse

Beckman, B.R.; Larsen, D.A.; Sharpe, C.; Lee-Pawlak, B.; Schreck, C.B.; Dickhoff, Walton W.

2000-01-01

Two year-classes of juvenile spring chinook salmon Oncorhynchus tshawytscha from the Yakima River, Washington, were sampled from July (3-4 months postemergence) through May (yearling smolt out-migration). Physiological characters measured included liver glycogen, body lipid, gill Na+-K+ ATPase, plasma thyroxine (T4), and plasma insulin-like growth factor-I (IGF-I). Distinct physiological changes were found that corresponded to season. Summer and fall were characterized by relatively high body lipid and condition factor. Winter was characterized by decreases in body lipid, condition factor, and plasma hormones. An increase in condition factor and body lipid was found in February and March. Finally, April and May were characterized by dramatic changes characteristic of smolting, including increased gill Na+-K+ ATPase activity, plasma T4, and IGF-I and decreased condition factor, body lipid, and liver glycogen. These results create a physiological template for juvenile spring chinook salmon in the drainage that provides a baseline for comparison with other years, populations, and life history types. In addition, this baseline provides a standard for controlled laboratory experiments and a target for fish culturists who rear juvenile spring chinook salmon for release from conservation hatcheries. The implications of these results for juvenile chinook salmon ecology and life history are discussed.

Sex Differences in Fear of Falling among Older Adults with Low Grip Strength.

PubMed

Lim, Eunju

2016-05-01

Fear of falling is not only a risk factor for falls, but it is also an important clinical predictor of functional decline in older adults. This study identified sex differences in fear of falling and related factors in older adults with low grip strength. The data of 902 older adults from the 2012 Korean National Survey, conducted as a research project by the Korea Employment Information Service, were analyzed. Grip strength, activities of daily living, cognitive function, depressive symptoms, and fear of falling were assessed. Multiple regression analysis was performed by a simultaneous data entry method. Fear of falling was greater in older women with low grip strength than in their male equivalents (P<0.001). Regression analysis showed that age, fall experience within the previous 2 yr, activities of daily living, and depressive symptoms collectively accounted for 15.3% (P<0.001) of the variance among men. Meanwhile, age, fall experience within the previous 2 yr, grip strength, activities of daily living, and depressive symptoms collectively accounted for 13.4% (P<0.001) of the variance among women. Thus, the predictors of fear of falling differ between older men and women with low grip strength. Therefore, sex differences must be considered when developing intervention strategies for reducing fear of falling in this demographic.

Interdisciplinary Collaboration in Medication-Related Falls Prevention in Older Adults.

PubMed

Huang, Lisa; Turner, Jazmin; Brandt, Nicole J

2018-04-01

The older adult population continues to steadily increase. Largely attributed to longer life spans and aging of the Baby Boomer generation, continued growth of this population is expected to affect a multitude of challenging public health concerns. Specifically, falls in older adults are prevalent but overlooked concerns. Health care providers are well-positioned to provide valuable interventions in this aspect. An interdisciplinary, team-based approach of health care providers is required to maximize falls prevention through patient-centered and collaborative care. The current article highlights the implications of inappropriate medication use and the need to improve care coordination to tackle this public health issue affecting older adults. [Journal of Gerontological Nursing, 44(4), 11-15.]. Copyright 2018, SLACK Incorporated.

Connection between competence, usability, environment and risk of falls in elderly adults.

PubMed

Leiva-Caro, José Alex; Salazar-González, Bertha Cecilia; Gallegos-Cabriales, Esther Carlota; Gómez-Meza, Marco Vinicio; Hunter, Kathleen F

2015-01-01

To determine connections between competence, usability, environment and risk of falls in elderly adults. Correlational descriptive study, 123 elderly adults, both male and female, aged 70 years and older were included. Data was collected via the Tinetti Scale, CESD-7 Scale, Montreal Cognitive Assessment, Usability Questionnaire on Housing and Housing Enabler; and sociodemographic and health background certificate data. For data analysis, descriptive and inferential statistics were used, multivariate linear and logistic regression models were adjusted. 42.0% of the elderly adults had presented with falls, with a higher prevalence in women, and in the group of 70-75 years. The physical environment of the house, gait, and usability were set as risk factors for falls. A negative relationship between usability and depressive symptoms, cognitive health, balance, gait, the social and physical environment was found, p <0.05; and a strong positive correlation between walking and balance, p <0.05. This study helps to better understand the phenomenon of falling, to find a connection between usability with the risk of falls, and other variables.

Connection between competence, usability, environment and risk of falls in elderly adults

PubMed Central

Leiva-Caro, José Alex; Salazar-González, Bertha Cecilia; Gallegos-Cabriales, Esther Carlota; Gómez-Meza, Marco Vinicio; Hunter, Kathleen F.

2015-01-01

Objective: to determine connections between competence, usability, environment and risk of falls in elderly adults. Method: correlational descriptive study, 123 elderly adults, both male and female, aged 70 years and older were included. Data was collected via the Tinetti Scale, CESD-7 Scale, Montreal Cognitive Assessment, Usability Questionnaire on Housing and Housing Enabler; and sociodemographic and health background certificate data. For data analysis, descriptive and inferential statistics were used, multivariate linear and logistic regression models were adjusted. Results: 42.0% of the elderly adults had presented with falls, with a higher prevalence in women, and in the group of 70-75 years. The physical environment of the house, gait, and usability were set as risk factors for falls. A negative relationship between usability and depressive symptoms, cognitive health, balance, gait, the social and physical environment was found, p <0.05; and a strong positive correlation between walking and balance, p <0.05. Conclusion: this study helps to better understand the phenomenon of falling, to find a connection between usability with the risk of falls, and other variables. PMID:26626006

Living alone and fall risk factors in community-dwelling middle age and older adults.

PubMed

Elliott, Sharon; Painter, Jane; Hudson, Suzanne

2009-08-01

As part of a larger study on fall-related risk factors, this study investigated the relationship between living alone status and fall-related variables among community-dwelling adults who lived in a rural county in eastern North Carolina. A convenience sample of 666 community-dwelling adults ages 50 and over participated in this 4-year study and completed a fall questionnaire. Significant findings were found in relation to living alone status and experiencing a fall, who they informed about their fall, injuries, safety equipment, ambulatory devices, and personal emergency response system usage. Three hundred thirty-eight participants stated they lived alone, compared to 300 who lived with others. The percentage reporting a fall was appreciably larger for those living alone (52%) than for those living with others (48%) in both genders in all age groups except for the 61-70 year old adults where the percentage was less. Findings from this research enhance knowledge about the prevalence and contributing fall-related factors in adults who live alone compared to those who live with others. Insights gained from this research will assist community and public health leaders and health care professionals in developing more efficacious intervention strategies to prevent or reduce falls, and associated psychological and physical consequences.

Novel sensing technology in fall risk assessment in older adults: a systematic review.

PubMed

Sun, Ruopeng; Sosnoff, Jacob J

2018-01-16

Falls are a major health problem for older adults with significant physical and psychological consequences. A first step of successful fall prevention is to identify those at risk of falling. Recent advancement in sensing technology offers the possibility of objective, low-cost and easy-to-implement fall risk assessment. The objective of this systematic review is to assess the current state of sensing technology on providing objective fall risk assessment in older adults. A systematic review was conducted in accordance to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement (PRISMA). Twenty-two studies out of 855 articles were systematically identified and included in this review. Pertinent methodological features (sensing technique, assessment activities, outcome variables, and fall discrimination/prediction models) were extracted from each article. Four major sensing technologies (inertial sensors, video/depth camera, pressure sensing platform and laser sensing) were reported to provide accurate fall risk diagnostic in older adults. Steady state walking, static/dynamic balance, and functional mobility were used as the assessment activity. A diverse range of diagnostic accuracy across studies (47.9% - 100%) were reported, due to variation in measured kinematic/kinetic parameters and modelling techniques. A wide range of sensor technologies have been utilized in fall risk assessment in older adults. Overall, these devices have the potential to provide an accurate, inexpensive, and easy-to-implement fall risk assessment. However, the variation in measured parameters, assessment tools, sensor sites, movement tasks, and modelling techniques, precludes a firm conclusion on their ability to predict future falls. Future work is needed to determine a clinical meaningful and easy to interpret fall risk diagnosis utilizing sensing technology. Additionally, the gap between functional evaluation and user experience to technology should be addressed.

Is independence of older adults safe considering the risk of falls?

PubMed

Talarska, Dorota; Strugała, Magdalena; Szewczyczak, Marlena; Tobis, Sławomir; Michalak, Michał; Wróblewska, Izabela; Wieczorowska-Tobis, Katarzyna

2017-03-14

Falls affect approx. 30% of elderly population per year. They cause major injuries and reduce independence of the older adults' functioning. The main objective of the study was to evaluate the degree of independence and find the fall risk factors in the study group. The study included 506 - older adults. The study group included patients from GP clinics and members of two senior centers. The study duration was 12 months. Our study tools included EASY- Care Standard 2010 questionnaire, Abbreviated Mental Test Score (AMTS), Index Barthel, Instrumental Activities of Daily Living Scale (IADL), Geriatric Depression Scale (GDS), Timed Up and Go (TUG). The study included 357 (70.6%) female and 149 (29.4%) male subjects. The mean age of the study group patients was 75.7 years ± 8.0. Most of the older adult subjects were independent in both basic (Index Barthel) and instrumental (IADL) activities. Gait fluency evaluated in TUG scale found slow and unsteady gait in 33.7% of the subjects. 27.5% of the subjects used mobility aids when walking. In the Risk of falls scale, 131 subjects (25.89%) were at risk of falls. According to logistic regression the main risk of fall determinants (p <0.05) in the study group were: age, previous falls, feet problems, lack of regular care, impaired vision, urinary incontinence, pain, sleeping disorders, and lowered mood. Risk of falls increases in people less independent in terms of basic and complex life activities and in people with depression. Most of the risk factors can be modified. It is necessary to develop a standard procedure aimed at preventing falls in the elderly.

Identifying characteristics and outcomes that are associated with fall-related fatalities: multi-year retrospective summary of fall deaths in older adults from 2005-2012.

PubMed

Deprey, Sara M; Biedrzycki, Lynda; Klenz, Kristine

2017-12-01

Fall-related deaths continue to be the leading cause of accidental deaths in the older adult (65+ year) population. However, many fall-related fatalities are unspecified and little is known about the fall characteristics and personal demographics at the time of the fall. Therefore, this report describes the characteristics, circumstances and injuries of falls that resulted in older adult deaths in one U.S. County and explores the variables associated with fatal injuries from falls. This is a continued retrospective analysis of 841older adults whose underlying cause of death was due to a fall over an 8-year period (2005-2012). Demographics and logistic regression of fall characteristics and injuries were analyzed. Falls that led to death most often occurred when walking in one's own home. Most of the residents in this study were community-dwellers who had previous comorbidities taking an average of six medications prior to their fall. Survival after a fall was on average 31 days. The two most common injuries after a fatal fall were hip fractures (54%), and head injuries (21%). A logistic regression identified two variables associated with hip fracture, advancing age (OR = 1.05, 95% confidence interval [CI] = 1.02-1.08) and diagnosis of a prior neurological condition (OR = 2.1, 95% CI = 1.4-3.1). Variables associated with head injuries included younger age (OR = .91, 95% CI = .89-.94), male gender (OR = 2.5, 95% CI = 1.7-3.8), prescribed anticoagulants (OR = 2.4, 95% CI = 1.5-3.9) and negative musculoskeletal comorbidity (OR = 1.9. 95% CI = 1.1-3.0). Hip fractures and head injuries were the most common injury after a fall that led to death in older adults greater than 65 years. There are opposing risk factors for older adults who incur a hip fracture compared to a head injury. Thus, health professionals will need to individualize prevention efforts to reduce fall fatalities.

Sensory-Challenge Balance Exercises Improve Multisensory Reweighting in Fall-Prone Older Adults.

PubMed

Allison, Leslie K; Kiemel, Tim; Jeka, John J

2018-04-01

Multisensory reweighting (MSR) deficits in older adults contribute to fall risk. Sensory-challenge balance exercises may have value for addressing the MSR deficits in fall-prone older adults. The purpose of this study was to examine the effect of sensory-challenge balance exercises on MSR and clinical balance measures in fall-prone older adults. We used a quasi-experimental, repeated-measures, within-subjects design. Older adults with a history of falls underwent an 8-week baseline (control) period. This was followed by an 8-week intervention period that included 16 sensory-challenge balance exercise sessions performed with computerized balance training equipment. Measurements, taken twice before and once after intervention, included laboratory measures of MSR (center of mass gain and phase, position, and velocity variability) and clinical tests (Activities-specific Balance Confidence Scale, Berg Balance Scale, Sensory Organization Test, Limits of Stability test, and lower extremity strength and range of motion). Twenty adults 70 years of age and older with a history of falls completed all 16 sessions. Significant improvements were observed in laboratory-based MSR measures of touch gain (P = 0.006) and phase (P = 0.05), Berg Balance Scale (P = 0.002), Sensory Organization Test (P = 0.002), Limits of Stability Test (P = 0.001), and lower extremity strength scores (P = 0.005). Mean values of vision gain increased more than those for touch gain, but did not reach significance. A balance exercise program specifically targeting multisensory integration mechanisms improved MSR, balance, and lower extremity strength in this mechanistic study. These valuable findings provide the scientific rationale for sensory-challenge balance exercise to improve perception of body position and motion in space and potential reduction in fall risk.

A Randomized Trial of a Multifaceted Intervention to Reduce Falls among Community-Dwelling Adults

ERIC Educational Resources Information Center

Fox, Patrick J.; Vazquez, Laurie; Tonner, Chris; Stevens, Judy A.; Fineman, Norman; Ross, Leslie K.

2010-01-01

Using a randomized controlled trial, we tested the efficacy of a fall prevention intervention to reduce falls among adults in a community-based health promotion program. Adults aged 65 and older within two counties were recruited (control n = 257; intervention n = 286). After 12 months, there was a significant decrease in the number of falls in…

Patterns of perspectives on fall-prevention beliefs by community-dwelling older adults: a Q method investigation.

PubMed

Chen, Shueh-Fen; Huang, Su-Fei; Lu, Li-Ting; Wang, Mei-Chuen; Liao, Jung-Yu; Guo, Jong-Long

2016-07-07

Falling has high incidence and reoccurrence rates and is an essential factor contributing to accidental injury or death for older adults. Enhancing the participation of community-dwelling older adults in fall-prevention programs is crucial. Understanding fall-prevention beliefs will be beneficial for developing a community-based fall-prevention program. The aim of the present study was to identify the distinct types of subjective views on the fall-prevention beliefs of community-dwelling older adults aged 80 years and older by applying the Q method. The Q method was adopted to investigate the pattern of perception on fall-prevention beliefs. Forty-two older adults aged 80 - 92 years from a community care center in Northern Taiwan were recruited and requested to complete a Q-sorting. A series of Q-sorts was performed by the participants to rank 30 statements into a normal distribution Q-sort grid. The Q-sorts were subjected to principal component analysis by using PQMethod software Version 2.35. Four statistically independent perspectives were derived from the analysis and reflected distinct viewpoints on beliefs related to fall prevention. Participants in the Considerate perspective believed that health problems caused by falling were serious and fall prevention could decrease the burden they place on their family. Participants in the Promising perspective believed that existing health problems could cause a fall and that fall prevention contributed to their well-being. Participants in the Adaptable perspective perceived low barriers to execute fall prevention and displayed self-confidence and independence in preventing falls. Participants in the Ignorance perspective believed that they could not prevent falls and perceived barriers to fall prevention. By combining theoretical constructs and the Q methodology approach, this study identified four distinct perspectives on fall prevention among community-dwelling older adults. Critical reflection on older adult

Better Strength, Better Balance! Partnering to deliver a fall prevention program for older adults.

PubMed

Taing, Darcie; McKay, Kelly

2017-09-14

Falls incur significant health and economic costs, particularly among older adults. Physical activity has been found to be the single most important fall prevention behaviour an older adult can do. This manuscript describes Ottawa Public Health's (OPH) experience implementing the Better Strength, Better Balance! (BSBB) program, a fall prevention exercise program for older adults, through an innovative partnership with the local Recreation, Cultural & Facility Services (RCFS) Department. BSBB aims to reach 1300 community-dwelling adults (aged 65 years and older) per year through approximately 86-130 exercise programs. Designed as a universal program, BSBB addresses participation barriers such as transportation, cost and location. BSBB was enabled with funding from the Champlain Local Health Integration Network, and coincided with the implementation of an Older Adult Plan for the City of Ottawa. BSBB is a beginner-level, fall prevention exercise and education program that takes place twice a week, over 12 weeks. Certified RCFS instructors delivered the exercise components of the program and OPH staff incorporated fall prevention messaging and conducted the evaluation. The formative evaluation indicated that participants experienced improved strength and balance, decreased fear of falling and the intent to adopt new fall prevention behaviours following the program. The partnership between OPH and RCFS allowed both partners to leverage their unique and mutual strengths to continually improve the program. Improving access to strength and balance programming is an important public health strategy to reduce falls. The recreation sector is an ideal partner to help public health in this pursuit.

Fear of Falling and Older Adult Peer Production of Audio-Visual Discussion Material

ERIC Educational Resources Information Center

Bailey, Cathy; King, Karen; Dromey, Ben; Wynne, Ciaran

2010-01-01

A growing body of work suggests that negative stereotypes of, and associations between, falling, fear of falling, and ageing, may mean that older adults reject falls information and advice. Against a widely accepted backdrop of demographic ageing in Europe and that alleviating the impacts of falls and fear of falling are pressing health care…

Foot Function, Foot Pain, and Falls in Older Adults: the Framingham Foot Study

PubMed Central

Awale, Arunima; Hagedorn, Thomas J.; Dufour, Alyssa B.; Menz, Hylton B.; Casey, Virginia A.; Hannan, Marian T.

2017-01-01

Background Although foot pain has been linked to fall risk, contributions of pain severity, foot posture or foot function are unclear. These factors were examined in a cohort of older adults. Objective The purpose of this study was to examine the associations of foot pain, severity of foot pain and measures of foot posture and dynamic foot function with reported falls in a large, well-described cohort of older adults from the Framingham Foot Study. Methods Foot pain, posture and function were collected from Framingham Foot Study participants who were queried about falls over the past year (0, 1, 2+ falls). Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (CI) for the relation of falls with foot pain, pain severity, foot posture, and foot function adjusting for covariates. Results Of 1375 participants, mean age was 69y; 57% were female; 21% reported foot pain (40% mild pain, 47% moderate, 13% severe pain). One-third reported falls in past year (1 fall: n=263, 2+ falls: n=152). Foot pain was associated with a 62% increased odds of recurrent falls. Those with moderate and severe foot pain showed increased odds of 2+ falls (OR=1.78, CI 1.06–2.99, and OR = 3.25, CI 1.65–7.48, respectively) compared to no foot pain. Foot function was not associated with falls. Compared to normal foot posture, those with planus foot posture had 78% higher odds of 2+ falls. Conclusion Higher odds of recurrent falls were observed in individuals with foot pain, especially severe foot pain, as well as individuals with planus foot posture, indicating that both foot pain and foot posture may play a role in increasing the risk of falls among older adults. PMID:28482340

Foot Function, Foot Pain, and Falls in Older Adults: The Framingham Foot Study.

PubMed

Awale, Arunima; Hagedorn, Thomas J; Dufour, Alyssa B; Menz, Hylton B; Casey, Virginia A; Hannan, Marian T

2017-01-01

Although foot pain has been linked to fall risk, contributions of pain severity, foot posture, or foot function are unclear. These factors were examined in a cohort of older adults. The purpose of this study was to examine the associations of foot pain, severity of foot pain, and measures of foot posture and dynamic foot function with reported falls in a large, well-described cohort of older adults from the Framingham Foot Study. Foot pain, posture, and function were collected from Framingham Foot Study participants who were queried about falls over the past year (0, 1, and ≥2 falls). Logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for the relation of falls with foot pain, pain severity, foot posture, and foot function adjusting for covariates. The mean age of the 1,375 participants was 69 years; 57% were female, and 21% reported foot pain (40% mild pain, 47% moderate pain, and 13% severe pain). One-third reported falls in the past year (1 fall: n = 263, ≥2 falls: n = 152). Foot pain was associated with a 62% increased odds of recurrent falls. Those with moderate and severe foot pain showed increased odds of ≥2 falls (OR 1.78, CI 1.06-2.99, and OR 3.25, CI 1.65-7.48, respectively) compared to those with no foot pain. Foot function was not associated with falls. Compared to normal foot posture, those with planus foot posture had 78% higher odds of ≥2 falls. Higher odds of recurrent falls were observed in individuals with foot pain, especially severe foot pain, as well as in individuals with planus foot posture, indicating that both foot pain and foot posture may play a role in increasing the risk of falls among older adults. © 2017 S. Karger AG, Basel.

Walking-Induced Fatigue leads to Increased Falls Risk in Older Adults

PubMed Central

Morrison, S.; Colberg, S. R.; Parson, H. K.; Neumann, S.; Handel, R.; Vinik, E. J.; Paulson, J.; Vinik, A. I.

2016-01-01

Background For older adults, falls are a serious health problem with over 30% of people over 65 suffering a fall at least once a year. One element often overlooked in the assessment of falls is whether a person’s balance, walking ability and overall falls risk is affected by performing activities of daily living such as walking. Objective This study assessed the immediate impact of incline walking at a moderate pace on falls risk, leg strength, reaction time, gait and balance in 75 healthy adults from 30 to 79 years of age. Subjects were subdivided into five equal groups based upon their age (Group 1, 30–39 years; Group 2, 40–49 years; Group 3, 50–59 years; Group 4, 60–69 years; Group 5, 70–79 years). Methods Each person’s falls risk (using the Physiological Profile Assessment), simple reaction time, leg strength, walking ability and standing balance were assessed prior to and following a period of incline walking on an automated treadmill. The walking task consisted of three 5-minute trials at a faster than preferred pace. Fatigue during walking was elicited by increasing the treadmill incline in increments of 20 (from level) every minute to a maximum of 80. Results As predicted, significant age-related differences were observed prior to the walking activity. In general, increasing age was associated with declines in gait speed, lower limb strength, slower reaction times and increases in overall falls risk. Following the treadmill task, older adults exhibited increased sway (path length 60–69 yrs; 10.2±0.7 to 12.1±0.7 cm: 70–79 yrs; 12.8±1.1 to 15.1±0.8 cm), slower reaction times (70–79 yrs; 256±6 to 287±8 ms), and declines in lower limb strength (60–69 yrs; 36±2 to 31±1 kg: 70–79 yrs; 32.3±2 to 27±1 kg). However, a significant increase in overall falls risk (pre; 0.51±0.17: post; 1.01±0.18) was only seen in the oldest group (70–79 years). For all other persons (30–69 years), changes resulting from the treadmill-walking task

Identification of fall risk factors in older adult emergency department patients.

