Seed fall in an oldgrowth northern hardwood forest

Treesearch

Raymond E. Graber; William B. Leak; William B. Leak

1992-01-01

Seed fall was measured for 11 years in a 200-year-old stand of sugar maple, yellow birch, and beech in New Hampshire. Yellow birch had 5 good seed years, sugar maple had 3, and beech had none. Viable seed fall of yellow birch began in August and continued through autumn and winter. Most of the viable sugar maple seed fell during a short period in October. Beech seed...

Fall and winter movements and habitat use of the introduced American bullfrog (Lithobates catesbeiana) in a Montana pond

USGS Publications Warehouse

Sepulveda, Adam; Layhee, Megan J.

2015-01-01

American Bullfrogs (Lithobates catesbeianus) have been introduced across the globe, including in many northern latitude habitats where wetlands are ice-covered for part of the year. Because bullfrogs are less mobile at low temperatures, greater knowledge about their overwintering habitat may provide additional opportunities for control. Here, we described fall and early-winter movements and habitat associations for introduced juvenile bullfrogs in a pond within the Yellowstone River corridor near Billings, Montana, USA. We attached radio-transmitters to 13 juvenile bullfrogs and located individuals from 28 August to 10 December 2014. Bullfrogs moved greater distances in late summer and early autumn, and later during brief warming periods. Collectively, all bullfrog locations were distributed across a 15,384 m2 area during the active season, but contracted to a 130 m2 area in the east cove of the pond by the time the study site froze over. Our research provides evidence that managers in northern latitude regions like Montana may be able to use the long, cold winters to their advantage because the site-specific distributions of introduced bullfrogs contracted as temperatures decreased.

Fall and winter foods of northern pintails in the Sacramento Valley, California

USGS Publications Warehouse

Miller, Michael R.

1987-01-01

Food habits of northern pintails (Anas acuta) were investigated on 3 national wildlife refuges in the western portion of the Sacramento Valley, California, from August to March 1979-82. Pintails consumed 97% (aggregate % dry wt) plant food during diurnal foraging on national wildlife refuge rice, summer-irrigated, and summer-dry habitats from August through January. Invertebrate use increased to 28.9-65.6% of the diet in these habitats during February and March. Rice, swamp timothy (Heleochloa schoenoides), flatsedges (Cyperus spp.), common barnyardgrass (Echinochloa crusgalli), southern naiad (Najas guadalupensis), and smartweed (Polygonum spp.) seeds, miscellaneous vegetation, snails (Gastropoda), and midge (Diptera) and water beetle (Coleoptera) larvae were most important. These foods usually were taken proportional to or greater than availability. Rice was the most important food of pintails feeding nocturnally off the refuges in harvested rice fields from October through January (99.7%) and February and March (63%; barnyardgrass formed 31% of the diet). In August and October, some pintails consumed invertebrates or bulrush (Scirpus spp. ) seedlings in marshes soon after feeding in refuge rice (Aug) or harvested commercial rice fields (Oct), thereby increasing dietary protein. In late winter, females and males obtained similar (P > 0.05) percentages of invertebrates from refuge habitats. Important dietary seeds and invertebrates contained high protein or metabolizable energy content. Management should maintain adequate seed production in fall and mid-winter and invertebrate biomass in late winter.

Diel habitat partitioning by bull charr and cutthroat trout during fall and winter in Rocky Mountain streams

Treesearch

Michael J. Jakober; Thomas E. McMahon; Russell F. Thurow

2000-01-01

We used underwater observation to determine diel habitat partitioning between bull charr, Salvelinus confluentus, and cutthroat trout, Oncorhynchus clarki, during fall and winter (0.1-8.3°C) in two Rocky Mountain streams that differed in habitat availability. The majority (>70%) of both species emerged from concealment cover at night, though bull charr exhibited a...

Inside English: Journal of the English Council of California Two-Year Colleges; Fall 1977, Winter 1978, and Spring 1978.

ERIC Educational Resources Information Center

Booth, Richard E., Ed.

1978-01-01

Designed primarily for English faculty at two-year colleges in California, "Inside English" includes articles on major instructional, curricular, administrative, and employment issues of concern to teachers in the field as well as information on the activities of the English Council of the California Two-Year Colleges (ECCTYC). The Fall 1977, and…

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.

Classroom Ideas Using Technology: A Snowflake in Winter

ERIC Educational Resources Information Center

Thomson, Ian

2017-01-01

Snowflakes falling in Brisbane, Australia would likely make news headlines during any season of a given year, even during winter. Year 8 students at Ormiston College which is located in Brisbane, have made their own snowflakes--of a kind. Using the programming language Scratch, all Year 8 Mathematics students wrote code to construct Swedish…

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.

The Impact of Moisture Intrusions from Lower Latitudes on Arctic Net Surface Radiative Fluxes and Sea Ice Growth in Fall and Winter

NASA Astrophysics Data System (ADS)

Hegyi, B. M.; Taylor, P. C.

2017-12-01

The fall and winter seasons mark an important period in the evolution of Arctic sea ice, where energy is transferred away from the surface to facilitate the cooling of the surface and the growth of Arctic sea ice extent and thickness. Climatologically, these seasons are characterized by distinct periods of increased and reduced surface cooling and sea ice growth. Periods of reduced sea ice growth and surface cooling are associated with cloudy conditions and the transport of warm and moist air from lower latitudes, termed moisture intrusions. In the research presented, we explore the regional and Arctic-wide impact of moisture intrusions on the surface net radiative fluxes and sea ice growth for each fall and winter season from 2000/01-2015/16, utilizing MERRA2 reanalysis data, PIOMAS sea ice thickness data, and daily CERES radiative flux data. Consistent with previous studies, we find that positive anomalies in downwelling longwave surface flux are associated with increased temperature and water vapor content in the atmospheric column contained within the moisture intrusions. Interestingly, there are periods of increased downwelling LW flux anomalies that persist for one week or longer (i.e. longer than synoptic timescales) that are associated with persistent poleward flux of warm, moist air from lower latitudes. These persistent anomalies significantly reduce the regional growth of Arctic sea ice, and may in part explain the interannual variability of fall and winter Arctic sea ice growth.

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.

Home Improvements Prevent Falls

MedlinePlus

... turn JavaScript on. Feature: Falls and Older Adults Home Improvements Prevent Falls Past Issues / Winter 2014 Table ... and ensure your safety. "Safe-ty-fy" Your Home Some Questions for Your Provider Will my medicines ...

Falls, risk factors and fear of falling among persons older than 65 years of age.

PubMed

Gazibara, Tatjana; Kurtagic, Ilma; Kisic-Tepavcevic, Darija; Nurkovic, Selmina; Kovacevic, Nikolina; Gazibara, Teodora; Pekmezovic, Tatjana

2017-07-01

Falling represents a major public health problem among older persons because it leads to premature mortality, loss of independence, and placement in assisted-living facilities. The purpose of this study was to assess the main features and risks for falls among persons older than 65 years of age as well as to quantify their fear of falling. A total of 354 persons older than 65 years of age were recruited at a community health centre. Characteristics of the most recent fall were obtained through detailed interviews with study participants. The Falls Efficacy Scale was used to quantify fear of falling. Frequency of falling was 15.8%. Falls occurred most often while walking (49%). One-half of fallers (49.1%) sustained an injury. Head haematomas and soft tissues contusions were the most common consequences of falls. The average Falls Efficacy Scale score was significantly higher in fallers ( P = 0.001). Multiple logistic regression analysis showed that having a fear of falling (odds ratio = 4.14, 95% confidence interval: 1.22-14.08, P = 0.02) and being a woman (odds ratio = 2.10, 95% confidence interval: 0.97-4.53, P = 0.05) were independent risk factors for falling among older persons. The frequency of falls among older people was similar to those in other populations. These results could be used to help select older persons who should be enrolled in fall prevention programmes. © 2017 Japanese Psychogeriatric Society.

Subsequent-year recaptures at winter sites in three species of shrubland sparrows (Emberizidae)

USGS Publications Warehouse

Knick, Steven T.; Leu, Matthias; Hanser, Steven E.

2017-01-01

The tendency by individual birds to return to winter sites in subsequent years can be important in assessing the potential influence of habitat changes during the nonbreeding period. We recaptured five Brewer's (Spizella breweri), seven sagebrush (Artemisiospiza nevadensis), and three black-throated (Amphispiza bilineata) sparrows from 1–3 subsequent years at the same winter location following their initial capture. Two Brewer's and one sagebrush sparrow returned to the same winter location at least 4 years after their initial capture. Levels of feather deuterium indicated that birds captured together on winter sites had different breeding ranges. Although individuals of these species returned to specific sites used in previous years, the low recapture rate suggests that wintering individuals may use an itinerant strategy adapted to seasonal food resources.

Winter movements of adult northern goshawks that nested in southcentral Wyoming

Treesearch

John R. Squires; Leonard F. Ruggiero

1995-01-01

Winter movements of four adult northern goshawks (Accipiter gentilis) that nest in southcentral Wyoming were monitored during the winter of 1992-93. Goshawks initiated fall migrations in early fall (primarily mid-September) while weather conditions are moderate. Female 1 migrated 185 km south of her nest. She wintered in a mountainous area in Colorado at a higher...

The Risk for Fall and Functional Dependence in Polish Adults 60–87 Years Old.

PubMed

Domaradzki, Jaroslaw; Koziel, Slawomir; Ignasiak, Zofia; Sławińska, Teresa; Skrzek, Anna; Kołodziej, Małgorzata

2017-03-01

The constantly rising percentage of the elderly (60+), who are particularly at risk of the dangerous consequence of falls, results not only in the loss of independence in daily life, but also in a serious threat to health and life. Therefore, many authors emphasize the necessity of conducting prophylaxis and prevention among senior citizens. The most important aspect of fall prophylaxis is care about the optimum level of agility. Exercise should focus on increasing muscular strength, balance and dexterity. The aim of the present study is to determine the relationship between functional fitness and the risk for falls of older people in the light of maintaining physical independence. The research group consisted of 522 persons: 142 males and 380 females aged 60-84 years from Wroclaw (a city in the south-west of Poland). All subjects provided written consent, and were measured and tested in 2009 through 2015, excluding the winter months. Body height and weight were measured. Body mass index was calculated. The Senior Fitness Test was used to assess functional capacity and efficiency. The results of the Senior Fitness Test were used to estimate Maintaining Physical Independence in Older Adults. The differences in the means of the results of all the tests between the age and sex-specific groups were assessed by means of a two-way analysis of variance, where sex and age were factors and results of appropriate test dependent variables. Logistic regression was used to estimate the risk for fall, based on the incidence of fall in the last year, for each test comparing the individuals met referenced criteria to maintain functionally dependence and independent, controlled for age and BMI. The risk for falls was more than twice greater in the case of the studied females, whose muscular strength of the upper part of the body was lower. The females in whose cases no fewer than two tests failed to ascertain functional independence, had a greater risk for falls. In the case of the

Role of stream ice on fall and winter movements and habitat use by bull trout and cutthroat trout in Montana headwater streams

Treesearch

Michael J. Jakober; Thomas E. McMahon; Russell F. Thurow; Christopher G. Clancy

1998-01-01

We used radiotelemetry and underwater observation to assess fall and winter movements and habitat use by bull trout Salvelinus confluentus and westslope cutthroat trout Oncorhynchus clarki lewisi in two headwater streams in the Bitterroot River drainage, Montana, that varied markedly in habitat availability and stream ice conditions. Bull trout and cutthroat trout made...

Fall migration routes, timing, and wintering sites of North American ospreys as determined by satellite telemetry

USGS Publications Warehouse

Martell, M.S.; Henny, Charles J.; Nye, P.; Solensky, Matthew J.

2001-01-01

Satellite telemetry was used to determine fall migratory movements of Ospreys (Pandion haliaetus) breeding in the United States. Study areas were established along the lower Columbia River between Oregon and Washington; in north-central Minnesota; on Shelter Island, New York; and in southern New Jersey. Seventy-four adults (25 males, 49 females) were tracked from 1995 through 1999. Migration routes differed among populations but not by sex. Western Ospreys migrated through California and to a lesser degree other western states and wintered in Mexico (88%), El Salvador (6%), and Honduras (6%) (25.9A?N to 13.0A?N and 108.3A?W to 87.3A?W). Minnesota Ospreys migrated along three routes: (1) through the Central U.S. and then along the east coast of Mexico, (2) along the Mississippi River Valley, then across the Gulf of Mexico, or (3) through the southeastern U.S., then across the Caribbean. East Coast birds migrated along the eastern seaboard of the U.S., through Florida, and across the Caribbean. Midwestern birds wintered from Mexico south to Bolivia (22.35A?N to 13.64A?S, and 91.75A?W to 61.76A?W), while East Coast birds wintered from Florida to as far south as Brazil (27.48A?N to 18.5A?S and 80.4A?W to 57.29A?W). Dates of departure from breeding areas differed significantly between sexes and geographic regions, with females leaving earlier than males. Western birds traveled a shorter distance than either midwestern or eastern Ospreys. Females traveled farther than males from the same population, which resulted in females typically wintering south of males.

Lake Stability and Winter-Spring Transitions: Decoupled Ice Duration and Winter Stratification

NASA Astrophysics Data System (ADS)

Daly, J.; Dana, S.; Neal, B.

2016-12-01

Ice-out is an important historical record demonstrating the impact of warmer air temperatures on lake ice. To better understand regional differences in ice-out trends, to characterize the thermal dynamics of smaller mountain lakes, and to develop baseline data for Maine's high elevations landscapes, sub-hourly water temperatures have been collected in over a dozen of Maine's mountain lakes since 2010. Both surface water and hypolimnion temperature data are recorded year-round, facilitating the determination of ice-in, ice-out, and the duration of winter stratification. The multi-year record from sites across as 250 km transect allows us to compare spatial variability related to lake morphometry and location with inter-annual variability related to local weather. All of the study lakes are large enough to stratify during the summer and mix extensively during the fall. Most years, our data show that the onset of winter stratification is nearly synchronous across the study area and is associated with cold air temperatures. Winter stratification can begin days to weeks before ice-in; the timing of ice-in shows more variability, with both elevation and basin aspect influencing the timing. Ice-out shows both the anticipated spatial and interannual variability; some years there is strong coherence between locations while other years show high variability, possibly a function of differences in snowpack. Ice-out is not always immediately followed by the end of winter stratification, there is sometimes a lag of days to weeks before the lakes mix. If the warm temperatures that lead to ice-out are followed by calm days without significant wind, the surface of some lakes begins to warm quickly maintaining the density difference and prolonging winter stratification. The longer the lag time, the stronger the density difference becomes which may also result in a very brief period of mixing in the spring prior to set-up of summer stratification. This year's El Niño event resulted

Linkages between Icelandic Low position and SE Greenland winter precipitation

NASA Astrophysics Data System (ADS)

Berdahl, M.; Rennermalm, A. K.; Hammann, A. C.; Mioduszewski, J.; Hameed, S.; Tedesco, M.; Stroeve, J. C.; Mote, T. L.

2015-12-01

Greenland's largest flux of precipitation occurs in its Southeast (SE) region. An understanding of the mechanisms controlling precipitation in this region is lacking despite its disproportionate importance in the mass balance of Greenland and the consequent contributions to sea level rise. We use weather station data from the Danish Meteorological Institute to reveal the governing influences on precipitation in SE Greenland during the winter and fall. We find that precipitation in the fall is significantly correlated to the longitude of the Icelandic Low and the NAO. Winter precipitation is correlated with the strength and longitude of the Icelandic Low, as well as the NAO. We show that in years of extreme high precipitation, onshore winds dominate, thereby advecting more moisture inland. In low precipitation years, winds are more westerly, approaching the stations from land. Understanding the controls of SE Greenland precipitation will help us predict how future precipitation in this key region may change in a warming climate.

Breeding sites and winter site fidelity of Piping Plovers wintering in The Bahamas, a previously unknown major wintering area

USGS Publications Warehouse

Gratto-Trevor, Cheri; Haig, Susan M.; Miller, Mark P.; Mullins, Thomas D.; Maddock, Sidney; Roche, Erin A.; Moore, Predensa

2016-01-01

Most of the known wintering areas of Piping Plovers (Charadrius melodus) are along the Atlantic and Gulf coasts of the United States and into Mexico, and in the Caribbean. However, 1066 threatened/endangered Piping Plovers were recently found wintering in The Bahamas, an area not previously known to be important for the species. Although representing about 27% of the birds counted during the 2011 International Piping Plover Winter Census, the location of their breeding site(s) was unknown. Thus, our objectives were to determine the location(s) of their breeding site(s) using molecular markers and by tracking banded individuals, identify spring and fall staging sites, and examine site fidelity and survival. We captured and color-banded 57 birds in January and February 2010 in The Bahamas. Blood samples were also collected for genetic evaluation of the likely subspecies wintering in The Bahamas. Band re-sightings and DNA analysis revealed that at least 95% of the Piping Plovers wintering in The Bahamas originated on the Atlantic coast of the United States and Canada. Re-sightings of birds banded in The Bahamas spanned the breeding distribution of the species along the Atlantic coast from Newfoundland to North Carolina. Site fidelity to breeding and wintering sites was high (88–100%). Spring and fall staging sites were located along the Atlantic coast of the United States, with marked birds concentrating in the Carolinas. Our estimate of true survival for the marked birds was 0.71 (95% CI: 0.61–0.80). Our results indicate that more than one third of the Piping Plover population that breeds along the Atlantic coast winters in The Bahamas. By determining the importance of The Bahamas to the Atlantic subspecies of Piping Plovers, future conservation efforts for these populations can be better focused on where they are most needed.

A survey of managed honey bee colony losses in the USA, fall 2009 to winter 2010

USDA-ARS?s Scientific Manuscript database

This study records the fourth consecutive year of high winter losses in managed honey bee (Apis mellifera) colonies in the USA. Over the winter of 2009-2010, US beekeepers responding to this survey lost an average of 42.2% of their colonies, for a total loss of 34.4%. Commercial beekeepers (those op...

TAP into Learning, Fall-Winter 2000.

ERIC Educational Resources Information Center

Burns, Mary; Dimock, Vicki; Martinez, Danny

2000-01-01

This document consists of the final three issues of "TAP into Learning" (Technology Assistance Program). The double fall issue focuses on knowledge construction and on using multimedia applications in the classroom. Contents include: "Knowledge Under Construction"; "Hegel and the Dialectic"; "Implications for…

Hippocampal neurogenesis and volume in migrating and wintering semipalmated sandpipers (Calidris pusilla)

PubMed Central

de Morais Magalhães, Nara Gyzely; Guerreiro Diniz, Daniel; Pereira Henrique, Ediely; Corrêa Pereira, Patrick Douglas; Matos Moraes, Isis Ananda; Damasceno de Melo, Mauro André; Sherry, David Francis; Wanderley Picanço Diniz, Cristovam

2017-01-01

Long distance migratory birds find their way by sensing and integrating information from a large number of cues in their environment. These cues are essential to navigate over thousands of kilometers and reach the same breeding, stopover, and wintering sites every year. The semipalmated sandpiper (Calidris pusilla) is a long-distance migrant that breeds in the arctic tundra of Canada and Alaska and winters on the northeast coast of South America. Its fall migration includes a 5,300-kilometer nonstop flight over the Atlantic Ocean. The avian hippocampus has been proposed to play a central role in the integration of multisensory spatial information for navigation. Hippocampal neurogenesis may contribute to hippocampal function and a variety of factors including cognitive activity, exercise, enrichment, diet and stress influence neurogenesis in the hippocampus. We quantified hippocampal neurogenesis and volume in adult migrating and wintering semipalmated sandpipers using stereological counts of doublecortin (DCX) immunolabeled immature neurons. We found that birds captured in the coastal region of Bragança, Brazil during the wintering period had more DCX positive neurons and larger volume in the hippocampus than individuals captured in the Bay of Fundy, Canada during fall migration. We also estimate the number of NeuN immunolabeled cells in migrating and wintering birds and found no significant differences between them. These findings suggest that, at this time window, neurogenesis just replaced neurons that might be lost during the transatlantic flight. Our findings also show that in active fall migrating birds, a lower level of adult hippocampal neurogenesis is associated with a smaller hippocampal formation. High levels of adult hippocampal neurogenesis and a larger hippocampal formation found in wintering birds may be late occurring effects of long distance migratory flight or the result of conditions the birds experienced while wintering. PMID:28591201

Hippocampal neurogenesis and volume in migrating and wintering semipalmated sandpipers (Calidris pusilla).

PubMed

de Morais Magalhães, Nara Gyzely; Guerreiro Diniz, Cristovam; Guerreiro Diniz, Daniel; Pereira Henrique, Ediely; Corrêa Pereira, Patrick Douglas; Matos Moraes, Isis Ananda; Damasceno de Melo, Mauro André; Sherry, David Francis; Wanderley Picanço Diniz, Cristovam

2017-01-01

Long distance migratory birds find their way by sensing and integrating information from a large number of cues in their environment. These cues are essential to navigate over thousands of kilometers and reach the same breeding, stopover, and wintering sites every year. The semipalmated sandpiper (Calidris pusilla) is a long-distance migrant that breeds in the arctic tundra of Canada and Alaska and winters on the northeast coast of South America. Its fall migration includes a 5,300-kilometer nonstop flight over the Atlantic Ocean. The avian hippocampus has been proposed to play a central role in the integration of multisensory spatial information for navigation. Hippocampal neurogenesis may contribute to hippocampal function and a variety of factors including cognitive activity, exercise, enrichment, diet and stress influence neurogenesis in the hippocampus. We quantified hippocampal neurogenesis and volume in adult migrating and wintering semipalmated sandpipers using stereological counts of doublecortin (DCX) immunolabeled immature neurons. We found that birds captured in the coastal region of Bragança, Brazil during the wintering period had more DCX positive neurons and larger volume in the hippocampus than individuals captured in the Bay of Fundy, Canada during fall migration. We also estimate the number of NeuN immunolabeled cells in migrating and wintering birds and found no significant differences between them. These findings suggest that, at this time window, neurogenesis just replaced neurons that might be lost during the transatlantic flight. Our findings also show that in active fall migrating birds, a lower level of adult hippocampal neurogenesis is associated with a smaller hippocampal formation. High levels of adult hippocampal neurogenesis and a larger hippocampal formation found in wintering birds may be late occurring effects of long distance migratory flight or the result of conditions the birds experienced while wintering.

Utility of seasonal climate forecasts in management of winter-wheat grazing

USDA-ARS?s Scientific Manuscript database

Winter wheat in the southern Great Plains is a dual crop that produces livestock forage in the fall and winter and a grain crop in the spring. Forage production is highly dependent upon climatic variability, but stocking rate purchasing decisions must generally be made shortly after the fall planti...

Winter Ground Temperatures Control Snowmelt DOC Export From a Discontinuous Permafrost Watershed: A Multi-Year Perspective

NASA Astrophysics Data System (ADS)

Carey, S. K.

2006-12-01

For discontinuous and continuous permafrost watersheds, the largest mass flux of dissolved organic carbon (DOC) occurs during the snowmelt period. During this time, available allochtonous organic carbon that has accumulated over the winter in frozen organic soils is rapidly flushed to the basin outlet. While this process has been observed now in many river systems of different size and location, there have been few inter-annual reports on the mass of DOC loss and the factors controlling its variability during freshet. Hydrological and DOC fluxes were recorded for the 2002, 2003 and 2006 snowmelt season with supplementary over-winter data for an 8 square kilometer sub-basin (Granger Basin) of the Wolf Creek Research Basin, Yukon Territory, Canada. Granger Basin is an alpine catchment above treeline underlain with discontinuous permafrost (approximately 70 %) and has widespread surface organic soils up to 0.4 m in thickness. Pre-melt snow water equivalent varied widely throughout the basin, yet was greatest in 2006, followed by 2002 and 2003. Ground temperatures were notably colder throughout the 2003 winter compared with 2006 and 2002. For all years, discharge began in mid-May, and was a continuous event in 2002 and 2006. In 2003 four distinct melt-periods were observed due to rising and falling temperatures. During freshet, stream DOC concentration increased rapidly from < 2 mg C/L to > 15 mg C/L on the first ascending limb of the hydrograph in each year. In 2003, DOC was largely flushed from the catchment several weeks prior to peak freshet. DOC concentration in wells and piezometers followed a similar pattern to streamflow DOC, with 2003 groundwater DOC concentrations less than 2002 and 2006. The total mass flux of DOC during freshet was 0.85, 0.45 and 1.01 g C/m2 for 2002, 2003 and 2006 respectively. Despite differences in pre-melt snow accumulation, the timing of melt and the volume of discharge, it appears that spring DOC export is largely controlled by over-winter

Fall-related injuries among initially 75- and 80-year old people during a 10-year follow-up.

PubMed

Saari, Päivi; Heikkinen, Eino; Sakari-Rantala, Ritva; Rantanen, Taina

2007-01-01

The aim of this study was to investigate the occurrence, type, scene and seasonal variation of fall related injuries, and the impact of socio-economic factors, mobility limitation, and the most common diseases on the risk of injurious falls over a 10-year follow-up. Elderly residents of Jyväskylä, Finland, aged initially 75 and 80 years, took part in the study in 1989-1990. The health and functional capacity assessments were carried out at the baseline. Injurious falls were monitored over a 10-year period. The rate of injurious falls per thousand person-years was 188 among women and 78 among men. Of all fall-related diagnoses, head injuries comprised 32%, upper limb injuries 27% and hip injuries 19%. Majority of injurious falls took place indoors and no seasonal variation in fall occurrence was observed. Recurring falls were more likely to take place in institutions. Osteoarthritis increased the risk of injurious falls but no effect was observed for coronary heart diseases or mobility limitation. All in all, intrinsic factors, such as chronic diseases and mobility limitation had only minor effect on risk of injurious falls among older people. The current results suggest that preventive interventions for injurious falls among older people should pay attention to the risk factors present indoors.

Grazing management for fall-grown oat forages

USDA-ARS?s Scientific Manuscript database

Fall forage production of oat generally will out-yield winter wheat or cereal rye by about a 2:1 ratio, regardless of weather conditions or harvest date because oat plants will joint, elongate, and produce a seedhead before winter, while winter wheat or cereal rye will remain vegetative until spring...