PubMed

Carpenter, Christopher R; Scheatzle, Mark D; D'Antonio, Joyce A; Ricci, Paul T; Coben, Jeffrey H

2009-03-01

Falls represent an increasingly frequent source of injury among older adults. Identification of fall risk factors in geriatric patients may permit the effective utilization of scarce preventative resources. The objective of this study was to identify independent risk factors associated with an increased 6-month fall risk in community-dwelling older adults discharged from the emergency department (ED). This was a prospective observational study with a convenience sampling of noninstitutionalized elders presenting to an urban teaching hospital ED who did not require hospital admission. Interviews were conducted to determine the presence of fall risk factors previously described in non-ED populations. Subjects were followed monthly for 6 months through postcard or telephone contact to identify subsequent falls. Univariate and Cox regression analysis were used to determine the association of risk factors with 6-month fall incidence. A total of 263 patients completed the survey, and 161 (61%) completed the entire 6 months of follow-up. Among the 263 enrolled, 39% reported a fall in the preceding year, including 15% with more than one fall and 22% with injurious falls. Among those completing the 6 months of follow-up, 14% reported at least one fall. Cox regression analysis identified four factors associated with falls during the 6-month follow-up: nonhealing foot sores (hazard ratio [HR] = 3.71, 95% confidence interval [CI] = 1.73 to 7.95), a prior fall history (HR = 2.62, 95% CI = 1.32 to 5.18), inability to cut one's own toenails (HR = 2.04, 95% CI = 1.04 to 4.01), and self-reported depression (HR = 1.72, 95% CI = 0.83 to 3.55). Falls, recurrent falls, and injurious falls in community-dwelling elder ED patients being evaluated for non-fall-related complaints occur at least as frequently as in previously described outpatient cohorts. Nonhealing foot sores, self-reported depression, not clipping one's own toenails, and previous falls are all associated with falls after

Escapement and Productivity of Spring Chinook Salmon and Summer Steelhead in the John Day River Basin, 2005-2006 Annual Technical Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Schultz, Terra Lang; Wilson, Wayne H.; Ruzycki, James R.

The objectives are: (1) Estimate number and distribution of spring Chinook salmon Oncorhynchus tshawytscha redds and spawners in the John Day River subbasin; and (2) Estimate smolt-to-adult survival rates (SAR) and out-migrant abundance for spring Chinook and summer steelhead O. mykiss and life history characteristics of summer steelhead. The John Day River subbasin supports one of the last remaining intact wild populations of spring Chinook salmon and summer steelhead in the Columbia River Basin. These populations, however, remain depressed relative to historic levels. Between the completion of the life history and natural escapement study in 1984 and the start ofmore » this project in 1998, spring Chinook spawning surveys did not provide adequate information to assess age structure, progeny-to-parent production values, smolt-to-adult survival (SAR), or natural spawning escapement. Further, only very limited information is available for steelhead life history, escapement, and productivity measures in the John Day subbasin. Numerous habitat protection and rehabilitation projects to improve salmonid freshwater production and survival have also been implemented in the basin and are in need of effectiveness monitoring. While our monitoring efforts outlined here will not specifically measure the effectiveness of any particular project, they will provide much needed background information for developing context for project-specific effectiveness monitoring efforts. To meet the data needs as index stocks, to assess the long-term effectiveness of habitat projects, and to differentiate freshwater and ocean survival, sufficient annual estimates of spawner escapement, age structure, SAR, egg-to-smolt survival, smolt-per-redd ratio, and freshwater habitat use are essential. We have begun to meet this need through spawning ground surveys initiated for spring Chinook salmon in 1998 and smolt PIT-tagging efforts initiated in 1999. Additional sampling and analyses to meet these

Voluntary sway and rapid orthogonal transitions of voluntary sway in young adults, and low and high fall-risk older adults.

PubMed

Tucker, Murray G; Kavanagh, Justin J; Morrison, Steven; Barrett, Rod S

2009-10-01

Falls amongst older people have been linked to reduced postural stability and slowed movement responses. The objective of this study was to examine differences in postural stability and the speed of response between young adults, low fall-risk older adults, and high fall-risk older adults during voluntary postural sway movements. Twenty-five young adults (25+/-4 years), and 32 low fall-risk (74+/-5 years), and 16 high fall-risk (79+/-7 years) older adults performed voluntary sway and rapid orthogonal transitions of voluntary sway between the anterior-posterior and medial-lateral directions. Measures included reaction and movement time and the amplitudes of the centre of pressure, centre of mass, and the separation distance between the centre of pressure and centre of mass. Both fall-risk groups compared to the young had slower reaction and movement time, greater centre of pressure and/or centre of mass amplitude in the orthogonal (non-target) direction during voluntary sway, and reduced anterior-posterior and medial-lateral separation between the centre of pressure and centre of mass during voluntary sway and orthogonal transitions. High compared to low fall-risk individuals had slower reaction and movement time, increased non-target centre of mass amplitude during voluntary sway, and reduced medial-lateral centre of pressure and centre of mass separation during voluntary sway and orthogonal transitions. Age-related deterioration of postural control resulted in slower reactive responses and reduced control of the direction of body movement during voluntary sway and orthogonal transitions. Slower postural reaction and movement time and reduced medial-lateral control of the centre of mass during voluntary sway movements are associated with increased fall-risk in community-living older people.

Fall attributions among middle-aged and older adults with multiple sclerosis.

PubMed

Peterson, Elizabeth W; Ben Ari, Eynat; Asano, Miho; Finlayson, Marcia L

2013-05-01

To (1) explore the falls attributions of middle-aged and older adults with multiple sclerosis (MS); and (2) examine the personal, health, and MS-related factors associated with the 3 most common attributions. A cross-sectional, descriptive study using data collected through a telephone interview. Falls attributions were obtained through an open-ended question to elicit participants' stories about their most recent fall. Recruitment was done through a national volunteer MS registry. Community. People (N=354) who were ≥55 years of age were interviewed; 313 provided a falls story. Respondents were primarily married, community-dwelling women who had been living with MS for 21 years, on average. Not applicable. The 3 most common fall attributions were used as dependent variables to address the second research objective. A total of 14 falls attributions were identified. The most common were balance (41.5%), lower extremity malfunction (31%), and assistive technology (AT; 29.7%). Falls control was significantly associated with the balance attribution (odds ratio [OR]=.51; 95% confidence interval [CI], .29-.88), no variables were associated with lower extremity malfunction attribution, and use of multiple mobility devices was significantly associated with the AT attribution (OR=3.78; 95% CI, 2.09-6.85). Findings highlight the complex nature of falls among middle-aged and older adults with MS and point to the need for comprehensive fall prevention interventions for this population. Further investigation of the role that perceived control over falls plays in this population is warranted. Copyright © 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Behavior and dam passage of juvenile Chinook salmon and juvenile steelhead at Detroit Reservoir and Dam, Oregon, March 2012-February 2013

USGS Publications Warehouse

Beeman, John W.; Hansel, Hal C.; Hansen, Amy C.; Evans, Scott D.; Haner, Philip V.; Hatton, Tyson W.; Kofoot, Eric E.; Sprando, Jamie M.; Smith, Collin D.

2014-01-01

The in-reservoir movements and dam passage of individual juvenile Chinook salmon (Oncorhynchus tshawytscha) and juvenile steelhead (Oncorhynchus mykiss) were studied at Detroit Reservoir and Dam, near Detroit, Oregon, during 2012 and 2013. The goal of the study was to provide data to inform decisions about future downstream passage alternatives and factors affecting downstream passage rates with the existing dam configuration. In 2012, 468 juvenile Chinook salmon and 200 juvenile steelhead were tagged and released during a 3-month period in the spring, and another 514 juvenile Chinook salmon were tagged and released during a 3-month period in the fall. The fish were surgically implanted with a small acoustic transmitter with an expected life of about 3 months and a passive integrated transponder tag with an indefinite life, and were released into the two main tributaries several kilometers upstream of the reservoir. Juvenile Chinook salmon migrated from the release sites to the reservoir in a greater proportion than juvenile steelhead, but once in the reservoir, juvenile steelhead migrated to the forebay faster and had a higher dam passage rate than juvenile Chinook salmon. The routes available for passing water and fish varied throughout the year, with low reservoir elevations in winter and high reservoir elevations in summer in accordance with the flood-control purpose of the dam. Most dam passage was through the spillway during the spring and summer, when the reservoir elevation was high and the spillway and powerhouse were the most common routes in operation, and via the powerhouse during the fall and winter period, when the reservoir elevation was low and the regulating outlet and powerhouse were the most common routes in operation. Few tagged fish passed when the powerhouse was the only route in operation. Dam passage rates during the spring and summer were greatest at night, increased with dam discharge, and were greater when water was passed freely over the

Prevalence of fear of falling and associated factors among Japanese community-dwelling older adults.

PubMed

Tomita, Yoshihito; Arima, Kazuhiko; Tsujimoto, Ritsu; Kawashiri, Shin-Ya; Nishimura, Takayuki; Mizukami, Satoshi; Okabe, Takuhiro; Tanaka, Natsumi; Honda, Yuzo; Izutsu, Kazumi; Yamamoto, Naoko; Ohmachi, Izumi; Kanagae, Mitsuo; Abe, Yasuyo; Aoyagi, Kiyoshi

2018-01-01

To determine the prevalence of fear of falling and associated factors among Japanese community-dwelling older adults.Cross-sectional study between 2011 and 2013.Community in which residents voluntarily attended a health examination.We recruited 844 older adults (male, n = 350; female, n = 494) aged 60 to 92 years from among those who presented at the health examination.We assessed fear of falling, falls in the previous year, pain, comorbidity, and cataracts. Five times chair stand time was applied as an indicator of physical performance.The prevalence of fear of falling was 26.9% and 43.3% among the men and women, respectively. Men and women who feared falling were older (P < .01), had longer 5 times chair stand time (P < .01), and more falls in the previous year (P < .05), pain (P < .01), and comorbidity (P < .05). Multivariate logistic regression analysis identified advanced age (odds ratios [OR], 1.57; 95% confidence interval [CI], 1.03-2.39), falls in the previous year (OR, 2.44; 95%CI, 1.29-4.64), and pain (OR, 1.82; 95%CI, 1.03-3.22) in men, and advanced age (OR, 1.59; 95%CI, 1.13-2.24), longer 5 times chair stand times (OR, 1.28; 95%CI, 1.04-1.59), falls in the previous year (OR, 2.59; 95%CI, 1.54-4.34), and pain (OR, 1.65; 95%CI, 1.06-2.55) in women as being independently associated with fear of falling.The prevalence of fear of falling was similar to previous reports. Advanced age, falls in previous year, and pain were associated with fear of falling in men. A longer 5 times chair stand time was also associated with fear of falling among older adult women. Maintenance of physical function and pain management might be important for older adults with fear of falling.

Prevalence of fear of falling and associated factors among Japanese community-dwelling older adults

PubMed Central

Tomita, Yoshihito; Arima, Kazuhiko; Tsujimoto, Ritsu; Kawashiri, Shin-ya; Nishimura, Takayuki; Mizukami, Satoshi; Okabe, Takuhiro; Tanaka, Natsumi; Honda, Yuzo; Izutsu, Kazumi; Yamamoto, Naoko; Ohmachi, Izumi; Kanagae, Mitsuo; Abe, Yasuyo; Aoyagi, Kiyoshi

2018-01-01

Abstract To determine the prevalence of fear of falling and associated factors among Japanese community-dwelling older adults. Cross-sectional study between 2011 and 2013. Community in which residents voluntarily attended a health examination. We recruited 844 older adults (male, n = 350; female, n = 494) aged 60 to 92 years from among those who presented at the health examination. We assessed fear of falling, falls in the previous year, pain, comorbidity, and cataracts. Five times chair stand time was applied as an indicator of physical performance. The prevalence of fear of falling was 26.9% and 43.3% among the men and women, respectively. Men and women who feared falling were older (P < .01), had longer 5 times chair stand time (P < .01), and more falls in the previous year (P < .05), pain (P < .01), and comorbidity (P < .05). Multivariate logistic regression analysis identified advanced age (odds ratios [OR], 1.57; 95% confidence interval [CI], 1.03–2.39), falls in the previous year (OR, 2.44; 95%CI, 1.29–4.64), and pain (OR, 1.82; 95%CI, 1.03–3.22) in men, and advanced age (OR, 1.59; 95%CI, 1.13–2.24), longer 5 times chair stand times (OR, 1.28; 95%CI, 1.04–1.59), falls in the previous year (OR, 2.59; 95%CI, 1.54–4.34), and pain (OR, 1.65; 95%CI, 1.06–2.55) in women as being independently associated with fear of falling. The prevalence of fear of falling was similar to previous reports. Advanced age, falls in previous year, and pain were associated with fear of falling in men. A longer 5 times chair stand time was also associated with fear of falling among older adult women. Maintenance of physical function and pain management might be important for older adults with fear of falling. PMID:29369207

Factors associated with falls among older adults living in institutions

PubMed Central

2013-01-01

Background Falls have enormous impact in older adults. Yet, there is insufficient evidence regarding the effectiveness of preventive interventions in this setting. The objectives were to measure the frequency of falls and associated factors among older people living institutions. Methods Data were obtained from a survey on a probabilistic sample of residents aged ≥65 years, drawn in 1998-99 from institutions of Madrid (Spain). Residents, their caregivers, and facility physicians were interviewed. Fall rates were computed based on the number of physician-reported falls in the preceding 30 days. Adjusted rate ratios were computed using negative binomial regression models, including age, sex, cognitive status, functional dependence, number of diseases, and polypharmacy. Results The final sample comprised 733 residents. The fall rate was 2.4 falls per person-year (95% confidence interval [CI], 2.04-2.82). The strongest risk factor was number of diseases, with an adjusted rate ratio (RR) of 1.32 (95% CI, 1.17-1.50) for each additional diagnosis. Other variables associated with falls were: urinary incontinence (RR = 2.56 [95% CI, 1.32-4.94]); antidepressant use (RR = 2.32 [95% CI, 1.22-4.40]); arrhythmias (RR = 2.00 [95% CI, 1.05-3.81]); and polypharmacy (RR = 1.07 [95% CI, 0.95-1.21], for each additional medication). The attributable fraction for number of diseases (with reference to those with ≤ 1 condition) was 84% (95% CI, 45-95%). Conclusions Number of diseases was the main risk factor for falls in this population of institutionalized older adults. Other variables associated with falls, probably more amenable to preventive action, were urinary incontinence, antidepressants, arrhythmias, and polypharmacy. Virtual slides The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/3916151157277337 PMID:23320746

Differences in Functional Fitness Among Older Adults With and Without Risk of Falling.

PubMed

Zhao, Yanan; Chung, Pak-Kwong

2016-03-01

This study aimed to identify the differences in functional fitness between older adults who were at risk of falling and those who were not. A total of 104 older adults aged 65-74 years were recruited from a local community senior center. They were independent older adults without a history of falls in the preceding 12 months. Falling risk status was assessed using the Fall Risk Test. Five dimensions of functional fitness with seven testing parameters (i.e., 30-second chair stand test, 30-second arm curl test, 2-minute step test, chair sit and reach test, back scratch test, 8-foot up and go test, and body mass index) were evaluated by the Senior Fitness Test. Only 78 participants completed all the tests, of which 48 participants were identified with risk of falling, and 30 participants were free from risk of falling. Results from multivariate analysis of variance found significant differences on the combined outcome variables, especially in the 8-foot up and go test, 2-minute step test, and 30-second arm curl test. Results from discriminant analysis found a significant discriminant function among all the seven testing parameters, where the 8-foot up and go test, and the 2-minute step test contributed most. Older adults who are at the early stage of risk of falling tend to have lower functional fitness capacities, especially in agility and dynamic balance, aerobic endurance as well as in a combined relationship among all the testing parameters. Copyright © 2016. Published by Elsevier B.V.

Weather warnings predict fall-related injuries among older adults.

PubMed

Mondor, Luke; Charland, Katia; Verma, Aman; Buckeridge, David L

2015-05-01

weather predictions are a useful tool for informing public health planning and prevention strategies for non-injury health outcomes, but the association between winter weather warnings and fall-related injuries has not been assessed previously. to examine the association between fall-related injuries among older adults and government-issued winter weather warnings. using a dynamic cohort of individuals ≥65 years of age who lived in Montreal between 1998 and 2006, we identified all fall-related injuries from administrative data using a validated set of diagnostic and procedure codes. We compared rates of injuries on days with freezing rain or snowstorm warnings to rates observed on days without warnings. We also compared the incidence of injuries on winter days to non-winter days. All analyses were performed overall and stratified by age and sex. freezing rain alerts were associated with an increase in fall-related injuries (incidence rate ratio [IRR] = 1.20, 95% confidence interval [CI]: 1.08-1.32), particularly among males (IRR = 1.31, 95% CI: 1.10-1.56), and lower rates of injuries were associated with snowstorm alerts (IRR = 0.89, 95% CI: 0.80-0.99). The rate of fall-related injuries did not differ seasonally (IRR = 1.00, 95% CI: 0.97-1.03). official weather warnings are predictive of increases in fall-related injuries among older adults. Public health agencies should consider using these warnings to trigger initiation of injury prevention strategies in advance of inclement weather. © The Author 2014. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Spring Chinook Salmon Oncorhynchus tshawytscha Supplementation in the Clearwater Subbasin ; Nez Perce Tribal Hatchery Monitoring and Evaluation Project, 2007 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Backman, Thomas; Sprague, Sherman; Bretz, Justin

The Nez Perce Tribal Hatchery (NPTH) program has the following goals (BPA, et al., 1997): (1) Protect, mitigate, and enhance Clearwater Subbasin anadromous fish resources; (2) Develop, reintroduce, and increase natural spawning populations of salmon within the Clearwater Subbasin; (3) Provide long-term harvest opportunities for Tribal and non-Tribal anglers within Nez Perce Treaty lands within four generations (20 years) following project initiation; (4) Sustain long-term fitness and genetic integrity of targeted fish populations; (5) Keep ecological and genetic impacts to non-target populations within acceptable limits; and (6) Promote Nez Perce Tribal management of Nez Perce Tribal Hatchery Facilities and productionmore » areas within Nez Perce Treaty lands. The NPTH program was designed to rear and release 1.4 million fall and 625,000 spring Chinook salmon. Construction of the central incubation and rearing facility NPTH and spring Chinook salmon acclimation facilities were completed in 2003 and the first full term NPTH releases occurred in 2004 (Brood Year 03). Monitoring and evaluation plans (Steward, 1996; Hesse and Cramer, 2000) were established to determine whether the Nez Perce Tribal Hatchery program is achieving its stated goals. The monitoring and evaluation action plan identifies the need for annual data collection and annual reporting. In addition, recurring 5-year program reviews will evaluate emerging trends and aid in the determination of the effectiveness of the NPTH program with recommendations to improve the program's implementation. This report covers the Migratory Year (MY) 2007 period of the NPTH Monitoring & Evaluation (M&E) program. There are three NPTH spring Chinook salmon treatment streams: Lolo Creek, Newsome Creek, and Meadow Creek. In 2007, Lolo Creek received 140,284 Brood Year (BY) 2006 acclimated pre-smolts at an average weight of 34.9 grams per fish, Newsome Creek received 77,317 BY 2006 acclimated pre-smolts at an average of 24

Balance performance in older adults and its relationship with falling.

PubMed

Jalali, Mir Mohammad; Gerami, Hooshang; Heidarzadeh, Abtin; Soleimani, Robabeh

2015-06-01

A normal consequence of aging is a general deterioration in a number of musculoskeletal and sensory systems that affect postural control and balance. The aim of this study was to evaluate history of falls among active older individuals in Iran, and estimate the risk factors for falls among this population. A total of 448 active older subjects from rural region of Rasht city, Iran, were included. They were divided into three groups depending on their age: young-old (n = 266); middle-old (n = 154) and oldest-old (n = 28). We assessed balance performance by One-Leg Balance (OLB), Functional Reach (FR), Timed Up and Go (TUG) and Romberg tests. The fall rate (>2 in the last year) was 27.0 %. The cut-off point 13.75 s for TUG test showed 84.7 % sensitivity and 56 % specificity. Also the best cut-off point for OLB test was 12.7 s (63 % sensitivity and 83.5 % specificity). Logistic regression analysis revealed that age, BMI, diabetes, and failure in OLB, FR, and Romberg tests predicted fall risk. The decision tree classification of older individuals showed three categorical variables, which in their order of importance included diabetes, Romberg test, and OLB test. This study revealed the value of history taking about diabetes as a predictor for existing falling. Decision tree technique showed that Romberg and OLB tests help in identifying older adults with balance problems. Given the incidence and consequences of falls among older adults, large-scale prospective studies on older individuals to identify those prone to falls are warranted.

Post-Release Performance of Natural and Hatchery Subyearling Fall Chinook Salmon in the Snake and Clearwater Rivers.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Connor, William P.

2008-04-01

In 2006, we continued a multi-year study to compare smolt-to-adult return rate (SAR) ratios between two groups of Snake River Basin fall Chinook salmon Oncorhynchus tshawytscha that reached the sea through a combination of either (1) transportation and inriver migration or (2) bypass and inriver migration. We captured natural subyearlings rearing along the Snake and Clearwater rivers and implanted them with passive integrated transponder (PIT) tags, but knew in advance that sample sizes of natural fish would not be large enough for precise comparisons of SAR ratios. To increase sample sizes, we also cultured Lyons Ferry Hatchery subyearlings under amore » surrogate rearing strategy, implanted them with PIT tags, and released them into the Snake and Clearwater rivers to migrate seaward. The surrogate rearing strategy involved slowing growth at Dworshak National Fish Hatchery to match natural subyearlings in size at release as closely as possible, while insuring that all of the surrogate subyearlings were large enough for tagging (i.e., 60-mm fork length). Surrogate subyearlings were released from late May to early July 2006 to coincide with the historical period of peak beach seine catch of natural parr in the Snake and Clearwater rivers. We also PIT tagged a large representative sample of hatchery subyearlings reared under a production rearing strategy and released them into the Snake and Clearwater rivers in 2006 as part of new research on dam passage experiences (i.e., transported from a dam, dam passage via bypass, dam passage via turbine intakes or spillways). The production rearing strategy involved accelerating growth at Lyons Ferry Hatchery, sometimes followed by a few weeks of acclimation at sites along the Snake and Clearwater rivers before release from May to June. Releasing production subyearlings has been suggested as a possible alternative for making inferences on the natural population if surrogate fish were not available. Smoltto-adult return rates

The role of postural instability/gait difficulty and fear of falling in predicting falls in non-demented older adults.

PubMed

Allali, Gilles; Ayers, Emmeline I; Holtzer, Roee; Verghese, Joe

Postural instability/gait difficulty (PIGD) and fear of falling (FoF) frequently co-exist, but their individual predictive values for falls have not been compared in aging. This study aims to determine both independent and combined effect of PIGD and FoF to falls in older adults without dementia. PIGD and other extrapyramidal signs were systematically assessed in 449 community-dwelling participants without Parkinson's disease (76.48±6.61 ys; 56.8% female) enrolled in this longitudinal cohort study. Presence of FoF was measured by a single-item question (Do you have a FoF?) and self-confidence by the Activities-specific Balance Confidence scale (ABC scale). One hundred sixty-nine participants (38%) had an incident fall over a mean follow-up of 20.1±12.2months. PIGD was present in 32% and FoF in 23% of the participants. Both PIGD (adjusted hazard ratio (aHR): 2.28; p=0.016) and self-confidence (aHR: 0.99; p=0.040) predicted falls when entered simultaneously in the Cox model. However, presence of FoF (aHR: 1.99; p=0.021) and self-confidence (aHR: 0.98; p=0.006) predicted falls only in individuals with PIGD. PIGD and FoF were associated with future falls in older adults without dementia but FoF was a fall's predictor only in individuals with PIGD. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Use of hydrogen peroxide during incubation of landlocked fall Chinook salmon eggs in vertical-flow incubators

USGS Publications Warehouse

Barnes, M.E.; Gaikowski, M.P.