Deaths from Falls Among Persons Aged ≥65 Years - United States, 2007-2016.

PubMed

Burns, Elizabeth; Kakara, Ramakrishna

2018-05-11

Deaths from unintentional injuries are the seventh leading cause of death among older adults (1), and falls account for the largest percentage of those deaths. Approximately one in four U.S. residents aged ≥65 years (older adults) report falling each year (2), and fall-related emergency department visits are estimated at approximately 3 million per year.* In 2016, a total of 29,668 U.S. residents aged ≥65 years died as the result of a fall (age-adjusted rate †  = 61.6 per 100,000), compared with 18,334 deaths (47.0) in 2007. To evaluate this increase, CDC produced age-adjusted rates and trends for deaths from falls among persons aged ≥65 years, by selected characteristics (sex, age group, race/ethnicity, and urban/rural status) and state from 2007 to 2016. The rate of deaths from falls increased in the United States by an average of 3.0% per year during 2007-2016, and the rate increased in 30 states and the District of Columbia (DC) during that period. In eight states, the rate of deaths from falls increased for a portion of the study period. The rate increased in almost every demographic category included in the analysis, with the largest increase per year among persons aged ≥85 years. Health care providers should be aware that deaths from falls are increasing nationally among older adults but that falls are preventable. Falls and fall prevention should be discussed during annual wellness visits, when health care providers can assess fall risk, educate patients about falls, and select appropriate interventions.

Enrollment/Non-Returning Student Study for Winter 1995. A Research Report.

ERIC Educational Resources Information Center

Schoolcraft Coll., Livonia, MI.

A study was conducted at Schoolcraft College, in Michigan, to determine possible reasons for a drop in enrollment between fall 1994 and winter 1995. Of the 3,063 students who were enrolled in fall 1994 but did not return for winter 1995, 100 were surveyed by telephone to determine reasons for not returning, while demographic data were obtained…

Masculinity and preventing falls: insights from the fall experiences of men aged 70 years and over.

PubMed

Liddle, J L M; Lovarini, Meryl; Clemson, Lindy M; Jang, Haeyoung; Lord, Stephen R; Sherrington, Catherine; Willis, Karen

2018-01-11

To explore men's fall experiences through the lens of masculine identities so as to assist health professionals better engage men in fall prevention programs. Twenty-five men, aged 70-93 years who had experienced a recent fall, participated in a qualitative semi-structured interview. Men's willingness to engage in fall prevention programs taking account of individual contexts and expressions of masculinity, were conceptualised using constant comparative methods. Men's willingness to engage in fall prevention programs was related to their perceptions of the preventability of falls; personal relevance of falls; and age, health, and capability as well as problem-solving styles to prevent falls. Fall prevention advice was rarely given when men accessed the health system at the time of a fall. Contrary to dominant expectations about masculine identity, many men acknowledged fall vulnerability indicating they would attend or consider attending, a fall prevention program. Health professionals can better engage men by providing consistent messages that falls can be prevented; tailoring advice, understanding men are at different stages in their awareness of fall risk and preferences for action; and by being aware of their own assumptions that can act as barriers to speaking with men about fall prevention. Implications for rehabilitation Men accessing the health system at the time of the fall, and during rehabilitation following a fall represent prime opportunities for health professionals to speak with men about preventing falls and make appropriate referrals to community programs. Tailored advice will take account of individual men's perceptions of preventability; personal relevance; perceptions of age, health and capability; and problem-solving styles.

Winter range arrival and departure of white-tailed deer in northeastern Minnesota

USGS Publications Warehouse

Nelson, M.E.

1995-01-01

I analyzed 364 spring and 239 fall migrations by 194 white-tailed deer (Odocoileus virginianus) from 1975 to 1993 in northeastern Minnesota to determine the proximate cause of arrivals on and departures from winter ranges. The first autumn temperatures below -7?C initiated fall migrations for 14% (95% confidence interval (CI) = 0-30) of female deer prior to snowfall in three autumns, but only 2% remained on winter ranges. During 14 autumns, the first temperatures below -7?C coincidental with snowfalls elicited migration in 45% (95% CI = 34-57) of females, and 91 % remained on winter ranges. Arrival dates failed to correlate with independent variables of temperature and snow depth, precluding predictive modeling of arrival on winter ranges. During 13 years, a mean of 80% of females permanently arrived on winter ranges by 31 December. Mean departure dates from winter ranges varied annually (19 March - 4 May) and between winter ranges (14 days) and according to snow depth (15-cm differences). Only 15 - 41 % of deer departed when snow depths were> 30 cm but 80% had done so by the time of lO-cm depths. Mean weekly snow depths in March (18-85 cm) and mean temperature in April (0.3 -8.1 ?c) explained most of the variation in mean departure dates from two winter ranges (Ely, R2 = 0.87, P < 0.0005, n = 19 springs; Isabella, R2 = 0.85, P = 0.0001, n = 12 springs). Mean differences between observed mean departure dates and mean departure dates predicted from equations ranged from 3 days (predictions within the study area) to 8 days (predictions for winter ranges 100-440 km distant).

Measures of Diet Quality across Calendar and Winter Holiday Seasons among Midlife Women: A 1-Year Longitudinal Study Using the Automated Self-Administered 24-Hour Recall.

PubMed

Jahns, Lisa; Johnson, LuAnn K; Scheett, Angela J; Stote, Kim S; Raatz, Susan K; Subar, Amy F; Tande, Desiree

2016-12-01

Systematic seasonal bias may confound efforts to estimate usual dietary intake and diet quality. Little is known about dietary quality over the winter holiday season. The aims of this study were to test for differences in intakes of energy, percentage of energy from macronutrients, fruits and vegetables, and diet quality measured using the Healthy Eating Index 2010 (HEI-2010) by calendar and winter holiday seasons. Longitudinal cohort design. Data were derived from the Life in All Seasons study. Two cohorts of women aged 40 to 60 years (N=52) from the greater Grand Forks, ND, area were followed for 1 year each between July 2012 and July 2014. Each woman completed an online diet recall using the Automated Self-Administered 24-Hour Recall every 10 days during the year, with a 92% response rate. Effects of calendar and winter holiday seasons on intakes of energy, percent energy from macronutrients, HEI-2010 total and component scores, and grams per day of individual fruits and vegetables were tested using mixed linear models. The mean total HEI-2010 score was 60.1±1.4. There were seasonal differences in some HEI-2010 component scores, but not in total scores. More lettuce or mixed lettuce salad was consumed during summer than during winter (P=0.034), and more fresh tomatoes were consumed during summer and fall compared with winter (P=0.001). More corn, berries, peaches and nectarines, and melons (P<0.001) were consumed during summer. There was no seasonal difference in reported intakes of energy (P=0.793). The total HEI-2010 score for dietary intake observed over the winter holiday season was lower than the rest of the year (P<0.001). Reported energy intake was not different (P=0.228). In this population, diet quality is significantly lower during the winter holiday period, but mostly consistent by season. Multiple recalls in any season can give a reasonable representation of usual overall diet quality throughout the year. Copyright © 2016 Academy of Nutrition and

Effects of Wintering Environment and Parasite–Pathogen Interactions on Honey Bee Colony Loss in North Temperate Regions

PubMed Central

Currie, Robert W.

2016-01-01

Extreme winter losses of honey bee colonies are a major threat to beekeeping but the combinations of factors underlying colony loss remain debatable. We monitored colonies in two environments (colonies wintered indoors or outdoors) and characterized the effects of two parasitic mites, seven viruses, and Nosema on honey bee colony mortality and population loss over winter. Samples were collected from two locations within hives in fall, mid-winter and spring of 2009/2010. Although fall parasite and pathogen loads were similar in outdoor and indoor-wintered colonies, the outdoor-wintered colonies had greater relative reductions in bee population score over winter. Seasonal patterns in deformed wing virus (DWV), black queen cell virus (BQCV), and Nosema level also differed with the wintering environment. DWV and Nosema levels decreased over winter for indoor-wintered colonies but BQCV did not. Both BQCV and Nosema concentration increased over winter in outdoor-wintered colonies. The mean abundance of Varroa decreased and concentration of Sacbrood virus (SBV), Kashmir bee virus (KBV), and Chronic bee paralysis virus (CBPV) increased over winter but seasonal patterns were not affected by wintering method. For most viruses, either entrance or brood area samples were reasonable predictors of colony virus load but there were significant season*sample location interactions for Nosema and BQCV, indicating that care must be taken when selecting samples from a single location. For Nosema spp., the fall entrance samples were better predictors of future infestation levels than were fall brood area samples. For indoor-wintered colonies, Israeli acute paralysis virus IAPV concentration was negatively correlated with spring population size. For outdoor-wintered hives, spring Varroa abundance and DWV concentration were positively correlated with bee loss and negatively correlated with spring population size. Multivariate analyses for fall collected samples indicated higher DWV was

The influence of large woody debris and a bankfull flood on movement of adult resident coastal cutthroat trout (Oncorhynchus clarki) during fall and winter

Treesearch

Bret C. Harvey; Rodney J. Nakamoto; Jason L. White

1999-01-01

Abstract - To improve understanding of the significance of large woody debris to stream fishes, we examined the influence of woody debris on fall and winter movement by adult coastal cutthroat trout (Oncorhynchus clarki) using radiotelemetry. Fish captured in stream pools containing large woody debris moved less than fish captured in pools lacking large woody debris or...

Falls in advanced old age: recalled falls and prospective follow-up of over-90-year-olds in the Cambridge City over-75s Cohort study.

PubMed

Fleming, Jane; Matthews, Fiona E; Brayne, Carol

2008-03-17

The "oldest old" are now the fastest growing section of most western populations, yet there are scarcely any data concerning even the common problem of falls amongst the very old. Prospective data collection is encouraged as the most reliable method for researching older people's falls, though in clinical practice guidelines advise taking a history of any recalled falls. This study set out to inform service planning by describing the epidemiology of falls in advanced old age using both retrospectively and prospectively collected falls data. Re-survey of over-90-year-olds in a longitudinal cohort study - cross-sectional interview and intensive 12-month follow-up. 90 women and 20 men participating in a population-based cohort (aged 91-105 years, in care-homes and community-dwelling) recruited from representative general practices in Cambridge, UKMeasurements: Prospective falls data were collected using fall calendars and telephone follow-up for one year after cross-sectional survey including fall history. 58% were reported to have fallen at least once in the previous year and 60% in the 1-year follow-up. The proportion reported to have fallen more than once was lower using retrospective recall of the past year than prospective reports gathered the following year (34% versus 45%), as were fall rates (1.6 and 2.8 falls/person-year respectively). Repeated falls in the past year were more highly predictive of falls during the following year - IRR 4.7, 95% CI 2.6-8.7 - than just one - IRR 3.6, 95% CI 2.0-6.3, using negative binomial regression. Only 1/5 reportedly did not fall during either the year before or after interview. Fall rates in this representative sample of over-90-year-olds are even higher than previous reports from octogenarians. Recalled falls last year, particularly repeated falls, strongly predicted falls during follow-up. Similar proportions of people who fell were reported by retrospective and prospective methods covering two consecutive years. Recall

Employees in Postsecondary Institutions, Fall 2004, and Salaries of Full-Time Instructional Faculty, 2004-05. E.D. TAB. NCES 2006-187

ERIC Educational Resources Information Center

Knapp, Laura G.; Kelly-Reid, Janice E.; Whitmore, Roy W.; Levine, Burton; Broyles, Susan G.; Huh, Seungho; Broyles, Susan G.

2006-01-01

This E.D. TAB presents findings from the Integrated Postsecondary Education Data System (IPEDS) Winter 2004-05 data collection, which included two required survey components: Employees by Assigned Position (EAP) for fall 2004 and Salaries (SA) for academic year 2004-05; the Fall Staff (S) component was optional for fall 2004. These data were…

Falls in advanced old age: recalled falls and prospective follow-up of over-90-year-olds in the Cambridge City over-75s Cohort study

PubMed Central

Fleming, Jane; Matthews, Fiona E; Brayne, Carol

2008-01-01

Background The "oldest old" are now the fastest growing section of most western populations, yet there are scarcely any data concerning even the common problem of falls amongst the very old. Prospective data collection is encouraged as the most reliable method for researching older people's falls, though in clinical practice guidelines advise taking a history of any recalled falls. This study set out to inform service planning by describing the epidemiology of falls in advanced old age using both retrospectively and prospectively collected falls data. Methods Design: Re-survey of over-90-year-olds in a longitudinal cohort study – cross-sectional interview and intensive 12-month follow-up. Participants and setting: 90 women and 20 men participating in a population-based cohort (aged 91–105 years, in care-homes and community-dwelling) recruited from representative general practices in Cambridge, UK Measurements: Prospective falls data were collected using fall calendars and telephone follow-up for one year after cross-sectional survey including fall history. Results 58% were reported to have fallen at least once in the previous year and 60% in the 1-year follow-up. The proportion reported to have fallen more than once was lower using retrospective recall of the past year than prospective reports gathered the following year (34% versus 45%), as were fall rates (1.6 and 2.8 falls/person-year respectively). Repeated falls in the past year were more highly predictive of falls during the following year – IRR 4.7, 95% CI 2.6–8.7 – than just one – IRR 3.6, 95% CI 2.0–6.3, using negative binomial regression. Only 1/5 reportedly did not fall during either the year before or after interview. Conclusion Fall rates in this representative sample of over-90-year-olds are even higher than previous reports from octogenarians. Recalled falls last year, particularly repeated falls, strongly predicted falls during follow-up. Similar proportions of people who fell were

Comparisons of Modeled and Observed Reflectivities and Fall Speeds for Snowfall of Varied Riming Degree During Winter Storms on Long Island, New York

NASA Technical Reports Server (NTRS)

Molthan, Andrew L.; Colle, Brian A.; Yuter, Sandra E.; Stark, David

2016-01-01

Derived radar reflectivity and fall speed for four Weather Research and Forecasting model bulk microphysical parameterizations (BMPs) run at 1.33 km grid spacing are compared with ground-based, vertically-pointing Ku-band radar, scanning S- band radar, and in situ measurements at Stony Brook, NY. Simulations were partitioned into periods of observed riming degree as determined manually using a stereo microscope and camera during nine winter storms. Simulations were examined to determine whether the selected BMPs captured the effects of varying riming intensities, provided a reasonable match to the vertical structure of radar reflectivity or fall speed, and whether they produced reasonable surface fall speed distributions. Schemes assuming non spherical mass-diameter relationships yielded reflectivity distributions closer to observed values. All four schemes examined in this study provided a better match to the observed, vertical structure of reflectivity during moderate riming than light riming periods. The comparison of observed and simulated snow fall speeds had mixed results. One BMP produced episodes of excessive cloud water at times, resulting in fall speeds that were too large. However, most schemes had frequent periods of little or no cloud water during moderate riming periods and thus underpredicted the snow fall speeds at lower levels. Short, 1-4 hour periods with relatively steady snow conditions were used to compare BMP and observed size and fall speed distributions. These limited data suggest the examined BMPs underpredict fall speeds of cold-type snow habits and underrepresent aggregates larger than 4 mm diameter.

Role of physical activity in the occurrence of falls and fall-related injuries in community-dwelling adults over 50 years old.

PubMed

Pereira, Catarina L N; Baptista, Fátima; Infante, Paulo

2014-01-01

This study examined the effect of the type, level and amount of physical activity in falls and fall-related injuries. Participants were 506 community-dwelling adults aged >50 years (390 women: 67.7 ± 6.8 years and 116 men: 69.6 ± 6.6 years). Falls, fall-related injuries (slight and severe), and physical activity (type, level and energy expenditure) were evaluated by questionnaires. Confounders included co-morbidities, fear of falling, environmental hazards and physical fitness. After adjustment for confounders, logistic analysis revealed that the likelihood of falling decreased by 2% for each 100 metabolic expenditure (MET-min/week) of total physical activity and increased by 5% for each 100 MET-min/week of vigorous-intensity physical activity; total physical activity >1125 MET-min/week and vigorous physical activity <500 MET-min/week were identified as cut-off values discriminating non-fallers from fallers. Compared to the low physical activity level, increased physical activity levels diminished the likelihood of the occurrence of severe fall-related injuries by 76% (moderate) and 58% (high; p < 0.05) in fallers. Being active, especially sufficiently active, reduces fall-related injuries by decreasing falls and by safeguarding against severe injuries when falls occur. At least 1125 MET-min/week of total physical activity including >500 MET-min/week of vigorous intensity seems to prevent falls and, therefore, fall-related injuries.

Windowpane flounder (Scophthalmus aquosus) and winter flounder (Pseudopleuronectes americanus) responses to cold temperature extremes in a Northwest Atlantic estuary

NASA Astrophysics Data System (ADS)

Wilber, Dara H.; Clarke, Douglas G.; Alcoba, Catherine M.; Gallo, Jenine

2016-01-01

The effect of climate variability on flatfish includes not only the effects of warming on sensitive life history stages, but also impacts from more frequent or unseasonal extreme cold temperatures. Cold weather events can affect the overwintering capabilities of flatfish near their low temperature range limits. We examined the responses of two flatfish species, the thin-bodied windowpane (Scophthalmus aquosus) and cold-tolerant winter flounder (Pseudopleuronectes americanus), to variable winter temperatures in a Northwest Atlantic estuary using abundance and size data collected during a monitoring study, the Aquatic Biological Survey, conducted from 2002 to 2010. Winter and spring abundances of small (50 to 120 mm total length) juvenile windowpane were positively correlated with adult densities (spawning stock) and fall temperatures (thermal conditions experienced during post-settlement development for the fall-spawned cohort) of the previous year. Windowpane abundances in the estuary were significantly reduced and the smallest size class was nearly absent after several consecutive years with cold (minimum temperatures < 1 °C) winters. Interannual variation in winter flounder abundances was unrelated to the severity of winter temperatures. A Paulik diagram illustrates strong positive correlations between annual abundances of sequential winter flounder life history stages (egg, larval, Age-1 juvenile, and adult male) within the estuary, reflecting residency within the estuary through their first year of life. Temperature variables representing conditions during winter flounder larval and post-settlement development were not significant factors in multiple regression models exploring factors that affect juvenile abundances. Likewise, densities of predators known to consume winter flounder eggs and/or post-settlement juveniles were not significantly related to interannual variation in winter flounder juvenile abundances. Colder estuarine temperatures through the

Falls and cognitive decline in Mexican Americans 75 years and older

PubMed Central

Padubidri, Anokha; Al Snih, Soham; Samper-Ternent, Rafael; Markides, Kyriakos S; Ottenbacher, Kenneth J; Raji, Mukaila A

2014-01-01

Background Little is known about long-term emotional and cognitive consequences of falls. We examined the association between falls and subsequent cognitive decline, and tested the hypothesis that depression would mediate any falls–cognition association among cognitively intact Hispanic Elders. Methods We used data from the Hispanic Established Population for the Epidemiological Study of the Elderly to examine change in Mini Mental State Examination (MMSE) scores over the 6-year period according to number of falls. All participants (N=1,119) had MMSE scores ≥21 and complete data on Center for Epidemiologic Studies of Depression Scale, social and demographic factors, medical conditions (diabetes, heart attack, stroke, and hypertension), and hand grip muscle strength. Results At baseline, participants’ mean age was 80.8 years (range, 74–109), mean education was 6.3 years (range, 0–17), and mean MMSE was 25.2 (range, 21–30). Of the 1,119 participants, 15.8% experienced one fall and 14.4% had two or more falls. In mixed model analyses, having two or more falls was associated with greater decline in MMSE score (estimate =−0.81, standard error =0.19, P<0.0001) compared to having no fall, after adjusting for age, sex, marital status, and education. The magnitude of the association decreased (estimate =−0.65, standard error =0.19, P=0.0007) when adjustment was made for high depressive symptoms, suggesting a possible mediating effect of depression on the falls–cognition association. Female sex, high level of education, and high performance in hand grip muscle strength were associated with a slower decline in MMSE scores. Conclusion Having two or more falls was independently associated with steeper decline in cognition over 6 years, with a possible mediating effect of depression on the falls–cognition association. PMID:24790424

Applying Poultry Litter in the Fall to Fertilize Corn May not be Advisable Under Warm Climate

USDA-ARS?s Scientific Manuscript database

Row crop farmers prefer to apply poultry litter in the fall or winter but whether this practice is safe environmentally and effective for production in regions with warm fall and winter months is not well researched and documented. Research in Mississippi tested the effectiveness of fall- versus spr...

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.

Investigation and hazard assessment of the 2003 and 2007 Staircase Falls rock falls, Yosemite National Park, California, USA

USGS Publications Warehouse

Wieczorek, G.F.; Stock, Gregory M.; Reichenbach, P.; Snyder, J.B.; Borchers, J.W.; Godt, J.W.

2008-01-01

Since 1857 more than 600 rock falls, rock slides, debris slides, and debris flows have been documented in Yosemite National Park, with rock falls in Yosemite Valley representing the majority of the events. On 26 December 2003, a rock fall originating from west of Glacier Point sent approximately 200 m 3 of rock debris down a series of joint-controlled ledges to the floor of Yosemite Valley. The debris impacted talus near the base of Staircase Falls, producing fragments of flying rock that struck occupied cabins in Curry Village. Several years later on 9 June 2007, and again on 26 July 2007, smaller rock falls originated from the same source area. The 26 December 2003 event coincided with a severe winter storm and was likely triggered by precipitation and/or frost wedging, but the 9 June and 26 July 2007 events lack recognizable triggering mechanisms. We investigated the geologic and hydrologic factors contributing to the Staircase Falls rock falls, including bedrock lithology, weathering, joint spacing and orientations, and hydrologic processes affecting slope stability. We improved upon previous geomorphic assessment of rock-fall hazards, based on a shadow angle approach, by using STONE, a three-dimensional rock-fall simulation computer program. STONE produced simulated rock-fall runout patterns similar to the mapped extent of the 2003 and 2007 events, allowing us to simulate potential future rock falls from the Staircase Falls detachment area. Observations of recent rock falls, mapping of rock debris, and simulations of rock fall runouts beneath the Staircase Falls detachment area suggest that rock-fall hazard zones extend farther downslope than the extent previously defined by mapped surface talus deposits.

Timing of site fixation upon the wintering grounds in sparrows

Treesearch

C. John Ralph; L. Richard Mewaldt

1975-01-01

The winter home of a bird, although vitally important in the study of adaptations, has received little attention as compared to various aspects of breeding. During the fall and winter much mortality occurs and may be the limiting factor in many populations (Mac Arthur 1971). We will explore the process of site fixation onto the winter quarters and its implications to...

Statistical evaluation of the effects of fall and winter flows on the spring condition of rainbow and brown trout in the green river downstream of Flaming Gorge Dam.

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

Magnusson, A. K.; LaGory, K. E.; Hayse, J. W.

2009-01-09

Flaming Gorge Dam, a hydroelectric facility operated by the Bureau of Reclamation (Reclamation), is located on the Green River in Daggett County, northeastern Utah. In recent years, single peak releases each day or steady flows have been the operational pattern during the winter period. A double-peak pattern (two flow peaks each day) was implemented during the winter of 2006-2007 by Reclamation. Because there is no recent history of double-peaking at Flaming Gorge Dam, the potential effects of double-peaking operations on the body condition of trout in the dam's tailwater are not known. A study plan was developed that identified researchmore » activities to evaluate potential effects from double-peaking operations during winter months. Along with other tasks, the study plan identified the need to conduct a statistical analysis of existing data on trout condition and macroinvertebrate abundance to evaluate potential effects of hydropower operations. This report presents the results of this analysis. We analyzed historical data to (1) describe temporal patterns and relationships among flows, benthic macroinvertebrate abundance, and condition of brown trout (Salmo trutta) and rainbow trout (Oncorhynchus mykiss) in the tailwaters of Flaming Gorge Dam and (2) to evaluate the degree to which flow characteristics (i.e., flow volumes and flow variability) and benthic macroinvertebrate abundance affect the condition of trout in this area. This information, together with further analyses of size-stratified trout data, may also serve as baseline data to which the effects of potential future double-peaking flows can be compared. The condition (length, weight and/or relative weight) of rainbow trout (Oncorhynchus mykiss) at two sites in the Green River downstream of Flaming Gorge Dam (Tailrace and Little Hole) and weight of brown trout (Salmo trutta) at the Little Hole site has been decreasing since 1990 while the abundance of brown trout has been increasing at the two sites

Migration and winter distributions of canvasbacks staging on the Upper Mississippi River

USGS Publications Warehouse

Serie, J.R.; Trauger, D.L.; Sharp, D.E.

1983-01-01

Fall and winter distribution patterns of canvasbacks (Aythya valisineria) staging on the upper Mississippi River near LaCrosse, Wisconsin (navigational Pools 7 and 8) and Keokuk, Iowa (Pool 19) were studied during 1973-77. Sightings and recoveries obtained from 1,488 color-marked males during 1973-75 and 3,789 banded males and females during 1973-77 suggested 2 principal migration corridors: 1 extending eastward from Pools 7 and 8 to the eastern Great Lakes and southeast to the Mid-Atlantic Region and another southward from Pools 7 and 8 to the lower Mississippi Valley, Gulf Coast, and east Texas regions. These discrete populations stage concurrently on Pools 7 and 8 during the fall, but winter in different areas of the Atlantic, Mississippi, and Central flyways. Populations staging on Pool 19 were not discrete from those staging on Pools 7 and 8. A continual turnover of birds passing through these staging areas was indicated. Canvasbacks wintering in the Mississippi and Central flyways were widely dispersed among a variety of habitats, whereas canvasbacks wintering in the Atlantic Flyway were concentrated in a few traditional habitats. Canvasbacks exhibited strong fidelity to wintering areas. Distribution patterns and population attributes of canvasbacks during fall and winter may be explained by the predictability of natural foods and their ability to exploit these foods.