2004-01-01

Six different hydrogen peroxide treatment regimes were evaluated in a series of three trials with landlocked fall Chinook salmon Oncorhynchus tshawytscha eggs incubated in vertical-flow incubators. Six daily 15-min hydrogen peroxide treatment regimes (1,000 mg/L; 1,000 mg/L with a decrease to 500 mg/L during estimated blastopore formation; 2,000 mg/L; 2,000 mg/L with a decrease to 500 mg/L during estimated blastopore formation; 2,500 mg/L; and 2,500 mg/L with a decrease to 500 mg/L during estimated blastopore formation) were compared with daily 15-min treatments of 1,667 mg/L of formalin. Mortality at egg eye-up and fry hatch and from eye-up to hatch was significantly greater in eggs receiving the 2,500-mg/L hydrogen peroxide treatments throughout incubation and in those receiving 2,500 mg/L hydrogen peroxide with a decrease to 500 mg/L during blastopore formation than in either of the 1,000-mg/L hydrogen peroxide treatment regimes or the formalin-treated eggs in the first trial. No significant differences in mortality were observed among any of the treatments in the subsequent two trials with maximum hydrogen peroxide concentrations of 2,000 mg/L. Fungal infestations were observed primarily in the incubation trays treated at either of the 1,000-mg/L hydrogen peroxide regimens, as well as in those trays whose treatment concentrations were dropped to 500 mg/L during blastopore formation. Infestations were not observed in any of the formalin-treated trays. If minor fungal infestation is acceptable, then daily hydrogen peroxide treatments of 1,000 mg/L for 15 min would probably provide adequate fungal control compared with formalin usage.

Evaluation of the Frails' Fall Efficacy by Comparing Treatments (EFFECT) on reducing fall and fear of fall in moderately frail older adults: study protocol for a randomised control trial.

PubMed

Kwok, Boon Chong; Mamun, Kaysar; Chandran, Manju; Wong, Chek Hooi

2011-06-18

Falls are common in frail older adults and often result in injuries and hospitalisation. The Nintendo® Wii™ is an easily available exercise modality in the community which has been shown to improve lower limb strength and balance. However, not much is known on the effectiveness of the Nintendo® Wii™ to improve fall efficacy and reduce falls in a moderately frail older adult. Fall efficacy is the measure of fear of falling in performing various daily activities. Fear contributes to avoidance of activities and functional decline. This randomised active-control trial is a comparison between the Nintendo WiiActive programme against standard gym-based rehabilitation of the older population. Eighty subjects aged above 60, fallers and non-fallers, will be recruited from the hospital outpatient clinic. The primary outcome measure is the Modified Falls Efficacy Scale and the secondary outcome measures are self-reported falls, quadriceps strength, walking agility, dynamic balance and quality of life assessments. The study is the first randomised control trial using the Nintendo Wii as a rehabilitation modality investigating a change in fall efficacy and self-reported falls. Longitudinally, the study will investigate if the interventions can successfully reduce falls and analyse the cost-effectiveness of the programme.

Gender differences in physical activity patterns among older adults who fall.

PubMed

Stahl, Sarah T; Albert, Steven M

2015-02-01

This study describes gender differences in the level and pattern of physical activity in groups of older adults who were frequent fallers, intermittent fallers, or non-fallers. Interviews were conducted with adults aged 50 years and older (N=1834) at senior centers across Pennsylvania from 2010 to 2011. Self-reported falls and validated measures of physical activity were collected at baseline and at 6- and 12-month follow-up assessments. Complete follow-up data were available for 1487 participants. Men who fell frequently decreased in recreational/leisure activity and household/yard work compared to the intermittent fallers and non-fallers. This association remained even when controlling for baseline health status. All women-regardless of fall group-engaged in similar levels of recreational/leisure activity and household/yard work over time. For both men and women, frequent fallers also showed a greater decrease in walking activities compared to intermittent fallers and non-fallers. Frequent falling among older adults is associated with declines in common leisure, household, and walking activities. The effect of falling frequency on physical activity appears to affect men and women differently, generating the hypothesis that interventions to promote physical activity among fallers need to be gender specific. Copyright © 2014 Elsevier Inc. All rights reserved.

Older adults' perceptions of technologies aimed at falls prevention, detection or monitoring: a systematic review.

PubMed

Hawley-Hague, Helen; Boulton, Elisabeth; Hall, Alex; Pfeiffer, Klaus; Todd, Chris

2014-06-01

Over recent years a number of Information and Communication Technologies (ICTs) have emerged aiming at falls prevention, falls detection and alarms for use in case of fall. There are also a range of ICT interventions, which have been created or adapted to be pro-active in preventing falls, such as those which provide strength and balance training to older adults in the prevention of falls. However, there are issues related to the adoption and continued use of these technologies by older adults. This review provides an overview of older adults' perceptions of falls technologies. We undertook systematic searches of MEDLINE, EMBASE, CINAHL and PsychINFO, COMPENDEX and the Cochrane database. Key search terms included 'older adults', 'seniors', 'preference', 'attitudes' and a wide range of technologies, they also included the key word 'fall*'. We considered all studies that included older adults aged 50 and above. Studies had to include technologies related specifically to falls prevention, detection or monitoring. The Joanna Briggs Institute (JBI) tool and the Quality Assessment Tool for Quantitative Studies by the Effective Public Health Practice Project (EPHPP) were used. We identified 76 potentially relevant papers. Some 21 studies were considered for quality review. Twelve qualitative studies, three quantitative studies and 6 mixed methods studies were included. The literature related to technologies aimed at predicting, monitoring and preventing falls suggest that intrinsic factors related to older adults' attitudes around control, independence and perceived need/requirements for safety are important for their motivation to use and continue using technologies. Extrinsic factors such as usability, feedback gained and costs are important elements which support these attitudes and perceptions. Positive messages about the benefits of falls technologies for promoting healthy active ageing and independence are critical, as is ensuring that the technologies are simple

Frailty and falls among adult patients undergoing chronic hemodialysis: a prospective cohort study

PubMed Central

2013-01-01

Background Patients undergoing hemodialysis are at high risk of falls, with subsequent complications including fractures, loss of independence, hospitalization, and institutionalization. Factors associated with falls are poorly understood in this population. We hypothesized that insights derived from studies of the elderly might apply to adults of all ages undergoing hemodialysis; we focused on frailty, a phenotype of physiological decline strongly associated with falls in the elderly. Methods In this prospective, longitudinal study of 95 patients undergoing hemodialysis (1/2009-3/2010), the association of frailty with future falls was explored using adjusted Poisson regression. Frailty was classified using the criteria established by Fried et al., as a combination of five components: shrinking, weakness, exhaustion, low activity, and slowed walking speed. Results Over a median 6.7-month period of longitudinal follow-up, 28.3% of study participants (25.9% of those under 65, 29.3% of those 65 and older) experienced a fall. After adjusting for age, sex, race, comorbidity, disability, number of medications, marital status, and education, frailty independently predicted a 3.09-fold (95% CI: 1.38-6.90, P=0.006) higher number of falls. This relationship between frailty and falls did not differ for younger and older adults (P=0.57). Conclusions Frailty, a validated construct in the elderly, was a strong and independent predictor of falls in adults undergoing hemodialysis, regardless of age. Our results may aid in identifying frail hemodialysis patients who could be targeted for multidimensional fall prevention strategies. PMID:24131569

Grande Ronde Basin Chinook Salmon Captive Brood and Conventional Supplementation Programs, 2002 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Carmichael, Richard W.

2003-07-01

Endangered Species Permit Number 1011 (formerly Permit No. 973) authorizes ODFW to take listed spring chinook salmon juveniles from Catherine Creek (CC), Lostine River (LR) and Grande Ronde River (GR) for research and enhancement purposes. Modification 2 of this permit authorizes ODFW to take adults for spawning and the production and release of smolts for the Captive and Conventional broodstock programs. This report satisfies the requirement that an annual report be submitted. Herein we report on activities conducted and provide cursory data analyses for the Grande Ronde spring chinook salmon Captive and Conventional broodstock projects from 1 January-31 December 2002.more » The Grande Ronde Basin Spring Chinook Salmon Captive Broodstock Project is designed to rapidly increase numbers of salmon in stocks that are in imminent danger of extirpation. Parr are captured in Catherine Creek, upper Grande Ronde River and Lostine River and reared to adulthood in captivity. Upon maturation, they are spawned (within stocks) and their progeny reared to smoltification before being released into the natal stream of their parents. This program is co-managed by ODFW, National Marine Fisheries Service, the Nez Perce Tribe and Confederated Tribes of the Umatilla Indian Reservation.« less

Perturbation training can reduce community-dwelling older adults' annual fall risk: a randomized controlled trial.

PubMed

Pai, Yi-Chung; Bhatt, Tanvi; Yang, Feng; Wang, Edward

2014-12-01

Previous studies indicated that a single session of repeated-slip exposure can reduce over 40% of laboratory-induced falls among older adults. The purpose of this study was to determine to what degree such perturbation training translated to the reduction of older adults' annual falls risk in their everyday living. Two hundred and twelve community-dwelling older adults (≥65 years old) were randomly assigned to either the training group (N = 109), who then were exposed to 24 unannounced repeated slips, or the control group (N = 103), who merely experienced one slip during the same walking in the same protective laboratory environment. We recorded their falls in the preceding year (through self-reported history) and during the next 12 months (through falls diary and monitored with phone calls). With this single session of repeated-slip exposure, training cut older adults' annual risk of falls by 50% (from 34% to 15%, p < .05). Those who experienced merely a single slip were 2.3 times more likely to fall during the same 12-month follow-up period (p < .05) than those who experienced the 24 repeated slips. Such training effect was especially prominent among those who had history of falls. A single session of repeated-slip exposure could improve community-dwelling older adults' resilience to postural disturbances and, hence, significantly reduce their annual risk of falls. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Stock-specific migration timing of adult spring-summer Chinook salmon in the Columbia River basin

USGS Publications Warehouse

Keefer, M.L.; Peery, C.A.; Jepson, M.A.; Tolotti, K.R.; Bjornn, T.C.; Stuehrenberg, L.C.

2004-01-01

An understanding of the migration timing patterns of Pacific salmon Oncorhynchus spp. and steelhead O. mykiss is important for managing complex mixed-stock fisheries and preserving genetic and life history diversity. We examined adult return timing for 3,317 radio-tagged fish from 38 stocks of Columbia River basin spring-summer Chinook salmon O. tshawytscha over 5 years. Stock composition varied widely within and between years depending on the strength of influential populations. Most individual stocks migrated at similar times each year relative to overall runs, supporting the hypotheses that run timing is predictable, is at least partially due to genetic adaptation, and can be used to differentiate between some conspecific populations. Arrival timing of both aggregated radio-tagged stocks and annual runs was strongly correlated with river discharge; stocks arrived earlier at Bonneville Dam and at upstream dams in years with low discharge. Migration timing analyses identified many between-stock and between-year differences in anadromous salmonid return behavior and should and managers interested in protection and recovery of evolutionary significant populations.

Adoption of Evidence-Based Fall Prevention Practices in Primary Care for Older Adults with a History of Falls.

PubMed

Phelan, Elizabeth A; Aerts, Sally; Dowler, David; Eckstrom, Elizabeth; Casey, Colleen M

2016-01-01

A multifactorial approach to assess and manage modifiable risk factors is recommended for older adults with a history of falls. Limited research suggests that this approach does not routinely occur in clinical practice, but most related studies are based on provider self-report, with the last chart audit of United States practice published over a decade ago. We conducted a retrospective chart review to assess the extent to which patients aged 65+ years with a history of repeated falls or fall-related health-care use received multifactorial risk assessment and interventions. The setting was an academic primary care clinic in the Pacific Northwest. Among the 116 patients meeting our inclusion criteria, 48% had some type of documented assessment. Their mean age was 79 ± 8 years; 68% were female, and 10% were non-white. They averaged six primary care visits over a 12-month period subsequent to their index fall. Frequency of assessment of fall-risk factors varied from 24% (for home safety) to 78% (for vitamin D). An evidence-based intervention was recommended for identified risk factors 73% of the time, on average. Two risk factors were addressed infrequently: medications (21%) and home safety (24%). Use of a structured visit note template independently predicted assessment of fall-risk factors (p = 0.003). Geriatrics specialists were more likely to use a structured note template (p = 0.04) and perform more fall-risk factor assessments (4.6 vs. 3.6, p = 0.007) than general internists. These results suggest opportunities for improving multifactorial fall-risk assessment and management of older adults at high fall risk in primary care. A structured visit note template facilitates assessment. Given that high-risk medications have been found to be independent risk factors for falls, increasing attention to medications should become a key focus of both public health educational efforts and fall prevention in primary care practice.

Adoption of Evidence-Based Fall Prevention Practices in Primary Care for Older Adults with a History of Falls

PubMed Central

Phelan, Elizabeth A.; Aerts, Sally; Dowler, David; Eckstrom, Elizabeth; Casey, Colleen M.

2016-01-01

A multifactorial approach to assess and manage modifiable risk factors is recommended for older adults with a history of falls. Limited research suggests that this approach does not routinely occur in clinical practice, but most related studies are based on provider self-report, with the last chart audit of United States practice published over a decade ago. We conducted a retrospective chart review to assess the extent to which patients aged 65+ years with a history of repeated falls or fall-related health-care use received multifactorial risk assessment and interventions. The setting was an academic primary care clinic in the Pacific Northwest. Among the 116 patients meeting our inclusion criteria, 48% had some type of documented assessment. Their mean age was 79 ± 8 years; 68% were female, and 10% were non-white. They averaged six primary care visits over a 12-month period subsequent to their index fall. Frequency of assessment of fall-risk factors varied from 24% (for home safety) to 78% (for vitamin D). An evidence-based intervention was recommended for identified risk factors 73% of the time, on average. Two risk factors were addressed infrequently: medications (21%) and home safety (24%). Use of a structured visit note template independently predicted assessment of fall-risk factors (p = 0.003). Geriatrics specialists were more likely to use a structured note template (p = 0.04) and perform more fall-risk factor assessments (4.6 vs. 3.6, p = 0.007) than general internists. These results suggest opportunities for improving multifactorial fall-risk assessment and management of older adults at high fall risk in primary care. A structured visit note template facilitates assessment. Given that high-risk medications have been found to be independent risk factors for falls, increasing attention to medications should become a key focus of both public health educational efforts and fall prevention in primary care practice. PMID:27660753

A method for estimating fall adult sex ratios from production and survival data

USGS Publications Warehouse

Wight, H.M.; Heath, R.G.; Geis, A.D.

1965-01-01

This paper presents a method of utilizing data relating to the production and survival of a bird population to estimate a basic fall adult sex ratio. This basic adult sex ratio is an average value derived from average production and survival rates. It is an estimate of the average sex ratio about which the fall adult ratios will fluctuate according to annual variations in production and survival. The basic fall adult sex ratio has been calculated as an asymptotic value which is the limit of an infinite series wherein average population characteristics are used as constants. Graphs are provided that allow the determination of basic sex ratios from production and survival data of a population. Where the respective asymptote has been determined, it may be possible to estimate various production and survival rates by use of variations of the formula for estimating the asymptote.

Exercise for Fall Risk Reduction in Community-Dwelling Older Adults: A Systematic Review

PubMed Central

Arnold, Catherine M.; Sran, Meena M.; Harrison, Elizabeth L.

2008-01-01

Purpose: To evaluate the influence of exercise on falls and fall risk reduction in community-dwelling older adults and to present an updated synthesis of outcome measures for the assessment of fall risk in community-dwelling older adults. Method: A systematic review was performed, considering English-language articles published from 2000 to 2006 and accessible through MEDLINE, CINAHL, PEDro, EMBASE, and/or AMED. Included were randomized controlled clinical trials (RCTs) that used an exercise or physical activity intervention and involved participants over age 50. Screening and methodological quality for internal validity were conducted by two independent reviewers. Results: The search retrieved 156 abstracts; 22 articles met the internal validity criteria. Both individualized and group exercise programmes were found to be effective in reducing falls and fall risk. The optimal type, frequency, and dose of exercise to achieve a positive effect have not been determined. A variety of outcome measures have been used to measure fall risk, especially for balance. Conclusions: Falls and fall risk can be reduced with exercise interventions in the community-dwelling elderly, although the most effective exercise variables are unknown. Future studies in populations with comorbidities known to increase fall risk will help determine optimal, condition-specific fall-prevention programmes. Poor balance is a key risk factor for falls; therefore, the best measure of this variable should be selected when evaluating patients at risk of falling. PMID:20145768

Falls and postural control in older adults with cataracts

PubMed Central

Nodehi Moghadam, Afsun; Goudarzian, Maryam; Azadi, Farhad; Hosseini, Seide Masume; Mosallanezhad, Zahra; Karimi, Nouraddin; Larne, Yassin; Habibi, Maryam; Yaghmaei, Poorya

2015-01-01

Background: There is increasing evidence that visual impairment contribute to falling. The aim of this study was to determine the influence of vision impairment of old adult patients with cataract on the occurrence of falls and postural control. Methods: According to the results of screening ophthalmic examination, 48 cataract patients (mean±SD aged 68.5 ± 6.08 yrs.) and 50 individuals without any obvious eye disorders (mean age ± SD 70.7 ± 5.97 yrs.) were enrolled in this study. The postural control was determined using the clinical test of Sensory Interaction and Balance (CTSIB) and Timed up and Go (TUG) test. Results: The results of this study revealed that 18% (n = 9) of the normal individuals and 22.9% (n =11) of the cataract patients had at least two falls in the past 12 months. However, the result of chisquare test did not show any differences between the two groups (p= 0.36). The mean ± SD TUG times in cataract and control groups in our study were15.17 ± 3.58 and13.77 ± 4.90, respectively. However, no significant differences were found between the two groups (p= 0.12).The results of CTSIB test showed no significant differences between the two groups on standing on the floor with eyes open and eyes closed (p= 0.61, p= 0.89) and on standing on the foam with eyes open and eyes closed (p= 0.32, p= 0.74 ). Conclusion: According to the results of CTSIB and TUG tests, vision impairment of old adult patients with cataract is not associated with falls and balance disorders. Further work including assessment of postural control with advanced devices and considering other falls risk factors are also required to identify predictors of falls in cataract patients. PMID:26913274

Investigations into the Early Life History of Naturally Spring Chinook Salmon in the Grande Ronde River Basin : Fish Research Project Oregon : Annual Progress Report Project Period 1 September 1997 to 31 August 1998.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Keefe, MaryLouise; Tranquilli, J. Vincent

1998-01-01

We determined migration timing and abundance of juvenile spring chinook salmon from three populations in the Grande Ronde River basin. We estimated 6,716 juvenile chinook salmon left upper rearing areas of the Grande Ronde River from July 1997 to June 1998; approximately 6% of the migrants left in summer, 29% in fall, 2% in winter, and 63% in spring. We estimated 8,763 juvenile chinook salmon left upper rearing areas of Catherine Creek from July 1997 to June 1998; approximately 12% of the migrants left in summer, 37% in fall, 21% in winter, and 29% in spring. We estimated 8,859 juvenilemore » chinook salmon left the Grande Ronde Valley, located below the upper rearing areas in Catherine Creek and the Grande Ronde River, from October 1997 to June 1998; approximately 99% of the migrants left in spring. We estimated 15,738 juvenile chinook salmon left upper rearing areas of the Lostine River from July 1997 to April 1998; approximately 3% of the migrants left in summer, 61% in fall, 2% in winter, and 34% in spring. We estimated 22,754 juvenile spring chinook salmon left the Wallowa Valley, located below the mouth of the Lostine River, from September 1997 to April 1998; approximately 55% of the migrants left in fall, 5% in winter, and 40% in spring. Juvenile chinook salmon PIT-tagged on the upper Grande Ronde River were detected at Lower Granite Dam from 4 April to 26 June 1998, with a median passage date of 1 May. PIT-tagged salmon from Catherine Creek were detected at Lower Granite Dam from 3 April to 26 June 1998, with a median passage date of 8 May. PIT-tagged salmon from the Lostine River were detected at Lower Granite Dam from 31 March through 26 May 1998, with a median passage date of 28 April. Juveniles tagged as they left the upper rearing areas of the Grande Ronde and Lostine rivers in fall and that overwintered in areas downstream were detected in the hydrosystem at a higher rate than fish tagged during winter in the upper rearing areas, indicating a higher

Mitigating fall risk: A community fall reduction program.

PubMed

Reinoso, Humberto; McCaffrey, Ruth G; Taylor, David W M

One fourth of all American's over 65 years of age fall each year. Falls are a common and often devastating event that can pose a serious health risk for older adults. Healthcare providers are often unable to spend the time required to assist older adults with fall risk issues. Without a team approach to fall prevention the system remains focused on fragmented levels of health promotion and risk prevention. The specific aim of this project was to engage older adults from the community in a fall risk assessment program, using the Stopping Elderly Accidents, Deaths & Injuries (STEADI) program, and provide feedback on individual participants' risks that participants could share with their primary care physician. Older adults who attended the risk screening were taking medications that are known to increase falls. They mentioned that their health care providers do not screen for falls and appreciated a community based screening. Copyright © 2017 Elsevier Inc. All rights reserved.

Effects of Renibacterium salmoninarum on olfactory organs of Chinook salmon (Oncorhynchus tshawytscha) marked with coded wire tags

USGS Publications Warehouse

Elliott, Diane G.; Conway, Carla M.; Bruno, D.W.; Elliott, D.G.; Nowak, B.

2014-01-01

Bacterial kidney disease (BKD) caused by Renibacterium salmoninarum can cause significant morbidity and mortality in Chinook salmon (Oncorhynchus tshawytscha), particularly in Chinook salmon of the stream (spring) life history type, which migrate to sea as yearlings rather than subyearlings. R. salmoninarum can be transmitted vertically from the female parent to the progeny in association with the egg, as well as horizontally from fish to fish. This study was conducted as part of a research project to investigate whether the prevalence and intensity of R. salmoninarum infections in adult spring Chinook salmon could affect the survival and pathogen prevalence and intensity in their progeny (Pascho et al., 1991, 1993; Elliott et al., 1995). Fish from two brood years (1988 and 1989) were reared at Dworshak National Fish Hatchery (Idaho, USA) for about 1-1/2 years, released as yearling smolts, and allowed to migrate to the Pacific Ocean for maturation. The majority of progeny fish were marked with coded wire tags (CWTs) about 4 months before they were released from the hatchery so that adult returns could be monitored. The CWTs were implanted in the snouts of the fish by an experienced team of fish markers using automated wire-tagging machines. The intended placement site was the cartilage, skeletal muscle or loose connective tissue of the snout.

Evaluation of the Frails' Fall Efficacy by Comparing Treatments (EFFECT) on reducing fall and fear of fall in moderately frail older adults: study protocol for a randomised control trial

PubMed Central

2011-01-01

Background Falls are common in frail older adults and often result in injuries and hospitalisation. The Nintendo® Wii™ is an easily available exercise modality in the community which has been shown to improve lower limb strength and balance. However, not much is known on the effectiveness of the Nintendo® Wii™ to improve fall efficacy and reduce falls in a moderately frail older adult. Fall efficacy is the measure of fear of falling in performing various daily activities. Fear contributes to avoidance of activities and functional decline. Methods This randomised active-control trial is a comparison between the Nintendo WiiActive programme against standard gym-based rehabilitation of the older population. Eighty subjects aged above 60, fallers and non-fallers, will be recruited from the hospital outpatient clinic. The primary outcome measure is the Modified Falls Efficacy Scale and the secondary outcome measures are self-reported falls, quadriceps strength, walking agility, dynamic balance and quality of life assessments. Discussions The study is the first randomised control trial using the Nintendo Wii as a rehabilitation modality investigating a change in fall efficacy and self-reported falls. Longitudinally, the study will investigate if the interventions can successfully reduce falls and analyse the cost-effectiveness of the programme. Trial registration Australia and New Zealand Clinical Trials Register (ANZCTR): ACTRN12610000576022 PMID:21682909

Association of Hearing Impairment With Incident Frailty and Falls in Older Adults

PubMed Central

Kamil, Rebecca J.; Betz, Joshua; Powers, Becky Brott; Pratt, Sheila; Kritchevsky, Stephen; Ayonayon, Hilsa N.; Harris, Tammy B.; Helzner, Elizabeth; Deal, Jennifer A.; Martin, Kathryn; Peterson, Matthew; Satterfield, Suzanne; Simonsick, Eleanor M.; Lin, Frank R.