Winter to winter recurrence of atmospheric circulation anomalies over East Asia and its impact on winter surface air temperature anomalies

PubMed Central

2017-01-01

The persistence of atmospheric circulation anomalies over East Asia shows a winter to winter recurrence (WTWR) phenomenon. Seasonal variations in sea level pressure anomalies and surface wind anomalies display significantly different characteristics between WTWR and non-WTWR years. The WTWR years are characterized by the recurrence of both a strong (weak) anomalous Siberian High and an East Asian winter monsoon over two successive winters without persistence through the intervening summer. However, anomalies during the non-WTWR years have the opposite sign between the current and ensuing winters. The WTWR of circulation anomalies contributes to that of surface air temperature anomalies (SATAs), which is useful information for improving seasonal and interannual climate predictions over East Asia and China. In the positive (negative) WTWR years, SATAs are cooler (warmer) over East Asia in two successive winters, but the signs of the SATAs are opposite in the preceding and subsequent winters during the non-WTWR years. PMID:28178351

Winter to winter recurrence of atmospheric circulation anomalies over East Asia and its impact on winter surface air temperature anomalies.

PubMed

Zhao, Xia; Yang, Guang

2017-01-01

The persistence of atmospheric circulation anomalies over East Asia shows a winter to winter recurrence (WTWR) phenomenon. Seasonal variations in sea level pressure anomalies and surface wind anomalies display significantly different characteristics between WTWR and non-WTWR years. The WTWR years are characterized by the recurrence of both a strong (weak) anomalous Siberian High and an East Asian winter monsoon over two successive winters without persistence through the intervening summer. However, anomalies during the non-WTWR years have the opposite sign between the current and ensuing winters. The WTWR of circulation anomalies contributes to that of surface air temperature anomalies (SATAs), which is useful information for improving seasonal and interannual climate predictions over East Asia and China. In the positive (negative) WTWR years, SATAs are cooler (warmer) over East Asia in two successive winters, but the signs of the SATAs are opposite in the preceding and subsequent winters during the non-WTWR years.

Black brant from Alaska staging and wintering in Japan

USGS Publications Warehouse

Derksen, Dirk V.; Bollinger, K.S.; Ward, David H.; Sedinger, J.S.; Miyabayashi, Y.

1996-01-01

Black brant (Branta bernicla nigricans) nest in colonies in arctic Canada, Alaska, and Russia (Derksen and Ward 1993, Sedinger et al. 1993). Virtually the entire population stages in fall at Izembek Lagoon near the tip of the Alaska Peninsula (Bellrose 1976) before southward migration (Dau 1992) to winter habitats in British Columbia, Washington, Oregon, California, and Baja California (Subcommittee on Black Brant 1992). A small number of black brant winter in Japan, Korea, and China (Owen 1980). In Japan 3,000–5,000 brant of unknown origin stop over in fall, and a declining population (<1,000) of birds winter here, primarily in the northern islands (Brazil 1991, Miyabayashi et al. 1994). Here, we report sightings of brant in Japan that were marked in Alaska and propose a migration route based on historical and recent observations and weather patterns.

The Associations between Falls, Fall Injuries and Labor Market Outcomes among U.S. Workers 65 Years and Older.

PubMed

Scott, Kenneth; Fisher, Gwenith G; Barón, Anna E; Tompa, Emile; Stallones, Lorann; DiGuiseppi, Carolyn

2018-06-13

To examine whether falls are associated with the subsequent ability to work among workers 65 years and older. This longitudinal cohort study followed older workers enrolled in the Health and Retirement Study. Outcomes included time to health-related work limitation and to labor force exit. After adjustment multiple falls with or without a medically-treated injury were associated with time to limitation (HR = 1.77, 95% CI: 1.30-2.40; HR = 1.48, 95% CI: 1.26-1.73, respectively). Adjustment mitigated a crude relationship between falls and time to exit. Significant interactions suggest the relationship between falls and labor force exit depends on age, race and job demands. Falls, both non-injurious and injurious, are associated with subsequent health-related work limitation among workers 65 and older. Fall prevention activities would benefit workers who want or need to keep working past age 65.

Performance by Fall-Calving Cows Grazing Tall Fescue Pastures With Different Proportions Stockpiled

USDA-ARS?s Scientific Manuscript database

Tall fescue [Lolium arundinaceum (Schreb.) S.J. Darbyshire.] is often stockpiled to reduce winter feed costs for cattle. Over two consecutive years, a total of 158 Gelbvieh × Angus fall-calving cows (1318 plus/minus 13.2 lb) were allocated randomly to one of eight 24-acre tall fescue pastures on 18 ...

Performance by Fall-Calving Cows Grazing Tall Fescue Pastures with Different Proportions Stockpiled

USDA-ARS?s Scientific Manuscript database

Tall fescue [Lolium arundinaceum (Schreb.) Darbysh.] is often stockpiled to reduce winter feed costs for cattle. Over two consecutive years, a total of 158 Gelbvieh × Angus fall-calving cows (599 ± 6.0 kg) were allocated randomly to one of eight 10-ha tall fescue pastures (subdivided into six 1.6-h...

Tracer-based Determination of Vortex Descent in the 1999/2000 Arctic Winter

NASA Technical Reports Server (NTRS)

Greenblatt, Jeffrey B.; Jost, Hans-Juerg; Loewenstein, Max; Podolske, James R.; Hurst, Dale F.; Elkins, James W.; Schauffler, Sue M.; Atlas, Elliot L.; Herman, Robert L.; Webster, Chrisotopher R.

2002-01-01

A detailed analysis of available in situ and remotely sensed N2O and CH4 data measured in the 1999/2000 winter Arctic vortex has been performed in order to quantify the temporal evolution of vortex descent. Differences in potential temperature (theta) among balloon and aircraft vertical profiles (an average of 19-23 K on a given N2O or CH4 isopleth) indicated significant vortex inhomogeneity in late fall as compared with late winter profiles. A composite fall vortex profile was constructed for 26 November 1999, whose error bars encompassed the observed variability. High-latitude extravortex profiles measured in different years and seasons revealed substantial variability in N2O and CH4 on theta surfaces, but all were clearly distinguishable from the first vortex profiles measured in late fall 1999. From these extravortex-vortex differences we inferred descent prior to 26 November: as much as 397 plus or minus 15 K (lsigma) at 30 ppbv N2O and 640 ppbv CH4, and falling to 28 plus or minus 13 K above 200 ppbv N2O and 1280 ppbv CH4. Changes in theta were determined on five N2O and CH4 isopleths from 26 November through 12 March, and descent rates were calculated on each N2O isopleth for several time intervals. The maximum descent rates were seen between 26 November and 27 January: 0.82 plus or minus 0.20 K/day averaged over 50- 250 ppbv N2O. By late winter (26 February to 12 March), the average rate had decreased to 0.10 plus or minus 0.25 K/day. Descent rates also decreased with increasing N2O; the winter average (26 November to 5 March) descent rate varied from 0.75 plus or minus 0.10 K/day at 50 ppbv to 0.40 plus or minus 0.11 K/day at 250 ppbv. Comparison of these results with observations and models of descent in prior years showed very good overall agreement. Two models of the 1999/2000 vortex descent, SLIMCAT and REPROBUS, despite theta offsets with respect to observed profiles of up to 20 K on most tracer isopleths, produced descent rates that agreed very

Waterbirds foods in winter-managed ricefields in Mississippi

USGS Publications Warehouse

Manley, S.W.; Kaminski, R.M.; Reinecke, K.J.; Gerard, P.D.

2004-01-01

Ricefields are important foraging habitats for waterfowl and other waterbirds in primary North American wintering regions. We conducted a large-scale experiment to test effects of post-harvest ricefield treatment, winter water management, and temporal factors on availabilities of rice, moist-soil plant seeds, aquatic invertebrates, and green forage in the Mississippi Alluvial Valley (MAV), Mississippi, USA, fall-winter 1995-1997. Our results revealed that a large decrease in rice grain occurred between harvest and early winter (79-99%), which, if generally true throughout the MAV, would have critical implications on foraging carrying capacity of ricefields for migrating and wintering waterbirds. During the remainder of winter, food resources generally were similar among treatment combinations. An exception was biomass of aquatic invertebrates, which demonstrated potential to increase by late winter in ricefields that remained flooded. We offer revised calculations of foraging carrying capacity for waterfowl in MAV ricefields and recommend continuing research and management designed to increase availability of residual rice and aquatic invertebrates in winter.

Stable carbon and oxygen isotope ratios of winter flounder otoliths assess connectivity between juvenile and adult habitats

NASA Astrophysics Data System (ADS)

Pruell, Richard; Taplin, Bryan

2017-04-01

Winter flounder populations (Pseudopleuronectes americanus) have significantly declined in recent years along the Rhode Island, USA coastline. The reasons for this decline are not completely clear; however, habitat loss may be a factor. Therefore, knowledge of connectivity between juvenile nearshore habitats and the adult offshore populations may be important for improved management of this fishery. This study was undertaken to determine if stable carbon (δ13C) and oxygen (δ18O) isotope ratios in otoliths could be used to differentiate the locations that serve as important juvenile habitats for winter flounder. It is generally believed that winter flounder spawn during late winter in nearshore areas, and juvenile fish reside in shallow-water habitats along the coastline during their first summer. Once young-of-the-year flounder undergo metamorphosis and settle, they remain in close proximity to that site until fall. Adult fish move offshore during the late winter and spring, and then return to their natal estuaries during the fall and winter to spawn. Juvenile flounder were collected yearly over a three-year period from 18 juvenile habitats with a wide range of salinities. Several years later adult flounder of the same cohorts were obtained from similar inshore locations and also from the offshore fishery. Sagital otoliths were removed from the adult flounder and the core of the otolith representing the juvenile period was obtained using a Micromill drilling system. These juvenile otolith cores from adult fish and whole sagittal otoliths from juvenile flounder were analyzed for δ13C and δ18O using continuous-flow isotope ratio mass spectrometry. Results from these analyses show significant differences in δ13C and δ18O signatures among water bodies (bay, coastal ponds and an estuarine river). Preliminary analysis indicates that the isotope ratios of the juvenile cores from adult flounder and whole otoliths from juvenile fish collected at the same locations

Tracer-Based Determination of Vortex Descent in the 1999-2000 Arctic Winter

NASA Technical Reports Server (NTRS)

Greenblatt, Jeffery B.; Jost, Hans-Juerg; Loewenstein, Max; Podolske, James R.; Hurst, Dale F.; Elkins, James W.; Schauffler, Sue M.; Atlas, Elliot L.; Herman, Robert L.; Webster, Christopher R.

2001-01-01

A detailed analysis of available in situ and remotely sensed N2O and CH4 data measured in the 1999-2000 winter Arctic vortex has been performed in order to quantify the temporal evolution of vortex descent. Differences in potential temperature (theta) among balloon and aircraft vertical profiles (an average of 19-23 K on a given N2O or CH4 isopleth) indicated significant vortex inhomogeneity in late fall as compared with late winter profiles. A composite fall vortex profile was constructed for November 26, 1999, whose error bars encompassed the observed variability. High-latitude, extravortex profiles measured in different years and seasons revealed substantial variability in N2O and CH4 on theta surfaces, but all were clearly distinguishable from the first vortex profiles measured in late fall 1999. From these extravortex-vortex differences, we inferred descent prior to November 26: 397+/-15 K (1sigma) at 30 ppbv N2O and 640 ppbv CH4, and 28+/-13 K above 200 ppbv N2O and 1280 ppbv CH4. Changes in theta were determined on five N2O and CH4 isopleths from November 26 through March 12, and descent rates were calculated on each N2O isopleth for several time intervals. The maximum descent rates were seen between November 26 and January 27: 0.82+/-0.20 K/day averaged over 50-250 ppbv N2O. By late winter (February 26-March 12), the average rate had decreased to 0.10+/-0.25 K/day. Descent rates also decreased with increasing N2O; the winter average (November 26-March 5) descent rate varied from 0.75+/-0.10 K/day at 50 ppbv to 0.40+/-0.11 K/day at 250 ppbv. Comparison of these results with observations and models of descent in prior years showed very good overall agreement. Two models of the 1999-2000 vortex descent, SLIMCAT and REPROBUS, despite theta offsets with respect to observed profiles of up to 20 K on most tracer isopleths, produced descent rates that agreed very favorably with the inferred rates from observation.

Elevated streamflows increase dam passage by juvenile coho salmon during winter: Implications of climate change in the Pacific Northwest

USGS Publications Warehouse

Kock, Tobias J.; Liedtke, Theresa L.; Rondorf, Dennis W.; Serl, John D.; Kohn, Mike; Bumbaco, Karin A.

2012-01-01

A 4-year evaluation was conducted to determine the proportion of juvenile coho salmon Oncorhynchus kisutch passing Cowlitz Falls Dam, on the Cowlitz River, Washington, during winter. River and reservoir populations of coho salmon parr were monitored using radiotelemetry to determine if streamflow increases resulted in increased downstream movement and dam passage. This was of interest because fish that pass downstream of Cowlitz Falls Dam become landlocked in Riffe Lake and are lost to the anadromous population. Higher proportions of reservoir-released fish (0.391-0.480) passed Cowlitz Falls Dam than did river-released fish (0.037-0.119). Event-time analyses demonstrated that streamflow increases were important predictors of dam passage rates during the study. The estimated effect of increasing streamflows on the risk of dam passage varied annually and ranged from 9% to 75% for every 28.3 m3/s increase in streamflow. These results have current management implications because they demonstrate the significance of dam passage by juvenile coho salmon during winter months when juvenile fish collection facilities are typically not operating. The results also have future management implications because climate change predictions suggest that peak streamflow timing for many watersheds in the Pacific Northwest will shift from late spring and early summer to winter. Increased occurrence of intense winter flood events is also expected. Our results demonstrate that juvenile coho salmon respond readily to streamflow increases and initiate downstream movements during winter months, which could result in increased passage at dams during these periods if climate change predictions are realized in the coming decades.

Divergent responses to spring and winter warming drive community level flowering trends

PubMed Central

Cook, Benjamin I.; Wolkovich, Elizabeth M.; Parmesan, Camille

2012-01-01

Analyses of datasets throughout the temperate midlatitude regions show a widespread tendency for species to advance their springtime phenology, consistent with warming trends over the past 20–50 y. Within these general trends toward earlier spring, however, are species that either have insignificant trends or have delayed their timing. Various explanations have been offered to explain this apparent nonresponsiveness to warming, including the influence of other abiotic cues (e.g., photoperiod) or reductions in fall/winter chilling (vernalization). Few studies, however, have explicitly attributed the historical trends of nonresponding species to any specific factor. Here, we analyzed long-term data on phenology and seasonal temperatures from 490 species on two continents and demonstrate that (i) apparent nonresponders are indeed responding to warming, but their responses to fall/winter and spring warming are opposite in sign and of similar magnitude; (ii) observed trends in first flowering date depend strongly on the magnitude of a given species’ response to fall/winter vs. spring warming; and (iii) inclusion of fall/winter temperature cues strongly improves hindcast model predictions of long-term flowering trends compared with models with spring warming only. With a few notable exceptions, climate change research has focused on the overall mean trend toward phenological advance, minimizing discussion of apparently nonresponding species. Our results illuminate an understudied source of complexity in wild species responses and support the need for models incorporating diverse environmental cues to improve predictability of community level responses to anthropogenic climate change. PMID:22615406

Grazing Stategy To Decrease Dietary Crude Protien Wastage In Stocker Calves Grazing Winter Wheat Pasture.

USDA-ARS?s Scientific Manuscript database

Annual cool-season grasses, primarily winter wheat, provide high quality forage for stocker calves during the fall, winter and spring grazing seasons for stocker enterprises in the southern Great Plains. The crude protein (CP) content of winter wheat pasture exceeds the stocker calf’s daily CP requi...

Klamath Falls downtown development geothermal sidewalk snowmelt

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

Brown, B.

1995-10-01

The Klamuth Falls, Oregon, downtown has seen a period of decline over the past 20 years as businesses have moved to new suburban shopping centers. Downtown business owners and the Klamuth Falls Downtown Redevelopment Agency are working to reverse that trend with a Downtown Streetscape Project intended to make the downtown a more pleasant place to work and do business. The visible elements of the project include new crosswalks with brick pavers, wheelchair ramps at sidewalk corners, new concrete sidewalks with a consistent decorative grid pattern, sidewalk planters for trees and flowers, and antique-style park benches and lighting fixtures. Amore » less visible, but equally valuable feature of the project is the plastic tubing installed under the sidewalks, wheelchair ramps and crosswalks, designed to keep them snow and ice free in the winter. A unique feature of the snowmelt system is the use of geothermal heated water on the return side of the Klamath Falls Geothermal District Heating System, made possible by the recent expansion of the district heating system.« less

Winter distribution and survival of a high-desert breeding population of canvasbacks

USGS Publications Warehouse

Kruse, K.L.; Lovvorn, J.R.; Takekawa, John Y.; MacKay, J.

2003-01-01

The southernmost major breeding area of Canvasbacks (Aythya valisineria) is located at the Ruby Lake National Wildlife Refuge, Nevada, in the high desert of the western Great Basin. We determined winter distributions, recovery rates, and survival for Canvasbacks banded in Nevada from March to November, 1968–2000. Winter recovery distributions did not differ by sex or age, but differed between direct recoveries (same year as banding) and indirect recoveries (after year of banding), indicating variable site use between years. Of direct band returns (October–March), 92% were from the Pacific Flyway and 56% were from California alone. In California, recovery distributions shifted from southern California and the San Francisco Bay estuary in the 1970s to the Central Valley in the 1980s and 1990s. In the 1990s, there were no recoveries in San Francisco Bay, historically the major wintering area for Canvasbacks in the Pacific Flyway. Adult and juvenile survival decreased by 24% between the 1980s and 1990s. Ruby Lake Canvasbacks exhibited weaker fidelity to wintering sites than Canvasbacks wintering on the Atlantic and Gulf coasts. Moreover, no major concentrations occurred during fall migration, unlike patterns in eastern North America. Shifts in distribution and survival may correspond to effects of El Niño weather on habitat conditions in Nevada and San Francisco Bay, and to major improvements in water delivery and wetland restoration in the Central Valley. Canvasbacks that use widely distributed and variable habitats may be good indicators of the effects of changing climate and water-use practices on waterbirds throughout this arid region.

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.

The response of a Kansas winter bird community to weather, photoperiod, and year

USGS Publications Warehouse

Stapanian, M.A.; Smith, C.C.; Finck, E.J.

1999-01-01

We conducted a bird census along the same route nearly each week for 14 winters (194 censuses), and compared the mean number of species per station and the total number of species recorded on the census with the length of photoperiod and weather variables. We found significant differences among winters for both indicators of species richness. This result is consistent with previous studies in which abundance of food was measured in the same general area. Both indicators of species richness were negatively associated with the number of days after 1 November. This result is consistent with the hypothesis that wintering species dependent on nonrenewed food resources lose individuals to mortality or emigration. Further, there was a positive relationship between photoperiod and both indicators of species richness. This result is consistent with the hypothesis that the detection of individuals in the early morning hours increases with the amount of daylight they have available for foraging and social behaviors. Wind speed and temperature had negative and positive relationships, respectively, to species richness. The number of species per station was greatest on days when the ground was covered with dew and least on days when snow depth was more than 15 cm. When the 'winters' were divided into four 30-day 'quarters', most of the 61 species were recorded with equal frequency in each quarter. Eight species were detected less frequently at the end of winter than in the beginning. Four species exhibited the reverse pattern. Two species were recorded more frequently at the beginning and at the end of the winter than during the middle. Temperature, wind, photoperiod, successive winter day, year, and species-specific evolutionary history all affect winter bird species richness.

Modeling seasonal migration of fall armyworm moths

NASA Astrophysics Data System (ADS)

Westbrook, J. K.; Nagoshi, R. N.; Meagher, R. L.; Fleischer, S. J.; Jairam, S.

2016-02-01

Fall armyworm, Spodoptera frugiperda (J.E. Smith), is a highly mobile insect pest of a wide range of host crops. However, this pest of tropical origin cannot survive extended periods of freezing temperature but must migrate northward each spring if it is to re-infest cropping areas in temperate regions. The northward limit of the winter-breeding region for North America extends to southern regions of Texas and Florida, but infestations are regularly reported as far north as Québec and Ontario provinces in Canada by the end of summer. Recent genetic analyses have characterized migratory pathways from these winter-breeding regions, but knowledge is lacking on the atmosphere's role in influencing the timing, distance, and direction of migratory flights. The Hybrid Single-Particle Lagrangian Integrated Trajectory (HYSPLIT) model was used to simulate migratory flight of fall armyworm moths from distinct winter-breeding source areas. Model simulations identified regions of dominant immigration from the Florida and Texas source areas and overlapping immigrant populations in the Alabama-Georgia and Pennsylvania-Mid-Atlantic regions. This simulated migratory pattern corroborates a previous migratory map based on the distribution of fall armyworm haplotype profiles. We found a significant regression between the simulated first week of moth immigration and first week of moth capture (for locations which captured ≥10 moths), which on average indicated that the model simulated first immigration 2 weeks before first captures in pheromone traps. The results contribute to knowledge of fall armyworm population ecology on a continental scale and will aid in the prediction and interpretation of inter-annual variability of insect migration patterns including those in response to climatic change and adoption rates of transgenic cultivars.

Sustainability of winter tourism in a changing climate over Kashmir Himalaya.

PubMed

Dar, Reyaz Ahmad; Rashid, Irfan; Romshoo, Shakil Ahmad; Marazi, Asif

2014-04-01

Mountain areas are sensitive to climate change. Implications of climate change can be seen in less snow, receding glaciers, increasing temperatures, and decreasing precipitation. Climate change is also a severe threat to snow-related winter sports such as skiing, snowboarding, and cross-country skiing. The change in climate will put further pressure on the sensitive environment of high mountains. Therefore, in this study, an attempt has been made to know the impact of climate change on the snow precipitation, water resources, and winter tourism in the two famous tourist resorts of the Kashmir Valley. Our findings show that winters are getting prolonged with little snow falls on account of climate change. The average minimum and maximum temperatures are showing statistically significant increasing trends for winter months. The precipitation is showing decreasing trends in both the regions. A considerable area in these regions remains under the snow and glacier cover throughout the year especially during the winter and spring seasons. However, time series analysis of LandSat MODIS images using Normalized Difference Snow Index shows a decreasing trend in snow cover in both the regions from past few years. Similarly, the stream discharge, comprising predominantly of snow- and glacier-melt, is showing a statistically significant declining trend despite the melting of these glaciers. The predicted futuristic trends of temperature from Predicting Regional Climates for Impact Studies regional climate model are showing an increase which may enhance snow-melting in the near future posing a serious threat to the sustainability of winter tourism in the region. Hence, it becomes essential to monitor the changes in temperature and snow cover depletion in these basins in order to evaluate their effect on the winter tourism and water resources in the region.

Late summer and fall use of stream margins by young-of year brown trout in a high-elevation stream

USGS Publications Warehouse

La Voie, W. J.; Hubert, W.A.

1997-01-01

We determined the relative abundance of young-of-year (YOY) brown trout (Salmo trutta) from late summer to fall during day and night in stream margin habitats of Douglas Creek, Wyoming. No significant differences in relative abundance were observed from August 14 through October 26. Few YOY brown trout were observed during the day over the entire sampling period, but significantly greater numbers were seen at night. Within stream margins, YOY brown trout of 36-75 mm total length primarily resided in concealment cover among interstices of cobbie during the day and emerged at night. Because no significant change in relative abundance was observed throughout the study period, we conclude that a shift to winter habitat did not occur up until three days prior to ice formation when the diurnal range in water temperature was 2.5-7.5??C.

Enhancing management of fall-applied poultry litter with cover crop and subsurface band placement in no-till cotton

USDA-ARS?s Scientific Manuscript database

Whether yield reduction risk of cotton fertilized with fall-applied poultry litter in regions with warm fall or winter months can be minimized by applying the litter in subsurface bands in conjunction with winter cover crop is unknown. A field study was conducted in Mississippi to test whether litte...

What Caused the Winter Drought in Western Nepal during Recent Years?

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

Wang, S-Y; Yoon, Jin-Ho; Gillies, R.

Western Nepal has experienced consecutive and worsened winter drought conditions since 2000 culminating in a severe drought episode during 2008-2009. In this study, the meteorological conditons and a historical pespective of the winter droughts in western Nepal were analyzed using respectively instumental records and a paleoclimatic drought index. Althought decadal-scale drought conditions were found to be recurrent in the paleoclimate record, the severity of the recent decadal drought (since 2000) clearly stands out in the 700 years of record and, this is suggestive of potential anthropogenic influences in the recent decades. Meteorological diagnosis using atmospheric reanalysis in the recent decadesmore » revealed that (1) winter drought in western Nepal is linked to the Arctic Oscillation and its decadal variability, which initiates a tropospheric short-wave train across the Europe, Eurasia and South Asia, and that (2) the persistent warming of the Indian Ocean likely contributes to the suppression of rainfall through enhanced local Hadley circultion. It is therefore conceivable that the recent spells of decadal drought in Nepal drought are symptomatic of both natural variability and anthropogenic influences.« less

Maple sugaring with vacuum pumping during the fall season

Treesearch

H. Clay Smith; Alan G., Jr. Snow

1971-01-01

Vacuum pumping of sugar maple trees during the late fall and early winter months is not advisable in northern Vermont. However, fall pumping may be profitable in other areas of the sugar maple range. It is recommended that the weather pattern in a given locale be observed; and if conditions are favorable, vacuum pumping should be tried on a small scale before...

Carryover effects associated with winter location affect fitness, social status, and population dynamics in a long-distance migrant

USGS Publications Warehouse

Sedinger, James S.; Schamber, Jason L.; Ward, David H.; Nicolai, Christopher A.; Conant, Bruce

2011-01-01

We used observations of individually marked female black brant geese (Branta bernicla nigricans; brant) at three wintering lagoons on the Pacific coast of Baja California—Laguna San Ignacio (LSI), Laguna Ojo de Liebre (LOL), and Bahía San Quintín (BSQ)—and the Tutakoke River breeding colony in Alaska to assess hypotheses about carryover effects on breeding and distribution of individuals among wintering areas. We estimated transition probabilities from wintering locations to breeding and nonbreeding by using multistratum robust-design capture-mark-recapture models. We also examined the effect of breeding on migration to wintering areas to assess the hypothesis that individuals in family groups occupied higher-quality wintering locations. We used 4,538 unique female brant in our analysis of the relationship between winter location and breeding probability. All competitive models of breeding probability contained additive effects of wintering location and the 1997–1998 El Niño–Southern Oscillation (ENSO) event on probability of breeding. Probability of breeding in non-ENSO years was 0.98 ± 0.02, 0.68 ± 0.04, and 0.91 ± 0.11 for females wintering at BSQ, LOL, and LSI, respectively. After the 1997–1998 ENSO event, breeding probability was between 2% (BSQ) and 38% (LOL) lower than in other years. Individuals that bred had the highest probability of migrating the next fall to the wintering area producing the highest probability of breeding.