2017-01-01

Objective We aimed to determine whether hearing impairment (HI) in older adults is associated with the development of frailty and falls. Method Longitudinal analysis of observational data from the Health, Aging and Body Composition study of 2,000 participants aged 70 to 79 was conducted. Hearing was defined by the pure-tone-average of hearing thresholds at 0.5, 1, 2, and 4 kHz in the better hearing ear. Frailty was defined as a gait speed of <0.60 m/s and/or inability to rise from a chair without using arms. Falls were assessed annually by self-report. Results Older adults with moderate-or-greater HI had a 63% increased risk of developing frailty (adjusted hazard ratio [HR] = 1.63, 95% confidence interval [CI] = [1.26, 2.12]) compared with normal-hearing individuals. Moderate-or-greater HI was significantly associated with a greater annual percent increase in odds of falling over time (9.7%, 95% CI = [7.0, 12.4] compared with normal hearing, 4.4%, 95% CI = [2.6, 6.2]). Discussion HI is independently associated with the risk of frailty in older adults and with greater odds of falling over time. PMID:26438083

Relationship between the use of benzodiazepines and falls in older adults: A systematic review.

PubMed

Díaz-Gutiérrez, Mª José; Martínez-Cengotitabengoa, Mónica; Sáez de Adana, Estíbaliz; Cano, Ana Isabel; Martínez-Cengotitabengoa, Maria Teresa; Besga, Ariadna; Segarra, Rafael; González-Pinto, Ana

2017-07-01

Falls in the elderly represent a major health problem. The etiology of falls is usually multifactorial. Special attention should be paid on benzodiazepines (BZDs) since they are widely used by older adults. A literature search of the PUBMED and EMBASE databases from January 2007 to February 2017 was conducted using the MeSH terms "benzodiazepines", "elderly" and "falls" or "accidental falls". The systematic review was performed according to PRISMA criteria. Of the 27 references selected for full reading from 235 found, 15 were eliminated and 12 papers were selected for systematic review. Exposure to BZDs was associated with a higher risk of falls in older adults, which is consistent with the results reported in the literature and previous reviews and meta-analyses. BZDs increase the risk of falling when used either as monotherapy or in combined therapies. It is preferable to use short-acting BZDs, to avoid cumulative effects over time predisposing to falls. A high proportion of falls in older adults are related to the use of BZDs. They should be prescribed to older patients in accordance with current clinical guidelines and reviewed over time. BZDs should be prescribed as a short-term therapy and progressively withdrawn. Short-acting BZDs should be the treatment of choice. Copyright © 2017 Elsevier B.V. All rights reserved.

Association between physiological falls risk and physical performance tests among community-dwelling older adults

PubMed Central

Singh, Devinder KA; Pillai, Sharmila GK; Tan, Sin Thien; Tai, Chu Chiau; Shahar, Suzana

2015-01-01

Background Physical performance and balance declines with aging and may lead to increased risk of falls. Physical performance tests may be useful for initial fall-risk screening test among community-dwelling older adults. Physiological profile assessment (PPA), a composite falls risk assessment tool is reported to have 75% accuracy to screen for physiological falls risk. PPA correlates with Timed Up and Go (TUG) test. However, the association between many other commonly used physical performance tests and PPA is not known. The aim of the present study was to examine the association between physiological falls risk measured using PPA and a battery of physical performance tests. Methods One hundred and forty older adults from a senior citizens club in Kuala Lumpur, Malaysia (94 females, 46 males), aged 60 years and above (65.77±4.61), participated in this cross-sectional study. Participants were screened for falls risk using PPA. A battery of physical performance tests that include ten-step test (TST), short physical performance battery (SPPB), functional reach test (FRT), static balance test (SBT), TUG, dominant hand-grip strength (DHGS), and gait speed test (GST) were also performed. Spearman’s rank correlation and binomial logistic regression were performed to examine the significantly associated independent variables (physical performance tests) with falls risk (dependent variable). Results Approximately 13% older adults were at high risk of falls categorized using PPA. Significant differences (P<0.05) were demonstrated for age, TST, SPPB, FRT, SBT, TUG between high and low falls risk group. A significant (P<0.01) weak correlation was found between PPA and TST (r=0.25), TUG (r=0.27), SBT (r=0.23), SPPB (r=−0.33), and FRT (r=−0.23). Binary logistic regression results demonstrated that SBT measuring postural sways objectively using a balance board was the only significant predictor of physiological falls risk (P<0.05, odds ratio of 2.12). Conclusion The

Association between physiological falls risk and physical performance tests among community-dwelling older adults.

PubMed

Singh, Devinder K A; Pillai, Sharmila G K; Tan, Sin Thien; Tai, Chu Chiau; Shahar, Suzana

2015-01-01

Physical performance and balance declines with aging and may lead to increased risk of falls. Physical performance tests may be useful for initial fall-risk screening test among community-dwelling older adults. Physiological profile assessment (PPA), a composite falls risk assessment tool is reported to have 75% accuracy to screen for physiological falls risk. PPA correlates with Timed Up and Go (TUG) test. However, the association between many other commonly used physical performance tests and PPA is not known. The aim of the present study was to examine the association between physiological falls risk measured using PPA and a battery of physical performance tests. One hundred and forty older adults from a senior citizens club in Kuala Lumpur, Malaysia (94 females, 46 males), aged 60 years and above (65.77±4.61), participated in this cross-sectional study. Participants were screened for falls risk using PPA. A battery of physical performance tests that include ten-step test (TST), short physical performance battery (SPPB), functional reach test (FRT), static balance test (SBT), TUG, dominant hand-grip strength (DHGS), and gait speed test (GST) were also performed. Spearman's rank correlation and binomial logistic regression were performed to examine the significantly associated independent variables (physical performance tests) with falls risk (dependent variable). Approximately 13% older adults were at high risk of falls categorized using PPA. Significant differences (P<0.05) were demonstrated for age, TST, SPPB, FRT, SBT, TUG between high and low falls risk group. A significant (P<0.01) weak correlation was found between PPA and TST (r=0.25), TUG (r=0.27), SBT (r=0.23), SPPB (r=-0.33), and FRT (r=-0.23). Binary logistic regression results demonstrated that SBT measuring postural sways objectively using a balance board was the only significant predictor of physiological falls risk (P<0.05, odds ratio of 2.12). The reference values of physical performance tests

Walking-Induced Fatigue Leads to Increased Falls Risk in Older Adults.

PubMed

Morrison, Steven; Colberg, Sheri R; Parson, Henri K; Neumann, Serina; Handel, Richard; Vinik, Etta J; Paulson, James; Vinik, Arthur I

2016-05-01

For older adults, falls are a serious health problem, with more than 30% of people older than 65 suffering a fall at least once a year. One element often overlooked in the assessment of falls is whether a person's balance, walking ability, and overall falls risk is affected by performing activities of daily living such as walking. This study assessed the immediate impact of incline walking at a moderate pace on falls risk, leg strength, reaction time, gait, and balance in 75 healthy adults from 30 to 79 years of age. Subjects were subdivided into 5 equal groups based on their age (group 1, 30-39 years; group 2, 40-49 years; group 3, 50-59 years; group 4, 60-69 years; group 5, 70-79 years). Each person's falls risk (using the Physiological Profile Assessment), simple reaction time, leg strength, walking ability, and standing balance were assessed before and after a period of incline walking on an automated treadmill. The walking task consisted of three 5-minute trials at a faster than preferred pace. Fatigue during walking was elicited by increasing the treadmill incline in increments of 2° (from level) every minute to a maximum of 8°. As predicted, significant age-related differences were observed before the walking activity. In general, increasing age was associated with declines in gait speed, lower limb strength, slower reaction times, and increases in overall falls risk. Following the treadmill task, older adults exhibited increased sway (path length 60-69 years; 10.2 ± 0.7 to 12.1 ± 0.7 cm: 70-79 years; 12.8 ± 1.1 to 15.1 ± 0.8 cm), slower reaction times (70-79 years; 256 ± 6 to 287 ± 8 ms), and declines in lower limb strength (60-69 years; 36 ± 2 to 31 ± 1 kg: 70-79 years; 32.3 ± 2 to 27 ± 1 kg). However, a significant increase in overall falls risk (pre; 0.51 ± 0.17: post; 1.01 ± 0.18) was only seen in the oldest group (70-79 years). For all other persons (30-69 years), changes resulting from the

Body mass index, falls, and injurious falls among U.S. adults: Findings from the 2014 Behavioral Risk Factor Surveillance System.

PubMed

Ylitalo, Kelly R; Karvonen-Gutierrez, Carrie A

2016-10-01

Falls are an important health concern because they are associated with loss of independence and disability, particularly among women. We determined the age- and sex-specific prevalence of injurious falls among adults in the United States and examined the impact of obesity on fall risk. Self-reported falls, injurious falls, and health histories were obtained from 280,035 adults aged 45-79years in the 2014 Behavioral Risk Factor Surveillance System. Body mass index was categorized as underweight (<18.5kg/m 2 ), normal weight (18.5-24.9kg/m 2 ), overweight 25-29.9kg/m 2 ), class I obesity (30.0-34.9kg/m 2 ), or class II/III obesity (≥35.0kg/m 2 ) based on self-reported height and weight. Data were analyzed using weighted age- and sex-specific prevalence rates and Poisson regression. Overall, 11.0% reported ≥1 injurious fall in the previous 12months. Mid-life women 55-59years reported the highest prevalence of injurious falls (15.4%). Among mid-life women, overweight was associated with injurious falls (RR=1.17; 95% CI: 1.08, 1.28), but overweight was not associated with falling among other age-sex groups. Class II/III obesity was associated with injurious falls among all age-sex groups. After considering the mediators like health conditions (depression, cardiovascular disease, diabetes, arthritis) and behaviors (physical activity, sleep), the association of class II/III obesity and injurious fall risk persisted only among mid-life women (RR=1.23; 95% CI: 1.12, 1.36). Not only are mid-life women at high risk for falls, but the class II/III obesity is a risk factor for injurious falls. Targeting mid-life women for fall and injury prevention is an important aim for practitioners, particularly given unique correlates of falling for this group. Copyright © 2016 Elsevier Inc. All rights reserved.

Investigations into the Early Life-history of Naturally Produced Spring Chinook Salmon and Summer Steelhead in the Grande Ronde River Basin, Annual Report 2001.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Reischauer, Alyssa; Monzyk, Frederick; Van Dyke, Erick

2003-06-01

We determined migration timing and abundance of juvenile spring chinook salmon Oncorhynchus tshawytscha and juvenile steelhead/rainbow trout Oncorhynchus mykiss using rotary screw traps on four streams in the Grande Ronde River basin during the 2001 migratory year (MY 2001) from 1 July 2000 through 30 June 2001. Based on migration timing and abundance, two distinct life-history strategies of juvenile spring chinook and O. mykiss could be distinguished. An 'early' migrant group left upper rearing areas from 1 July 2000 through 29 January 2001 with a peak in the fall. A 'late' migrant group descended from upper rearing areas from 30more » January 2001 through 30 June 2001 with a peak in the spring. The migrant population of juvenile spring chinook salmon in the upper Grande Ronde River in MY 2001 was very low in comparison to previous migratory years. We estimated 51 juvenile spring chinook migrated out of upper rearing areas with approximately 12% of the migrant population leaving as early migrants to overwinter downstream. In the same migratory year, we estimated 16,067 O. mykiss migrants left upper rearing areas with approximately 4% of these fish descending the upper Grande Ronde River as early migrants. At the Catherine Creek trap, we estimated 21,937 juvenile spring chinook migrants in MY 2001. Of these migrants, 87% left upper rearing areas early to overwinter downstream. We also estimated 20,586 O. mykiss migrants in Catherine Creek with 44% leaving upper rearing areas early to overwinter downstream. At the Lostine River trap, we estimated 13,610 juvenile spring chinook migrated out of upper rearing areas with approximately 77% migrating early. We estimated 16,690 O. mykiss migrated out of the Lostine River with approximately 46% descending the river as early migrants. At the Minam River trap, we estimated 28,209 juvenile spring chinook migrated out of the river with 36% migrating early. During the same period, we estimated 28,113 O. mykiss with

Fall Detection Devices and their Use with Older Adults: A Systematic Review

PubMed Central

Chaudhuri, Shomir; Thompson, Hilaire; Demiris, George

2013-01-01

Background Falls represent a significant threat to the health and independence of adults 65 years of age and older. As a wide variety and large amount of passive monitoring systems are currently and increasingly available to detect when an individual has fallen, there is a need to analyze and synthesize the evidence regarding their ability to accurately detect falls to determine which systems are most effective. Objectives The purpose of this literature review is to systematically assess the current state of design and implementation of fall detection devices. This review also examines the extent to which these devices have been tested in the real world as well as the acceptability of these devices to older adults. Data sources A systematic literature review was conducted in PubMed, CINAHL, EMBASE and PsycINFO from their respective inception dates to June 25, 2013. Study Eligibility Criteria and Interventions Articles were included if they discussed a project or multiple projects involving a system with the purpose of detecting a fall in adults. It was not a requirement for inclusion in this review that the system targets persons over the age of 65. Articles were excluded if they were not written in English or if they looked at fall risk, fall detection in children, fall prevention or a Personal Emergency Response device. Study appraisal and synthesis methods Studies were initially divided into those using sensitivity, specificity or accuracy in their evaluation methods, and those using other methods to evaluate their devices. Studies were further classified into wearable devices and non-wearable devices. Studies were appraised for inclusion of older adults in sample and if evaluation included real world settings. Results This review identified 57 projects that used wearable systems and 35 projects using non-wearable systems, regardless of evaluation technique. Non-wearable systems included cameras, motion sensors, microphones and floor sensors. Of the projects

Walking can be more effective than balance training in fall prevention among community-dwelling older adults.

PubMed

Okubo, Yoshiro; Osuka, Yosuke; Jung, Songee; Rafael, Figueroa; Tsujimoto, Takehiko; Aiba, Tatsuya; Kim, Teaho; Tanaka, Kiyoji

2016-01-01

To examine the effects of walking on falls among community-dwelling older adults while accounting for exposures. A total of 90 older adults, ranging in age from 65 to 79 years, were allocated into either the walking (brisk walking, n = 50) or the balance (balance and strength training, n = 40) group to participate in a 3-month supervised and 13-month unsupervised fall-prevention program held from 2012 to 2014 in Japan. Falls and trips that occurred during the 16-month period were monitored with a monthly fall calendar. The risk of falls and trips was evaluated by person-year, physically active person-day and person-step. The walking group showed a significant reduction in the fall risk when evaluated by the falls per physically active person-day (rate ratio 0.38, 95% confidence interval 0.19-0.77) and falls per person-step (rate ratio 0.47, 95% confidence interval 0.26-0.85) compared with the balance group. In contrast, the number of trips significantly increased with walking, even when evaluated as trips per physically active person-day (rate ratio 1.50, 95% confidence interval 1.12-2.00). The present findings suggest that walking among community-dwelling older adults can be more effective for fall prevention than balance training. However, because walking can induce more trips, walking should not be recommended for older adults who are susceptible to falling or frailty. © 2015 Japan Geriatrics Society.

Prevalence of and factors associated with head impact during falls in older adults in long-term care.

PubMed

Schonnop, Rebecca; Yang, Yijian; Feldman, Fabio; Robinson, Erin; Loughin, Marie; Robinovitch, Stephen N

2013-11-19

Falls cause more than 60% of head injuries in older adults. Lack of objective evidence on the circumstances of these events is a barrier to prevention. We analyzed video footage to determine the frequency of and risk factors for head impact during falls in older adults in 2 long-term care facilities. Over 39 months, we captured on video 227 falls involving 133 residents. We used a validated questionnaire to analyze the mechanisms of each fall. We then examined whether the probability for head impact was associated with upper-limb protective responses (hand impact) and fall direction. Head impact occurred in 37% of falls, usually onto a vinyl or linoleum floor. Hand impact occurred in 74% of falls but had no significant effect on the probability of head impact (p = 0.3). An increased probability of head impact was associated with a forward initial fall direction, compared with backward falls (odds ratio [OR] 2.7, 95% confidence interval [CI] 1.3-5.9) or sideways falls (OR 2.8, 95% CI 1.2-6.3). In 36% of sideways falls, residents rotated to land backwards, which reduced the probability of head impact (OR 0.2, 95% CI 0.04-0.8). Head impact was common in observed falls in older adults living in long-term care facilities, particularly in forward falls. Backward rotation during descent appeared to be protective, but hand impact was not. Attention to upper-limb strength and teaching rotational falling techniques (as in martial arts training) may reduce fall-related head injuries in older adults.

The Chief Joseph Hatchery Program 2013 Annual Report

USGS Publications Warehouse

Baldwin, Casey; Pearl, Andrea; Laramie, Matthew; Rohrback, John; Phillips, Pat; Wolf, Keith

2016-01-01

The Chief Joseph Hatchery is the fourth hatchery obligated under the Grand Coulee Dam/Dry Falls project, originating in the 1940s. Leavenworth, Entiat, and Winthrop National Fish Hatcheries were built and operated as mitigation for salmon blockage at Grand Coulee Dam, but the fourth hatchery was not built, and the obligation was nearly forgotten. After the Colville Tribes successfully collaborated with the United States to resurrect the project, planning of the hatchery began in 2001 and construction was completed in 2013. The monitoring program began in 2012 and adult Chinook Salmon were brought on station for the first time in June 2013. BPA is the primary funding source for CJH, and the Mid-Columbia PUDs (Douglas, Grant and Chelan County) have entered into cost-share agreements with the tribes and BPA in order to meet some of their mitigation obligations. The CJH production level was set at 60% in 2013 in order to train staff and test hatchery facility systems during the first year of operation. Leavenworth National Fish Hatchery (LNFH) provided 422 Spring Chinook broodstock in June, 2013; representing the official beginning of CJH operations. In July and August the CCT used a purse seine vessel to collect 814 summer/fall Chinook as broodstock that were a continuation and expansion of the previous Similkameen Pond program. In-hatchery survival for most life stages exceeded survival targets and, as of April 2014, the program was on track to exceed the 60% production target for its start-up year. The CJH monitoring project collected field data to determine Chinook population status, trend, and hatchery effectiveness centered on five major activities; 1) rotary screw traps (juvenile outmigration, natural-origin smolt PIT tagging) 2) beach seine (naturalorigin smolt PIT tagging) 3) lower Okanogan adult fish pilot weir (adult escapement, proportion of hatchery-origin spawners [pHOS], broodstock) 4) spawning ground surveys (redd and carcass surveys)(viable salmonid

Savings in acute care costs if all older adults treated for fall-related injuries completed matter of balance.

PubMed

Howland, Jonathan; Shankar, Kalpana Narayan; Peterson, Elizabeth W; Taylor, Alyssa A

Falls among older adults are a common and serious public health problem. Evidence-based fall prevention programs delivered in community settings and targeting older adults living independently are increasingly deployed throughout the nation. These programs tend to be offered by public and private organizations that serve older adults, and recruitment usually occurs through direct marketing to the target population, rather than through referrals from healthcare providers. Matter of Balance , a program developed to reduce fear of falling and associated activity restriction in community-dwelling older adults, is currently being delivered in 38 of the 50 United States. In this study, we estimate the one-year medical care cost savings if older adults treated at Massachusetts hospitals for fall-related injuries were referred by healthcare providers to participate in Matter of Balance . Data from several sources were used for this study. We estimated annual cost savings in older adult falls recidivism for a hypothetical 100 patients presenting at an emergency department for a fall-related injury, assuming that all were referred to, and 50 % completed, Matter of Balance . This cost-saving estimate was subsequently expanded based on the actual number (43,931) of older adult patients presenting at, and discharged from Massachusetts emergency departments for all fall-related injuries in 2012. Cost savings were calculated for two additional participation rates: 25 % and 75 %. The return on investment (ROI), was calculated based on the percentage of return per each dollar invested. The calculated ROI for Matter of Balance was 144 %. Statewide savings ranged from $2.79 million assuming a 25 % participation rate to $8.37 million, assuming a 75 % participation rate. Referral to evidence-based falls prevention programs of older adult patients presenting at EDs with a fall-related injury could reduce subsequent falls and associated treatment costs.

Cause or Effect? Selective Serotonin Reuptake Inhibitors and Falls in Older Adults: A Systematic Review

PubMed Central

Gebara, Marie Anne; Lipsey, Kim L.; Karp, Jordan F.; Nash, Maureen C.; Iaboni, Andrea; Lenze, Eric J.

2014-01-01

A 2012 update of the Beers criteria categorizes selective serotonin reuptake inhibitors (SSRIs) as potentially inappropriate medications in all older adults based on fall risk. The application of these recommendations, not only to frail nursing home residents, but also to all older adults, may lead to changes in health policy or clinical practice with harmful consequences. A systematic review of studies on the association between SSRIs and falls in older adults was conducted to examine the evidence for causation. Twenty-six studies met the inclusion criteria. The majority of studies were observational and suggest an association between SSRIs and falls. The direction of the relationship – causation or effect- cannot be discerned from this type of study. Standardized techniques for determining likely causation were then used to see if there was support for the hypothesis that SSRI’s lead to falls. This analysis did not suggest causation was likely. There is no Level 1 evidence that SSRIs cause falls. Therefore, changes in the current treatment guidelines or policies on the use of SSRIs in older adults based on fall risk may not be justified at this time given the lack of an established evidence base. Given its significance to public health, well-designed experimental studies are required to address this question definitively. PMID:25586602

Emigration of Natural and Hatchery Naco x (Chinook salmon; Oncorhynchus tshawytscha) and Heeyey (Steelhead; Oncorhynchus mykiss) Smolts from the Imnaha River, Oregon from 5 October 2006 to 21 June 2007, Annual Report 2007.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Michaels, Brian; Espinosa, Neal

2009-02-18

This report summarizes the Nez Perce Tribe (NPT) Department of Fisheries Resources Management (DFRM) results for the Lower Snake River Compensation Plan (LSRCP) Hatchery Evaluation studies and the Imnaha River Smolt Monitoring Program (SMP) for the 2007 smolt migration from the Imnaha River, Oregon. These studies are closely coordinated and provide information about juvenile natural and hatchery spring/summer Naco x (Chinook Salmon; Oncorhynchus tshawytscha) and Heeyey (steelhead; O. mykiss) biological characteristics, emigrant timing, survival, arrival timing and travel time to the Snake River dams and McNary Dam (MCD) on the Columbia River. These studies provide information on listed Naco xmore » (Chinook salmon) and Heeyey (steelhead) for the Federal Columbia River Power System (FCRPS) Biological Opinion (NMFS 2000). The Lower Snake River Compensation Plan program's goal is to maintain a hatchery production program of 490,000 Naco x (Chinook salmon) and 330,000 Heeyey (steelhead) for annual release in the Imnaha River (Carmichael et al. 1998, Whitesel et al. 1998). These hatchery releases occur to compensate for fish losses due to the construction and operation of the four lower Snake River hydroelectric facilities. One of the aspects of the LSRCP hatchery evaluation studies in the Imnaha River is to determine natural and hatchery Naco x (Chinook salmon) and Heeyey (steelhead) smolt performance, emigration characteristics and survival (Kucera and Blenden 1998). A long term monitoring effort was established to document smolt emigrant timing and post release survival within the Imnaha River, estimate smolt survival downstream to McNary Dam, compare natural and hatchery smolt performance, and collect smolt-to-adult return information. This project collects information for, and is part of, a larger effort entitled Smolt Monitoring by Federal and Non-Federal Agencies (BPA Project No. 198712700). This larger project provides data on movement of smolts out of major

Effect of Exercise and Cognitive Training on Falls and Fall-Related Factors in Older Adults With Mild Cognitive Impairment: A Systematic Review.