[Fall events in geriatric hospital in-patients. Results of prospective recording over a 3 year period].

PubMed

von Renteln-Kruse, W; Krause, T

2004-02-01

For a period of 3 consecutive years, all fall events were prospectively recorded in geriatric hospital in-patients by using a standardized protocol. The incidence was 9.1 fall events/1000 hospital days in 5946 patients, and 41.0/1000 hospital days in 1015 patients (17.0%) who actually had falls. The fall rate varied between 35.0-57.0/1000 hospital days according to the main diagnostic group. Fall events were more often recorded in men than women. Recurrent falls (> or =3 falls) which contributed 13% to the 1596 falls were recorded more frequently in male patients. The majority of fall events (73.5%) occurred in patient rooms, another 20% on the floor between the patient's bedroom and toilet/bath, or in the toilet/bath, respectively. The absolute numbers of falls during night and day were not different. However, there were different patterns in the time distribution of high fall frequencies according to the main diagnostic groups. Confusion and dehydration were recorded more frequently with fall events in patients 80 years and older, and more often in fall events during the night. Injuries due to falls which had to be treated were rare, and fall-related fractures were very rare. The average duration of in-hospital stay was longer for patients with than without falls.

Changing response of the North Atlantic/European winter climate to the 11 year solar cycle

NASA Astrophysics Data System (ADS)

Ma, Hedi; Chen, Haishan; Gray, Lesley; Zhou, Liming; Li, Xing; Wang, Ruili; Zhu, Siguang

2018-03-01

Recent studies have presented conflicting results regarding the 11 year solar cycle (SC) influences on winter climate over the North Atlantic/European region. Analyses of only the most recent decades suggest a synchronized North Atlantic Oscillation (NAO)-like response pattern to the SC. Analyses of long-term climate data sets dating back to the late 19th century, however, suggest a mean sea level pressure (mslp) response that lags the SC by 2-4 years in the southern node of the NAO (i.e. Azores region). To understand the conflicting nature and cause of these time dependencies in the SC surface response, the present study employs a lead/lag multi-linear regression technique with a sliding window of 44 years over the period 1751-2016. Results confirm previous analyses, in which the average response for the whole time period features a statistically significant 2-4 year lagged mslp response centered over the Azores region. Overall, the lagged nature of Azores mslp response is generally consistent in time. Stronger and statistically significant SC signals tend to appear in the periods when the SC forcing amplitudes are relatively larger. Individual month analysis indicates the consistent lagged response in December-January-February average arises primarily from early winter months (i.e. December and January), which has been associated with ocean feedback processes that involve reinforcement by anomalies from the previous winter. Additional analysis suggests that the synchronous NAO-like response in recent decades arises primarily from late winter (February), possibly reflecting a result of strong internal noise.

The use of organic soil amendments for winter wheat production in Kentucky

USDA-ARS?s Scientific Manuscript database

Most animal manures are land-applied in the fall and spring after crops have been harvested or prior to planting. Surface application of manures in the fall have more potential for nitrogen (N) loss when applied to fallow land compared to land cropped to winter wheat. This study was conducted to d...

Falls, cuts and burns in children 0-4 years of age: 2004 Pelotas (Brazil) birth cohort.

PubMed

Barcelos, Raquel Siqueira; Santos, Iná S; Matijasevich, Alicia; Barros, Aluísio J D; Barros, Fernando C; França, Giovanny Vinicius Araújo; Silva, Vera Lúcia Schmidt da

2017-03-09

Knowledge on the incidence of childhood accidents according to the child's stage of development is important for designing preventive programs targeting each age bracket. The aim of this study was to describe the incidence of falls, cuts, and burns in children up to four years of age according to family economic status and maternal age and schooling, in children from the 2004 Pelotas (Brazil) birth cohort. We calculated the incidence rates and incidence rates ratios for the 0-12, 12-24, and 24-48- months of age. Falls were the most frequently reported accidents in all the age brackets, followed by cuts and burns. Boys suffered more falls and cuts than girls in the first two years of life. In the second year of life, the incidence of falls and burns practically tripled, while cuts nearly doubled when compared to the first year, in both sexes. Burns were equally frequent in girls and boys in all three age brackets. The incidence of falls and cuts was higher in boys. In both sexes, having an adolescent mother was associated with falls and cuts in all three age brackets; low maternal schooling was associated with burns and cuts at 48 months; and low family socioeconomic status was associated with falls and cuts at 48 months.

Two-Year Trajectory of Fall Risk in People With Parkinson Disease: A Latent Class Analysis.

PubMed

Paul, Serene S; Thackeray, Anne; Duncan, Ryan P; Cavanaugh, James T; Ellis, Theresa D; Earhart, Gammon M; Ford, Matthew P; Foreman, K Bo; Dibble, Leland E

2016-03-01

To examine fall risk trajectories occurring naturally in a sample of individuals with early to middle stage Parkinson disease (PD). Latent class analysis, specifically growth mixture modeling (GMM), of longitudinal fall risk trajectories. Assessments were conducted at 1 of 4 universities. Community-dwelling participants with PD of a longitudinal cohort study who attended at least 2 of 5 assessments over a 2-year follow-up period (N=230). Not applicable. Fall risk trajectory (low, medium, or high risk) and stability of fall risk trajectory (stable or fluctuating). Fall risk was determined at 6 monthly intervals using a simple clinical tool based on fall history, freezing of gait, and gait speed. The GMM optimally grouped participants into 3 fall risk trajectories that closely mirrored baseline fall risk status (P=.001). The high fall risk trajectory was most common (42.6%) and included participants with longer and more severe disease and with higher postural instability and gait disability (PIGD) scores than the low and medium fall risk trajectories (P<.001). Fluctuating fall risk (posterior probability <0.8 of belonging to any trajectory) was found in only 22.6% of the sample, most commonly among individuals who were transitioning to PIGD predominance. Regardless of their baseline characteristics, most participants had clear and stable fall risk trajectories over 2 years. Further investigation is required to determine whether interventions to improve gait and balance may improve fall risk trajectories in people with PD. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Preoperative Falls Predict Postoperative Falls, Functional Decline, and Surgical Complications.

PubMed

Kronzer, Vanessa L; Jerry, Michelle R; Ben Abdallah, Arbi; Wildes, Troy S; Stark, Susan L; McKinnon, Sherry L; Helsten, Daniel L; Sharma, Anshuman; Avidan, Michael S

2016-10-01

Falls are common and linked to morbidity. Our objectives were to characterize postoperative falls, and determine whether preoperative falls independently predicted postoperative falls (primary outcome), functional dependence, quality of life, complications, and readmission. This prospective cohort study included 7982 unselected patients undergoing elective surgery. Data were collected from the medical record, a baseline survey, and follow-up surveys approximately 30days and one year after surgery. Fall rates (per 100 person-years) peaked at 175 (hospitalization), declined to 140 (30-day survey), and then to 97 (one-year survey). After controlling for confounders, a history of one, two, and ≥three preoperative falls predicted postoperative falls at 30days (adjusted odds ratios [aOR] 2.3, 3.6, 5.5) and one year (aOR 2.3, 3.4, 6.9). One, two, and ≥three falls predicted functional decline at 30days (aOR 1.2, 2.4, 2.4) and one year (aOR 1.3, 1.5, 3.2), along with in-hospital complications (aOR 1.2, 1.3, 2.0). Fall history predicted adverse outcomes better than commonly-used metrics, but did not predict quality of life deterioration or readmission. Falls are common after surgery, and preoperative falls herald postoperative falls and other adverse outcomes. A history of preoperative falls should be routinely ascertained. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

Falls and fall-related injuries in older dialysis patients.

PubMed

Cook, Wendy L; Tomlinson, George; Donaldson, Meghan; Markowitz, Samuel N; Naglie, Gary; Sobolev, Boris; Jassal, Sarbjit V

2006-11-01

Dialysis patients are increasingly older and more disabled. In community-dwelling seniors without kidney disease, falls commonly predict hospitalization, the onset of frailty, and the need for institutional care. Effective fall prevention strategies are available. On the basis of retrospective data, it was hypothesized that the fall rates of older (> or =65 yr) chronic outpatient hemodialysis (HD) patients would be higher than published rates for community-dwelling seniors (0.6 to 0.8 falls/patient-year). It also was hypothesized that risk factors for falls in dialysis outpatients would include polypharmacy, dialysis-related hypotension, cognitive impairment, and decreased functional status. Using a prospective cohort study design, HD patients who were > or =65 yr of age at a large academic dialysis unit were recruited. All study participants underwent baseline screening for fall risk factors. Patients were followed prospectively for a minimum of 1 yr. Falls were identified through biweekly patient interviews in the HD unit. A total of 162 patients (mean age 74.7 yr) were recruited; 57% were male. A total of 305 falls occurred in 76 (47%) patients over 190.5 person-years of follow-up (fall-incidence 1.60 falls/person-year). Injuries occurred in 19% of falls; 41 patients had multiple falls. Associated risk factors included age, comorbidity, mean predialysis systolic BP, and a history of falls. In the HD population, the fall risk is higher than in the general community, and fall-related morbidity is high. Better identification of HD patients who are at risk for falls and targeted fall intervention strategies are required.

Sea surface salinity and temperature-based predictive modeling of southwestern US winter precipitation: improvements, errors, and potential mechanisms

NASA Astrophysics Data System (ADS)

Liu, T.; Schmitt, R. W.; Li, L.

2017-12-01

Using 69 years of historical data from 1948-2017, we developed a method to globally search for sea surface salinity (SSS) and temperature (SST) predictors of regional terrestrial precipitation. We then applied this method to build an autumn (SON) SSS and SST-based 3-month lead predictive model of winter (DJF) precipitation in southwestern United States. We also find that SSS-only models perform better than SST-only models. We previously used an arbitrary correlation coefficient (r) threshold, |r| > 0.25, to define SSS and SST predictor polygons for best subset regression of southwestern US winter precipitation; from preliminary sensitivity tests, we find that |r| > 0.18 yields the best models. The observed below-average precipitation (0.69 mm/day) in winter 2015-2016 falls within the 95% confidence interval of the prediction model. However, the model underestimates the anomalous high precipitation (1.78 mm/day) in winter 2016-2017 by more than three-fold. Moisture transport mainly attributed to "pineapple express" atmospheric rivers (ARs) in winter 2016-2017 suggests that the model falls short on a sub-seasonal scale, in which case storms from ARs contribute a significant portion of seasonal terrestrial precipitation. Further, we identify a potential mechanism for long-range SSS and precipitation teleconnections: standing Rossby waves. The heat applied to the atmosphere from anomalous tropical rainfall can generate standing Rossby waves that propagate to higher latitudes. SSS anomalies may be indicative of anomalous tropical rainfall, and by extension, standing Rossby waves that provide the long-range teleconnections.

Fourteen Years of Diverse Annual No-Till Cropping in Washington’s Winter Wheat – Summer Fallow Region

USDA-ARS?s Scientific Manuscript database

We have completed the 14th year of a cropping systems experiment to evaluate diverse annual (i.e., no summer fallow) cropping systems using no-till as an alternative to tillage-intensive winter wheat (Triticum aestivum L.) – summer fallow (WW-SF). Soft white and hard white classes of winter and spri...

First-year growth, condition, and size-selective winter mortality of freshwater drum in the lower Missouri River

USGS Publications Warehouse

Braaten, P.J.; Guy, C.S.

2004-01-01

We compared first-year growth and relative condition (Kn) of the 1997 and 1998 year-classes of freshwater drum Aplodinotus grunniens among three sites in a 235-km reach of the channelized Missouri River and tested for the occurrence of size-selective overwinter mortality during the first winter. Prewinter mean length was 15 mm greater, mean weight was 8 g greater, and mean Kn was 5% greater at the upstream site than at the downstream site. The prewinter mean length of age-0 freshwater drum was significantly greater in 1997 (115 mm) than in 1998 (109 mm), but Kn was significantly greater in 1998 (107) than in 1997 (102). There was no evidence that density-dependent interactions influenced prewinter growth and Kn. Size-selective overwinter mortality of the smallest size-classes of freshwater drum occurred at two of three sites during the 1997-1998 winter, and K n decreased 9-15%. Size-selective overwinter mortality of the 1998 cohort of freshwater drum did not occur during the 1998-1999 winter, and K n declined 0-10%. A prolonged growing season (through early December 1998), in conjunction with less severe winter water temperature conditions, apparently minimized the incidence of size-selective overwinter mortality for the 1998 cohort of freshwater drum. We conclude that size-selective overwinter mortality of age-0 freshwater drum occurs in the lower channelized Missouri River but depends on the length of the prewinter growing season, winter duration, and the severity of winter water temperatures.

Two-year trajectory of fall risk in people with Parkinson’s disease: a latent class analysis

PubMed Central

Paul, Serene S; Thackeray, Anne; Duncan, Ryan P; Cavanaugh, James T; Ellis, Theresa D; Earhart, Gammon M; Ford, Matthew P; Foreman, K Bo; Dibble, Leland E

2015-01-01

Objective To examine fall risk trajectories occurring naturally in a sample of individuals with early to middle stage Parkinson’s disease (PD). Design Latent class analysis, specifically growth mixture modeling (GMM) of longitudinal fall risk trajectories. Setting Not applicable. Participants 230 community-dwelling PD participants of a longitudinal cohort study who attended at least two of five assessments over a two year period. Interventions Not applicable. Main Outcome Measures Fall risk trajectory (low, medium or high risk) and stability of fall risk trajectory (stable or fluctuating). Fall risk was determined at 6-monthly intervals using a simple clinical tool based on fall history, freezing of gait, and gait speed. Results The GMM optimally grouped participants into three fall risk trajectories that closely mirrored baseline fall risk status (p=.001). The high fall risk trajectory was most common (42.6%) and included participants with longer and more severe disease and with higher postural instability and gait disability (PIGD) scores than the low and medium risk trajectories (p<.001). Fluctuating fall risk (posterior probability <0.8 of belonging to any trajectory) was found in only 22.6% of the sample, most commonly among individuals who were transitioning to PIGD predominance. Conclusions Regardless of their baseline characteristics, most participants had clear and stable fall risk trajectories over two years. Further investigation is required to determine whether interventions to improve gait and balance may improve fall risk trajectories in people with PD. PMID:26606871

Central Falls High School: First Year Transformation Report

ERIC Educational Resources Information Center

Burns, Amy; Whitney, Joye; Shah, Hardeek; Foley, Ellen; Dure, Elsa

2011-01-01

In January 2010, the Rhode Island Department of Education (RIDE) identified Central Falls High School (CFHS) as one of the state's persistently lowest-achieving schools. The Central Falls School District (CFSD) and the Central Falls Teachers Union (CFTU) considered the transformation model but could not come to an agreement initially around…

Effect of winter cover crops on nematode population levels in north Florida.

PubMed

Wang, K-H; McSorley, R; Gallaher, R N

2004-12-01

Two experiments were conducted in north-central Florida to examine the effects of various winter cover crops on plant-parasitic nematode populations through time. In the first experiment, six winter cover crops were rotated with summer corn (Zea mays), arranged in a randomized complete block design. The cover crops evaluated were wheat (Triticum aestivum), rye (Secale cereale), oat (Avena sativa), lupine (Lupinus angustifolius), hairy vetch (Vicia villosa), and crimson clover (Trifolium incarnatum). At the end of the corn crop in year 1, population densities of Meloidogyne incognita were lowest on corn following rye or oat (P year 2. Wheat was a good host to Paratrichodorus minor, whereas vetch was a poor host, but numbers of P. minor were not lower in vetch-planted plots after corn was grown. The second experiment used a split-plot design in which rye or lupine was planted into field plots with histories of five tropical cover crops: soybean (Glycine max), cowpea (Vigna unguiculata), sorghum-sudangrass (Sorghum bicolor x S. sudanense), sunn hemp (Crotalaria juncea), and corn. Population densities of M. incognita and Helicotylenchus dihystera were affected by previous tropical cover crops (P winter cover crops present at the time of sampling. Plots planted to sunn hemp in the fall maintained the lowest M. incognita and H. dihystera numbers. Results suggest that winter cover crops tested did not suppress plant-parasitic nematodes effectively. Planting tropical cover crops such as sunn hemp after corn in a triple-cropping system with winter cover crops may provide more versatile nematode management strategies in northern Florida.

[Epidemiology and risk factors in injuries due to fall in infants under one year-old].

PubMed

Jiménez de Domingo, Ana; Rubio García, Elena; Marañon Pardillo, Rafael; Arias Constanti, Vanessa; Frontado Haiek, Luis Alberto; Soriano Arola, Marta; Ripoll Oliveras, Francesc; Remón García, Cristina; Estopiña Ferrer, Gloria; Lorente Romero, Jorge

2017-06-01

To describe the epidemiological characteristics of unintentional injuries due to falls in children under one year and to analyse the risk factors associated with severe injuries. This multicentre, observational and cross-sectional study included all children less than one year treated for unintentional fall in the Emergency Departments of 8 Spanish Hospitals, belonging to the «Unintentional Paediatric Injury Workshop» of the Spanish Paediatric Emergency Society, between March 1st, 2014 and February 28th, 2015. Out of 289,887 emergency department cases, 1,022 were due to unintentional falls. The median age was 8 months and 52.5% were males. Fall injuries were more frequent among children aged 9-12 months (37.6%), and 83.5% occurred at home. The most common mechanism was fall from nursery equipment (69.4%), and 47.8% occurred from a height under 50cm. More than two-thirds (68%) of falls were witnessed, but in half of the cases (329) the caregiver was not in area. Serious injuries were seen in 12% of cases. In this study, a fall height greater than 50cm, falls in the street, from the arms of the carer, and from the stairs were identified as independent risk factors for worse outcomes. The most serious injuries occur in children <3 months and from a height of >50cm, though not related to unwitnessed falls. Because the most common serious injury mechanism is the fall from the arms of the carer, from stairs, and falls in the street, these facts should be highlighted in order to avoid morbidity. Copyright © 2015 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

Distribution and winter survival health of Asian clams, Corbicula fluminea, in the St. Clair River, Michigan

USGS Publications Warehouse

French, John R. P.; Schloesser, Don W.

1996-01-01

We studied the distribution and winter survival of the Asian clam, Corbicula fluminea, in the St. Clair River from the fall of 1988 to the spring of 1990. Between fall of 1988 and spring of 1989, distribution of Corbicula was extended from 5.5 to 11.5 km downstream from an electric power plant. However, total abundance of clams decreased during the winter. By fall of 1989, Corbicula was found 14.5 km from the power plant, and the mean density of clams was 27 individuals/m2. Between fall of 1989 and spring of 1990, distribution was reduced to 7.5 km from the power plant and abundance decreased 97%. During the winter of 1988-1989, we collected clams monthly from one station 2.2 km from the power plant, and we observed that clams survived the harsh winter for two months after the water temperature dropped about 1.5°C below the reported lethal level for Corbicula in midwinter. During the winer of 1989-1990, we held clams at the sediment-water interface in enclosures, and we observed that condition indices (dry body weight; dry shell weight) of clams remained stable (mean = 0.05 ± 0.01) in December and January and then declined significantly (p < 0.05) to 0.04 ± 0.01 in February. All clams perished by late March. The deteriorating physiological state of clams, as indicated by declining condition index, seemingly is a factor in late winter mortalities of Corbicula in the St. Clair River. In contrast to the rapid geographic spread and population increases in the southern United States, Corbicula likely will not spread rapidly throughout the Great Lakes beyond shoreline thermal refugia of heated-water discharge plumes from power plants.

Population ecology of the mallard VIII: Winter distribution patterns and survival rates of winter-banded mallards

USGS Publications Warehouse

Nichols, James D.; Hines, James E.

1987-01-01

In the present report we address questions about winter distribution patterns and survival rates of North American mallards Anas platyrhynchos. Inferences are based on analyses of banding and recovery data from both winter and preseason banding period. The primary wintering range of the mallard was dividded into 45 minor reference areas and 15 major reference areas which were used to summarize winter banding data. Descriptive tables and figures on the recovery distributions of winter-banded mallards are presented. Using winter recoveries of preseason-banded mallards, we found apparent differences between recovery distribution of young versus adult birds from the same breeding ground reference areas. However, we found no sex-specific differences in winter recovery distribution patterns. Winter recovery distributions of preseason-banded birds also provided evidence that mallards exhibited some degree of year-to-year variation in wintering ground location. The age- and sex-specificity of such variation was tested using winter recoveries of winter-banded birds, and results indicated that subadult (first year) birds were less likely to return to the same wintering grounds the following year than adults. Winter recovery distributions of preseason-banded mallards during 1950-58 differed from distributions in 1966-76. These differences could have resulted from either true distributional shifts or geographic changes in hunting pressure. Survival and recovery rates were estimated from winter banding data. We found no evidence of differences in survival or recovery rates between subadult and adult mallards. Thus, the substantial difference between survival rates of preseason-banded young and adult mallards must result almost entirely from higher mortality of young birds during the approximate period, August-January. Male mallards showed higher survival than females, corroborating inferences based on preseason data. Tests with winter banding and band recovery data indicated

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.

Evaluation of a fall-prevention program in older people after femoral neck fracture: a one-year follow-up.

PubMed

Berggren, M; Stenvall, M; Olofsson, B; Gustafson, Y

2008-06-01

A randomized, controlled fall-prevention study including 199 patients operated on for femoral neck fracture reduced inpatient falls and injuries. No statistically significant effects of the intervention program could be detected after discharge. It seems that fall-prevention must be part of everyday life in fall-prone old people. This study evaluates whether a postoperative multidisciplinary, multifactorial fall-prevention program performed by a geriatric team that reduced inpatient falls and injuries had any continuing effect after discharge. The intervention consisted of staff education, systematic assessment and treatment of fall risk factors and vitamin D and calcium supplementation. The randomized, controlled trial with a one-year follow-up at Umeå University Hospital, Sweden, included 199 patients operated on for femoral neck fracture, aged > or = 70 years. After one year 44 participants had fallen 138 times in the intervention group compared with 55 participants and 191 falls in the control group. The crude postoperative fall incidence was 4.16/1,000 days in the intervention group vs. 6.43/1,000 days in the control group. The incidence rate ratio was 0.64 (95% CI: 0.40-1.02, p = 0.063). Seven new fractures occurred in the intervention group and 11 in the control group. A team applying comprehensive geriatric assessment and rehabilitation, including prevention and treatment of fall-risk factors, reduced inpatient falls and injuries, but no statistically significant effects of the program could be detected after discharge. It seems that fall-prevention must be part of everyday life in fall-prone elderly.

Two alternative juvenile life history types for fall Chinook salmon in the Snake River basin

USGS Publications Warehouse

Connor, W.P.; Sneva, J.G.; Tiffan, K.F.; Steinhorst, R.K.; Ross, D.

2005-01-01

Fall Chinook salmon Oncorhynchus tshawytscha in the Snake River basin were listed under the Endangered Species Act in 1992. At the time of listing, it was assumed that fall Chinook salmon juveniles in the Snake River basin adhered strictly to an ocean-type life history characterized by saltwater entry at age 0 and first-year wintering in the ocean. Research showed, however, that some fall Chinook salmon juveniles in the Snake River basin spent their first winter in a reservoir and resumed seaward movement the following spring at age 1 (hereafter, reservoir-type juveniles). We collected wild and hatchery ocean-type fall Chinook salmon juveniles in 1997 and wild and hatchery reservoir-type juveniles in 1998 to assess the condition of the reservoir-type juveniles at the onset of seaward movement. The ocean-type juveniles averaged 112-139 mm fork length, and the reservoir-type juveniles averaged 222-224 mm fork length. The large size of the reservoir-type juveniles suggested a high potential for survival to salt water and subsequent return to freshwater. Scale pattern analyses of the fall Chinook salmon spawners we collected during 1998-2003 supported this point. Of the spawners sampled, an overall average of 41% of the wild fish and 51% of the hatchery fish had been reservoir-type juveniles. Males that had been reservoir-type juveniles often returned as small "minijacks" (wild, 16% of total; hatchery, 40% of total), but 84% of the wild males, 60% of the hatchery males, and 100% of the wild and hatchery females that had been reservoir-type juveniles returned at ages and fork lengths commonly observed in populations of Chinook salmon. We conclude that fall Chinook salmon in the Snake River basin exhibit two alternative juvenile life histories, namely ocean-type and reservoir-type. ?? Copyright by the American Fisheries Society 2005.

Variability in winter climate and winter extremes reduces population growth of an alpine butterfly.

PubMed

Roland, Jens; Matter, Stephen F

2013-01-01

We examined the long-term, 15-year pattern of population change in a network of 21 Rocky Mountain populations of Parnassius smintheus butterflies in response to climatic variation. We found that winter values of the broadscale climate variable, the Pacific Decadal Oscillation (PDO) index, were a strong predictor of annual population growth, much more so than were endogenous biotic factors related to population density. The relationship between PDO and population growth was nonlinear. Populations declined in years with extreme winter PDO values, when there were either extremely warm or extremely cold sea surface temperatures in the eastern Pacific relative to that in the western Pacific. Results suggest that more variable winters, and more frequent extremely cold or warm winters, will result in more frequent decline of these populations, a pattern exacerbated by the trend for increasingly variable winters seen over the past century.

Prescribed Winter Burns Can Reduce the Growth of Nine-Year-Old Loblolly Pines

Treesearch

Michael D. Cain

1985-01-01

Prescribed winter burning was done in a precommercially thinned, 9-year-old, natural stand of loblolly and shortleaf pines (Pinus taeda L. and P. echinata Mill.). Growth and survival of 174 loblolly pines were monitored one growing season after this burning. Mortality was highest for pines with less than 2 inches groundline...

KPI Graduate Executive Summary Report, Summer 2000-Winter 2001.