PubMed

Lipardo, Donald S; Aseron, Anne Marie C; Kwan, Marcella M; Tsang, William W

2017-10-01

To evaluate the effect of exercise and cognitive training on falls reduction and on factors known to be associated with falls among community-dwelling older adults with mild cognitive impairment (MCI). Seven databases (PubMed, CINAHL, Cochrane Library, Web of Science, ProQuest, ProQuest Dissertations and Theses, Digital Dissertation Consortium) and reference lists of pertinent articles were searched. Randomized controlled trials (RCTs) on the effect of exercise, cognitive training, or a combination of both on falls and factors associated with falls such as balance, lower limb muscle strength, gait, and cognitive function among community-dwelling older adults with MCI were included. Data were extracted using the modified Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) tool. Study quality was assessed using the JBI-MAStARI appraisal instrument. Seventeen RCTs (1679 participants; mean age ± SD, 74.4±2.4y) were included. Exercise improved gait speed and global cognitive function in MCI; both are known factors associated with falls. Cognitive training alone had no significant effect on cognitive function, while combined exercise and cognitive training improved balance in MCI. Neither fall rate nor the number of fallers was reported in any of the studies included. This review suggests that exercise, and combined exercise and cognitive training improve specific factors associated with falls such as gait speed, cognitive function, and balance in MCI. Further research on the direct effect of exercise and cognitive training on the fall rate and incidence in older adults with MCI with larger sample sizes is highly recommended. Copyright © 2017 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Falling Down on the Job: Evaluation and Treatment of Fall Risk Among Older Adults With Upper Extremity Fragility Fractures.

PubMed

McDonough, Christine M; Colla, Carrie H; Carmichael, Donald; Tosteson, Anna N A; Tosteson, Tor D; Bell, John-Erik; Cantu, Robert V; Lurie, Jonathan D; Bynum, Julie P W

2017-03-01

Clinical practice guidelines recommend fall risk assessment and intervention for older adults who sustain a fall-related injury to prevent future injury and mobility decline. The aim of this study was to describe how often Medicare beneficiaries with upper extremity fracture receive evaluation and treatment for fall risk. Observational cohort. Participants were fee-for-service beneficiaries age 66 to 99 treated as outpatients for proximal humerus or distal radius/ulna ("wrist") fragility fractures. -Participants were studied using Carrier and Outpatient Hospital files. The proportion of patients evaluated or treated for fall risk up to 6 months after proximal humerus or wrist fracture from 2007-2009 was examined based on evaluation, treatment, and diagnosis codes. Time to evaluation and number of treatment sessions were calculated. Logistic regression was used to analyze patient characteristics that predicted receiving evaluation or treatment. Narrow (gait training) and broad (gait training or therapeutic exercise) definitions of service were used. There were 309,947 beneficiaries who sustained proximal humerus (32%) or wrist fracture (68%); 10.7% received evaluation or treatment for fall risk or gait issues (humerus: 14.2%; wrist: 9.0%). Using the broader definition, the percentage increased to 18.5% (humerus: 23.4%; wrist: 16.3%). Factors associated with higher likelihood of services after fracture were: evaluation or treatment for falls or gait prior to fracture, more comorbidities, prior nursing home stay, older age, humerus fracture (vs wrist), female sex, and white race. Claims analysis may underestimate physician and physical therapist fall assessments, but it is not likely to qualitatively change the results. A small proportion of older adults with upper extremity fracture received fall risk assessment and treatment. Providers and health systems must advance efforts to provide timely evidence-based management of fall risk in this population. © 2017

Falling Down on the Job: Evaluation and Treatment of Fall Risk Among Older Adults With Upper Extremity Fragility Fractures

PubMed Central

Colla, Carrie H.; Carmichael, Donald; Tosteson, Anna N. A.; Tosteson, Tor D.; Bell, John-Erik; Cantu, Robert V.; Lurie, Jonathan D.; Bynum, Julie P. W.

2017-01-01

Abstract Background: Clinical practice guidelines recommend fall risk assessment and intervention for older adults who sustain a fall-related injury to prevent future injury and mobility decline. Objective: The aim of this study was to describe how often Medicare beneficiaries with upper extremity fracture receive evaluation and treatment for fall risk. Design: Observational cohort. Methods: Participants were fee-for-service beneficiaries age 66 to 99 treated as outpatients for proximal humerus or distal radius/ulna (“wrist”) fragility fractures. -Participants were studied using Carrier and Outpatient Hospital files. The proportion of patients evaluated or treated for fall risk up to 6 months after proximal humerus or wrist fracture from 2007–2009 was examined based on evaluation, treatment, and diagnosis codes. Time to evaluation and number of treatment sessions were calculated. Logistic regression was used to analyze patient characteristics that predicted receiving evaluation or treatment. Narrow (gait training) and broad (gait training or therapeutic exercise) definitions of service were used. Results: There were 309,947 beneficiaries who sustained proximal humerus (32%) or wrist fracture (68%); 10.7% received evaluation or treatment for fall risk or gait issues (humerus: 14.2%; wrist: 9.0%). Using the broader definition, the percentage increased to 18.5% (humerus: 23.4%; wrist: 16.3%). Factors associated with higher likelihood of services after fracture were: evaluation or treatment for falls or gait prior to fracture, more comorbidities, prior nursing home stay, older age, humerus fracture (vs wrist), female sex, and white race. Limitations: Claims analysis may underestimate physician and physical therapist fall assessments, but it is not likely to qualitatively change the results. Conclusions: A small proportion of older adults with upper extremity fracture received fall risk assessment and treatment. Providers and health systems must advance efforts to

Behavior and passage of juvenile salmonids during the evaluation of a behavioral guidance structure at Cowlitz Falls Dam, Washington, 2011

USGS Publications Warehouse

Kock, Tobias J.; Liedtke, Theresa L.; Ekstrom, Brian K.; Tomka, Ryan G.; Rondorf, Dennis W.

2012-01-01

Turbine passage was the most common passage route for tagged fish at Cowlitz Falls Dam during 2011. We found that 40 percent of the steelhead, 52 percent of the coho salmon, and 33 percent of the Chinook salmon passed through turbines. An additional 22 percent of the steelhead and 32 percent of the coho salmon passed through turbines or spillways when both passage routes were available. Fish collection numbers were relatively low during 2011 compared to long-term averages. In total, 37 percent of the steelhead, 14 percent of the coho salmon, and 23 percent of the Chinook salmon that entered the forebay were collected, primarily through collection flumes. The FSC collected a single radio-tagged fish (a Chinook salmon) in 2011.

Self-perceived gait stability modulates the effect of daily life gait quality on prospective falls in older adults.

PubMed

Weijer, R H A; Hoozemans, M J M; van Dieën, J H; Pijnappels, M

2018-05-01

Quality of gait during daily life activities and perceived gait stability are both independent risk factors for future falls in older adults. We investigated whether perceived gait stability modulates the association between gait quality and falling in older adults. 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. To quantify perceived gait stability, the level of concern about falling was assessed using the Falls Efficacy Scale international (FES-I) questionnaire and step length, estimated from the accelerometer data. A fall calendar was used to record fall incidence during a six-month follow up period. Logistic regression analyses were performed to study the association between falling and SE, step length or FES-I score, and their interactions. High (i.e., poor) SE in vertical direction was significantly associated with falling. FES-I scores significantly modulated this association, whereas step length did not. Subgroup analyses based on FES-I scores showed that high SE in the vertical direction was a risk factor for falls only in older adults who had a high (i.e. poor) FES-I score. In conclusion, perceived gait stability modulates the association between gait quality and falls in older adults such that an association between gait quality and falling is only present when perceived gait stability is poor. The results of the present study indicate that the effectiveness of interventions for fall prevention, aimed at improving gait quality, may be affected by a modulating effect of perceived gait stability. Results indicate that interventions to reduce falls in older adults might sort most effectiveness in populations with both a poor physiological and psychological status. Copyright © 2018 Elsevier B.V. All rights reserved.

Comparison of electronarcosis and carbon dioxide sedation effects on travel time in adult Chinook and Coho Salmon

USGS Publications Warehouse

Keep, Shane G; Allen, M. Brady; Zendt, Joseph S

2015-01-01

The immobilization of fish during handling is crucial in avoiding injury to fish and is thought to reduce handling stress. Chemical sedatives have been a primary choice for fish immobilization. However, most chemical sedatives accumulate in tissues, and often food fishes must be held until accumulations degrade to levels safe for human consumption. Historically, there have been few options for nonchemical sedation. Carbon dioxide (CO2) has been widely used for decades as a sedative, and while it does not require a degradation period, it does have drawbacks. The use of electronarcosis is another nonchemical option that does not require degradation time. However, little is known about the latent and delayed effects on migration rates of adult salmonids that have been immobilized with electricity. We compared the travel times of adult Chinook Salmon Oncorhynchus tshawytscha and Coho Salmon O. kisutch through a fishway at river kilometer (rkm) 4, and to rkm 16 and rkm 32 after being immobilized with either CO2 or electronarcosis. Travel times of fish treated with either CO2 or electronarcosis were similar within species. Because of the nearly instantaneous induction of and recovery from electronarcosis, we recommend it as an alternative to CO2 for handling large adult salmonids.

Gardening as a potential activity to reduce falls in older adults.

PubMed

Chen, Tuo-Yu; Janke, Megan C

2012-01-01

This study examines whether participation in gardening predicts reduced fall risk and performance on balance and gait-speed measures in older adults. Data on adults age 65 and older (N = 3,237) from the Health and Retirement Study and Consumption and Activities Mail Survey were analyzed. Participants who spent 1 hr or more gardening in the past week were defined as gardeners, resulting in a total of 1,585 gardeners and 1,652 nongardeners. Independent t tests, chi square, and regression analyses were conducted to examine the relationship between gardening and health outcomes. Findings indicate that gardeners reported significantly better balance and gait speed and had fewer chronic conditions and functional limitations than nongardeners. Significantly fewer gardeners than nongardeners reported a fall in the past 2 yr. The findings suggest that gardening may be a potential activity to incorporate into future fall-prevention programs.

Patterns of alcohol consumption and risk of falls in older adults: a prospective cohort study.

PubMed

Ortolá, R; García-Esquinas, E; Galán, I; Guallar-Castillón, P; López-García, E; Banegas, J R; Rodríguez-Artalejo, F

2017-11-01

Falls are a major health problem in older adults, but their relationship with alcohol consumption in this population remains unclear. In a cohort with 2170 older adults followed up for 3.3 years, both moderate drinking and the Mediterranean drinking pattern were associated with a lower risk of falls and injurious falls. This study aims to examine the association between certain patterns of alcohol consumption, including the Mediterranean drinking pattern (MDP), and the risk of falls in older adults. A prospective cohort with 2170 community-dwelling individuals aged ≥60 years was recruited in Spain in 2008-2010 and followed up through 2012. At baseline, participants reported alcohol consumption and, at the end of follow-up, their falls during the previous year. The MDP was defined as moderate alcohol consumption (threshold between moderate and heavy intake was 40 g/day for men and 24 g/day for women) with preference for wine and drinking only with meals. Analyses were conducted with negative binomial or logistic regression, as appropriate, and adjusted for the main confounders. Compared with never drinkers, the number of falls was lower in moderate drinkers (incidence rate ratio (95% confidence interval), 0.79 (0.63-0.99)) and drinkers with MDP (0.73 (0.56-0.96)). Also, moderate drinkers and those with MDP showed a lower risk of ≥2 falls (odds ratio (95% confidence interval), 0.58 (0.38-0.88) and 0.56 (0.34-0.93), respectively) and of falls requiring medical care (0.67 (0.46-0.96) and 0.61 (0.39-0.96), respectively). Both moderate drinking and the MDP were associated with a lower risk of falls and injurious falls in older adults. However, sound advice on alcohol consumption should balance risks and benefits.

Prevalence of and factors associated with head impact during falls in older adults in long-term care

PubMed Central

Schonnop, Rebecca; Yang, Yijian; Feldman, Fabio; Robinson, Erin; Loughin, Marie; Robinovitch, Stephen N.

2013-01-01

Background: Falls cause more than 60% of head injuries in older adults. Lack of objective evidence on the circumstances of these events is a barrier to prevention. We analyzed video footage to determine the frequency of and risk factors for head impact during falls in older adults in 2 long-term care facilities. Methods: Over 39 months, we captured on video 227 falls involving 133 residents. We used a validated questionnaire to analyze the mechanisms of each fall. We then examined whether the probability for head impact was associated with upper-limb protective responses (hand impact) and fall direction. Results: Head impact occurred in 37% of falls, usually onto a vinyl or linoleum floor. Hand impact occurred in 74% of falls but had no significant effect on the probability of head impact (p = 0.3). An increased probability of head impact was associated with a forward initial fall direction, compared with backward falls (odds ratio [OR] 2.7, 95% confidence interval [CI] 1.3–5.9) or sideways falls (OR 2.8, 95% CI 1.2–6.3). In 36% of sideways falls, residents rotated to land backwards, which reduced the probability of head impact (OR 0.2, 95% CI 0.04–0.8). Interpretation: Head impact was common in observed falls in older adults living in long-term care facilities, particularly in forward falls. Backward rotation during descent appeared to be protective, but hand impact was not. Attention to upper-limb strength and teaching rotational falling techniques (as in martial arts training) may reduce fall-related head injuries in older adults. PMID:24101612

Effects of falls prevention interventions on falls outcomes for hospitalised adults: protocol for a systematic review with meta-analysis.

PubMed

Slade, Susan C; Carey, David L; Hill, Anne-Marie; Morris, Meg E

2017-11-12

Falls are a major global public health problem and leading cause of accidental or unintentional injury and hospitalisation. Falls in hospital are associated with longer length of stay, readmissions and poor outcomes. Falls prevention is informed by knowledge of reversible falls risk factors and accurate risk identification. The extent to which hospital falls are prevented by evidence-based practice, patient self-management initiatives, environmental modifications and optimisation of falls prevention systems awaits confirmation. Published reviews have mainly evaluated community settings and residential care facilities. A better understanding of hospital falls and the most effective strategies to prevent them is vital to keeping people safe. To evaluate the effectiveness of falls prevention interventions on reducing falls in hospitalised adults (acute and subacute wards, rehabilitation, mental health, operating theatre and emergency departments). We also summarise components of effective falls prevention interventions. This protocol has been registered. The systematic review will be informed by Cochrane guidelines and reported according to the Preferred Reporting Items for Systematic review and Meta-Analysis statement. randomised controlled trials, quasi-randomised trials or controlled clinical trials that evaluate falls prevention interventions for use by hospitalised adults or employees. Electronic databases will be searched using key terms including falls, accidental falls, prevention, hospital, rehabilitation, emergency, mental health, acute and subacute. Pairs of independent reviewers will conduct all review steps. Included studies will be evaluated for risk of bias. Data for variables such as age, participant characteristics, settings and interventions will be extracted and analysed with descriptive statistics and meta-analysis where possible. The results will be presented textually, with flow charts, summary tables, statistical analysis (and meta

Using commercial video games for falls prevention in older adults: the way for the future?

PubMed

Pietrzak, Eva; Cotea, Cristina; Pullman, Stephen

2014-01-01

Falls in older adults are an increasingly costly public health issue. There are many fall prevention strategies that are effective. However, with an increasing population of older people and ever-decreasing availability of health practitioners and health funding, novel modes of intervention are being developed, including those relying on computer technologies.The aim of this article was to review the literature on the use of exergaming to prevent falls in older adult persons living in the community. The Cochrane, Medline, and Embase databases were searched using prespecified search terms. To be included, studies had to investigate the effect of using commercially available consoles and video games on outcome measures such as a decrease in falls, improvements in balance control or gait parameters, decreased fear of falling, and attitude to exercise in older adult persons living in the community. All study designs with the exception of single-person case studies were included. Articles had to be published in peer-reviewed journals in the English language. Nineteen studies fulfilled the inclusion criteria. The following outcomes were observed: (1) using computer-based virtual reality gaming for balance training in older adults was feasible; (2) the majority of studies showed a positive effect of exergaming on balance control; (3) some studies showed a positive effect on balance confidence and gait parameters; (4) the effect was seen across the age and sex spectrum of older adults, including those with and without balance impairment. There is as yet no evidence that using virtual reality games will prevent falls, but there is an indication that their use in balance training may improve balance control, which in turn may lead to falls prevention.

Fall risk assessment among older adults with mild Alzheimer disease.

PubMed

Ryan, John J; McCloy, Constance; Rundquist, Peter; Srinivasan, Visalakshi; Laird, Rosemary

2011-01-01

Older adults with Alzheimer disease (AD) fall more than twice as often as those without dementia, yet few studies have assessed fall risk in this population. The purpose of the study was to determine whether a fall assessment, the Physical Performance Test 7-item (PPT 7-item), could accurately identify subjects with history of falls in a group of community-dwelling elders with mild AD. An additional purpose was to determine whether the PPT 7-item, a cognitive screen, and/or nonperformance data could predict falling in this population. Forty-three community-dwelling elders diagnosed with mild AD completed the fall risk assessment. In addition, the following data were collected: Mini-Mental State Examination (MMSE) score, age, gender, education, gait aid use, number of falls in the past 6 months, and history of fall-related injury. There was a significant difference in the PPT 7-item total score between subjects with history of falls and subjects without history of falls (z = -2.04, P = .042), with items related to turning (z = -2.56, P = .01) and walking (z = -2.89, P = .004) accounting for most of the difference. However, only gait aid usage predicted falling (45.8% of the variance). While the PPT 7-item was able to detect differences in mobility between subjects with history of falls and subjects without history of falls in subjects with mild AD, total PPT 7-item score did not predict falling. Gait aid usage was more strongly related to falling in these subjects. Early detection of fall risk in individuals with mild AD is important to prevent injuries and moderate costs of care.

Changes in fall-related mortality in older adults in Quebec, 1981-2009.

PubMed

Gagné, M; Robitaille, Y; Jean, S; Perron, P-A

2013-09-01

Our purpose was to evaluate changes in fall-related mortality in adults aged 65 years and over in Quebec and to propose a case definition based on all the causes entered on Return of Death forms. The analysis covers deaths between 1981 and 2009 recorded in the Quebec vital statistics data. While the number of fall-related deaths increased between 1981 and 2009, the adjusted falls-related mortality rate remained relatively stable. Since the early 2000s, this stability has masked opposing trends. The mortality rate associated with certified falls (W00-W19) has increased while the rate for presumed falls (exposure to an unspecified factor causing a fracture) has decreased. For fall surveillance, analyses using indicators from the vital statistics data should include both certified falls and presumed falls. In addition, a possible shift in the coding of fall-related deaths toward secondary causes should be taken into account.

A standing posture is associated with increased susceptibility to the sound-induced flash illusion in fall-prone older adults.

PubMed

Stapleton, John; Setti, Annalisa; Doheny, Emer P; Kenny, Rose Anne; Newell, Fiona N

2014-02-01

Recent research has provided evidence suggesting a link between inefficient processing of multisensory information and incidence of falling in older adults. Specifically, Setti et al. (Exp Brain Res 209:375-384, 2011) reported that older adults with a history of falling were more susceptible than their healthy, age-matched counterparts to the sound-induced flash illusion. Here, we investigated whether balance control in fall-prone older adults was directly associated with multisensory integration by testing susceptibility to the illusion under two postural conditions: sitting and standing. Whilst standing, fall-prone older adults had a greater body sway than the age-matched healthy older adults and their body sway increased when presented with the audio-visual illusory but not the audio-visual congruent conditions. We also found an increase in susceptibility to the sound-induced flash illusion during standing relative to sitting for fall-prone older adults only. Importantly, no performance differences were found across groups in either the unisensory or non-illusory multisensory conditions across the two postures. These results suggest an important link between multisensory integration and balance control in older adults and have important implications for understanding why some older adults are prone to falling.

Short stick exercises for fall prevention among older adults: a cluster randomized trial.

PubMed

Yokoi, Katsushi; Yoshimasu, Kouichi; Takemura, Shigeki; Fukumoto, Jin; Kurasawa, Shigeki; Miyashita, Kazuhisa

2015-01-01

To investigate the effects of short stick exercise (SSEs) on fall prevention and improvement of physical function in older adults. A cluster randomized trial was conducted in five residential care facilities. The intervention group (n = 51) practiced SSEs for six months, followed by routine care for six more months. The control group (n = 54) received ordinary care for 12 months. The primary outcome measure was the number of fallers, taking into account the time to first fall using the Kaplan-Meier method. The secondary outcome measures were physical and mental functions. The number of fallers was significantly lower in the intervention group (n = 6) than in the control group (n = 16) during the 12 months. The adjusted hazard ratio for a first fall in the intervention group compared with the control group was 0.15 (CI, 0.03 to 0.74, p = 0.02). The fall-free period was significantly longer in the intervention group than in controls (mean ± SD, 10.1 ± 3.0 versus 9.0 ± 4.1 months, p = 0.027). The functional reach and sit and reach tests were significantly improved at three and six months. The SSEs appeared effective for fall prevention and improvement of physical function in older adults. Implications for Rehabilitation The newly developed short stick exercises appear an effective means of reducing falls among older adults in residential care facilities. The short stick exercises seem to have an immediate effect on improving physical functions. Effects gained by performing the short stick exercises, such as static balance, flexibility and agility may last for six months. The short stick exercises were found to be easy for older adults to practice continuously in residential care facilities.

Childhood and adult mortality from unintentional falls in India

PubMed Central

Jagnoor, Jagnoor; Suraweera, Wilson; Keay, Lisa; Ivers, Rebecca Q; Thakur, JS; Gururaj, Gopalkrishna

2011-01-01

Abstract Objective To estimate fall-related mortality by type of fall in India. Methods The authors analysed unintentional injury data from the ongoing Million Death Study from 2001–2003 using verbal autopsy and coding of all deaths in accordance with the International statistical classification of diseases and related health problems, tenth revision, in a nationally representative sample of 1.1 million homes throughout the country. Findings Falls accounted for 25% (2003/8023) of all deaths from unintentional injury and were the second leading cause of such deaths. An estimated 160 000 fall-related deaths occurred in India in 2005; of these, nearly 20 000 were in children aged 0–14 years. The unintentional-fall-related mortality rate (MR) per 100 000 population was 14.5 (99% confidence interval, CI: 13.7–15.4). Rates were similar for males and females at 14.9 (99% CI: 13.7–16.0) and 14.2 (99% CI: 13.1–15.4) per 100 000 population, respectively. People aged 70 years or older had the highest mortality rate from unintentional falls (MR: 271.2; 99% CI: 249.0–293.5), and the rate was higher among women (MR: 281; 99% CI: 249.7–311.3). Falls on the same level were the most common among older adults, whereas falls from heights were more common in younger age groups. Conclusion In India, unintentional falls are a major public health problem that disproportionately affects older women and children. The contexts in which these falls occur and the resulting morbidity and disability need to be better understood. In India there is an urgent need to develop, test and implement interventions aimed at preventing falls. PMID:22084511

Persistent organic pollutants in chinook salmon (Oncorhynchus tshawytscha): implications for resident killer whales of British Columbia and adjacent waters.

PubMed

Cullon, Donna L; Yunker, Mark B; Alleyne, Carl; Dangerfield, Neil J; O'Neill, Sandra; Whiticar, Michael J; Ross, Peter S

2009-01-01

We measured persistent organic pollutant (POP) concentrations in chinook salmon (Oncorhynchus tshawytscha) in order to characterize dietary exposure in the highly contaminated, salmon-eating northeastern Pacific resident killer whales. We estimate that 97 to 99% of polychlorinated biphenyls (PCBs), polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), dichlorodiphenyltrichloroethane (DDT), and hexachlorocyclohexane (HCH) in returning adult chinook were acquired during their time at sea. Highest POP concentrations (including PCBs, PCDDs, PCDFs, and DDT) and lowest lipids were observed in the more southerly chinook sampled. While feeding by salmon as they enter some more POP-contaminated near-shore environments inevitably contribute to their contamination, relationships observed between POP patterns and both lipid content and delta13C also suggest a migration-related metabolism and loss of the less-chlorinated PCB congeners. This has implications for killer whales, with the more PCB-contaminated salmon stocks in the south partly explaining the 4.0 to 6.6 times higher estimated daily intake for sigmaPCBs in southern resident killer whales compared to northern residents. We hypothesize that the lower lipid content of southerly chinook stocks may cause southern resident killer whales to increase their salmon consumption by as much as 50%, which would further increase their exposure to POPs.

Examining the relationship between specific cognitive processes and falls risk in older adults: a systematic review

PubMed Central

Hsu, Chun Liang; Nagamatsu, Lindsay S.; Davis, Jennifer C.; Liu-Ambrose, Teresa

2015-01-01

Purpose Recent evidence suggests that impaired cognition increases seniors’ risk of falling. The purpose of this review was to identify the cognitive domains that are significantly associated with falls or falls risk in older adults. Methods We conducted a systematic review of peer-reviewed journal articles published from 1948 to present, focusing on studies investigating different domains of cognitive function and their association with falls or falls risk in adults aged 60 years or older. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we completed a comprehensive search of MEDLINE, Pubmed, and EMBASE databases to identify studies examining the association between cognitive function and falls or falls risk. With an expert in the field, we developed a quality assessment questionnaire to rate the quality of the studies included in this systematic review. Results Twenty-five studies were included in the review. We categorized studies based on two related but distinct cognitive domains: 1) executive functions, or 2) dual-task ability. Twelve studies reported a significant association between executive functions and falls risk. Thirteen studies reported that dual-task performance is a predictor of falls or falls risk in older adults. Three studies did not report an association between cognition and falls risk. Conclusion Consistent evidence demonstrated that executive functions and dual-task performance were highly associated with falls or falls risk. The results from this review will aid healthcare professionals and researchers in developing innovative screening and treatment strategies for mitigating falls risk by targeting specific cognitive domains. PMID:22638707

Effects of an Evidence-Based Falls Risk-Reduction Program on Physical Activity and Falls Efficacy among Oldest-Old Adults.

PubMed

Cho, Jinmyoung; Smith, Matthew Lee; Ahn, SangNam; Kim, Keonyeop; Appiah, Bernard; Ory, Marcia G

2014-01-01

The current study was designed to examine changes in falls efficacy and physical activities among oldest-old and young-old participants in a falls risk-reduction program called a matter of balance/volunteer lay leader model. An oldest-old group (aged 85 years and older; n = 260) and a young-old group (aged between 65 and 84 years old; n = 1,139) in Texas with both baseline and post-intervention measures were included. Changes in Falls Efficacy Scale scores and weekly physical activity levels were examined from baseline to post-intervention. Repeated measures analysis of covariance were employed to assess program effects on falls efficacy. Results showed significant changes in falls efficacy from baseline to post-intervention, as well as a significant interaction effect between time (baseline and post-intervention) and physical activity on falls efficacy. Findings from this study imply the effectiveness of evidence-based programs for increasing falls efficacy in oldest-old participants. Future implications for enhancing physical activities and reducing fear of falling for oldest-old adults are discussed.

Falls among Older Adults: Public Health Impact and Prevention Strategies.

ERIC Educational Resources Information Center

Stevens, Judy A.

2003-01-01

Provides an overview of the epidemiology of falls among older adults, describes current prevention strategies, and highlights key areas that need to be addressed, including risk assessments, exercise, and environmental changes. (Contains 50 references.) (JOW)

Fall Risk Assessment Predicts Fall-Related Injury, Hip Fracture, and Head Injury in Older Adults.

PubMed

Nilsson, Martin; Eriksson, Joel; Larsson, Berit; Odén, Anders; Johansson, Helena; Lorentzon, Mattias

2016-11-01

To investigate the role of a fall risk assessment, using the Downton Fall Risk Index (DFRI), in predicting fall-related injury, fall-related head injury and hip fracture, and death, in a large cohort of older women and men residing in Sweden. Cross sectional observational study. Sweden. Older adults (mean age 82.4 ± 7.8) who had a fall risk assessment using the DFRI at baseline (N = 128,596). Information on all fall-related injuries, all fall-related head injuries and hip fractures, and all-cause mortality was collected from the Swedish Patient Register and Cause of Death Register. The predictive role of DFRI was calculated using Poisson regression models with age, sex, height, weight, and comorbidities as covariates, taking time to outcome or end of study into account. During a median follow-up of 253 days (interquartile range 90-402 days) (>80,000 patient-years), 15,299 participants had a fall-related injury, 2,864 a head injury, and 2,557 a hip fracture, and 23,307 died. High fall risk (DFRI ≥3) independently predicted fall-related injury (hazard ratio (HR) = 1.43, 95% confidence interval (CI) = 1.39-1.49), hip fracture (HR = 1.51, 95% CI =1.38-1.66), head injury (HR = 1.12, 95% CI = 1.03-1.22), and all-cause mortality (HR = 1.39, 95% CI = 1.35-1.43). DFRI more strongly predicted head injury (HR = 1.29, 95% CI = 1.21-1.36 vs HR = 1.08, 95% CI = 1.04-1.11) and hip fracture (HR = 1.41, 95% CI = 1.30-1.53 vs HR = 1.08, 95% CI = 1.05-1.11) in 70-year old men than in 90-year old women (P < .001). Fall risk assessment using DFRI independently predicts fall-related injury, fall-related head injury and hip fracture, and all-cause mortality in older men and women, indicating its clinical usefulness to identify individuals who would benefit from interventions. © 2016 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society.

Inpatient falls in older adults: a cohort study of antihypertensive prescribing pre- and post-fall.

PubMed

Omer, H M R B; Hodson, J; Pontefract, S K; Martin, U

2018-02-23

Falls are common during hospital admissions and may occur more frequently in patients who are taking antihypertensive medications, particularly in the context of normal to low blood pressure. The review and adjustment of these medications is an essential aspect of the post-fall assessment and should take place as soon as possible after the fall. Our aim was to investigate whether appropriate post-fall adjustments of antihypertensive medications are routinely made in a large National Health Service (NHS) Trust. Inpatient records over an eight-month period were captured from an electronic prescribing system to identify older adults (≥80 years old) with normal/low blood pressures (< 140 mmHg systolic) who had a documented inpatient fall as these patients were considered to be at high risk of further falls. Prescribed antihypertensive medication on admission was then compared with the post-fall (within 24 h after the fall) and discharge prescriptions. A total of 146 patients were included in the analysis. Of those, 120 patients (82%) were taking the same number of antihypertensive medications in the 24 h after the fall as they were before; only 19 patients (13%) had a reduction in the number of medications and seven patients (5%) had an increase in medications during that period. Only 9% of the antihypertensive classes assessed were either stopped or reduced in dose immediately post-fall. In addition, 11 new antihypertensives were prescribed at this time. At discharge, half of the patients (n = 73) remained on the same number of antihypertensive medication as on admission, 51 patients (35%) were on fewer antihypertensives and 22 (15%) were on more. Additionally, no changes were made to individual antihypertensives in 49% of prescriptions; 34% were stopped or reduced in dose but 38 new agents were started by the time of discharge. Angiotensin converting enzyme inhibitors and angiotensin II receptor blockers (ACEi/ARB) were the class of medications most

Evaluation of Head-of-Reservoir Conditions for Downstream Migration of Juvenile Chinook Salmon and Steelhead at Shasta Lake, California

NASA Astrophysics Data System (ADS)

Clancey, K. M.; Saito, L.; Svoboda, C.; Bender, M. D.; Hannon, J.; Hellmann, K. M.

2015-12-01

Since completion of Shasta Dam, migration of Chinook salmon and steelhead trout in the Sacramento River has been blocked, causing loss of spawning and rearing habitat. This has been a factor leading to population declines of these fish species over several decades. Winter-run Chinook salmon, spring-run Chinook salmon and steelhead trout are now listed under the Endangered Species Act. A habitat assessment of the tributaries upstream of Shasta Dam showed that the Sacramento and McCloud tributaries have suitable habitat for reintroduction of adult salmon and steelhead for spawning. Such reintroduction would require downstream passage of juvenile Chinook salmon and steelhead past Shasta Dam. To evaluate the possibility of collecting and transporting juvenile Chinook salmon and steelhead past Shasta Dam, a CE-QUAL-W2 model of Shasta Lake and the Sacramento River, McCloud River, Pit River and Squaw Creek tributaries was used to assess where and when conditions were favorable at head-of-reservoir locations upstream of proposed temperature curtains to collect juvenile fish. Head-of-reservoir is the zone of transition between the river and the upstream end of the reservoir. Criteria for evaluating locations suitable to collect these fish included water temperature and velocities in the Sacramento and McCloud tributaries. Model output was analyzed during months of downstream migration under dry, median and wet year conditions. Potential for proposed temperature curtains, anchored and floating, to improve conditions for fish migration was also evaluated with the CE-QUAL-W2 model. Use of temperature curtains to assist fish migration is a novel approach that to our knowledge has not previously been assessed for recovery of Chinook salmon and steelhead populations. Providing safe passage conditions is challenging, however the study findings may assist in formulation of a juvenile fish passage alternative that is suitable for Shasta Lake.

Effect of square stepping exercise for older adults to prevent fall and injury related to fall: systematic review and meta-analysis of current evidences.

PubMed

Fisseha, Berihu; Janakiraman, Balamurugan; Yitayeh, Asmare; Ravichandran, Hariharasudhan

2017-02-01

Falls and fall related injuries become an emerging health problem among older adults. As a result a review of the recent evidences is needed to design a prevention strategy. The aim of this review was to determine the effect of square stepping exercise (SSE) for fall down injury among older adults compared with walking training or other exercises. An electronic database search for relevant randomized control trials published in English from 2005 to 2016 was conducted. Articles with outcome measures of functional reach, perceived health status, fear of fall were included. Quality of the included articles was rated using Physiotherapy Evidence Database (PEDro) scale and the pooled effect of SSE was obtained by Review Manager (RevMan5) software. Significant effect of SSE was detected over walking or no treatment to improve balance as well to prevent fear of fall and improve perceived health status. The results of this systematic review proposed that SSE significantly better than walking or no treatment to prevent fall, prevent fear of fall and improve perceived health status.

Poor balance and lower gray matter volume predict falls in older adults with mild cognitive impairment

PubMed Central

2013-01-01

Background The risk of falling is associated with cognitive dysfunction. Older adults with mild cognitive impairment (MCI) exhibit an accelerated reduction of brain volume, and face an increased risk of falling. The current study examined the relationship between baseline physical performance, baseline gray matter volume and falls during a 12-month follow-up period among community-dwelling older adults with MCI. Methods Forty-two older adults with MCI (75.6 years, 43% women) underwent structural magnetic resonance imaging and baseline physical performance assessment, including knee-extension strength, one-legged standing time, and walking speed with normal pace. ‘Fallers’ were defined as people who had one or more falls during the 12-month follow-up period. Results Of the 42 participants, 26.2% (n = 11) experienced at least one fall during the 12-month follow-up period. Fallers exhibited slower walking speed and shorter one-legged standing time compared with non-fallers (both p < .01). One-legged standing time (sec) (standardized odds ratio [95% confidence interval]: 0.89 [0.81, 0.98], p = .02) was associated with a significantly lower rate of falls during the 12-month follow-up after adjusting for age, sex, body mass index, and history of falling in the past year at baseline. Voxel-based morphometry was used to examine differences in baseline gray matter volume between fallers and non-fallers, revealing that fallers exhibited a significantly greater reduction in the bilateral middle frontal gyrus and superior frontal gyrus. Conclusions Poor balance predicts falls over 12 months, and baseline lower gray matter densities in the middle frontal gyrus and superior frontal gyrus were associated with falls in older adults with MCI. Maintaining physical function, especially balance, and brain structural changes through many sorts of prevention strategies in the early stage of cognitive decline may contribute to decreasing the risk of falls in older

[Falls and fractures among older adults living in long-term care].

PubMed

Del Duca, Giovâni Firpo; Antes, Danielle Ledur; Hallal, Pedro Curi

2013-03-01

To investigate the prevalence of falls and fractures over the past 12 months and associated factors among older adults living in long-term care. Census of all long-term care located in the city of Pelotas, Brazil, in 2008. Falls over the past 12 months were assessed using the following question: "Over the last 12 months, have you fallen?" For those who replied positively, another question was asked: "In any of these falls, have you fractured a bone?" Sex, age, schooling, disability relating to basic activities of daily living, type of financing of the long-term care and hospital admissions were the independent variables. We used chi-square tests for heterogeneity and linear trend in the unadjusted analysis, and Poisson regression with robust variance in the adjusted one. Within the 24 long-term care studied, we collected data for 466 individuals. The prevalence of falls in the past year was 38.9% (95%CI 34.5; 43.4). Among those who have fallen, 19.2% had fractures. Femur (hip) was the most frequent site fractured (43.4%), followed by wrist (10%). In the adjusted analysis, older age, disability for 1-5 basic activities of daily living, living in public institutions and hospital admissions in the last year were associated with higher risk of falls. The high prevalence of falls and fractures highlights the fragility of the individuals living in long-term care. Special attention should be paid to older adults and those with hospital admissions in the last year.

Food and growth parameters of juvenile chinook in the central Columbia River

DOE Office of Scientific and Technical Information (OSTI.GOV)

Becker, C.D.

1994-10-01

Juvenile chinook, salmon (Oncorhynchus tshawytscha) in the Hanford area of the free-flowing central Columbia River, Washington consume almost entirely adult and larval stages of aquatic insects. The diet is dominated by midges (Diptera: Chironomidae). By numbers, adult midges provided 64 and 58% of the diet and larval midges 17 and 18% of the diet, in 1968 and 1969, respectively. The families Hydropsychidae (Trichoptera), Notonectidae (Hemiptera) and Hypogastruridae (Collembola) are of minor numerical importance with a combined utilization of 7% in 1968 and 15% in 1969. Distinctive features of food and feeding activity of juvenile chinook at Hanford are fourfold: (1)more » the fish utilize relatively few insect groups, predominantly Chironomidae; (2) they depend largely upon autochthonous river organisms; (3) they visually select living prey drifting, floating or swimming in the water; and (4) they are apparently habitat opportunists to a large extent. Analyses were made of variations in diet and numbers of insects consumed between six sampling stations distributed along a 38 km section of the river. Data are provided on feeding intensity, fish lengths, length-weight relationships, and coefficients of condition. Seasonal changes in river temperature and discharge, as well as variations in regulated flow levels are environmental features influencing feeding, growth, and emigration of fish in the Hanford environs.« less

The effect of aquatic exercise and education on lowering fall risk in older adults with hip osteoarthritis.

PubMed

Arnold, Cathy M; Faulkner, Robert A

2010-07-01

To evaluate the effect of aquatic exercise and education on fall risk factors in older adults with hip osteoarthritis (OA). Seventy-nine adults, 65 years of age or older with hip OA and at least 1 fall risk factor, were randomly assigned to 1 of 3 groups: aquatics and education (AE; aquatic exercise twice a wk with once-a-wk group education), aquatics only (A; 2 wk aquatic exercise) and control (C; usual activity). Balance, falls efficacy, dual-task function, functional performance (chair stands), and walking performance were measured pre- and postintervention or control period. There was a significant improvement in fall risk factors (full-factorial MANCOVA, baseline values as covariates; p = .038); AE improved in falls efficacy compared with C and in functional performance compared with A and C. The combination of aquatic exercise and education was effective in improving fall risk factors in older adults with arthritis.

Investigations into the Early History of Naturally Produced Spring Chinook Salmon in the Grand Ronde Basin : Fish Research Project Oregon : Annual Progress Report Project Period September 1, 1996 to August 31, 1997.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Johasson, Brian C.; Tranquilli, J. Vincent; Keefe, MaryLouise

1998-10-28

We have documented two general life history strategies utilized by juvenile spring chinook salmon in the Grande Ronde River basin: (1) juveniles migrate downstream out of summer rearing areas in the fall, overwinter in river valley habitats, and begin their seaward migration in the spring, and (2) juveniles remain in summer rearing areas through the winter and begin seaward migration in the spring. In migration year 96-97, the patterns evident from migrant trap data were similar for the three Grande Ronde River populations studied, with 42% of the Lostine River migrants and 76% of the Catherine Creek migrants leaving uppermore » rearing areas in the fall. Contrary to past years, the majority (98%) of upper Grande Ronde River migrants moved out in the fall. Total trap catch for the upper Grande Ronde River was exceedingly low (29 salmon), indicating that patterns seen this year may be equivocal. As in previous years, approximately 99% of chinook salmon juveniles moved past our trap at the lower end of the Grande Ronde River valley in the spring, reiterating that juvenile chinook salmon overwinter within the Grande Ronde valley section of the river. PIT-tagged fish were recaptured at Grande Ronde River traps and mainstem dams. Recapture data showed that fish that overwintered in valley habitats left as smolts and arrived at Lower Granite Dam earlier than fish that overwintered in upstream rearing areas. Fish from Catherine Creek that overwintered in valley habitats were recaptured at the dams at a higher rate than fish that overwintered upstream. In this first year of data for the Lostine River, fish tagged during the fall migration were detected at a similar rate to fish that overwintered upstream. Abundance estimates for migration year 96-97 were 70 for the upper Grande Ronde River, 4,316 for the Catherine Creek, and 4,323 for the Lostine River populations. Although present in most habitats, juvenile spring chinook salmon were found in the greatest abundance in

Describing Older Adults' Awareness of Fall Risk Using Situation Awareness Research Techniques: A Pilot Study.

PubMed

Azzarello, Jo; Hall, Beth

2016-07-01

The purpose of the current study was to evaluate efficacy of techniques adapted from situation awareness research for describing how older adults perceive and understand fall risk factors in the context of daily routine. Eleven older adults watched a video of an older woman performing daily activities. Thirteen intrinsic, extrinsic, and behavioral fall risks were embedded throughout the scenario. The video was periodically frozen/blanked from view while participants answered questions about their understanding of the situation and associated story elements. Participants perceived a variety of fall risk factors but did not necessarily interpret them as indicating fall risk. Many fall risks held non-fall meaning for participants (e.g., newspapers on the floor meant the woman liked to read). Although four participants readily identified a fall risk situation, seven did not until they were explicitly asked to consider safety. Study techniques were effective for describing situation awareness of fall risk and several suggestions for improvement are described. [Res Gerontol Nurs. 2016; 9(4):161-166.]. Copyright 2016, SLACK Incorporated.

Mobility device use in older adults and incidence of falls and worry about falling: findings from the 2011-2012 national health and aging trends study.

PubMed

Gell, Nancy M; Wallace, Robert B; LaCroix, Andrea Z; Mroz, Tracy M; Patel, Kushang V

2015-05-01

To examine the prevalence of mobility device use in community-dwelling older adults in the United States and to investigate the incidence of falls and worry about falling according to type and number of mobility devices used. Analysis of cross-sectional and longitudinal data from the 2011-12 National Health and Aging Trends Study. In-person interviews in the homes of study participants. Nationally representative sample of Medicare beneficiaries (n=7,609). Participants were asked about mobility device use (e.g., canes, walkers, wheelchairs and scooters) in the last month, 1-year fall history and worry about falling. Twenty-four percent of adults aged 65 and older reported mobility device use in 2011, and 9.3% reported using multiple devices within the last month. Mobility device use increased with advancing age and was associated with nonwhite race and ethnicity, female sex, lower education level, greater multimorbidity, and obesity (all P<.001). Adjusting for demographic and health characteristics and physical function, the incidence of falls and recurrent falls was not associated with the use of multiple devices or any particular type of mobility device. Activity-limiting worry about falling was significantly higher in cane-only users than in nonusers. The percentage of older adults reporting mobility device use is higher than results from previous national surveys, and multiple device use is common in those who use any device. Mobility device use is not associated with greater incidence of falls. Cane-only users may compensate for worry about falling by limiting activity. © 2015, Copyright the Authors Journal compilation © 2015, The American Geriatrics Society.

Subjective cognitive decline and fall risk in community-dwelling older adults with or without objective cognitive decline.

PubMed

Shirooka, Hidehiko; Nishiguchi, Shu; Fukutani, Naoto; Tashiro, Yuto; Nozaki, Yuma; Aoyama, Tomoki

2018-05-01

The association between subjective cognitive decline and falls has not been clearly determined. Our aim was to explore the effect of subjective cognitive decline on falls in community-dwelling older adults with or without objective cognitive decline. We included 470 older adults (mean age 73.6 ± 5.2; 329 women) living in the community and obtained data on fall history directly from the participants. Subjective cognitive decline was assessed using a self-administered question. Objective cognitive function was measured using the Mini-Mental State Examination. Statistical analyses were carried out separately for participants with objective cognitive decline and those without. A multiple logistic regression analysis showed that, among participants without objective cognitive decline, subjective cognitive decline was positively associated with falls [OR 1.91; 95% confidence interval (CI) 1.17-3.12; p = 0.01). Conversely, among participants with objective cognitive decline, subjective cognitive decline was negatively associated with falls (OR 0.07; 95% CI 0.01-0.85, p = 0.04). The result suggests that the objective-subjective disparity may affect falls in community-dwelling older adults. The presence of subjective cognitive decline was significantly positively associated with falls among cognitively intact older adults. However, among their cognitively impaired peers, the absence of subjective cognitive decline was positively associated with falls.

Scour of chinook salmon redds on suction dredge tailings

Treesearch

Bret C. Harvey; Thomas E. Lisle

1999-01-01

Abstract - We measured scour of the redds of chinook salmon Oncorhynchus tshawytscha on dredge tailings and natural substrates in three tributaries of the Klamath River, California. We measured maximum scour with scour chains and net scour by surveying before and after high winter flows. Scour of chinook salmon redds located on dredge tailings exceeded scour of redds...

Physical therapy approaches to reduce fall and fracture risk among older adults.

PubMed

Karinkanta, Saija; Piirtola, Maarit; Sievänen, Harri; Uusi-Rasi, Kirsti; Kannus, Pekka

2010-07-01

Falls and fall-related injuries, such as fractures, are a growing problem among older adults, often causing longstanding pain, functional impairments, reduced quality of life and excess health-care costs and mortality. These problems have led to a variety of single component or multicomponent intervention strategies to prevent falls and subsequent injuries. The most effective physical therapy approach for the prevention of falls and fractures in community-dwelling older adults is regular multicomponent exercise; a combination of balance and strength training has shown the most success. Home-hazard assessment and modification, as well as assistive devices, such as canes and walkers, might be useful for older people at a high risk of falls. Hip protectors are effective in nursing home residents and potentially among other high-risk individuals. In addition, use of anti-slip shoe devices in icy conditions seems beneficial for older people walking outdoors. To be effective, multifactorial preventive programs should include an exercise component accompanied by individually tailored measures focused on high-risk populations. In this Review, we focus on evidence-based physical therapy approaches, including exercise, vibration training and improvements of safety at home and during periods of mobility. Additionally, the benefits of multifaceted interventions, which include risk factor assessment, dietary supplements, elements of physical therapy and exercise, are addressed.