ERIC Educational Resources Information Center

Sheridan Coll. (Ontario).

Summarizes findings from the Key Performance Indicator Satisfaction Survey administered by Sheridan College in the summer 2000, fall 2000, and winter 2001 terms. This survey was administered in compliance with the Ontario government's efforts to increase the accountability of the Colleges of Applied Arts and Technology through the measurement of…

Environmental and physiological influences to isotopic ratios of N and protein status in a montane ungulate in winter

USGS Publications Warehouse

Gustine, David D.; Barboza, Perry S.; Adams, Layne G.; Wolf, Nathan B.

2014-01-01

Winter severity can influence large herbivore populations through a reduction in maternal proteins available for reproduction. Nitrogen (N) isotopes in blood fractions can be used to track the use of body proteins in northern and montane ungulates. We studied 113 adult female caribou for 13 years throughout a series of severe winters that reduced population size and offspring mass. After these severe winters, offspring mass increased but the size of the population remained low. We devised a conceptual model for routing of isotopic N in blood in the context of the severe environmental conditions experienced by this population. We measured δ15N in three blood fractions and predicted the relative mobilization of dietary and body proteins. The δ15N of the body protein pool varied by 4‰ and 46% of the variance was associated with year. Annual variation in δ15N of body protein likely reflected the fall/early winter diet and winter locations, yet 15% of the isotopic variation in amino acid N was due to body proteins. Consistent isotopic differences among blood N pools indicated that animals tolerated fluxes in diet and body stores. Conservation of body protein in caribou is the result of active exchange among diet and body N pools. Adult females were robust to historically severe winter conditions and prioritized body condition and survival over early investment in offspring. For a vagile ungulate residing at low densities in a predator-rich environment, protein restrictions in winter may not be the primary limiting factor for reproduction.

Environmental and Physiological Influences to Isotopic Ratios of N and Protein Status in a Montane Ungulate in Winter

PubMed Central

Gustine, David D.; Barboza, Perry S.; Adams, Layne G.; Wolf, Nathan B.

2014-01-01

Winter severity can influence large herbivore populations through a reduction in maternal proteins available for reproduction. Nitrogen (N) isotopes in blood fractions can be used to track the use of body proteins in northern and montane ungulates. We studied 113 adult female caribou for 13 years throughout a series of severe winters that reduced population size and offspring mass. After these severe winters, offspring mass increased but the size of the population remained low. We devised a conceptual model for routing of isotopic N in blood in the context of the severe environmental conditions experienced by this population. We measured δ15N in three blood fractions and predicted the relative mobilization of dietary and body proteins. The δ 15N of the body protein pool varied by 4‰ and 46% of the variance was associated with year. Annual variation in δ15N of body protein likely reflected the fall/early winter diet and winter locations, yet 15% of the isotopic variation in amino acid N was due to body proteins. Consistent isotopic differences among blood N pools indicated that animals tolerated fluxes in diet and body stores. Conservation of body protein in caribou is the result of active exchange among diet and body N pools. Adult females were robust to historically severe winter conditions and prioritized body condition and survival over early investment in offspring. For a vagile ungulate residing at low densities in a predator-rich environment, protein restrictions in winter may not be the primary limiting factor for reproduction. PMID:25102057

Environmental and physiological influences to isotopic ratios of N and protein status in a Montane ungulate in winter.

PubMed

Gustine, David D; Barboza, Perry S; Adams, Layne G; Wolf, Nathan B

2014-01-01

Winter severity can influence large herbivore populations through a reduction in maternal proteins available for reproduction. Nitrogen (N) isotopes in blood fractions can be used to track the use of body proteins in northern and montane ungulates. We studied 113 adult female caribou for 13 years throughout a series of severe winters that reduced population size and offspring mass. After these severe winters, offspring mass increased but the size of the population remained low. We devised a conceptual model for routing of isotopic N in blood in the context of the severe environmental conditions experienced by this population. We measured δ15N in three blood fractions and predicted the relative mobilization of dietary and body proteins. The δ 15N of the body protein pool varied by 4‰ and 46% of the variance was associated with year. Annual variation in δ15N of body protein likely reflected the fall/early winter diet and winter locations, yet 15% of the isotopic variation in amino acid N was due to body proteins. Consistent isotopic differences among blood N pools indicated that animals tolerated fluxes in diet and body stores. Conservation of body protein in caribou is the result of active exchange among diet and body N pools. Adult females were robust to historically severe winter conditions and prioritized body condition and survival over early investment in offspring. For a vagile ungulate residing at low densities in a predator-rich environment, protein restrictions in winter may not be the primary limiting factor for reproduction.

Potential effects of drought on carrying capacity for wintering waterfowl in the Central Valley of California

USGS Publications Warehouse

Petrie, Mark J.; Fleskes, Joseph P.; Wolder, Mike A.; Isola, Craig R.; Yarris, Gregory S.; Skalos, Daniel A.

2016-01-01

We used the bioenergetics model TRUEMET to evaluate potential effects of California's recent drought on food supplies for waterfowl wintering in the Central Valley under a range of habitat and waterfowl population scenarios. In nondrought years in the current Central Valley landscape, food supplies are projected to be adequate for waterfowl from fall through early spring (except late March) even if waterfowl populations reach North American Waterfowl Management Plan goals. However, in all drought scenarios that we evaluated, food supplies were projected to be exhausted for ducks by mid- to late winter and by late winter or early spring for geese. For ducks, these results were strongly related to projected declines in winter-flooded rice fields that provide 45% of all the food energy available to ducks in the Central Valley in nondrought water years. Delayed flooding of some managed wetlands may help alleviate food shortages by providing wetland food resources better timed with waterfowl migration and abundance patterns in the Central Valley, as well as reducing the amount of water needed to manage these habitats. However, future research is needed to evaluate the impacts of delayed flooding on waterfowl hunting, and whether California's existing water delivery system would make delayed flooding feasible. Securing adequate water supplies for waterfowl and other wetland-dependent birds is among the greatest challenges facing resource managers in coming years, especially in the increasingly arid western United States.

What do community-dwelling Caucasian and South Asian 60-70 year olds think about exercise for fall prevention?

PubMed

Horne, Maria; Speed, Shaun; Skelton, Dawn; Todd, Chris

2009-01-01

strategies to prevent falls often recommend regular exercise. However, 40% of over 50s in the UK report less physical activity than is recommended. Even higher rates of sedentary behaviour have been reported among South Asian older adults. to identify salient beliefs that influence uptake and adherence to exercise for fall prevention among community-dwelling Caucasian and South Asian 60-70 year olds in the UK. we undertook an ethnographic study using participant observation, 15 focus groups (n = 87; mean age = 65.7 years) and 40 individual semi-structured interviews (mean age = 64.8 years). Data analysis used framework analysis. young older adults do not acknowledge their fall risk and are generally not motivated to exercise to prevent falls. Those who had fallen are more likely to acknowledge risk of future falls. Whilst many of the beliefs about falls and exercise expressed were very similar between Caucasians and South Asians, there was a tendency for South Asians to express fatalistic beliefs more often. fall prevention should not be the focus of strategies to increase uptake and adherence to exercise. The wider benefits of exercise, leading to an active healthy lifestyle should be encouraged.

Prevention of fall-related injuries in 7-year-old to 12-year-old children: a cluster randomised controlled trial.

PubMed

Nauta, Joske; Knol, Dirk L; Adriaensens, Lize; Klein Wolt, Karin; van Mechelen, Willem; Verhagen, Evert A L M

2013-09-01

To counteract the recently observed increase in forearm fractures in children worldwide, an educational programme to improve fall skills was developed. In this 8-week programme children learned basic martial arts falling techniques in their physical education classes. In this study, the effectiveness of this educational programme to improve fall skills was evaluated. A cluster randomised controlled trial was conducted in 33 primary schools. The intervention group received the educational programme to improve falling skills during their physical education (PE) classes whereas the control group received their regular PE curriculum. At baseline (October 2009) and follow-up (May 2010), a questionnaire was completed by the children about their physical activity behaviours. Furthermore, fall-related injuries were registered continuously during an entire school-year. A total of 36 incident injuries was reported in the intervention group, equalling an injury incidence density (IID) of 0.14 fall-related injuries per 1000 h of physical activity (95% CI 0.09 to 0.18). In contrast, 96 injuries were reported by the control group corresponding to an IID of 0.26 (95% CI 0.21 to 0.32). However, because intracluster correlation was high (ICC=0.46), differences in injury incidence were not statistically significant. When activity level was taken into account, a trend was shown suggesting that the 'falling is a sport' programme was effective in decreasing falling-related injury risk, but only in the least active children. Although results did not reach significance because of strong clustering effects, a trend was found suggesting that a school-based educational programme to improve falling skills may be more beneficial for the prevention of falling-related injuries in children with low levels of habitual physical activity.

Measurements of IN and BIO-IN with the fast ice nucleus chamber FINCH at Mt. Zugspitze, Mt. Puy de Dôme and Jungfraujoch during fall and winter

NASA Astrophysics Data System (ADS)

Nillius, B.; Frank, F.; Bingemer, H.; Curtius, J.; Bundke, U.

2013-05-01

In this work we present IN measurements at Mt. Zugspitze, Germany, 2650 m.a.s.l., Mt. Puy de Dôme, France, 1464 m.a.s.l. and Jungfraujoch, Switzerland, 3580 m a.s.l during fall and winter 2012 with the instrument FINCH HALO (Fast Ice Nucleus Chamber for the High Altitude and LOng range research aircraft HALO). In this device the temperature and super saturation for activation of Ice Nuclei (IN) and the growth to ice crystals is obtained by mixing three gas flows of different temperatures and moisture. After the growth of IN and Cloud Condensation Nuclei (CCN) to macroscopic ice crystals and super-cooled water droplets in the development chamber, they are counted using an optical detector. The discrimination between ice and water is made by measuring the circular depolarization ratio of the backscattered laser light of each individual particle. IN are classified as biological particles by measuring their individual intrinsic-fluorescence during the winter campaigns in average 30-40 % of the IN show an intrinsic fluorescence and are supposed to be of biological origin.

Fall-related accidents among hikers in the Austrian Alps: a 9-year retrospective study

PubMed Central

Faulhaber, Martin; Pocecco, Elena; Ruedl, Gerhard; Walter, Dagmar; Sterr, Regina; Ebner, Hans; Schobersberger, Wolfgang; Burtscher, Martin

2017-01-01

Objective To analyse the circumstances of fatal and non-fatal mountain hiking accidents caused by falls. Methods The study was designed as a retrospective analysis. Mountain hiking accidents caused by falls were documented during a 9-year period (2006–2014). After screening of all data for potential exclusion criteria the final sample size of 5368 accidents and 5665 victims was included into the analyses. Main outcome measures were details about accidents, victims, type of trail and surface. Results The annual number of accidents showed a continuous increase from 467 in 2006 to 700 in 2014. In total, 5.8% of all victims died during the 9-year period. 75.3% of the hikers fell during descent and 80.9% of the victims had their accident on a marked hiking trail or small path. The sex ratio for non-fatal accidents was 55% female and 45% male; for fatal accidents the female-to-male ratio was 28%:72%. Mean age of all victims was 52.5±17.5 years and victims of fatalities were about 5 years older compared with victims of non-fatal accidents (57.5±16.5 vs 52.2±17.5 years, P<0.01). Conclusion Descent is the most risky part for accidents caused by falls during mountain hiking. Male hikers are at greater risk for fatalities independent of age and this is associated with accidents occurring in pathless terrain. The death rate from falls was 6%. We recommend a critical self-assessment of the individual capabilities and mountain hiking skills and adequate planning of the hiking tours for mountain hikers. PMID:29259815

Calcium addition at the Hubbard Brook Experimental Forest reduced winter injury to red spruce in a high-injury year

Treesearch

Gary J. Hawley; Paul G. Schaberg; Christopher Eagar; Catherine H. Borer

2006-01-01

Laboratory experiments have verified that acid-deposition-induced calcium (Ca) leaching reduces the foliar cold tolerance of red spruce (Picea rubens Sarg.) current-year foliage, increasing the risk of winter injury and crown deterioration. However, to date no studies have shown that ambient losses in soil Ca have resulted in increased winter injury...

Fall in C-Peptide During First 2 Years From Diagnosis

PubMed Central

Greenbaum, Carla J.; Beam, Craig A.; Boulware, David; Gitelman, Stephen E.; Gottlieb, Peter A.; Herold, Kevan C.; Lachin, John M.; McGee, Paula; Palmer, Jerry P.; Pescovitz, Mark D.; Krause-Steinrauf, Heidi; Skyler, Jay S.; Sosenko, Jay M.

2012-01-01

Interpretation of clinical trials to alter the decline in β-cell function after diagnosis of type 1 diabetes depends on a robust understanding of the natural history of disease. Combining data from the Type 1 Diabetes TrialNet studies, we describe the natural history of β-cell function from shortly after diagnosis through 2 years post study randomization, assess the degree of variability between patients, and investigate factors that may be related to C-peptide preservation or loss. We found that 93% of individuals have detectable C-peptide 2 years from diagnosis. In 11% of subjects, there was no significant fall from baseline by 2 years. There was a biphasic decline in C-peptide; the C-peptide slope was −0.0245 pmol/mL/month (95% CI −0.0271 to −0.0215) through the first 12 months and −0.0079 (−0.0113 to −0.0050) from 12 to 24 months (P < 0.001). This pattern of fall in C-peptide over time has implications for understanding trial results in which effects of therapy are most pronounced early and raises the possibility that there are time-dependent differences in pathophysiology. The robust data on the C-peptide obtained under clinical trial conditions should be used in planning and interpretation of clinical trials. PMID:22688329

Influence of Mowing Artemisia tridentata ssp. wyomingensis on Winter Habitat for Wildlife

NASA Astrophysics Data System (ADS)

Davies, Kirk W.; Bates, Jonathan D.; Johnson, Dustin D.; Nafus, Aleta M.

2009-07-01

Mowing is commonly implemented to Artemisia tridentata ssp. wyomingensis (Beetle & A. Young) S.L. Welsh (Wyoming big sagebrush) plant communities to improve wildlife habitat, increase forage production for livestock, and create fuel breaks for fire suppression. However, information detailing the influence of mowing on winter habitat for wildlife is lacking. This information is crucial because many wildlife species depended on A. tridentata spp. wyomingensis plant communities for winter habitat and consume significant quantities of Artemisia during this time . Furthermore, information is generally limited describing the recovery of A. tridentata spp. wyomingensis to mowing and the impacts of mowing on stand structure. Stand characteristics and Artemisia leaf tissue crude protein (CP), acid detergent fiber (ADF), and neutral detergent fiber (NDF) concentrations were measured in midwinter on 0-, 2-, 4-, and 6-year-old fall-applied mechanical (mowed at 20 cm height) treatments and compared to adjacent untreated (control) areas. Mowing compared to the control decreased Artemisia cover, density, canopy volume, canopy elliptical area, and height ( P < 0.05), but all characteristics were recovering ( P < 0.05). Mowing A. tridentata spp. wyomingensis plant communities slightly increases the nutritional quality of Artemisia leaves ( P < 0.05), but it simultaneously results in up to 20 years of decrease in Artemisia structural characteristics. Because of the large reduction in A. tridentata spp. wyomingensis for potentially 20 years following mowing, mowing should not be applied in Artemisia facultative and obligate wildlife winter habitat. Considering the decline in A. tridentata spp. wyomingensis-dominated landscapes, we caution against mowing these communities.

Relationship between subjective fall risk assessment and falls and fall-related fractures in frail elderly people

PubMed Central

2011-01-01

Background Objective measurements can be used to identify people with risks of falls, but many frail elderly adults cannot complete physical performance tests. The study examined the relationship between a subjective risk rating of specific tasks (SRRST) to screen for fall risks and falls and fall-related fractures in frail elderly people. Methods The SRRST was investigated in 5,062 individuals aged 65 years or older who were utilized day-care services. The SRRST comprised 7 dichotomous questions to screen for fall risks during movements and behaviours such as walking, transferring, and wandering. The history of falls and fall-related fractures during the previous year was reported by participants or determined from an interview with the participant's family and care staff. Results All SRRST items showed significant differences between the participants with and without falls and fall-related fractures. In multiple logistic regression analysis adjusted for age, sex, diseases, and behavioural variables, the SRRST score was independently associated with history of falls and fractures. Odds ratios for those in the high-risk SRRST group (≥ 5 points) compared with the no risk SRRST group (0 point) were 6.15 (p < 0.01) for a single fall, 15.04 (p < 0.01) for recurrent falls, and 5.05 (p < 0.01) for fall-related fractures. The results remained essentially unchanged in subgroup analysis accounting for locomotion status. Conclusion These results suggest that subjective ratings by care staff can be utilized to determine the risks of falls and fall-related fractures in the frail elderly, however, these preliminary results require confirmation in further prospective research. PMID:21838891

Dementia as a risk factor for falls and fall injuries among nursing home residents.

PubMed

van Doorn, Carol; Gruber-Baldini, Ann L; Zimmerman, Sheryl; Hebel, J Richard; Port, Cynthia L; Baumgarten, Mona; Quinn, Charlene C; Taler, George; May, Conrad; Magaziner, Jay

2003-09-01

To compare rates of falling between nursing home residents with and without dementia and to examine dementia as an independent risk factor for falls and fall injuries. Prospective cohort study with 2 years of follow-up. Fifty-nine randomly selected nursing homes in Maryland, stratified by geographic region and facility size. Two thousand fifteen newly admitted residents aged 65 and older. During 2 years after nursing home admission, fall data were collected from nursing home charts and hospital discharge summaries. The unadjusted fall rate for residents in the nursing home with dementia was 4.05 per year, compared with 2.33 falls per year for residents without dementia (P<.0001). The effect of dementia on the rate of falling persisted when known risk factors were taken into account. Among fall events, those occurring to residents with dementia were no more likely to result in injury than falls of residents without dementia, but, given the markedly higher rates of falling by residents with dementia, their rate of injurious falls was higher than for residents without dementia. Dementia is an independent risk factor for falling. Although most falls do not result in injury, the fact that residents with dementia fall more often than their counterparts without dementia leaves them with a higher overall risk of sustaining injurious falls over time. Nursing home residents with dementia should be considered important candidates for fall-prevention and fall-injury-prevention strategies.

7 CFR 457.102 - Wheat or barley winter coverage endorsement.

Code of Federal Regulations, 2014 CFR

2014-01-01

... designate both a fall final planting date and a spring final planting date, and for which the actuarial... planted spring barley. 6. If you elect this endorsement for winter barley, the contract change, cancellation, and termination dates applicable to wheat in the county will be applicable to all your spring and...

7 CFR 457.102 - Wheat or barley winter coverage endorsement.

Code of Federal Regulations, 2011 CFR

2011-01-01

... designate both a fall final planting date and a spring final planting date, and for which the actuarial... planted spring barley. 6. If you elect this endorsement for winter barley, the contract change, cancellation, and termination dates applicable to wheat in the county will be applicable to all your spring and...

7 CFR 457.102 - Wheat or barley winter coverage endorsement.

Code of Federal Regulations, 2012 CFR

2012-01-01

... designate both a fall final planting date and a spring final planting date, and for which the actuarial... planted spring barley. 6. If you elect this endorsement for winter barley, the contract change, cancellation, and termination dates applicable to wheat in the county will be applicable to all your spring and...

7 CFR 457.102 - Wheat or barley winter coverage endorsement.

Code of Federal Regulations, 2013 CFR

2013-01-01

... designate both a fall final planting date and a spring final planting date, and for which the actuarial... planted spring barley. 6. If you elect this endorsement for winter barley, the contract change, cancellation, and termination dates applicable to wheat in the county will be applicable to all your spring and...

Integrated crop/livestock systems reduce late-fall livestock feeding costs

USDA-ARS?s Scientific Manuscript database

Feed costs during the late-fall and winter periods represent the greatest cost to cow-calf production in the northern Great Plains. Integration of crop and livestock enterprises may improve sustainability through synergisms among enterprises reducing waste and improving productivity, and providing b...

Validity of Caregivers’ Reports on Head Trauma Due to Falls in Young Children Aged Less than 2 Years

PubMed Central

Fujiwara, Takeo; Nagase, Hiroaki; Okuyama, Makiko; Hoshino, Takahiro; Aoki, Kazunori; Nagashima, Tastuya; Nakamura, Hajime

2010-01-01

Objective: The clinical presentations of head trauma due to falls among young children aged less than 2 years are controversial, particularly in Japan, as the history of trauma recounted by a caretaker is not always reliable. The purpose of this study was to assess the validity of caregiver’s reports on head trauma due to falls in young children aged less than 2 years in Japan. Methods: All patients <2 years of age presenting with head trauma resulting from a fall who were admitted to 3 children’s hospitals in Japan from January 2001 to December 2005 were retrospectively reviewed (N = 58). The clinical presentations were compared among groups categorized by the heights from which the patient fell (short (≤120 cm) or long (>120 cm)) and the surface on which the patient landed (carpet, tatami (Japanese mattress), hardwood floor, or concrete). Results: Patients who suffered short falls were more likely to present with subdural hemorrhage (SDH) than those who suffered long falls (74% and 40%, respectively, P = 0.027). More specifically, 62% of short falls showed SDH indicative of shaken baby syndrome (e.g. multilayer SDH). Neurological symptoms, cyanosis, and SDH were more commonly observed in patients who landed on carpeted or tatami surfaces than in those who landed on hardwood or concrete floors. Conclusions: Short falls and landing on soft surfaces resulted in the presentation of severer clinical symptoms than did long falls and landing on hard surfaces, suggesting that the validity of caretakers’ reports on infant or young children’s head trauma due to falls is low. Further research is warranted to investigate the cause of infant head trauma due to falls. PMID:23761991

Association of Physical Performance and Pain With Fear of Falling Among Community-Dwelling Japanese Women Aged 65 Years and Older.

PubMed

Tomita, Yoshihito; Arima, Kazuhiko; Kanagae, Mitsuo; Okabe, Takuhiro; Mizukami, Satoshi; Nishimura, Takayuki; Abe, Yasuyo; Goto, Hisashi; Horiguchi, Itsuko; Aoyagi, Kiyoshi

2015-09-01

Our aim was to explore the association of physical performance and pain with fear of falling among community-dwelling Japanese women.The subjects were 278 women aged 65 years and over. We collected information on fear of falling, painful joints, comorbidities, falls in the previous year, and cataracts. Walking time (distance of 6 m), chair stand time (5 times), grip strength, the timed up and go test (TUG), and functional reach were measured.The prevalence of fear of falling was 36.3%, and it increased with age, but it was not significant (P = 0.081). Multivariate logistic regression analysis showed that poor physical performance (longer walking time, longer chair stand time, weaker grip strength, and longer TUG) and pain (low back, and upper and lower extremity pain) were significantly associated with fear of falling after adjusting for age, body mass index, comorbidities, falls in the previous year, and cataracts.Maintaining physical functioning and managing pain may be important for elderly women with fear of falling.

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

SisFall: A Fall and Movement Dataset

PubMed Central

Sucerquia, Angela; López, José David; Vargas-Bonilla, Jesús Francisco

2017-01-01

Research on fall and movement detection with wearable devices has witnessed promising growth. However, there are few publicly available datasets, all recorded with smartphones, which are insufficient for testing new proposals due to their absence of objective population, lack of performed activities, and limited information. Here, we present a dataset of falls and activities of daily living (ADLs) acquired with a self-developed device composed of two types of accelerometer and one gyroscope. It consists of 19 ADLs and 15 fall types performed by 23 young adults, 15 ADL types performed by 14 healthy and independent participants over 62 years old, and data from one participant of 60 years old that performed all ADLs and falls. These activities were selected based on a survey and a literature analysis. We test the dataset with widely used feature extraction and a simple to implement threshold based classification, achieving up to 96% of accuracy in fall detection. An individual activity analysis demonstrates that most errors coincide in a few number of activities where new approaches could be focused. Finally, validation tests with elderly people significantly reduced the fall detection performance of the tested features. This validates findings of other authors and encourages developing new strategies with this new dataset as the benchmark. PMID:28117691

SisFall: A Fall and Movement Dataset.

PubMed

Sucerquia, Angela; López, José David; Vargas-Bonilla, Jesús Francisco

2017-01-20

Research on fall and movement detection with wearable devices has witnessed promising growth. However, there are few publicly available datasets, all recorded with smartphones, which are insufficient for testing new proposals due to their absence of objective population, lack of performed activities, and limited information. Here, we present a dataset of falls and activities of daily living (ADLs) acquired with a self-developed device composed of two types of accelerometer and one gyroscope. It consists of 19 ADLs and 15 fall types performed by 23 young adults, 15 ADL types performed by 14 healthy and independent participants over 62 years old, and data from one participant of 60 years old that performed all ADLs and falls. These activities were selected based on a survey and a literature analysis. We test the dataset with widely used feature extraction and a simple to implement threshold based classification, achieving up to 96% of accuracy in fall detection. An individual activity analysis demonstrates that most errors coincide in a few number of activities where new approaches could be focused. Finally, validation tests with elderly people significantly reduced the fall detection performance of the tested features. This validates findings of other authors and encourages developing new strategies with this new dataset as the benchmark.

Body weight and composition dynamics of fall migrating canvasbacks

USGS Publications Warehouse

Serie, J.R.; Sharp, D.E.

1989-01-01

We studied body weights and composition of canvasbacks (Aythya valisineria) during fall migration 1975-77 on stopover sites along the upper Mississippi River near La Crosse, Wisconsin (Navigational Pools 7 and 8) and Keokuk, Iowa (Navigational Pool 19). Body weights varied (P < 0.001) by age and sex without interaction. Weights varied by year (P < 0.001) on Pools 7 and 8. Mean weights increased (P < 0.01) within age and sex classes by date and averaged 3.6 and 2.7 g daily on Pools 7 and 8 and Pool 19, respectively. Percent fat was highly correlated (P < 0.001) with carcass weight for each age and sex. Live weight was a good predictor of total body fat. Mean estimated total body fat ranged from 200 to 300 g and comprised 15-20% of live weights among age and sex classes. Temporal weight patterns were less variable for adults than immatures, but generally increased during migration. Length of stopover varied inversely with fat reserves among color-marked adult males. Variation in fat condition of canvasbacks during fall may explain the mechanism regulating population ingress and egress on stopover sites. Fat reserves attained by canvasbacks during fall stopover may have adaptive significance in improving survival by conditioning for winter.

Risk factors for unintentional injuries due to falls in children aged 0–6 years: a systematic review

PubMed Central

Khambalia, A; Joshi, P; Brussoni, M; Raina, P; Morrongiello, B; Macarthur, C

2006-01-01

Objective To identify risk factors for unintentional injuries due to falls in children aged 0–6 years. Design A systematic review of the literature. Methods Electronic databases from 1966 to March 2005 were comprehensively searched to identify empirical research that evaluated risk factors for unintentional injuries due to falls in children aged 0–6 years and included a comparison group. Results 14 studies met the inclusion criteria. Studies varied by the type of fall injury that was considered (ie, bunk bed, stairway, playground or infant walker) and with respect to the quality of evidence. In general, major risk factors for the incidence or severity of injuries due to falls in children included age of the child, sex, height of the fall, type of surface, mechanism (dropped, stairway or using a walker), setting (day care v home care) and socioeconomic status. Conclusion Despite a high burden, few controlled studies have examined the risk and protective factors for injuries due to falls in children aged 0–6 years. The only study to examine falls from a population health perspective suggests that age, sex and poverty are independent risk factors for injuries due to falls in children. PMID:17170185

Yearly Success and Progress Rates (Fall 2010 Entering Cohort). Snapshot™ Report

ERIC Educational Resources Information Center

National Student Clearinghouse, 2017

2017-01-01

This snapshot goes beyond traditional measures of postsecondary attainment by tracking the fall 2010 entering cohort over time, and showing persistence, stop-out, and completion rates at the end of each subsequent academic year. The model tracks outcomes for both full-time and part-time starters, and takes spring and summer terms into account.…

Winter cover crops as a best management practice for reducing nitrogen leaching

NASA Astrophysics Data System (ADS)

Ritter, W. F.; Scarborough, R. W.; Chirnside, A. E. M.

1998-10-01

The role of rye as a winter cover crop to reduce nitrate leaching was investigated over a three-year period on a loamy sand soil. A cover crop was planted after corn in the early fall and killed in late March or early April the following spring. No-tillage and conventional tillage systems were compared on large plots with irrigated corn. A replicated randomized block design experiment was conducted on small plots to evaluate a rye cover crop under no-tillage and conventional tillage and with commercial fertilizer, poultry manure and composted poultry manure as nitrogen fertilizer sources. Nitrogen uptake by the cover crop along with nitrate concentrations in groundwater and the soil profile (0-150 cm) were measured on the large plots. Soil nitrate concentrations and nitrogen uptake by the cover crop were measured on the small plots. There was no significant difference in nitrate concentrations in the groundwater or soil profile with and without a cover crop in either no-tillage or conventional tillage. Annual amounts of nitrate-N leached to the water-table varied from 136.0 to 190.1 kg/ha in 1989 and from 82.4 to 116.2 kg/ha in 1991. Nitrate leaching rates were somewhat lower with a cover crop in 1989, but not in 1990. There was no statistically significant difference in corn grain yields between the cover crop and non-cover crop treatments. The planting date and adequate rainfall are very important in maximizing nitrogen uptake in the fall with a rye cover crop. On the Delmarva Peninsula, the cover crop should probably be planted by October 1 to maximize nitrogen uptake rates in the fall. On loamy sand soils, rye winter cover crops cannot be counted on as a best management practice for reducing nitrate leaching in the Mid-Atlantic states.

Inferring the annual migration patterns of fall armyworm (Lepidoptera: Noctuidae) in the United States from mitochondrial haplotypes

PubMed Central

Nagoshi, Rodney N; Meagher, Robert L; Hay-Roe, Mirian

2012-01-01

Spodoptera frugiperda (J. E. Smith) or fall armyworm is an important agricultural pest of a number of crops in the western hemisphere. In the United States, infestations in corn acreages extend from the Mexican to the Canadian border. Because fall armyworm does not survive prolonged freezing, the infestations annually affecting most of North America are migrants from southern Texas and Florida, where winter temperatures are mild and host plants are available. A haplotype method was developed that can distinguish between these two geographically distant overwintering populations, with the potential to delineate the associated migratory pathways. Several years of collections from major corn-producing areas in the southern, central, and eastern United States were used to map the geographical distribution of the fall armyworm haplotypes. From these haplotype profiles, it was possible to develop the most detailed description yet of the annual northward movements of fall armyworm. The consistency of these results with past studies and the implications on our understanding of fall armyworm biology are discussed. A better understanding of fall armyworm populations and their movement is critical for the development of strategies to predict infestation levels and eventually control this pest in the United States. PMID:22957154

Meteorite falls in Africa

NASA Astrophysics Data System (ADS)

Khiri, Fouad; Ibhi, Abderrahmane; Saint-Gerant, Thierry; Medjkane, Mohand; Ouknine, Lahcen

2017-10-01

The study of meteorites provides insight into the earliest history of our solar system. From 1800, about the year meteorites were first recognized as objects falling from the sky, until December 2014, 158 observed meteorite falls were recorded in Africa. Their collected mass ranges from 1.4 g to 175 kg with the 1-10 kg cases predominant. The average rate of African falls is low with only one fall recovery per 1.35-year time interval (or 0.023 per year per million km2). This African collection is dominated by ordinary chondrites (78%) just like in the worldwide falls. The seventeen achondrites include three Martian meteorite falls (Nakhla of Egypt, Tissint of Morocco and Zagami of Nigeria). Observed Iron meteorite falls are relatively rare and represent only 5%. The falls' rate in Africa is variable in time and in space. The number of falls continues to grow since 1860, 80% of which were recovered during the period between 1910 and 2014. Most of these documented meteorite falls have been recovered from North-Western Africa, Eastern Africa and Southern Africa. They are concentrated in countries which have a large surface area and a large population with a uniform distribution. Other factors are also favorable for observing and collecting meteorite falls across the African territory, such as: a genuine meteorite education, a semi-arid to arid climate (clear sky throughout the year most of the time), croplands or sparse grasslands and possible access to the fall location with a low percentage of forest cover and dense road network.

Seasonal sucrose metabolism in individual first-order lateral roots of nine-year-old loblolly pine (Pinus taeda L.) trees

Treesearch

Shi-Jean S. Sung; Paul P. Kormanik; C.C. Black

1995-01-01

Loblolly pine seedlings have distinctive temporal and spatial patterns of sucrose metabolism and growth with stems and roots as the major sucrose sinks, respectively, from spring to mid-fall and from mid-fall to early winter. Both nursery-grown and outplanted seedlings up to the age of 3 years followed this pattern. However, there have been no reports on the seasonal...

Falls risk assessment outcomes and factors associated with falls for older Indigenous Australians.

PubMed

Hill, Keith D; Flicker, Leon; LoGiudice, Dina; Smith, Kate; Atkinson, David; Hyde, Zoë; Fenner, Stephen; Skeaf, Linda; Malay, Roslyn; Boyle, Eileen

2016-12-01

To describe the prevalence of falls and associated risk factors in older Indigenous Australians, and compare the accuracy of validated falls risk screening and assessment tools in this population in classifying fall status. Cross-sectional study of 289 Indigenous Australians aged ≥45 years from the Kimberley region of Western Australia who had a detailed assessment including self-reported falls in the past year (n=289), the adapted Elderly Falls Screening Tool (EFST; n=255), and the Falls Risk for Older People-Community (FROP-Com) screening tool (3 items, n=74) and FROP-Com falls assessment tool (n=74). 32% of participants had ≥1 fall in the preceding year, and 37.3% were classified high falls risk using the EFST (cut-off ≥2). In contrast, for the 74 participants assessed with the FROP-Com, only 14.9% were rated high risk, 35.8% moderate risk, and 49.3% low risk. The FROP-Com screen and assessment tools had the highest classification accuracy for identifying fallers in the preceding year (area under curve >0.85), with sensitivity/specificity highest for the FROP-Com assessment (cut-off ≥12), sensitivity=0.84 and specificity=0.73. Falls are common in older Indigenous Australians. The FROP-Com falls risk assessment tool appears useful in this population, and this research suggests changes that may improve its utility further. © 2016 Public Health Association of Australia.

Association of Physical Performance and Pain With Fear of Falling Among Community—Dwelling Japanese Women Aged 65 Years and Older

PubMed Central

Tomita, Yoshihito; Arima, Kazuhiko; Kanagae, Mitsuo; Okabe, Takuhiro; Mizukami, Satoshi; Nishimura, Takayuki; Abe, Yasuyo; Goto, Hisashi; Horiguchi, Itsuko; Aoyagi, Kiyoshi

2015-01-01

Abstract Our aim was to explore the association of physical performance and pain with fear of falling among community-dwelling Japanese women. The subjects were 278 women aged 65 years and over. We collected information on fear of falling, painful joints, comorbidities, falls in the previous year, and cataracts. Walking time (distance of 6 m), chair stand time (5 times), grip strength, the timed up and go test (TUG), and functional reach were measured. The prevalence of fear of falling was 36.3%, and it increased with age, but it was not significant (P = 0.081). Multivariate logistic regression analysis showed that poor physical performance (longer walking time, longer chair stand time, weaker grip strength, and longer TUG) and pain (low back, and upper and lower extremity pain) were significantly associated with fear of falling after adjusting for age, body mass index, comorbidities, falls in the previous year, and cataracts. Maintaining physical functioning and managing pain may be important for elderly women with fear of falling. PMID:26334906

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

Lower Nitrous Oxide Emissions from Anhydrous Ammonia Application Prior to Soil Freezing in Late Fall Than Spring Pre-Plant Application.

PubMed

Tenuta, Mario; Gao, Xiaopeng; Flaten, Donald N; Amiro, Brian D

2016-07-01

Fall application of anhydrous ammonia in Manitoba is common but its impact on nitrous oxide (NO) emissions is not well known. A 2-yr study compared application before freeze-up in late fall to spring pre-plant application of anhydrous ammonia on nitrous oxide (NO) emissions from a clay soil in the Red River Valley, Manitoba. Spring wheat ( L.) and corn ( L.) were grown on two 4-ha fields in 2011 and 2012, respectively. Field-scale flux of NO was measured using a flux-gradient micrometeorological approach. Late fall treatment did not induce NO emissions soon after application or in winter likely because soil was frozen. Application time did alter the temporal pattern of emissions with late fall and spring pre-plant applications significantly increasing median daily NO flux at spring thaw and early crop growing season, respectively. The majority of emissions occurred in early growing season resulting in cumulative emissions for the crop year being numerically 33% less for late fall than spring pre-plant application. Poor yield in the first year with late fall treatment occurred because of weed and volunteer growth with delayed planting. Results show late fall application of anhydrous ammonia before freeze-up increased NO emissions at thaw and decreased emissions for the early growing season compared to spring pre-plant application. However, improved nitrogen availability of late fall application to crops the following year is required when planting is delayed because of excessive moisture in spring. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

The Association Between Fall Frequency, Injury Risk, and Characteristics of Falls in Older Residents of Long-Term Care: Do Recurrent Fallers Fall More Safely?

PubMed

van Schooten, Kimberley S; Yang, Yijian; Feldman, Fabio; Leung, Ming; McKay, Heather; Sims-Gould, Joanie; Robinovitch, Stephen N

2018-05-09

Although a fall is a necessary prerequisite to a fall-related injury, previous studies suggest that frequent fallers are at lower injury risk for a given fall. We tested the hypotheses that differences in protective responses or the circumstances of falls underlie differences in injury risk with fall frequency. We analyzed video footage of 897 falls experienced by 220 long-term care residents (mean age 82 ± 9 years) to identify the cause of imbalance, activity leading to falling, direction of fall initiation, balance recovery and fall protective responses, and occurrence of impact to the head or hip. We further obtained injury information from the facilities' fall registration. We used generalized estimating equation models to examine the association between quartiles of fall frequency, injury risk, and fall characteristics. Residents with the highest fall frequency group (Q4; ≥5.6 falls/year) were less likely to sustain an injury per fall. They were less likely to fall during walking and more likely to fall during stand-to-sit transfers. Residents in the lowest fall frequency group (Q1; <1.15 falls/year) were more likely to fall during walking, and walking was associated with an increased risk for injury. When compared to less frequent fallers, more frequent fallers had a lower risk for injury per fall. This appeared to be explained by differences in the circumstances of falls, and not by protective responses. Injury prevention strategies in long-term care should target both frequent and infrequent fallers, as the latter are more mobile and apt to sustain injury.

What do community-dwelling Caucasian and South Asian 60–70 year olds think about exercise for fall prevention?

PubMed Central

Horne, Maria; Speed, Shaun; Skelton, Dawn; Todd, Chris

2009-01-01

Background: strategies to prevent falls often recommend regular exercise. However, 40% of over 50s in the UK report less physical activity than is recommended. Even higher rates of sedentary behaviour have been reported among South Asian older adults. Objective: to identify salient beliefs that influence uptake and adherence to exercise for fall prevention among community-dwelling Caucasian and South Asian 60–70 year olds in the UK. Methods: we undertook an ethnographic study using participant observation, 15 focus groups (n = 87; mean age = 65.7 years) and 40 individual semi-structured interviews (mean age = 64.8 years). Data analysis used framework analysis. Results: young older adults do not acknowledge their fall risk and are generally not motivated to exercise to prevent falls. Those who had fallen are more likely to acknowledge risk of future falls. Whilst many of the beliefs about falls and exercise expressed were very similar between Caucasians and South Asians, there was a tendency for South Asians to express fatalistic beliefs more often. Conclusion: fall prevention should not be the focus of strategies to increase uptake and adherence to exercise. The wider benefits of exercise, leading to an active healthy lifestyle should be encouraged. PMID:19039019

Depression and Outcome of Fear of Falling in a Falls Prevention Program.

PubMed

Iaboni, Andrea; Banez, Carol; Lam, Robert; Jones, Simon A; Maki, Brian E; Liu, Barbara A; Flint, Alastair J

2015-10-01

To examine whether depression predicts less improvement in fear of falling and falls efficacy in older adults attending a falls prevention program (FPP). Using a prospective observational design in an academic medical center, the authors studied 69 nondemented adults aged 55 years or older (mean age: 77.8±8.9 years) who had experienced at least one fall in the previous year and who attended the FPP. The primary outcome variable was change in severity of fear of falling during the FPP. Secondary outcome variables were change in falls efficacy and fear-related restriction of activities during the FPP. Independent variables were baseline depressive disorders and depressive symptom severity. Twenty-one of 69 study participants (30.4%) had a depressive disorder at baseline. Depressive disorder and depressive symptoms were not associated with change in severity of fear of falling or restriction of activity. On the other hand, depressive disorder was associated with improvement in falls efficacy, although this finding was not significant in multivariate analysis. Among participants with a depressive disorder, improvement in falls efficacy was significantly correlated with improvement in depressive symptoms. There was no association between baseline depression and change in fear of falling in this FPP. The correlation between improvement in depressive symptoms and improvement in falls efficacy raises the question as to whether a cognitive-behavioral intervention that simultaneously targets both depression and falls efficacy would be a useful component of a FPP. Copyright © 2015 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

1,500 year quantitative reconstruction of winter precipitation in the Pacific Northwest

PubMed Central

Steinman, Byron A.; Abbott, Mark B.; Mann, Michael E.; Stansell, Nathan D.; Finney, Bruce P.

2012-01-01

Multiple paleoclimate proxies are required for robust assessment of past hydroclimatic conditions. Currently, estimates of drought variability over the past several thousand years are based largely on tree-ring records. We produced a 1,500-y record of winter precipitation in the Pacific Northwest using a physical model-based analysis of lake sediment oxygen isotope data. Our results indicate that during the Medieval Climate Anomaly (MCA) (900–1300 AD) the Pacific Northwest experienced exceptional wetness in winter and that during the Little Ice Age (LIA) (1450–1850 AD) conditions were drier, contrasting with hydroclimatic anomalies in the desert Southwest and consistent with climate dynamics related to the El Niño Southern Oscillation (ENSO) and the Pacific Decadal Oscillation (PDO). These findings are somewhat discordant with drought records from tree rings, suggesting that differences in seasonal sensitivity between the two proxies allow a more compete understanding of the climate system and likely explain disparities in inferred climate trends over centennial timescales. PMID:22753510

Fear of Falling Is Associated with Recurrent Falls in People with Multiple Sclerosis

PubMed Central

Lambert, William E.; Nguyen, Thuan; Bourdette, Dennis N.; Cameron, Michelle H.

2015-01-01

Background: People with multiple sclerosis (MS) fall frequently, and there are few clinically valid tools to measure the risk factors for falls. We assessed the unidimensionality of the 7-item Falls Efficacy Scale–International (FES-I), a measure of fear of falling, and determined whether the 7-item FES-I is associated with recurrent falls in people with MS. Methods: Falls were counted prospectively for 6 months using fall calendars in 58 people with MS (age, 18–50 years; Expanded Disability Status Scale score, 0–6). The FES-I was administered at baseline, and its unidimensionality was assessed by confirmatory factor analysis. The relationship between FES-I score and future falls, after adjusting for recurrent falls in the past year, was assessed by logistic regression. Results: Fifty-four participants who completed all assessments were included in the analysis. Goodness-of-fit indices confirmed a single-factor solution for the 7-item FES-I (discrepancy χ2, P = .101; Tucker-Lewis index, 0.953; comparative fit index, 0.969; root mean square error of approximation, 0.098). There was a significant association between fear of falling and falls in the following 3 months, independent of recurrent falls in the past year (odds ratio = 1.22, 95% confidence interval, 1.04–1.43, P = .016). Conclusions: The 7-item FES-I demonstrates good construct validity, allowing the total score to be used as a measure of fear of falling in people with MS. Fear of falling, as measured by the 7-item FES-I, is associated with future recurrent falls independent of past recurrent falls in people with MS. PMID:26300702

Combined resistance and balance-jumping exercise reduces older women's injurious falls and fractures: 5-year follow-up study.

PubMed

Karinkanta, Saija; Kannus, Pekka; Uusi-Rasi, Kirsti; Heinonen, Ari; Sievänen, Harri

2015-09-01

previously, a randomised controlled exercise intervention study (RCT) showed that combined resistance and balance-jumping training (COMB) improved physical functioning and bone strength. The purpose of this follow-up study was to assess whether this exercise intervention had long-lasting effects in reducing injurious falls and fractures. five-year health-care register-based follow-up study after a 1-year, four-arm RCT. community-dwelling older women in Finland. one hundred and forty-five of the original 149 RCT participants; women aged 70-78 years at the beginning. participants' health-care visits were collected from computerised patient register. An injurious fall was defined as an event in which the subject contacted the health-care professionals or was taken to a hospital, due to a fall. The rate of injured fallers was assessed by Cox proportional hazards model (hazard ratio, HR), and the rate of injurious falls and fractures by Poisson regression (risk ratio, RR). eighty-one injurious falls including 26 fractures occurred during the follow-up. The rate of injured fallers was 62% lower in COMB group compared with the controls (HR 0.38, 95% CI 0.17 to 0.85). In addition, COMB group had 51% less injurious falls (RR 0.49, 95% CI 0.25 to 0.98) and 74% less fractures (RR 0.26, 95% CI 0.07 to 0.97). home-dwelling older women who participated in a 12-month intensive multi-component exercise training showed a reduced incidence for injurious falls during 5-year post-intervention period. Reduction in fractures was also evident. These long-term effects need to be confirmed in future studies. © The Author 2015. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Developing fall armyworms as a model for studying the migratory behavior of lepidopteran pests in the United States.

USDA-ARS?s Scientific Manuscript database

The fall armyworm, Spodoptera frugiperda (J. E. Smith) is a significant economic pest in the western hemisphere, causing substantial losses in corn, sorghum, forage and turf grasses . Although fall armyworm does not survive severe winters, it infests most of the central and eastern United States an...

Increasing fall risk awareness using wearables: A fall risk awareness protocol.

PubMed

Danielsen, Asbjørn; Olofsen, Hans; Bremdal, Bernt Arild

2016-10-01

Each year about a third of elderly aged 65 or older experience a fall. Many of these falls may have been avoided if fall risk assessment and prevention tools where available in a daily living situation. We identify what kind of information is relevant for doing fall risk assessment and prevention using wearable sensors in a daily living environment by investigating current research, distinguishing between prospective and context-aware fall risk assessment and prevention. Based on our findings, we propose a fall risk awareness protocol as a fall prevention tool integrating both wearables and ambient sensing technology into a single platform. Copyright © 2016. Published by Elsevier Inc.

Seasonal Changes in Color Preferences Are Linked to Variations in Environmental Colors: A Longitudinal Study of Fall.

PubMed

Schloss, Karen B; Heck, Isobel A

2017-01-01

People form associations between colors and entities, which influence their evaluations of the world. These evaluations are dynamic, as specific associations become more or less active in people's minds over time. We investigated how evaluations of colors (color preferences) changed over the course of fall, as color-associated fall entities became more prevalent in the environment. Participants judged their preferences for the same set of colors during nine testing sessions over 11 weeks during fall. We categorized the colors as Leaf and Non-Leaf Colors by matching them to leaves collected during the same period. Changes in preferences for Leaf Colors followed a quadratic pattern, peaking around when the leaves were most colorful and declining as winter approached. Preferences for Non-Leaf Colors did not significantly change. Individual differences in these changes could be explained by preferences for seasonal entities, as predicted by the differential activation hypothesis within the Ecological Valence Theory. The more a given individual liked fall-associated entities, the more their preference for Leaf Colors increased during fall. No analogous relations existed with winter-associated entities or Non-Leaf Colors. These results demonstrate the importance of studying temporal and individual differences for understanding preferences.

Winter Refuge for Aedes aegypti and Ae. albopictus Mosquitoes in Hanoi during Winter

PubMed Central

Tsunoda, Takashi; Cuong, Tran Chi; Dong, Tran Duc; Yen, Nguyen Thi; Le, Nguyen Hoang; Phong, Tran Vu; Minakawa, Noboru

2014-01-01

Dengue occurs throughout the year in Hanoi, Vietnam, despite winter low temperatures <10°C. During July 2010 to March 2012, we surveyed monthly for Aedes larvae and pupae in 120 houses in 8 Hanoi districts. Aedes albopictus preferred discarded containers in summer and pupal density drastically decreased in winter. Aedes aegypti preferred concrete tanks and this preference increased in winter. Even in winter, the lowest water temperature found in concrete tanks was >14°C, exceeding the developmental zero point of Ae. aegypti. Although jars, drums and concrete tanks were the dominant containers previously (1994–97) in Hanoi, currently the percentage of residences with concrete tanks was still high while jars and drums were quite low. Our study showed that concrete tanks with broken lids allowing mosquitoes access were important winter refuge for Ae. aegypti. We also indicate a concern about concrete tanks serving as foci for Ae. aegypti to expand their distribution in cooler regions. PMID:24752230

Folksong in the Classroom: Volume X. Fall 1989-Spring 1990.

ERIC Educational Resources Information Center

Scott, John W., Ed.; Laurence I., Ed.

1990-01-01

Volume 10 of "Folksong in the Classroom," the newsletter of a network of teachers of history, literature, music, and the humanities, is presented. Issue 1 from Fall 1989 is devoted to "How to Get Your Students Singing." Issue 2 from Winter 1990 features "People with Special Needs--Especially the Need for Song." Issue…

Central nervous system medications and falls risk in men aged 60-75 years: the Study on Male Osteoporosis and Aging (SOMA).

PubMed

Masud, Tahir; Frost, Morten; Ryg, Jesper; Matzen, Lars; Ibsen, Marlene; Abrahamsen, Bo; Brixen, Kim

2013-01-01

drugs acting on the central nervous system (CNS) increase falls risk. Most data on CNS drugs and falls are in women/mixed-sex populations. This study assessed the relationship between CNS drugs and falls in men aged 60-75 years. a questionnaire was sent to randomly selected Danish men aged 60-75 years. Cross-sectional data on CNS drugs and falls in the previous year were available for 4,696 men. Logistic regression investigated the relationship between falls and CNS drugs. the median age was 66.3 (IQR = 63.1-70.0) years; 21.7% were fallers. The following were associated with fallers (OR; 95% CI): opiates (2.4; 1.5-3.7), other analgesics (1.7; 1.4-2.1), antiepileptics (2.8; 1.5-5.1), antidepressants (2.8; 1.9-4.1) and anxiolytics/hypnotics (1.5; 0.9-2.6). Effects of opiates interacted strongly and significantly with age, with a marked association with falls in the older half of the subjects only. No significant associations were found between antipsychotics and fallers. Selective serotonin reuptake inhibitors and tricyclics were significantly associated with fallers (3.1; 2.0-5.0 and 2.2; 1.0-4.7, respectively). several CNS drug classes are associated with an approximately 2-3-fold increase risk of falls in men aged 60-75 years randomly selected from the population. Further longitudinal data are now required to confirm and further investigate the role of CNS drugs in falls causation in men.

Fall Risk is Not Black and White

PubMed Central

Kiely, Dan K.; Kim, Dae Hyun; Gross, Alden L.; Habtemariam, Daniel A.; Leveille, Suzanne G.; Li, Wenjun; Lipsitz, Lewis A.

2015-01-01

Objective To determine whether previously reported racial differences in fall rates between White and Black/African American is explained by differences in health status and neighborhood characteristics. Design Prospective cohort Setting Community Participants The study included 550 White and 116 Black older adults in the Greater Boston area (mean age: 78 years; 36% men) who were English-speaking, able to walk across a room, and without severe cognitive impairment. Measurements Falls were prospectively reported using monthly fall calendars. The location of each fall and fall-related injuries were asked during telephone interviews. At baseline, we assessed risk factors for falls, including sociodemographic characteristics, physiologic risk factors, physical activity, and community-level characteristics. Results Over the mean follow-up of 1,048 days, 1,539 falls occurred (incidence: 806/1,000 person-years). Whites were more likely than Blacks to experience any falls (867 versus 504 falls per 1,000 person-years; RR [95% CI]: 1.77 [1.33, 2.36]), outdoor falls (418 versus 178 falls per 1,000 person-years; 1.78 [1.08, 2.92]), indoor falls (434 versus 320 falls per 1,000 person-years; 1.44 [1.02, 2.05]), and injurious falls (367 versus 205 falls per 1,000 person-years; 1.79 [1.30, 2.46]). With exception of injurious falls, higher fall rates in Whites than Blacks were substantially attenuated with adjustment for risk factors and community-level characteristics: any fall (1.24 [0.81, 1.89]), outdoor fall (1.57 [0.86, 2.88]), indoor fall (1.08 [0.64, 1.81]), and injurious fall (1.77 [1.14, 2.74]). Conclusion Our findings suggest that the racial differences in fall rates may be largely due to confounding by individual-level and community-level characteristics. PMID:26855845

Community College Estimated Growth: Fall 2010

ERIC Educational Resources Information Center

Phillippe, Kent; Mullin, Christopher M.