Balance ability measured with the Berg balance scale: a determinant of fall history in community-dwelling adults with leg amputation.

PubMed

Wong, Christopher Kevin; Chen, Christine C; Blackwell, Wren M; Rahal, Rana T; Benoy, Stephany A

2015-01-01

Falls are common among adults with leg amputations and associated with balance confidence. But subjective confidence is not equivalent with physical ability. This multivariate analyses of community-dwelling adults with leg amputations examined relationships among individual characteristics, falls, balance ability and balance confidence. Cross-sectional study. Community-dwelling adults with leg amputations recruited from a support group and prosthetic clinic. Subjects provided self-reported medical/fall history, prosthetic functional use, and Activities-specific Balance Confidence (ABC) questionnaire data. Balance ability was assessed with the Berg Balance Scale (BBS). Fall incidence was categorized as any fall (one or more) and recurrent falls (more than one). Multivariate logistic regression analyzed relationships within the two fall categories. Cross tabulations and ANOVA analyzed differences among subcategories. Fifty-four subjects (mean age 56.8) with various etiologies, amputation levels, and balance abilities participated. 53.7% had any fall; 25.9% had recurrent falls. Models for both fall categories correctly classified fall history in > 70% of subjects with combinations of the variables ABC, BBS, body-mass-index, and amputation level. Falls occurred regardless of clinical characteristics. Total BBS and select item scores were independent determinants of fall history. Unlike other balance-impaired populations, adults with leg amputation and better balance ability had greater odds of falling.

50 CFR Table 3 to Part 226 - Hydrologic Units Containing Critical Habitat for Snake River Sockeye Salmon and Snake River...

Code of Federal Regulations, 2014 CFR

2014-10-01

... Habitat for Snake River Sockeye Salmon and Snake River Spring/Summer and Fall Chinook Salmon 3 Table 3 to... Spring/Summer and Fall Chinook Salmon Hydrologic unit name Hydrologic unit number Sockeye salmon Spring/summer chinook salmon Fall chinook salmon Hells Canyon 17060101 17060101 Imnaha 17060102 17060102 Lower...

50 CFR Table 3 to Part 226 - Hydrologic Units Containing Critical Habitat for Snake River Sockeye Salmon and Snake River...

Code of Federal Regulations, 2013 CFR

2013-10-01

... Habitat for Snake River Sockeye Salmon and Snake River Spring/Summer and Fall Chinook Salmon 3 Table 3 to... Spring/Summer and Fall Chinook Salmon Hydrologic unit name Hydrologic unit number Sockeye salmon Spring/summer chinook salmon Fall chinook salmon Hells Canyon 17060101 17060101 Imnaha 17060102 17060102 Lower...

50 CFR Table 3 to Part 226 - Hydrologic Units Containing Critical Habitat for Snake River Sockeye Salmon and Snake River...

Code of Federal Regulations, 2012 CFR

2012-10-01

... Habitat for Snake River Sockeye Salmon and Snake River Spring/Summer and Fall Chinook Salmon 3 Table 3 to... Spring/Summer and Fall Chinook Salmon Hydrologic unit name Hydrologic unit number Sockeye salmon Spring/summer chinook salmon Fall chinook salmon Hells Canyon 17060101 17060101 Imnaha 17060102 17060102 Lower...

The effectiveness of Pilates on balance and falls in community dwelling older adults.

PubMed

Josephs, Sharon; Pratt, Mary Lee; Calk Meadows, Emily; Thurmond, Stephanie; Wagner, Amy

2016-10-01

The purpose of this study was to determine whether Pilates is more effective than traditional strength and balance exercises for improving balance measures, balance confidence and reducing falls in community dwelling older adults with fall risk. Thirty-one participants with fall risk were randomly assigned to the Pilates group (PG) or the traditional exercise group (TG). Both groups participated in 12 weeks of exercise, 2 times/week for 1 h. There was significant improvement in the Fullerton Advanced Balance Scale for both the PG (mean difference = 6.31, p < .05) and the TG (mean difference = 7.45, p = .01). The PG also showed significant improvement in the Activities-Specific Balance Confidence Scale (mean difference = 10.57, p = .008). Both Pilates and traditional balance programs are effective at improving balance measures in community dwelling older adults with fall risk, with the Pilates group showing improved balance confidence. Copyright © 2016 Elsevier Ltd. All rights reserved.

Longitudinal Trends in Fall Accidents in Community Dwelling Korean Adults: The 2008-2013 Korean Community Health Survey.

PubMed

Hong, Ickpyo; Simpson, Annie N; Logan, Sarah; Woo, Hee-Soon

2016-08-01

To describe the longitudinal characteristics of unintentional fall accidents using a representative population-based sample of Korean adults. We examined data from the Korean Community Health Survey from 2008 to 2013. Univariate analysis and multivariable logistic regression were used to identify the characteristics of fall accidents in adults. Between 2008 and 2013, the incidence rate of fall accidents requiring medical treatment increased from 1,248 to 3,423 per 100,000 people (p<0.001), while the proportion of indoor fall accidents decreased from 38.12% to 23.16% (p<0.001). Females had more annual fall accidents than males (p<0.001). The major reason for fall accidents was slippery floors (33.7% in 2011 and 36.3% in 2013). Between 2008 and 2010, variables associated with higher fall accident risk included specific months (August and September), old age, female gender, current drinker, current smoker, diabetes, osteoarthritis, osteoporosis, and depression. A high level of education and living with a partner were negatively associated with fall accident risk. In 2013, people experiencing more than 1 fall accident felt more fear of falling than those having no fall accidents (odds ratio [OR] for 1 fall, 2.12; 95% confidence interval [CI], 2.04-2.12; OR for more than 2 falls, 2.97; 95% CI, 2.83-3.10). The occurrence of fall accidents has consistently increased in Korea from 2008 to 2013. Future intervention studies are needed to reduce the increasing incidence rates of fall accidents in community dwelling adults.

Older Adults' Opinions on Fall Prevention in Relation to Physical Activity Level.

PubMed

Tuvemo Johnson, Susanna; Martin, Cathrin; Anens, Elisabeth; Johansson, Ann-Christin; Hellström, Karin

2018-01-01

The purpose of this study was to explore and describe older adults' opinions regarding actions to prevent falls and to analyze differences in the opinions of highly versus less physically active older adults. An open-ended question was answered by 262 individuals aged 75 to 98 years living in the community. The answers were analyzed using qualitative content analysis, and differences in the categories were compared between highly and less physically active persons. Physical activity was measured according to a five-level scale. The content analysis resulted in eight categories: assistive devices, avoiding hazards, behavioral adaptive strategies, being physically active, healthy lifestyle, indoor modifications, outdoor modifications, and seeking assistance. Behavioral adaptive strategies were mentioned to a greater extent by highly active people, and indoor modifications were more often mentioned by less active older adults. Support for active self-directed behavioral strategies might be important for fall prevention among less physically active older adults.

Lower leg muscle density is independently associated with fall status in community-dwelling older adults.

PubMed

Frank-Wilson, A W; Farthing, J P; Chilibeck, P D; Arnold, C M; Davison, K S; Olszynski, W P; Kontulainen, S A

2016-07-01

Muscle density is a risk factor for fractures in older adults; however, its association with falls is not well described. After adjusting for biologically relevant confounding factors, a unit decrease in muscle density was associated with a 17 % increase in odds of reporting a fall, independent of functional mobility. Falls are the leading cause of injury, disability, and fractures in older adults. Low muscle density (i.e., caused by muscle adiposity) and functional mobility have been identified as risk factors for incident disability and fractures in older adults; however, it is not known if these are also independently associated with falls. The purpose of this study was to explore the associations of muscle density and functional mobility with fall status. Cross-sectional observational study of 183 men and women aged 60-98 years. Descriptive data, including a 12-month fall recall, Timed Up and Go (TUG) test performance, lower leg muscle area, and density. Odds ratio (OR) of being a faller were calculated, adjusted for age, sex, body mass index, general health status, diabetes, and comorbidities. Every mg/cm(3) increase in muscle density (mean 70.2, SD 2.6 mg/cm(3)) independently reduced the odds of being a faller by 19 % (OR 0.81 [95 % CI 0.67 to 0.97]), and every 1 s longer TUG test time (mean 9.8, SD 2.6 s) independently increased the odds by 17 % (OR 1.17 [95 % CI 1.01 to 1.37]). When both muscle density and TUG test time were included in the same model, only age (OR 0.93 [95 % CI 0.87 to 0.99]) and muscle density (OR 0.83 [95 % CI 0.69 to 0.99]) were independently associated with fall status. Muscle density was associated with fall status, independent of functional mobility. Muscle density may compliment functional mobility tests as a biometric outcome for assessing fall risk in well-functioning older adults.

Falls-Related Drug Use and Risk of Falls Among Older Adults: A Study in a US Medicare Population.

PubMed

Musich, Shirley; Wang, Shaohung S; Ruiz, Joann; Hawkins, Kevin; Wicker, Ellen

2017-07-01

Approximately one-third of community-dwelling older adults fall each year, and approximately 10% have falls requiring medical services. Among other factors, research studies have linked certain medications with an increased risk of falls. The aim of this study was to examine the risk of falls relative to use patterns among new and continuing falls-related drug (FRD) users. A 10% random sample, insured in AARP ® Medicare Supplement and AARP Medicare Part D Rx plans, was utilized to define new and continuing FRD users. New users had a 12-month pre-period without FRD use, whereas continuing users had at least one FRD in the pre-period. Both groups had 12-month follow-up after initiating or continuing FRD use. Characteristics associated with the risk of falls for new and continuing users were determined using multivariate logistic regression models. Among insureds, 44% used at least one of the FRD classes. Of these, 29% were new users (N = 35,340) and 71% were continuing users (N = 121,488). Fall rates for the two subgroups were similar at 7 and 8%, respectively. Characteristics associated with the risk of falls were previous injurious fall, use of two or more classes of FRDs, older age, poorer health, and being female. New users were at higher risk than continuing users. New users of FRDs were at highest risk of falls, and continuing users were at increased risk, especially with higher numbers of FRD classes. Both groups could benefit from falls awareness and prevention programs.

Grande Ronde Endemic Spring Chinook Salmon Supplementation Program; Satellite Facilities Operation and Maintenance, 2005 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

McLean, Michael L.; Seeger, Ryan; Hewitt, Laurie

2006-01-01

conditions prompting an early release. The total mortality for the acclimation period was 49 (0.05 %). The total number of fish released from the acclimation facility during the late period was 105,369. Maintenance and repair activities were conducted at the acclimation facilities in 2005. Facility maintenance work consisted of snow removal, installation of drainage lines, removal of gravel from intake area, installation of new gate at the CCAF, and complete overhaul of 2 travel trailers. The Catherine Creek Adult Capture Facility (CCACF) was put into operation on 11 February 2005. The first adult summer steelhead was captured on 4 March. A total of 190 adult summer steelhead were trapped and released from 4 March to 16 May 2005. Peak arrival at the trap was the week of 8 April. The first adult spring Chinook salmon was captured at CCACF on 6 May 2005. A total of 226 spring Chinook salmon were trapped from 6 May to 8 July 2005. There were 56 adults and 4 jacks unmarked and 136 adult and 30 jack marked spring Chinook salmon trapped. Peak arrival at the trap was the week of 10 June for the unmarked and marked fish. None of the captive broodstock returns were collected for broodstock. Broodstock was collected systematically over the entire return from 31 May to 6 July 2005. Ten of the 34 broodstock collected and transported from CCACF to LGH were unmarked fish trapped. About 18% of the naturally produced adult males and females trapped were taken to LGH for broodstock. One jack was collected for every 5 adult males that were taken to LGH. A total of 30 age 4 and 5 and 4 age 3 fish were transported to LGH for broodstock. The hatchery component of the broodstock was 66.7%. Five weekly spawning surveys were conducted below the weir on Catherine Creek beginning 30 June 2005. During these surveys no live or dead fish were observed. The trap was removed from Catherine Creek on 3 August 2005. Temperatures at the CCACF ranged from -0.1 C on 14 February to 23.7 C on 21 July. The hourly

Diet composition and feeding periodicity of wild and hatchery subyearling Chinook salmon in Lake Ontario

USGS Publications Warehouse

Johnson, J. H.

2008-01-01

Diel feeding periodicity, daily ration, and diet composition of wild and hatchery subyearling Chinook salmon Oncorhynchus tshawytscha were examined in Lake Ontario and the Salmon River, New York. The diet of wild riverine salmon was composed mainly of aquatic invertebrates (63.4%), mostly ephemeropterans (25.8%), chiromomids (15.8%), and trichopterans (8.3%). The diet of riverine Chinook was more closely associated with the composition of drift samples rather than bottom samples, suggesting mid-water feeding. In Lake Ontario terrestrial invertebrates were more important in the diet of hatchery Chinook (49.0%) than wild salmon (30.5%) and diet overlap between hatchery and wild salmon was low (0.46%). The diet of both hatchery and wild Chinook salmon was more closely associated with the composition of mid-water invertebrate samples rather than benthic core samples, indicating mid-water and surface feeding. Hatchery Chinook salmon consumed significantly less food (P < 0.05) than wild Chinook salmon in the lake and in the river, and wild salmon from Lake Ontario consumed more food than wild salmon in the Salmon River. Peak feeding of wild Chinook salmon occurred between 1200-1600 hours in Lake Ontario and between 1600-2000 hours in the Salmon River; there was no discernable feeding peak for the hatchery Chinook in Lake Ontario. Hatchery Chinook salmon also had the least diverse diet over the 24-hour sample period. These results suggest that at 7 days post-stocking hatchery Chinook salmon had not yet fully adapted to their new environment.

Migratory Behavior and Physiological Development as Potential Determinants of Life History Diversity in Fall Chinook Salmon in the Clearwater River

DOE Office of Scientific and Technical Information (OSTI.GOV)

Tiffan, Kenneth F.; Kock, Tobias J.; Connor, William P.

We studied the influence of behavior, water velocity, and physiological development on the downstream movement of subyearling fall Chinook Salmon Oncorhynchus tshawytscha in free-flowing and impounded reaches of the Clearwater and Snake rivers as potential mechanisms that might explain life history diversity in this stock. Movement rates and the percentage of radio-tagged fish that moved faster than the average current velocity were highest in the free-flowing Clearwater River compared to impounded reaches. This provided support for our hypothesis that water velocity is a primary determinant of downstream movement regardless of a fish’s physiological development. In contrast, movement rates slowed andmore » detections became fewer in impounded reaches where velocities were much lower. The percentage of fish that moved faster than the average current velocity continued to decline and reached zero in the lower-most reach of Lower Granite Reservoir suggesting that behavioral disposition to move downstream was low. These findings contrast those of a similar, previous study of Snake River subyearlings in spite of hydrodynamic conditions being similar. Physiological differences between Snake and Clearwater river migrants shed light on this disparity. Subyearlings from the Clearwater River were parr-like in their development and never showed an increase in gill Na+/K+-ATPase activity as did smolts from the Snake River. The later emergence timing and cooler rearing temperatures in the Clearwater River may suppress normal physiological development that causes many fish to delay downstream movement and adopt a yearling life history strategy.« less

Fall Chinook Salmon Spawning Ground Surveys in the Snake River Basin Upriver of Lower Granite Dam, 2005 Annual Report.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Garcia, A.P.; Bradbury, S.; Arnsberg, B.D.

2006-10-01

Redd counts are routinely used to document the spawning distribution of fall Chinook salmon (Oncorhynchus tshawytscha) in the Snake River basin upriver of Lower Granite Dam. The first reported redd counts were from aerial searches conducted intermittently between 1959 and 1978 (Irving and Bjornn 1981, Witty 1988; Groves and Chandler 1996)(Appendix 1). In 1986, the Washington Department of Fish and Wildlife began an annual monitoring program that, in addition to the Snake River, included aerial searches of the Grande Ronde River the first year (Seidel and Bugert 1987), and the Imnaha River in subsequent years (Seidel et al. 1988; Bugertmore » et al. 1989-1991; Mendel et al. 1992). The U. S. Fish and Wildlife Service and Idaho Power Company began contributing to this effort in 1991 by increasing the number of aerial searches conducted each year and adding underwater searches in areas of the Snake River that were too deep to be searched from the air (Connor et al. 1993; Garcia et al. 1994a, 1994b, 1996-2005; Groves 1993; Groves and Chandler 1996). The Nez Perce Tribe added aerial searches in the Clearwater River basin beginning in 1988 (Arnsberg et. al 1992), and the Salmon River beginning in 1992. Currently searches are conducted cooperatively by the Nez Perce Tribe, Idaho Power Company, and U.S. Fish and Wildlife Service. Our objective for this report was to consolidate the findings from annual redd searches into a single document, containing detailed information about the searches from the most recent spawning season, and summary information from previous years. The work conducted in 2005 was funded by the Bonneville Power Administration and Idaho Power Company.« less

Escapement and Productivity of Spring Chinook and Summer Steelhead in the John Day River Basin, Technical Report 2004-2005.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wilson, Wayne

The objectives are: (1) Estimate number and distribution of spring Chinook salmon Oncorhynchus tshawytscha redds and spawners in the John Day River subbasin; and (2) Estimate smolt-to-adult survival rates (SAR) and out-migrant abundance for spring Chinook and summer steelhead O. mykiss and life history characteristics of summer steelhead. Spawning ground surveys for spring (stream-type) Chinook salmon were conducted in four main spawning areas (Mainstem, Middle Fork, North Fork, and Granite Creek System) and seven minor spawning areas (South Fork, Camas Creek, Desolation Creek, Trail Creek, Deardorff Creek, Clear Creek, and Big Creek) in the John Day River basin during Augustmore » and September of 2005. Census surveys included 298.2 river kilometers (88.2 rkm within index, 192.4 rkm additional within census, and 17.6 rkm within random survey areas) of spawning habitat. We observed 902 redds and 701 carcasses including 227 redds in the Mainstem, 178 redds in the Middle Fork, 420 redds in the North Fork, 62 redds in the Granite Creek System, and 15 redds in Desolation Creek. Age composition of carcasses sampled for the entire basin was 1.6% age 3, 91.2% age 4, and 7.1% age 5. The sex ratio was 57.4% female and 42.6% male. Significantly more females than males were observed in the Granite Creek System. During 2005, 82.3% of female carcasses sampled had released all of their eggs. Significantly more pre-spawn mortalities were observed in Granite Creek. Nine (1.3%) of 701 carcasses were of hatchery origin. Of 298 carcasses examined, 4.0% were positive for the presence of lesions. A significantly higher incidence of gill lesions was found in the Granite Creek System when compared to the rest of the basin. Of 114 kidney samples tested, two (1.8%) had clinical BKD levels. Both infected fish were age-4 females in the Middle Fork. All samples tested for IHNV were negative. To estimate spring Chinook and summer steelhead smolt-to-adult survival (SAR) we PIT tagged 5

Management of bacterial kidney disease in Chinook Salmon hatcheries based on broodstock testing by enzyme-linked immunosorbent assay: A multiyear study

USGS Publications Warehouse

Munson, A. Douglas; Elliott, Diane G.; Johnson, Keith

2010-01-01

From the mid-1980s through the early 1990s, outbreaks of bacterial kidney disease (BKD) caused by Renibacterium salmoninarum continued in Chinook salmon Oncorhynchus tshawytscha in Idaho Department of Fish and Game (IDFG) hatcheries despite the use of three control methods: (1) injection of returning adult fish with erythromycin to reduce prespawning BKD mortality and limit vertical transmission of R. salmoninarum, (2) topical disinfection of green eggs with iodophor, and (3) prophylactic treatments of juvenile fish with erythromycin-medicated feed. In addition, programs to manage BKD through measurement of R. salmoninarum antigen levels in kidney tissues from spawning female Chinook salmon by an enzyme-linked immunosorbent assay (ELISA) were tested over 13–15 brood years at three IDFG hatcheries. The ELISA results were used for either (1) segregated rearing of progeny from females with high ELISA optical density (OD) values (usually ≥0.25), which are indicative of high R. salmoninarum antigen levels, or (2) culling of eggs from females with high ELISA OD values. The ELISA-based culling program had the most profound positive effects on the study populations. Mortality of juvenile fish during rearing was significantly lower at each hatchery for brood years derived from culling compared with brood years for which culling was not practiced. The prevalence of R. salmoninarum in juvenile fish, as evidenced by detection of the bacterium in kidney smears by the direct fluorescent antibody test, also decreased significantly at each hatchery. In addition, the proportions of returning adult females with kidney ELISA OD values of 0.25 or more decreased 56–85% for fish reared in brood years during which culling was practiced, whereas the proportions of ELISA-negative adults increased 55–58%. This management strategy may allow IDFG Chinook salmon hatcheries to reduce or eliminate prophylactic erythromycin-medicated feed treatments. We recommend using ELISA

Risk Factors for Falls in Older Adults With Mild Cognitive Impairment and Mild Alzheimer Disease.

PubMed

Ansai, Juliana Hotta; de Andrade, Larissa Pires; Masse, Fernando Arturo Arriagada; Gonçalves, Jessica; de Medeiros Takahashi, Anielle Cristhine; Vale, Francisco Assis Carvalho; Rebelatto, José Rubens

2017-03-03

Understanding fall risk factors in people with mild cognitive impairment (MCI) and Alzheimer disease (AD) can help to establish specific plans for prevention of falls. The purpose of this study was to identify fall risk factors in older adults with MCI and mild AD. A prospective study was conducted with community-dwelling older adults (40 MCI; 38 mild AD). The assessments consisted of sociodemographic and health variables, caloric expenditure, functional status, functional mobility (10-m walk test, dual-task test, and transition Timed Up and Go phases), cognitive domains, and depressive symptoms. Falls were recorded for 6 months by a falls calendar and monthly telephone calls. Falls were reported in 52.6% and 51.4% of people with MCI and mild AD, respectively. Among people with MCI, lower functional status, higher time spent on walk and dual task tests, and higher depressive symptom scores were associated with falls. Higher time spent on the dual-task test was independently associated with falls. Among people with mild AD, falls were associated with lower time spent on the walk test and turn-to-sit phase, and a higher visuospatial domain score. Lower time spent on the turn-to-sit phase was identified as an independent predictor of falls. Careful attention should be given to dual-task and turn-to-sit activities when detecting risk of falls among older people with MCI and mild AD.

Differences in axial segment reorientation during standing turns predict multiple falls in older adults.

PubMed

Wright, Rachel L; Peters, Derek M; Robinson, Paul D; Sitch, Alice J; Watt, Thomas N; Hollands, Mark A

2012-07-01

The assessment of standing turning performance is proposed to predict fall risk in older adults. This study investigated differences in segmental coordination during a 360° standing turn task between older community-dwelling fallers and non-fallers. Thirty-five older adults age mean (SD) of 71 (5.4) years performed 360° standing turns. Head, trunk and pelvis position relative to the laboratory and each other were recorded using a Vicon motion analysis system. Fall incidence was monitored by monthly questionnaire over the following 12 months and used to identify non-faller, single faller and multiple faller groups. Multiple fallers were found to have significantly different values, when compared to non-fallers, for pelvis onset (p=0.002); mean angular separation in the transverse plane between the head and trunk (p=0.018); peak angular separation in the transverse plane between the trunk and pelvis (p=0.013); and mean angular separation between the trunk and pelvis (p<0.001). Older adults who subsequently experience multiple falls show a simplified turning pattern to assist in balance control. This may be a predictor for those at increased risk of falling. Copyright © 2012 Elsevier B.V. All rights reserved.

Measurement of Fall Prevention Awareness and Behaviours among Older Adults at Home.