2011-01-01

A survey from the American Association of Community Colleges (AACC) found that enrollment growth in fall 2010 slowed its pace at community colleges, increasing 3.2% from the previous year. This contrasts with more dramatic increases in recent years: more than 11% between fall 2008 and fall 2009, and nearly 17% between fall 2007 and fall 2009,…

Northern pintail body condition during wet and dry winters in the Sacramento Valley, California

USGS Publications Warehouse

Miller, M.R.

1986-01-01

Body weights and carcass composition of male and female adult northern pintails (Anas acuta) were investigated in the Sacramento Valley, California, from August to March 1979-82. Pintails were lightweight, lean, and had reduced breast, leg, and heart muscles during August-September. Ducks steadily gained weight after arrival; and body, carcass (body wt minus feathers and gastrointestinal content), fat protein, and muscle weights peaked in October-November. Fat-free dry weight remained high but variable the rest of the winter, whereas body and carcass weight and fat content declined to lows in December or January, then increased again in February or March. Gizzard weights declined from early fall to March. Males were always heavier than females, but females were fatter (percentage) than males during mid-winter. Mid-winter body weight, carcass fat, and protein content were significantly (P < 0.01) lower in the dry winter of 1980-81 than in 2 wet winters (1979-80 and 1981-82). Changes in pintail body weight and composition during winter are probably adaptations to mild climate, predictable food supplies, and requirements for pair formation and molt.

Assessing the performance of winter footwear using a new maximum achievable incline method.

PubMed

Hsu, Jennifer; Li, Yue; Dutta, Tilak; Fernie, Geoff

2015-09-01

More informative tests of winter footwear performance are required in order to identify footwear that will prevent injurious slips and falls on icy conditions. In this study, eight participants tested four styles of winter boots on smooth wet ice. The surface was progressively tilted to create increasing longitudinal and cross-slopes until participants could no longer continue standing or walking. Maximum achievable incline angles provided consistent measures of footwear slip resistance and demonstrated better resolution than mechanical tests. One footwear outsole material and tread combination outperformed the others on wet ice allowing participants to successfully walk on steep longitudinal slopes of 17.5° ± 1.9° (mean ± SD). By further exploiting the methodology to include additional surfaces and contaminants, such tests could be used to optimize tread designs and materials that are ideal for reducing the risk of slips and falls. Copyright © 2015 Elsevier Ltd and The Ergonomics Society. All rights reserved.

Geriatric fall-related injuries.

PubMed

Hefny, Ashraf F; Abbas, Alaa K; Abu-Zidan, Fikri M

2016-06-01

Falls are the leading cause of geriatric injury. We aimed to study the anatomical distribution, severity, and outcome of geriatric fall-related injuries in order to give recommendations regarding their prevention. All injured patients with an age ≥ 60 years who were admitted to Al-Ain Hospital or died in the Emergency Department due to falls were prospectively studied over a four year period. We studied 92 patients. Fifty six of them (60.9%) were females. The mean (standard deviation) of age was 72.2 (9.6) years. Seventy three (89%) of all incidents occurred at home. Eighty three patients (90.2%) fell on the same level. The median (range) ISS was 4 (1-16) and the median GCS (range) was 15 (12-15). The lower limb was the most common injured body region (63%). There were no statistical significant differences between males and females regarding age, ISS, and hospital stay (p = 0.85, p = 0.57, and p = 0.35 respectively). The majority of geriatric fall-related injuries were due to fall from the same level at home. Assessment of risk factors for falls including home hazards is essential for prevention of geriatric fall-related injuries.

Annual movements of a steppe eagle (Aquila nipalensis) summering in Mongolia and wintering in Tibet

USGS Publications Warehouse

Ellis, D.H.; Moon, S.L.; Robinson, J.W.

2001-01-01

An adult female steppe eagle (Aquila nipalensis Hodgson) was captured and fitted with a satellite transmitter in June 1995 in southeastern Mongolia. In fall, it traveled southwest towards India as expected, but stopped in southeastern Tibet and wintered in a restricted zone within the breeding range of the steppe eagle. In spring, the bird returned to the same area of Mongolia where it was captured. These observations, though derived from the movements of a single bird, suggest three things that are contrary to what is generally believed about steppe eagle biology. First, not all steppe eagles move to warmer climes in winter. Second, not all steppe eagles are nomadic in winter. Finally, because our bird wintered at the periphery of the steppe eagle breeding range in Tibet, perhaps birds that breed in this same area also winter there. If so, not all steppe eagles are migratory.

Which Fall Ascertainment Method Captures Most Falls in Pre-Frail and Frail Seniors?

PubMed

Teister, Corina J; Chocano-Bedoya, Patricia O; Orav, Endel J; Dawson-Hughes, Bess; Meyer, Ursina; Meyer, Otto W; Freystaetter, Gregor; Gagesch, Michael; Rizzoli, Rene; Egli, Andreas; Theiler, Robert; Kanis, John A; Bischoff-Ferrari, Heike A

2018-06-15

There is no consensus on most reliable falls ascertainment method. Therefore, we investigated which method captures most falls among pre-frail and frail seniors from two randomized controlled trials conducted in Zurich, Switzerland, a 18-month trial (2009-2010) including 200 community-dwelling pre-frail seniors with a prior fall and a 12-month trial (2005-2008) including 173 frail seniors with acute hip fracture. Both included the same fall ascertainment methods: monthly active-asking, daily self-report diary, and a call-in hotline. We compared number of falls reported and estimated overall and positive percent agreement between methods. Pre-frail seniors reported 499 falls (rate = 2.5/year) and frail seniors reported 205 falls (rate = 1.4/year). Most falls were reported by active-asking: 81% of falls in pre-frail, and 78% in frail seniors. Among pre-frail seniors, diaries captured additional 19% falls, while hotline added none. Among frail seniors, hotline added 16% falls, while diaries added 6%. The positive percent agreement between active-asking and diary was 100% among pre-frail and 88% among frail seniors. While monthly active-asking captures most falls in both groups, this method alone missed 19% of falls in pre-frail and 22% in frail seniors. Thus, a combination of active-asking and diaries for pre-frail, and active-asking and the hotline for frail seniors is warranted.

The efficacy of winter cover crops to stabilize soil inorganic nitrogen after fall-applied anhydrous ammonia.

PubMed

Lacey, Corey; Armstrong, Shalamar

2015-03-01

There is a dearth of knowledge on the ability of cover crops to increase the effectiveness of fall-applied nitrogen (N). The objective of this study was to investigate the efficacy of two cover crop species to stabilize inorganic soil N after a fall application of N. Fall N was applied at a rate of 200 kg N ha into living stands of cereal rye, tillage radish, and a control (no cover crop) at the Illinois State University Research and Teaching Farm in Lexington, Illinois. Cover crops were sampled to determine N uptake, and soil samples were collected in the spring at four depths to 80 cm to determine the distribution of inorganic N within the soil profile. Tillage radish (131.9-226.8 kg ha) and cereal rye (188.1-249.9 kg ha N) demonstrated the capacity to absorb a minimum of 60 to 80% of the equivalent rate of fall-applied N, respectively. Fall applying N without cover crops resulted in a greater percentage of soil NO-N (40%) in the 50- to 80-cm depth, compared with only 31 and 27% when tillage radish and cereal rye were present at N application. At planting, tillage radish stabilized an average of 91% of the equivalent rate of fall-applied N within the 0- to 20-cm, depth compared with 66 and 57% for the cereal rye and control treatments, respectively. This study has demonstrated that fall applying N into a living cover crop stand has the potential to reduce the vulnerability of soil nitrate and to stabilize a greater concentration of inorganic N within the agronomic depths of soil. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Effectiveness of herbicides for control of hairy vetch (Vicia villosa) in winter wheat

USDA-ARS?s Scientific Manuscript database

We conducted a field experiment in 2009-10 at Pennsylvania and Maryland locations, and repeated it in 2010-11, to test the effectiveness of post-emergent herbicides applied at fall and spring timings on seeded hairy vetch in winter wheat. We tested 16 herbicide treatment combinations that included ...

The FIM instrument to identify patients at risk of falling in geriatric wards: a 10-year retrospective study.

PubMed

Petitpierre, Nicolas Julien; Trombetti, Andrea; Carroll, Iain; Michel, Jean-Pierre; Herrmann, François Richard

2010-05-01

the main objective was to evaluate if the admission functional independence measure (FIM) score could be used to predict the risk of falls in geriatric inpatients. a 10-year retrospective study was performed. the study was conducted in a 298-bed geriatric teaching hospital in Geneva, Switzerland. all patients discharged from the hospital from 1 January 1997 to 31 December 2006 were selected. measures used were FIM scores at admission using the FIM instrument and number of falls extracted from the institution's fall report forms. during the study period, there were 23,966 hospital stays. A total of 8,254 falls occurred. Of these, 7,995 falls were linked to 4,651 stays. Falls were recorded in 19.4% of hospital stays, with a mean incidence of 7.84 falls per 1,000 patients-days. Although there was a statistically significant relationship between total FIM score, its subscales, and the risk of falling, the sensitivity, specificity, positive predictive value and negative predictive value obtained with receiver operating characteristic curves were insufficient to permit fall prediction. This might be due in part to a non-linear relationship between FIM score and fall risk. in this study, the FIM instrument was found to be unable to predict risk of falls in general geriatric wards.

Diversity in fall characteristics hampers effective prevention: the precipitants, the environment, the fall and the injury.

PubMed

Sanders, K M; Lim, K; Stuart, A L; Macleod, A; Scott, D; Nicholson, G C; Busija, L

2017-10-01

Falls among the elderly are common and characteristics may differ between injurious and non-injurious falls. Among 887 older Australian women followed for 1.6 years, 32% fell annually. Only 8.5% resulted in fracture and/or hospital admission. The characteristics of those falls are indistinguishable from those not coming to medical attention. The precipitants and environment of all falls occurring among a large cohort of older Caucasian women were categorised by injury status to determine if the characteristics differed between injurious and non-injurious falls. Among 887 Australian women (70+ years), falls were ascertained using monthly postcard calendars and a questionnaire was administered for each fall. Hospital admissions and fractures were independently confirmed. All falls were reported for a mean observation time of 577 (IQR 546-607) days per participant, equating to a total 1400 person-years. Thirty-two percent fell at least once per year. The most common features of a fall were that the faller was walking (61%) at home (61%) during the day (88%) and lost balance (32%). Only 12% of all falls occurred at night. Despite no difference in the type of injury between day and night, the likelihood of being hospitalised from a fall at night was 4.5 times greater than that of a daytime fall with adjustment for injury type and participant age (OR 4.5, 95% CI 2.1, 9.5; p < 0.001). Of all falls, approximately one third were associated with no injury to the faller (31%), one third reported a single injury (37%) and one third reported more than one injury (32%). In 95% of falls, the faller was not admitted to hospital. Only 5% of falls resulted in fracture(s). Our findings demonstrate the significant diversity of precipitants and environment where falls commonly occur among older community-dwelling women. Falls resulting in fracture and/or hospital admission collectively represent 8.5% of all falls and their characteristics are indistinguishable from falls not coming

Seed fall and regeneration from a group selection cut . . . first year results

Treesearch

Philip M. McDonald

1966-01-01

To approximate a group selection cut at the Challenge Experimental Forest, 48 small openings of three sizes—30, 60, and 90 feet in diameter—were logged in 1963. One aim was to create conditions of light and soil moisture that would favor establishment and growth of Douglas-fir, sugar pine, and white fir over ponderosa pine. Seed fall and first-year...

Medication Use, Falls, and Fall-Related Worry in Older Adults in the United States.

PubMed

Watanabe, Jonathan H

2016-07-01

To compare the prevalence of falls and fall-related concerns of medication users versus nonusers in U.S. seniors. Cross-sectional study. The National Health and Aging Trends Study. U.S. nationally representative sample of Medicare beneficiaries in 2011. Comparing subjects who used medications with subjects who did not in the past month, the outcomes were percentages of subjects who experienced 1) a fall in the past month, 2) worry about falling in the past month, 3) being limited by this worry in the past month, 4) a fall in the past year. A greater percentage of medication users experienced falls and fall-related outcomes, compared with non-medication users. Among medication users, 10.29% had a past month fall, compared with 5.42% of non-medication users; 27.69% of medication users worried in the past month about falling, compared with 9.15% of non-medication users; 40.96% of medication users were limited by this worry, compared with 21.21%; 22.82% of medication users had a fall in the past year, compared with 13.15% of non-medication users. Seniors who use medications are more likely to fall and to be concerned about falling. Pharmacist involvement in fall prevention continues to be essential.

Fall Enrollment Report. 2014

ERIC Educational Resources Information Center

Iowa Department of Education, 2014

2014-01-01

This report summarizes and analyzes fall enrollment in Iowa's community colleges. Each year, Iowa's 15 community colleges submit data on enrollment on the 10th business day of the fall semester. Some highlights from this report include: (1) Fall 2014 enrollment was 93,772 students--a decline of 0.49 percent from last fall; (2) Enrollment continues…

Demography of snowshoe hares in relation to regional climate variabilty during a 10-year population cycle in interior Alaska

Treesearch

K. Kielland; K. Olson; E. Euskirchen

2009-01-01

We monitored populations of snowshoe hares (Lepus americanus, Erxleben) in interior Alaska for 10 years from 1999 to 2008. During this period, fall densities of hares fluctuated approximately 14-fold. High population growth rates over summer were followed by large population declines over winter. Young-of-the-year hares tended to gain mass over...

Patient centered fall risk awareness perspectives: clinical correlates and fall risk

PubMed Central

Verghese, Joe

2016-01-01

Background While objective measures to assess risk of falls in older adults have been established; the value of patient self-reports in the context of falls is not known. Objectives To identify clinical correlates of patient centered fall risk awareness, and their validity for predicting falls. Design Prospective cohort study. Setting and Participants 316 non-demented and ambulatory community-dwelling older adults (mean age 78 years, 55% women). Measurements Fall risk awareness was assessed with a two-item questionnaire, which asked participants about overall likelihood and personal risk of falling over the next 12 months. Incident falls were recorded over study follow-up. Results Fifty-three participants (16.8%) responded positively to the first fall risk awareness question about being likely to have a fall in the next 12 months, and 100 (31.6%) reported being at personal risk of falling over the next 12 months. There was only fair correlation (kappa 0.370) between responses on the two questions. Prior falls and depressive symptoms were associated with positive responses on both fall risk awareness questions. Age and other established fall risk factors were not associated with responses on both fall risk awareness questions. The fall risk awareness questionnaire did not predict incident falls or injurious falls. Conclusion Fall risk awareness is low in older adults. While patient centered fall risk awareness is not predictive of falls, subjective risk perceptions should be considered when designing fall preventive strategies as they may influence participation and behaviors. PMID:27801936

Seasonal Changes in Color Preferences Are Linked to Variations in Environmental Colors: A Longitudinal Study of Fall

PubMed Central

Heck, Isobel A.

2017-01-01

People form associations between colors and entities, which influence their evaluations of the world. These evaluations are dynamic, as specific associations become more or less active in people’s minds over time. We investigated how evaluations of colors (color preferences) changed over the course of fall, as color-associated fall entities became more prevalent in the environment. Participants judged their preferences for the same set of colors during nine testing sessions over 11 weeks during fall. We categorized the colors as Leaf and Non-Leaf Colors by matching them to leaves collected during the same period. Changes in preferences for Leaf Colors followed a quadratic pattern, peaking around when the leaves were most colorful and declining as winter approached. Preferences for Non-Leaf Colors did not significantly change. Individual differences in these changes could be explained by preferences for seasonal entities, as predicted by the differential activation hypothesis within the Ecological Valence Theory. The more a given individual liked fall-associated entities, the more their preference for Leaf Colors increased during fall. No analogous relations existed with winter-associated entities or Non-Leaf Colors. These results demonstrate the importance of studying temporal and individual differences for understanding preferences. PMID:29230276

[Seasonal differences in falls and fractures among the elderly in the southern Brazilian state of Rio Grande do Sul].

PubMed

Caberlon, Iride Cristofoli; Bós, Ângelo José Gonçalves

2015-12-01

Falls and fractures in the elderly represent a significant public health problem, associated with higher rates of morbidity and mortality, reduction of functional capacity, institutionalization of the elderly and early death. The scope of this study was to investigate falls and fractures in the elderly living in the metropolitan and mountainous region of the state of Rio Grande do Sul, analyzing the associated factors, seasonality and severity thereof. It is a cross-sectional, retrospective, descriptive, analytical and quantitative study of the elderly attended for falls from January 1 to December 31 of 2010 using secondary data from emergency units of the Brazilian Unified Health System. Data were collected from all health care reports filed in medical departments. The total number of bulletins for the elderly attended for falls was 6,556: 71% were women; 26.8% were in winter; 30% involved fractures (32% women and 28% men) (p < 0.0001). In only 17.2% of the cases the fall site was recorded, and 58% were outside the home. Winter was the season with 34% of confirmed fractures (p = 0.0002) with more severe outcomes (26.3%). Most falls and their consequences can be prevented and avoided. It is paramount to implement programs and multifactorial actions for intervention.

Wintering ecology of adult North American ospreys

USGS Publications Warehouse

Washburn, Brian E.; Martell, Mark S.; Bierregaard, Richard O.; Henny, Charles J.; Dorr, Brian S.; Olexa, Thomas J.

2014-01-01

North American Ospreys (Pandion haliaetus) typically migrate long distances to their wintering grounds in the tropics. Beyond the general distribution of their wintering range (i.e., the Caribbean, South America, and Central America), very little is known about the wintering ecology of these birds. We used satellite telemetry to determine the duration of wintering period, to examine the characteristics of wintering areas used by Ospreys, and to quantify space use and activity patterns of wintering Ospreys. Adult Ospreys migrated to wintering sites and exhibited high wintering site fidelity among years. Overall, Ospreys wintered on river systems (50.6%) more than on lakes (19.0%), and use of coastal areas was (30.4%) intermediate. Ospreys remained on their wintering grounds for an average of 154 d for males and 167 d for females. Locations of wintering Ospreys obtained via GPS-capable satellite telemetry suggest these birds move infrequently and their movements are very localized (i.e., 2 and 1.4 km2, respectively. Overall, our findings suggest wintering adult North American Ospreys are very sedentary, demonstrating a pattern of limited daily movements and high fidelity to a few select locations (presumably roosts). We suggest this wintering strategy might be effective for reducing the risk of mortality and maximizing energy conservation.

Total available carbohydrates in serviceberry after late dummer and fall burning

Treesearch

Benjamin Zamora; Thomas Gnojek

2001-01-01

Total available carbohydrate (TAC) storage and depletion was measured in late summer and fall burned and unburned serviceberry (Amelanchier alnifolia). The purpose of the study was to assess the influence of late season prescribed fire on the vigor of serviceberry, a key browse species on white-tailed deer (Odecoileus virginianus ochrourus) winter range in northeastern...

Winter precipitation trends for two selected European regions over the last 500 years and their possible dynamical background

NASA Astrophysics Data System (ADS)

Matti, C.; Pauling, A.; Küttel, M.; Wanner, H.

2009-01-01

We analyse winter (DJF) precipitation over the last 500 years on trends using a spatially and temporally highly resolved gridded multi-proxy reconstruction over European land areas. The trends are detected applying trend matrices, and the significance is assessed with the Mann-Kendall-trend test. Results are presented for southwestern Norway and southern Spain/northern Morocco, two regions that show high reconstruction skill over the entire period. The absolute trend values found in the second part of the 20th century are unprecedented over the last 500 years in both regions. During the period 1715-1765, the precipitation trends were most pronounced in southwestern Norway as well as southern Spain/northern Morocco, with first a distinct negative trend followed by a positive countertrend of similar strength. Relating the precipitation time series to variations of the North Atlantic Oscillation Index (NAOI) and the solar irradiance using running correlations revealed a couple of instationarities. Nevertheless, it appears that the NAO is responsible in both regions for most of the significant winter precipitation trends during the earlier centuries as well as during recent decades. Some of the significant winter precipitation trends over southwestern Norway and southern Spain/northern Morocco might be related to changes in the solar irradiance.

Mass dynamics of wintering Pacific Black Brant: Body, adipose tissue, organ, and muscle masses vary with location

USGS Publications Warehouse

Mason, D.D.; Barboza, P.S.; Ward, D.H.

2007-01-01

We compared body size and mass of the whole body, organs, adipose tissue, and muscles of adult Pacific Black Brant (Branta bernicla nigricans (Lawrence, 1846)) collected concurrently in Alaska and Baja California during the fall, winter, and spring of 2002–2003. Head and tarsal lengths of males were similar between sites and slightly larger for females in Alaska than in Baja California. Brant appear to operate under similar physiological bounds, but patterns of nutrient allocation differ between sites. Birds wintering in Alaska lost similar amounts of adipose tissue during early winter as birds in Baja California gained during late winter before migration. Masses of the body, adipose tissue, and flight muscles during mid-winter were similar between sites. Seasonal adipose tissue deposition may, therefore, equally favor winter residency or long-distance migration. Gonad and liver masses increased in late winter for birds in Alaska but not for those in Baja California, suggesting birds wintering in Baja may delay reproductive development in favor of allocating reserves needed for migration. Phenotypic flexibility allows Brant to use widely divergent wintering sites. The wintering location of Brant likely depends more upon changes in environmental conditions and food availability, than upon physiological differences between the two wintering populations.

Slip resistance of winter footwear on snow and ice measured using maximum achievable incline

PubMed Central

Hsu, Jennifer; Shaw, Robert; Novak, Alison; Li, Yue; Ormerod, Marcus; Newton, Rita; Dutta, Tilak; Fernie, Geoff

2016-01-01

Abstract Protective footwear is necessary for preventing injurious slips and falls in winter conditions. Valid methods for assessing footwear slip resistance on winter surfaces are needed in order to evaluate footwear and outsole designs. The purpose of this study was to utilise a method of testing winter footwear that was ecologically valid in terms of involving actual human testers walking on realistic winter surfaces to produce objective measures of slip resistance. During the experiment, eight participants tested six styles of footwear on wet ice, on dry ice, and on dry ice after walking over soft snow. Slip resistance was measured by determining the maximum incline angles participants were able to walk up and down in each footwear–surface combination. The results indicated that testing on a variety of surfaces is necessary for establishing winter footwear performance and that standard mechanical bench tests for footwear slip resistance do not adequately reflect actual performance. Practitioner Summary: Existing standardised methods for measuring footwear slip resistance lack validation on winter surfaces. By determining the maximum inclines participants could walk up and down slopes of wet ice, dry ice, and ice with snow, in a range of footwear, an ecologically valid test for measuring winter footwear performance was established. PMID:26555738

Slip resistance of winter footwear on snow and ice measured using maximum achievable incline.

PubMed

Hsu, Jennifer; Shaw, Robert; Novak, Alison; Li, Yue; Ormerod, Marcus; Newton, Rita; Dutta, Tilak; Fernie, Geoff

2016-05-01

Protective footwear is necessary for preventing injurious slips and falls in winter conditions. Valid methods for assessing footwear slip resistance on winter surfaces are needed in order to evaluate footwear and outsole designs. The purpose of this study was to utilise a method of testing winter footwear that was ecologically valid in terms of involving actual human testers walking on realistic winter surfaces to produce objective measures of slip resistance. During the experiment, eight participants tested six styles of footwear on wet ice, on dry ice, and on dry ice after walking over soft snow. Slip resistance was measured by determining the maximum incline angles participants were able to walk up and down in each footwear-surface combination. The results indicated that testing on a variety of surfaces is necessary for establishing winter footwear performance and that standard mechanical bench tests for footwear slip resistance do not adequately reflect actual performance. Practitioner Summary: Existing standardised methods for measuring footwear slip resistance lack validation on winter surfaces. By determining the maximum inclines participants could walk up and down slopes of wet ice, dry ice, and ice with snow, in a range of footwear, an ecologically valid test for measuring winter footwear performance was established.

Fall Enrollment Report 2009

ERIC Educational Resources Information Center

Iowa Department of Education, 2009

2009-01-01

This report summarizes fall enrollment in Iowa's community colleges. Every year Iowa's 15 community college districts submit data on students enrolled on the 10th day of the fall semester. Highlights include: (1) Enrollment grew at its fastest pace since 1975 to a record high of 100,736 students; (2) Year-to-year growth was 14.3 percent, which is…

Does fall history influence residential adjustments?

PubMed

Leland, Natalie; Porell, Frank; Murphy, Susan L

2011-04-01

To determine whether reported falls at baseline are associated with an older adult's decision to make a residential adjustment (RA) and the type of adjustment made in the subsequent 2 years. Observations (n = 25,036) were from the Health and Retirement Study, a nationally representative sample of community-living older adults, 65 years of age and older. At baseline, fall history (no fall, 1 fall no injury, 2 or more falls no injury, or 1 or more falls with an injury) and factors potentially associated with RA were used to predict the initiation of an RA (i.e., moving, home modifications, increased use of adaptive equipment, family support, or personal care assistance) during the subsequent 2 years. Compared with those with no history of falls, individuals with a history of falls had higher odds of making any RA. Among those making an RA, individuals with an injurious fall were more likely than those with no history of a fall to start using adaptive equipment or increase their use of personal care assistance. The higher initiation of RAs among fallers may indicate proactive steps to prevent future falls and may be influenced by interactions with the health care system. To optimize fall prevention efforts, older adults would benefit from education and interventions addressing optimal use of RAs before falls occur.