PubMed

Russell, Katherine; Taing, Darcie; Roy, Jacqueline

2017-12-01

This study surveyed awareness of, and adherence to, six national fall prevention recommendations among community-dwelling older adults (n = 1050) in Ottawa. Although 76 per cent of respondents agreed falling is a concern and preventable, fewer perceived susceptibility to falling (63%). Respondents had high awareness that home modifications and physical activity can prevent falls. Reported modifications included grab bars (50%), night lights (44%), and raised toilet seats (19%). Half met aerobic activity recommendations; 38 per cent met strength recommendations. Respondents had lower awareness that an annual medication review, annual eye and physical examination, and daily vitamin D supplementation could reduce fall risk. However, reported annual medication review (79%) and eye examination (75%) was high. Nearly half met recommendations for vitamin D intake. These findings suggest a gap in knowledge of awareness and adherence to national recommendations, highlighting the ones that may require attention from those who work to prevent falls.

CAN STABILITY REALLY PREDICT AN IMPENDING SLIP-RELATED FALL AMONG OLDER ADULTS?

PubMed Central

Yang, Feng; Pai, Yi-Chung

2015-01-01

The primary purpose of this study was to systematically evaluate and compare the predictive power of falls for a battery of stability indices, obtained during normal walking among community-dwelling older adults. One hundred and eighty seven community-dwelling older adults participated in the study. After walking regularly for 20 strides on a walkway, participants were subjected to an unannounced slip during gait under the protection of a safety harness. Full body kinematics and kinetics were monitored during walking using a motion capture system synchronized with force plates. Stability variables, including feasible-stability-region measurement, margin of stability, the maximum Floquet multiplier, the Lyapunov exponents (short- and long-term), and the variability of gait parameters (including the step length, step width, and step time) were calculated for each subject. Accuracy of predicting slip outcome (fall vs. recovery) was examined for each stability variable using logistic regression. Results showed that the feasible-stability-region measurement predicted fall incidence among these subjects with the highest accuracy (68.4%). Except for the step width (with an accuracy of 60.2%), no other stability variables could differentiate fallers from those who did not fall for the sample studied in this study. The findings from the present study could provide guidance to identify individuals at increased risk of falling using the feasible-stability-region measurement or variability of the step width. PMID:25458148

Application of the Health Literacy INDEX on the development of a manual for prevention of falls for older adults.

PubMed

Andrade, Isabel; Silva, Catarina; Martins, Anabela Correia

2017-01-01

The Health Literacy INDEX tool has been developed for creating accessible and readable health information materials for people of all literacy levels. To increase knowledge of falls risk factors and actively engage older adults, we developed an improved manual for prevention of falls for low-health literacy older people entitled "Preventing falls-I can do it",with the aid of INDEX. First time application of the INDEX tool for assessing the health literacy demands of available manuals for prevention of falls for older adults and subsequent development of an improved manual using the INDEX tool as a checklist, supported by a pretest phase involving sixteen adults ≥65, living in the community, with literacy ≤4th grade and limited functional health literacy. The engagement of older adults from the target audience and their feedback obtained during the validation process contributed to the development of an improved health literacy- and age-friendly manual for prevention of falls. By offering effective health information materials, older adults can play a more active role in their health care. The manual developed to be health literacy- and age-friendly is available to be included in any multifactorial program for the prevention of falls in older adults. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Fear of falling in older adults living at home: associated factors.

PubMed

Vitorino, Luciano Magalhães; Teixeira, Carla Araujo Bastos; Boas, Eliandra Laís Vilas; Pereira, Rúbia Lopes; Santos, Naiana Oliveira Dos; Rozendo, Célia Alves

2017-04-10

To identify the factors associated with the fear of falling in the older adultliving at home. Cross-sectional study with probabilistic sampling of older adultenrolled in two Family Health Strategies (FHS). The fear of falling was measured by the Brazilian version of the Falls Efficacy Scale-International and by a household questionnairethat contained the explanatory variables. Multiple Linear Regression using the stepwise selection technique and the Generalized Linear Models were used in the statistical analyses. A total of170 older adultsparticipated in the research, 85 from each FHS. The majority (57.1%) aged between 60 and 69; 67.6% were female; 46.1% fell once in the last year. The majority of the older adults(66.5%) had highfear of falling. In the final multiple linear regression model, it was identified that a higher number of previous falls, female gender, older age, and worse health self-assessment explained 37% of the fear of falling among the older adult. The findings reinforce the need to assess the fear of falling among the older adultliving at home, in conjunction with the development and use ofstrategies based on modifiable factors by professionalsto reduce falls and improve health status, which may contribute to the reduction of the fear of falling among the older adult. Identificar os fatores associados ao medo de cair em idosos residentes no domicílio. Estudo transversal com amostragem probabilística de idosos cadastrados em duas Estratégias Saúde da Família (ESF). O medo de cair foi avaliado pela versão brasileira da escala Falls Efficacy Scale International e por um inquérito domiciliar que continha as variáveis explicativas.A Regressão Linear Múltipla por meio da técnica stepwise selectione osModelos Lineares Generalizados foram utilizados nas análises estatísticas. Participaram da pesquisa170 idosos, 85 de cada ESF. A maioria (57,1%) tinha entre 60 e 69 anos de idade; 67,6% eram do sexo feminino; 46,1% tiveram queda no último ano

Fall risk and prevention needs assessment in an older adult Latino population: a model community global health partnership.

PubMed

Hanlin, Erin R; Delgado-Rendón, Angélica; Lerner, E Brooke; Hargarten, Stephen; Farías, René

2013-01-01

The impact of falls in older adults presents a significant public health burden. Fall risk is not well-described in Latino populations nor have fall prevention programs considered the needs of this population. The objectives of this study were to develop a needs assessment of falls in older adult Latinos at a community center (CC), determine fall prevention barriers and strengths in this population, determine the level of interest in various fall prevention methods, and provide medical students an opportunity for participation in a culturally diverse community project. A cross-sectional survey was conducted with a convenience sample of older adult program participants. The survey was developed in collaboration with both partners. CC participants were approached by the interviewer and asked to participate. They were read the survey in their preferred language and their answers were recorded. Data were analyzed using descriptive statistics. We conducted 103 interviews. We found that 54% of participants had fallen in the last year, and of those 21% required medical care, 81% were afraid of falling again, and 66% considered themselves at risk for falling again. Of all respondents, 52% had 5 or more of the 10 surveyed risk factors for falling; 4% had no risk factors. Of all respondents, 75% were afraid of falling. Talking with health care providers and participating in an exercise class were the preferred methods of health information delivery (78% and 65%, respectively). Older adult Latinos in this selected population frequently fall and are worried about falling. Risk factors are prevalent. A fall prevention program is warranted and should include exercise classes and a connection with local primary care providers. A partnership between an academic organization and a CC is an ideal collaboration for the future development of prevention program.

The efficacy of treadmill training with and without projected visual context for improving walking ability and reducing fall incidence and fear of falling in older adults with fall-related hip fracture: a randomized controlled trial.

PubMed

van Ooijen, Mariëlle W; Roerdink, Melvyn; Trekop, Marga; Janssen, Thomas W J; Beek, Peter J

2016-12-28

The ability to adjust walking to environmental context is often reduced in older adults and, partly as result of this, falls are common in this population. A treadmill with visual context projected on its belt (e.g., obstacles and targets) allows for practicing step adjustments relative to that context, while concurrently exploiting the great amount of walking practice associated with conventional treadmill training. The present study was conducted to compare the efficacy of adaptability treadmill training, conventional treadmill training and usual physical therapy in improving walking ability and reducing fear of falling and fall incidence in older adults during rehabilitation from a fall-related hip fracture. In this parallel-group, open randomized controlled trial, seventy older adults with a recent fall-related hip fracture (83.3 ± 6.7 years, mean ± standard deviation) were recruited from inpatient rehabilitation care and block randomized to six weeks inpatient adaptability treadmill training (n = 24), conventional treadmill training (n = 23) or usual physical therapy (n = 23). Group allocation was only blind for assessors. Measures related to walking ability were assessed as the primary outcome before and after the intervention and at 4-week and 12-month follow-up. Secondary outcomes included general health, fear of falling, fall rate and proportion of fallers. Measures of general walking ability, general health and fear of falling improved significantly over time. Significant differences among the three intervention groups were only found for the Functional Ambulation Category and the dual-task effect on walking speed, which were in favor of respectively conventional treadmill training and adaptability treadmill training. Overall, adaptability treadmill training, conventional treadmill training and usual physical therapy resulted in similar effects on walking ability, fear of falling and fall incidence in older adults rehabilitating

Community service provider perceptions of implementing older adult fall prevention in Ontario, Canada: a qualitative study.

PubMed

Dykeman, Catherine S; Markle-Reid, Maureen F; Boratto, Lorna J; Bowes, Chris; Gagné, Hélène; McGugan, Jennifer L; Orr-Shaw, Sarah

2018-02-01

Despite evidence for effective fall prevention interventions, measurable reductions in older adult (≥ 65 years) fall rates remain unrealized. This study aimed to describe the perceived barriers to and effective strategies for the implementation of evidence-based fall prevention practices within and across diverse community organizations. This study is unique in that it included community service providers who are not generally thought to provide fall prevention services to older adults, such as retail business, community support, volunteer services, community foundations, recreation centres, and various emergency services. Interviews and focus groups were conducted with a purposive sampling of providers (n = 84) in varied roles within diverse community-based organizations across disparate geographical settings. Community service providers experience significant multi-level barriers to fall prevention within and across organizations and settings. The overall challenge of serving dispersed populations in adverse environmental conditions was heightened in northern rural areas. Barriers across the system, within organizations and among providers themselves emerged along themes of Limited Coordination of Communication, Restrictive Organizational Mandates and Policies, Insufficient Resources, and Beliefs about Aging and Falls. Participants perceived that Educating Providers, Working Together, and Changing Policies and Legislation were strategies that have worked or would work well in implementing fall prevention. An unintentional observation was made that several participants in this extremely varied sample identified expanded roles in fall prevention for themselves during the interview process. Community service providers experience disabling contexts for implementing fall prevention on many levels: their specific geography, their service systems, their organizations and themselves. A systemic lack of fit between the older adult and fall prevention services

Functional Performance As a Predictor of Injurious Falls Among Older Adults

PubMed Central

Ward, Rachel E.; Leveille, Suzanne G.; Beauchamp, Marla K.; Travison, Thomas; Alexander, Neil; Jette, Alan M.; Bean, Jonathan F.

2014-01-01

OBJECTIVES Guidelines for falls risk assessment include functional performance although evidence supporting specific tests for predicting injurious falls is lacking. We investigated whether a performance battery/its components aid in predicting injurious falls. DESIGN Longitudinal analysis; prospective cohort study. SETTING Clinical site. PARTICIPANTS 755 Boston area community-dwelling adults (mean ± SD: age=78.1 ± 5.4, 64.1% women, 77.6% white). MEASUREMENTS Baseline functional performance was determined by the SPPB measuring balance, gait speed, and 5 repeated chair stands. Fall history (past year) and efficacy in performing 10 daily activities without falling were assessed. Falls were assessed using a daily calendar over 4 years. Injurious falls were defined by fractures, sprains, dislocations, pulled or torn muscles, ligaments, or tendons or by seeking medical attention. RESULTS Poorest chair stand performance was associated with greater hazard of injurious falls compared to all other groups (HR [95% CI]: 1.96 [1.18–3.26], 1.65 [1.07–2.55], and 1.60 [1.03–2.48] for ≥16.7s vs. 13.7–16.6s, 11.2–13.6s, and <11.2s). SPPB did not predict injurious falls. Fall history predicted injurious falls (HR [95% CI]: 1.82 [1.39–2.39]); falls efficacy did not. Fall history and a slow chair stand (<16.7s) compounded 2-year cumulative incidence of an injurious fall (0.46, [0.34–0.58]) compared to positive fall history (0.29, [0.25–0.34]) or a slow chair stand alone (0.21, [0.13–0.30]). CONCLUSION An easily administered chair stand test may be sufficient for evaluating performance as part of a risk stratification strategy for injurious falls. PMID:25688606

Activities-specific balance confidence scale for predicting future falls in Indian older adults.

PubMed

Moiz, Jamal Ali; Bansal, Vishal; Noohu, Majumi M; Gaur, Shailendra Nath; Hussain, Mohammad Ejaz; Anwer, Shahnawaz; Alghadir, Ahmad

2017-01-01

Activities-specific balance confidence (ABC) scale is a subjective measure of confidence in performing various ambulatory activities without falling or experiencing a sense of unsteadiness. This study aimed to examine the ability of the Hindi version of the ABC scale (ABC-H scale) to discriminate between fallers and non-fallers and to examine its predictive validity for prospective falls. This was a prospective cohort study. A total of 125 community-dwelling older adults (88 were men) completed the ABC-H scale. The occurrence of falls over the follow-up period of 12 months was recorded. Discriminative validity was analyzed by comparing the total ABC-H scale scores between the faller and non-faller groups. A receiver operating characteristic curve analysis and a logistic regression analysis were used to examine the predictive accuracy of the ABC-H scale. The mean ABC-H scale score of the faller group was significantly lower than that of the non-faller group (52.6±8.1 vs 73.1±12.2; P <0.001). The optimal cutoff value for distinguishing faller and non-faller adults was ≤58.13. The sensitivity, specificity, area under the curve, and positive and negative likelihood ratios of the cutoff score were 86.3%, 87.3%, 0.91 ( P <0.001), 6.84, and 0.16, respectively. The percentage test accuracy and false-positive and false-negative rates were 86.87%, 12.2%, and 13.6%, respectively. A dichotomized total ABC-H scale score of ≤58.13% (adjusted odds ratio =0.032, 95% confidence interval =0.004-0.25, P =0.001) was significantly related with future falls. The ABC-H scores were significantly and independently related with future falls in the community-dwelling Indian older adults. The ability of the ABC-H scale to predict future falls was adequate with high sensitivity and specificity values.

Neuromuscular responses differ between slip-induced falls and recoveries in older adults

PubMed Central

Pai, Yi-Chung (Clive); Bhatt, Tanvi; Ting, Lena H.

2016-01-01

How does the robust control of walking and balance break down during a fall? Here, as a first step in identifying the neuromuscular determinants of falls, we tested the hypothesis that falls and recoveries are characterized by differences in neuromuscular responses. Using muscle synergy analysis, conventional onset latencies, and peak activity, we identified differences in muscle coordination between older adults who fell and those who recovered from a laboratory-induced slip. We found that subjects who fell recruited fewer muscle synergies than those who recovered, suggesting a smaller motor repertoire. During slip trials, compared with subjects who recovered, subjects who fell had delayed knee flexor and extensor onset times in the leading/slip leg, as well as different muscle synergy structure involving those muscles. Therefore, the ability to coordinate muscle activity around the knee in a timely manner may be critical to avoiding falls from slips. Unique to subjects who fell during slip trials were greater bilateral (interlimb) muscle activation and the recruitment of a muscle synergy with excessive coactivation. These differences in muscle coordination between subjects who fell and those who recovered could not be explained by differences in gait-related variables at slip onset (i.e., initial motion state) or variations in slip difficulty, suggesting that differences in muscle coordination may reflect differences in neural control of movement rather than biomechanical constraints imposed by perturbation or initial walking mechanics. These results are the first step in determining the causation of falls from the perspective of muscle coordination. They suggest that there may be a neuromuscular basis for falls that could provide new insights into treatment and prevention. Further research comparing the muscle coordination and mechanics of falls and recoveries within subjects is necessary to establish the neuromuscular causation of falls. NEW & NOTEWORTHY A

Neuromuscular responses differ between slip-induced falls and recoveries in older adults.

PubMed

Sawers, Andrew; Pai, Yi-Chung Clive; Bhatt, Tanvi; Ting, Lena H

2017-02-01

How does the robust control of walking and balance break down during a fall? Here, as a first step in identifying the neuromuscular determinants of falls, we tested the hypothesis that falls and recoveries are characterized by differences in neuromuscular responses. Using muscle synergy analysis, conventional onset latencies, and peak activity, we identified differences in muscle coordination between older adults who fell and those who recovered from a laboratory-induced slip. We found that subjects who fell recruited fewer muscle synergies than those who recovered, suggesting a smaller motor repertoire. During slip trials, compared with subjects who recovered, subjects who fell had delayed knee flexor and extensor onset times in the leading/slip leg, as well as different muscle synergy structure involving those muscles. Therefore, the ability to coordinate muscle activity around the knee in a timely manner may be critical to avoiding falls from slips. Unique to subjects who fell during slip trials were greater bilateral (interlimb) muscle activation and the recruitment of a muscle synergy with excessive coactivation. These differences in muscle coordination between subjects who fell and those who recovered could not be explained by differences in gait-related variables at slip onset (i.e., initial motion state) or variations in slip difficulty, suggesting that differences in muscle coordination may reflect differences in neural control of movement rather than biomechanical constraints imposed by perturbation or initial walking mechanics. These results are the first step in determining the causation of falls from the perspective of muscle coordination. They suggest that there may be a neuromuscular basis for falls that could provide new insights into treatment and prevention. Further research comparing the muscle coordination and mechanics of falls and recoveries within subjects is necessary to establish the neuromuscular causation of falls. A central question

Mobility Device Use Among Older Adults and Incidence of Falls and Worry About Falling: Findings From the 2011–2012 National Health and Aging Trends Study

PubMed Central

Gell, Nancy M.; Wallace, Robert B.; LaCroix, Andrea Z.; Mroz, Tracy M.; Patel, Kushang V.

2015-01-01

OBJECTIVES To examine mobility device use prevalence among community-dwelling older adults in the U.S. and to investigate the incidence of falls and worry about falling by the type and number of mobility devices used. DESIGN Analysis of cross-sectional and longitudinal data from the 2011–2012 National Health and Aging Trends Study SETTING In-person interviews in the homes of study participants PARTICIPANTS Nationally representative sample of Medicare beneficiaries(N=7609). MEASUREMENTS Participants were asked about mobility device use (e.g., canes, walkers, wheelchairs and scooters) in the last month, one-year fall history and worry about falling. RESULTS Twenty-four percent of adults age ≥65 reported mobility device use in 2011 and 9.3% reported using multiple devices within the last month. Mobility device use increased with advancing age and was associated with non-White race/ethnicity, female sex, lower education level, greater multi-morbidity, and obesity (all P-values < 0.001). Adjusting for demographic, health characteristics, and physical function, the incidence of falls and recurrent falls were not associated with the use of multiple devices or any one particular type of mobility device. Activity-limiting worry about falling was significantly higher in cane-only users, compared with non-users. CONCLUSION The percentage of older adults reporting mobility device use is higher compared to results from previous national surveys and multiple device use is common among those who use any device. Mobility device use is not associated with increased incidence of falls compared to non-device users. Cane-only users may compensate for worry about falling by limiting activity. PMID:25953070

Trends in fall-related injuries among older adults treated in emergency departments in the USA.

PubMed

Orces, Carlos H; Alamgir, Hasanat

2014-12-01

To examine national trends in fall-related injuries among older adults treated in emergency departments (ED) and project these injuries until the year 2030. The Web-based Injury Statistics Query and Reporting System was used to generate data on fall-related injuries treated in ED. Joinpoint regression analysis was used to examine the average annual change in injury rates over time. Fall-related injury and hospitalisation rates increased on average by 2% (95% CI 1.5% to 2.7%) and by 4% (95% CI 2.9% to 5.0%) per year, respectively. Assuming the increase in fall-related injury rates remains unchanged, the number of fall-related injuries may increase to 5.7 million by the year 2030. Fall-related injuries among older adults treated in ED increased in the USA during the study period. Moreover, a marked increase in the number of these injuries may occur over the next decades. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Longitudinal Trends in Fall Accidents in Community Dwelling Korean Adults: The 2008–2013 Korean Community Health Survey

PubMed Central

Logan, Sarah

2016-01-01

Objective To describe the longitudinal characteristics of unintentional fall accidents using a representative population-based sample of Korean adults. Methods We examined data from the Korean Community Health Survey from 2008 to 2013. Univariate analysis and multivariable logistic regression were used to identify the characteristics of fall accidents in adults. Results Between 2008 and 2013, the incidence rate of fall accidents requiring medical treatment increased from 1,248 to 3,423 per 100,000 people (p<0.001), while the proportion of indoor fall accidents decreased from 38.12% to 23.16% (p<0.001). Females had more annual fall accidents than males (p<0.001). The major reason for fall accidents was slippery floors (33.7% in 2011 and 36.3% in 2013). Between 2008 and 2010, variables associated with higher fall accident risk included specific months (August and September), old age, female gender, current drinker, current smoker, diabetes, osteoarthritis, osteoporosis, and depression. A high level of education and living with a partner were negatively associated with fall accident risk. In 2013, people experiencing more than 1 fall accident felt more fear of falling than those having no fall accidents (odds ratio [OR] for 1 fall, 2.12; 95% confidence interval [CI], 2.04–2.12; OR for more than 2 falls, 2.97; 95% CI, 2.83–3.10). Conclusion The occurrence of fall accidents has consistently increased in Korea from 2008 to 2013. Future intervention studies are needed to reduce the increasing incidence rates of fall accidents in community dwelling adults. PMID:27606272

Falls in older adults with major depressive disorder (MDD): a systematic review and exploratory meta-analysis of prospective studies.

PubMed

Stubbs, Brendon; Stubbs, Jean; Gnanaraj, Solomon Donald; Soundy, Andrew

2016-01-01

Depressive symptomology is now widely recognized as a key risk factor for falls. The evidence regarding the impact of major depressive disorder (MDD) on falls is unclear. A systematic review and exploratory meta-analysis was undertaken to explore the relationship between MDD and falls. Major electronic database were searched from inception till April 2015. Studies that defined MDD and measured falls prospectively in older adults (≥60 years) were included. Studies relying on depressive symptomology alone were excluded. The methodological quality of included articles was assessed and study findings were synthesized using an exploratory meta-analysis. From a potential of 415 articles, only three studies met the inclusion criteria. This included 976 unique older adults with a range of mean age from ≥65 to 83 years. The methodological quality of included studies was satisfactory. None of the included studies' primary aim was to investigate the relationship between MDD and falls. The exploratory meta-analysis demonstrated older adults with MDD are at increased risk of falling compared to non-depressed older adults (odds ratio (OR) 4.0, 95% CI 2.0-8.1, I(2) = 60%, n = 976). There is a paucity of research considering falls in older adults with MDD. Our results demonstrate that the odds of falling appear to be greater among people with MDD (OR 4.0) than in previous meta-analyses that have only considered subthreshold depressive symptoms. Given the distinct nature and challenges with MDD, more research is required to better understand the falls risk in this group.

Randomized controlled trial comparing tailoring methods of multimedia-based fall prevention education for community-dwelling older adults.

PubMed

Schepens, Stacey L; Panzer, Victoria; Goldberg, Allon

2011-01-01

We attempted to determine whether multimedia fall prevention education using different instructional strategies increases older adults' knowledge of fall threats and their fall prevention behaviors. Fifty-three community-dwelling older adults were randomized to iwo educational groups or a control group. Multimedia-based educational interventions to increase fall threats knowledge and encourage fall prevention behaviors had two tailoring strategies: (1) improve content realism for individual learners (authenticity group) and (2) highlight program goals and benefits while using participants' content selections (motivation group). Knowledge was measured at baseline and 1-mo follow-up. Participants recorded prevention behaviors for 1 mo. Intervention group participants showed greater knowledge gains and posttest knowledge than did control group participants. The motivation group engaged in more prevention behaviors over 1 mo than did the other groups. Tailoring fall prevention education by addressing authenticity and motivation successfully improved fall threats knowledge. Combining motivational strategies with multimedia education increased the effectiveness of the intervention in encouraging fall prevention behaviors.

Patient centered fall risk awareness perspectives: clinical correlates and fall risk