Cognitive-behavioral therapy vs. light therapy for preventing winter depression recurrence: study protocol for a randomized controlled trial.

PubMed

Rohan, Kelly J; Evans, Maggie; Mahon, Jennifer N; Sitnikov, Lilya; Ho, Sheau-Yan; Nillni, Yael I; Postolache, Teodor T; Vacek, Pamela M

2013-03-21

Seasonal affective disorder (SAD) is a subtype of recurrent depression involving major depressive episodes during the fall and/or winter months that remit in the spring. The central public health challenge in the management of SAD is prevention of winter depression recurrence. Light therapy (LT) is the established and best available acute SAD treatment. However, long-term compliance with daily LT from first symptom through spontaneous springtime remission every fall/winter season is poor. Time-limited alternative treatments with effects that endure beyond the cessation of acute treatment are needed to prevent the annual recurrence of SAD. This is an NIMH-funded R01-level randomized clinical trial to test the efficacy of a novel, SAD-tailored cognitive-behavioral group therapy (CBT) against LT in a head-to-head comparison on next winter outcomes. This project is designed to test for a clinically meaningful difference between CBT and LT on depression recurrence in the next winter (the primary outcome). This is a concurrent two-arm study that will randomize 160 currently symptomatic community adults with major depression, recurrent with seasonal pattern, to CBT or LT. After 6 weeks of treatment in the initial winter, participants are followed in the subsequent summer, the next winter, and two winters later. Key methodological issues surround timing study procedures for a predictably recurrent and time-limited disorder with a focus on long-term outcomes. The chosen design answers the primary question of whether prior exposure to CBT is associated with a substantially lower likelihood of depression recurrence the next winter than LT. This design does not test the relative contributions of the cognitive-behavioral treatment components vs. nonspecific factors to CBT's outcomes and is not adequately powered to test for differences or equivalence between cells at treatment endpoint. Alternative designs addressing these limitations would have required more patients

Seismic Monitoring of Rock Falls in Yosemite National Park

NASA Astrophysics Data System (ADS)

Zimmer, V. L.; Stock, G. M.; Sitar, N.

2008-12-01

Between 1857 and 2007, more than 600 landslide events have been documented in Yosemite National Park, with the vast majority of events occurring as rock falls in Yosemite Valley. The conditions leading to and triggering rock fall are understood in approximately 50 percent of cases, but in the other 50 percent, there were no apparent triggers. Occasionally, large rock falls have been preceded by smaller events that, in retrospect, may have been precursors. Close range seismic monitoring presents an opportunity to study the conditions leading up to rock fall, as well as the mechanics of the actual rock fall as recorded seismically. During the winter of 2007-08, we conducted a rock fall seismic monitoring feasibility study in Yosemite Valley. A station consisting of an 8 Hz geophone and an accelerometer was placed on a ledge 1000 feet above the valley floor, in a historically active rock fall area known as the Three Brothers. At least two rock falls in this area were recorded by the instrumentation and witnessed by visitors, representing the first time rock falls have been recorded with seismic instrumentation in Yosemite Valley. Significant energy was recorded in a wide frequency range, from a few Hz to approximately 150 Hz, limited by the geophone response and attenuation of the signal due to distance to the source (400 m). Furthermore, there exists a weak signal approximately 5-10 seconds before the obvious rock fall signature. We hypothesize that the weak signal represents rock fall initiation manifesting as the first blocks sliding down the cliff face, while the stronger impulses represent these blocks impacting ledges and the bottom talus field. This study demonstrated that rock fall monitoring is feasible with seismic instrumentation, and serves as the catalyst for future studies using a network of sensors for more advanced analysis.

European seasonal mortality and influenza incidence due to winter temperature variability

NASA Astrophysics Data System (ADS)

Ballester, Joan; Rodó, Xavier; Robine, Jean-Marie; Herrmann, François Richard

2016-10-01

Recent studies have vividly emphasized the lack of consensus on the degree of vulnerability (see ref. ) of European societies to current and future winter temperatures. Here we consider several climate factors, influenza incidence and daily numbers of deaths to characterize the relationship between winter temperature and mortality in a very large ensemble of European regions representing more than 400 million people. Analyses highlight the strong association between the year-to-year fluctuations in winter mean temperature and mortality, with higher seasonal cases during harsh winters, in all of the countries except the United Kingdom, the Netherlands and Belgium. This spatial distribution contrasts with the well-documented latitudinal orientation of the dependency between daily temperature and mortality within the season. A theoretical framework is proposed to reconcile the apparent contradictions between recent studies, offering an interpretation to regional differences in the vulnerability to daily, seasonal and long-term winter temperature variability. Despite the lack of a strong year-to-year association between winter mean values in some countries, it can be concluded that warmer winters will contribute to the decrease in winter mortality everywhere in Europe.

Relationship Between Difficulties in Daily Activities and Falling: Loco-Check as a Self-Assessment of Fall Risk.

PubMed

Akahane, Manabu; Maeyashiki, Akie; Yoshihara, Shingo; Tanaka, Yasuhito; Imamura, Tomoaki

2016-06-20

People aged 65 years or older accounted for 25.1% of the Japanese population in 2013, and this characterizes the country as a "super-aging society." With increased aging, fall-related injuries are becoming important in Japan, because such injuries underlie the necessity for nursing care services. If people could evaluate their risk of falling using a simple self-check test, they would be able to take preventive measures such as exercise, muscle training, walking with a cane, or renovation of their surroundings to remove impediments. Loco-check is a checklist measure of early locomotive syndrome (circumstances in which elderly people need nursing care service or are at high risk of requiring the service within a short time), prepared by the Japanese Orthopaedic Association (JOA) in 2007, but it is unclear if there is any association between this measure and falls. To investigate the association between falls during the previous year and the 7 "loco-check" daily activity items and the total number of items endorsed, and sleep duration. We conducted an Internet panel survey. Subjects were 624 persons aged between 30 and 90 years. The general health condition of the participants, including their experience of falling, daily activities, and sleep duration, was investigated. A multivariate analysis was carried out using logistic regression to investigate the relationship between falls in the previous year and difficulties with specific daily activities and total number of difficulties (loco-check) endorsed, and sleep duration, adjusting for sex and age. One-fourth of participants (157 persons) experienced at least one fall during the previous year. Fall rate of females (94/312: 30.1%) was significantly higher than that of males (63/312: 20.2%). Fall rate of persons aged more than 65 years (80/242: 33.1%) was significantly higher than that of younger persons (77/382: 20.2%). Logistic regression analysis revealed that daily activities such as "impossibility of getting

Storage conditions affecting increase in falling number of soft red winter wheat grain

USDA-ARS?s Scientific Manuscript database

Falling number (FN) of wheat grain, a measure of preharvest sprouting, tends to increase during storage; however, grain and storage conditions that impact FN changes are poorly understood. Wheat grain samples of varying FN from several cultivars were obtained by malting, by incubating wheat stalks,...

Behavioural and physiological response of trout to winter habitat in tailwaters in Wyoming, USA

USGS Publications Warehouse

Annear, T.C.; Hubert, W.; Simpkins, D.; Hebdon, L.

2002-01-01

Fisheries managers have often suggested that survival of trout during the winter is a major factor affecting population densities in many stream ecosystems in the Rocky Mountains. In Wyoming, trout population reductions from fall to spring in excess of 90% have been documented in some reservoir tailwaters. Though biologists have surmised that these reductions were the result of either mortality or emigration from some river sections, the specific mechanisms have not been defined and the factors leading to the trout loss are unknown. This is a review of four studies that were conducted or funded between 1991 and 1998 by the Wyoming Game and Fish Department to understand the extent of overwinter losses, identify some of the mechanisms leading to those conditions and develop management strategies to help avoid those impacts. Winter studies were conducted on tailwater fisheries in the Green, North Platte, Bighorn and Shoshone rivers to document trout population dynamics, assess physical habitat availability, evaluate trout movement and habitat selection, and understand the relationships between food availability and bioenergetic relationships. Results indicate that winter trout losses are extreme in some years, that trout movement and habitat selection are affected by supercooled flows, and that mortality is probably not directly due to starvation. The combination of physiological impairment with frequently altered habitat availability probably leads to indirect mortality from predators and other factors. Copyright ?? 2002 John Wiley & Sons, Ltd.

Spatial and temporal variation in winter condition of juvenile Pacific herring (Clupea pallasii) in Prince William Sound, Alaska: Oceanographic exchange with the Gulf of Alaska

NASA Astrophysics Data System (ADS)

Gorman, Kristen B.; Kline, Thomas C.; Roberts, Megan E.; Sewall, Fletcher F.; Heintz, Ron A.; Pegau, W. Scott

2018-01-01

Spatial variability in early and late winter measures of whole body energy density of juvenile (age-0) Pacific herring (Clupea pallasii) of Prince William Sound (PWS), Alaska was examined over nine years of study. Pacific herring in this region remain considered as an injured resource over the 25 years following the Exxon Valdez oil spill, however factors responsible for the lack of recovery by herring in PWS are a source of ongoing debate. Given the species' key ecological role in energy transfer to higher predators, and its economic role in a historical commercial fishery within the region, significant research effort has focused on understanding environmental factors that shape nutritional processes and the quality of these young forage fish. During November (early winter), factors such as juvenile herring body size, hydrological region of PWS, year, and the interaction between carbon (δ13C‧) or nitrogen (δ15N) stable isotope signature and hydrological region were all important predictors of juvenile herring energy density. In particular, analyses indicated that in the northern and western regions of PWS, juvenile herring with more depleted δ13C‧ values (which reflect a Gulf of Alaska carbon source) were more energy dense. Results suggest that intrusion of water derived from the Gulf of Alaska enhances the condition of age-0 herring possibly through alterations in zooplankton community structure and abundance, particularly in the northern and western regions of PWS in the fall, which is consistent with regional circulation. During March (late winter), factors such as juvenile herring body size, year, and the interaction between δ13C‧ or δ15N isotope signature and year were all important predictors of juvenile herring energy density. Results differed for early and late winter regarding the interaction between stable isotope signatures and region or year, suggesting important seasonal aspects of circulation contribute to variation in PWS juvenile

American woodcock winter distribution and fidelity to wintering areas

USGS Publications Warehouse

Diefenbach, D.R.; Derleth, E.L.; Vander Haegen, W. Matthew; Nichols, J.D.; Hines, J.E.

1990-01-01

We examined winter distribution and fidelity to wintering areas for the American Woodcock (Scolopax minor), which exhibits reversed, sexual size dimorphism. Band-recovery data revealed no difference in winter distributions of different age/sex classes for woodcock from the same breeding ares. Similarly, band recoveries from woodcock banded on wintering grounds revealed no difference in fidelity to wintering sites. Males may winter north of a latitude that is optimal for survival based on physiological considerations, but they gain a reproductive advantage if they are among the first to arrive on the breeding grounds. This may explain our results, which indicate males and females have similar distribution patterns during winter.

Migration and wintering areas of glaucous-winged Gulls from south-central Alaska

USGS Publications Warehouse

Hatch, Shyla A.; Gill, V.A.; Mulcahy, D.M.

2011-01-01

We used satellite telemetry to investigate the migration patterns and wintering areas of Glaucouswinged Gulls (Larus glaucescens) from Middleton Island, Alaska, where this species' population increased tenfold from the 1970s to the 1990s. Fall migration spanned 11 weeks, including numerous stopovers en route, apparently for feeding. Spring migration from wintering sites to Middleton Island was shorter (4 weeks) and more direct. One juvenile spent several months in southern Prince William Sound. An adult spent several months near Craig, southeast Alaska, while three others overwintered in southern British Columbia. For all four wintering adults use of refuse-disposal sites was evident or strongly suggested. Commensalism with humans may have contributed to the increase on Middleton, but a strong case can also be made for a competing explanation-regional recruitment of gulls to high-quality nesting habitat in Alaska created after the earthquake of 1964. An analysis of band returns reveals broad overlap in the wintering grounds of gulls from different Alaska colonies and of gulls banded on the west coast from British Columbia to California. The seasonal movement of many gulls from Alaska is decidedly migratory, whereas gulls from British Columbia, Washington, and Oregon disperse locally in winter. ?? The Cooper Ornithological Society 2011.

Migration And wintering areas Of Glaucous-winged Gulls From south-central Alaska

USGS Publications Warehouse

Hatch, Scott A.; Gill, V.A.; Mulcahy, Daniel M.

2011-01-01

We used satellite telemetry to investigate the migration patterns and wintering areas of Glaucous-winged Gulls (Larus glaucescens) from Middleton Island, Alaska, where this species' population increased tenfold from the 1970s to the 1990s. Fall migration spanned 11 weeks, including numerous stopovers en route, apparently for feeding. Spring migration from wintering sites to Middleton Island was shorter (4 weeks) and more direct. One juvenile spent several months in southern Prince William Sound. An adult spent several months near Craig, southeast Alaska, while three others overwintered in southern British Columbia. For all four wintering adults use of refuse-disposal sites was evident or strongly suggested. Commensalism with humans may have contributed to the increase on Middleton, but a strong case can also be made for a competing explanation-regional recruitment of gulls to high-quality nesting habitat in Alaska created after the earthquake of 1964. An analysis of band returns reveals broad overlap in the wintering grounds of gulls from different Alaska colonies and of gulls banded on the west coast from British Columbia to California. The seasonal movement of many gulls from Alaska is decidedly migratory, whereas gulls from British Columbia, Washington, and Oregon disperse locally in winter.

Winter Snowfall Turns an Emerald White

NASA Technical Reports Server (NTRS)

2001-01-01

Ireland's climate is normally mild due to the nearby Gulf Stream, but the waning days of 2000 saw the Emerald Isle's green fields swathed in an uncommon blanket of white. The contrast between summer and winter is apparent in this pair of images of southwestern Ireland acquired by MISR's vertical-viewing (nadir) camera on August 23, 2000 (left) and December 29, 2000 (right). The corresponding Terra orbit numbers are 3628 and 5492, respectively.

The year 2000 brought record-breaking weather to the British Isles. England and Wales experienced the wettest spring and autumn months since 1766. Despite being one of the warmest years in recent history, a cold snap arrived between Christmas and New Year's Day. According to the UK Meteorological Office, the 18 centimeters (7 inches) of snow recorded at Aldergrove, Northern Ireland, on December 27-28 was the deepest daily fall since 1930.

Prominent geographical features visible in the MISR images include Galway Bay near the top left. Further south, the mouth of the River Shannon, the largest river in the British Isles, meets the Atlantic Ocean. In the lower portions of the images are the counties of Limerick, Kerry and Cork.

MISR was built and is managed by NASA's Jet Propulsion Laboratory, Pasadena, CA, for NASA's Office of Earth Science, Washington, DC. The Terra satellite is managed by NASA's Goddard Space Flight Center, Greenbelt, MD. JPL is a division of the California Institute of Technology

Blood pressure and falls in community-dwelling people aged 60 years and older in the VHM&PP cohort.

PubMed

Klein, Diana; Nagel, Gabriele; Kleiner, Andrea; Ulmer, Hanno; Rehberger, Barbara; Concin, Hans; Rapp, Kilian

2013-05-21

Falls are one of the major health problems in old people. Different risk factors were identified but only few epidemiological studies analysed the influence of conventionally measured blood pressure on falls. The objective of our study was to investigate the relationship between systolic and diastolic blood pressure and falls. In 3,544 community-dwelling Austrian women and men aged 60 years and older, data on falls within the previous three months were collected by questionnaire. Blood pressure was measured by general practitioners within the Vorarlberg Health Monitoring and Prevention Programme (VHM&PP) 90 to 1095 days before the fall assessment. A multiple logistic regression analysis was conducted. The models were stratified by gender and adjusted by age, number of medical conditions and subjective feeling of illness. In total, 257 falls in 3,544 persons were reported. In women, high systolic and diastolic blood pressure was associated with a decreased risk of falls. An increase of systolic blood pressure by 10 mmHg and of diastolic blood pressure by 5 mmHg reduced the risk of falling by 9% (OR 0.91, 95% Cl 0.84-0.98) and 8% (OR 0.92, 95% Cl 0.85-0.99), respectively. In men, an increased risk of falls was observed in participants with low systolic or low diastolic blood pressure. Blood pressure was associated with the risk of falls. Hypertensive values decreased the risk in women and low blood pressure increased the risk in men.

European seasonal mortality and influenza incidence due to winter temperature variability

NASA Astrophysics Data System (ADS)

Rodó, X.; Ballester, J.; Robine, J. M.; Herrmann, F. R.

2017-12-01

Recent studies have vividly emphasized the lack of consensus on the degree of vulnerability (sensu IPCC) of European societies to current and future winter temperatures. Here we consider several climate factors, influenza incidence and daily numbers of deaths to characterize the relationship between winter temperature and mortality in a very large ensemble of European regions representing more than 400 million people. Analyses highlight the strong association between the year-to-year fluctuations in winter mean temperature and mortality, with higher seasonal cases during harsh winters, in all of the countries except the United Kingdom, the Netherlands and Belgium. This spatial distribution contrasts with the well-documented latitudinal orientation of the dependency between daily temperature and mortality within the season. A theoretical framework is proposed to reconcile the apparent contradictions between recent studies, offering an interpretation to regional differences in the vulnerability to daily, seasonal and long-term winter temperature variability. Despite the lack of a strong year-to-year association between winter mean values in some countries, it can be concluded that warmer winters will contribute to the decrease in winter mortality everywhere in Europe. More information in Ballester J, et al. (2016) Nature Climate Change 6, 927-930, doi:10.1038/NCLIMATE3070.

Unexplained Falls Are Frequent in Patients with Fall-Related Injury Admitted to Orthopaedic Wards: The UFO Study (Unexplained Falls in Older Patients).

PubMed

Chiara, Mussi; Gianluigi, Galizia; Pasquale, Abete; Alessandro, Morrione; Alice, Maraviglia; Gabriele, Noro; Paolo, Cavagnaro; Loredana, Ghirelli; Giovanni, Tava; Franco, Rengo; Giulio, Masotti; Gianfranco, Salvioli; Niccolò, Marchionni; Andrea, Ungar

2013-01-01

To evaluate the incidence of unexplained falls in elderly patients affected by fall-related fractures admitted to orthopaedic wards, we recruited 246 consecutive patients older than 65 (mean age 82 ± 7 years, range 65-101). Falls were defined "accidental" (fall explained by a definite accidental cause), "medical" (fall caused directly by a specific medical disease), "dementia-related" (fall in patients affected by moderate-severe dementia), and "unexplained" (nonaccidental falls, not related to a clear medical or drug-induced cause or with no apparent cause). According to the anamnestic features of the event, older patients had a lower tendency to remember the fall. Patients with accidental fall remember more often the event. Unexplained falls were frequent in both groups of age. Accidental falls were more frequent in younger patients, while dementia-related falls were more common in the older ones. Patients with unexplained falls showed a higher number of depressive symptoms. In a multivariate analysis a higher GDS and syncopal spells were independent predictors of unexplained falls. In conclusion, more than one third of all falls in patients hospitalized in orthopaedic wards were unexplained, particularly in patients with depressive symptoms and syncopal spells. The identification of fall causes must be evaluated in older patients with a fall-related injury.

Winter Wonderlands

ERIC Educational Resources Information Center

Coy, Mary

2011-01-01

Listening to people complain about the hardships of winter and the dreariness of the nearly constant gray sky prompted the author to help her sixth graders recognize and appreciate the beauty that surrounds them for nearly five months of the year in western New York. The author opines that if students could see things more artistically, the winter…

Defense.gov Special Report: 2014 Year In Review

Science.gov Websites

. During the 2014 Paralympic Games that followed, five wounded warrior athletes won medals. In the fall , U.S. warrior athletes competed in the inaugural Invictus Games in London and the Warrior Games in Olympians 2014 Winter Olympics 2014 Paralympic Winter Games 2014 Invictus Games Photo of military athlete

High incidence of falls and fall-related injuries in wheelchair users with spinal cord injury: A prospective study of risk indicators.

PubMed

Forslund, Emelie Butler; Jørgensen, Vivien; Franzén, Erika; Opheim, Arve; Seiger, Åke; Ståhle, Agneta; Hultling, Claes; Stanghelle, Johan K; Roaldsen, Kirsti Skavberg; Wahman, Kerstin

2017-01-31

To identify risk indicators for, and incidence of, recurrent falls and fall-related injuries in wheelchair users with traumatic spinal cord injury. Prospective multi-centre study. One hundred and forty-nine wheelchair users with spinal cord injury attending follow-up in Sweden and Norway. Inclusion criteria: wheelchair users ≥ 18 years old with traumatic spinal cord injury ≥ 1 year post-injury. individuals with motor complete injuries above C5. Falls were prospectively reported by text message every second week for one year and were followed-up by telephone interviews. Outcomes were: fall incidence, risk indicators for recurrent (> 2) falls and fall-related injuries. Independent variables were: demographic data, quality of life, risk willingness, functional independence, and exercise habits. Of the total sample (n = 149), 96 (64%) participants fell, 45 (32%) fell recurrently, 50 (34%) were injured, and 7 (5%) severely injured. Multivariate logistic regression analysis showed that reporting recurrent falls the previous year increased the odds ratio (OR) of recurrent falls (OR 10.2, p < 0.001). Higher quality of life reduced the OR of fall-related injuries (OR 0.86, p = 0.037). Previous recurrent falls was a strong predictor of future falls. The incidence of falls, recurrent falls and fall-related injuries was high. Hence, prevention of falls and fall-related injuries is important.

Norwegian fjord sediments reveal NAO related winter temperature and precipitation changes of the past 2800 years

NASA Astrophysics Data System (ADS)

Faust, Johan C.; Fabian, Karl; Milzer, Gesa; Giraudeau, Jacques; Knies, Jochen

2016-02-01

The North Atlantic Oscillation (NAO) is the leading mode of atmospheric circulation variability in the North Atlantic region. Associated shifts of storm tracks, precipitation and temperature patterns affect energy supply and demand, fisheries and agricultural, as well as marine and terrestrial ecological dynamics. Long-term NAO records are crucial to better understand its response to climate forcing factors, and assess predictability and shifts associated with ongoing climate change. A recent study of instrumental time series revealed NAO as main factor for a strong relation between winter temperature, precipitation and river discharge in central Norway over the past 50 years. Here we compare geochemical measurements with instrumental data and show that primary productivity recorded in central Norwegian fjord sediments is sensitive to NAO variability. This observation is used to calibrate paleoproductivity changes to a 500-year reconstruction of winter NAO (Luterbacher et al., 2001). Conditioned on a stationary relation between our climate proxy and the NAO we establish a first high resolution NAO proxy record (NAOTFJ) from marine sediments covering the past 2800 years. The NAOTFJ shows distinct co-variability with climate changes over Greenland, solar activity and Northern Hemisphere glacier dynamics as well as climatically associated paleo-demographic trends. The here presented climate record shows that fjord sediments provide crucial information for an improved understanding of the linkages between atmospheric circulation, solar and oceanic forcing factors.

February precipitation in the wintering grounds of the lesser whitethroat, Sylvia curruca: is it a cue for migration onset?

PubMed

Aloni, Irith; Markman, Shai; Ziv, Yaron

2017-02-01

Numerous studies report shifts in bird migration phenology, presumably owing to global warming. However, most studies focus on migration patterns in the Northern Hemisphere. In this study, we investigated associations between weather conditions in African wintering grounds of the lesser whitethroat, Sylvia curruca, and spring arrival time in Eilat, Israel. Using multivariate regression models, we analysed a 30-year dataset in order to examine correlations between median springtime arrival and 46 climate variables of the wintering quarters. The model obtained exhibited a highly statistical fit, involving mean precipitation in February and March with negative effects and number of wet days during November-February. February precipitation levels were also the major factor associated with the interquartile range of arrival time. Interestingly and contrary to published results, annual or seasonal precipitation showed no correlation with spring arrival time, nor did temperature. Moreover, winter in this region falls into dry season with negligible rainfall quantities. Hence, it is unlikely that precipitation effect on habitat productivity is a driving force of migration, as suggested by other studies. Instead, we propose that precipitation in February acts as a cue for the birds, indicating the approach of spring and migration time.

[Incidence of proximal femur fractures in relation to seasons of the year and weather].

PubMed

Burget, F; Pleva, L; Kudrna, K; Kudrnová, Z

2012-01-01

The opinion that proximal femur fractures occur mainly in the winter season and are related to slippery surfaces prevails in both the lay and medical communities. The elucidation of this relationship would lead to a better understanding of the aetiology of these fractures and may help to prevent them in the elderly population. In a retrospective study conducted at two departments, the occurrence of proximal femur fractures in patients 60+ years old in relation to weather conditions (air temperature and its humidity, atmospheric pressure, rain and mist) between January 1, 2001 and December 31, 2005 was investigated. Patients with high-energy or pathological fractures were excluded. The results were evaluated by Statistika software. A total of 1720 patients were studied, of whom 1313 were women and 407 were men. The numbers of fractures did not differ significantly among either the seasons or months of the year. No correlation was found between the number of fractures and each of the weather characteristics (air temperature and its humidity, atmospheric pressure, wind speed and visibility). It is widely believed that hip fractures are connected with winter months and temperatures below zero. This is supported by several facts related to winter characteristics, such as slippery icy pavements, clumsiness due to warm bulky clothes, bodies affected by cold and thus predisposed to a fall and poorer visibility on shorter winter days. The effect of seasonal variation on hip fracture incidence has been investigated in 10 studies of which only one has taken the influence of daily temperature into consideration. All studies were conduced in the countries north of 40° latitude, i.e., in climatic conditions similar to our country, with temperatures falling below zero and ice-glazed pavements in winter months. Of them, six have found no relation between proximal femur fractures and weather conditions, two have reported an increased incidence of these fractures in winter months

Fall-related activity avoidance in relation to a history of falls or near falls, fear of falling and disease severity in people with Parkinson's disease.

PubMed

Kader, Manzur; Iwarsson, Susanne; Odin, Per; Nilsson, Maria H

2016-06-02

There is limited knowledge concerning fall-related activity avoidance in people with Parkinson's disease (PD); such knowledge would be of importance for the development of more efficient PD-care and rehabilitation. This study aimed to examine how fall-related activity avoidance relates to a history of self-reported falls/near falls and fear of falling (FOF) as well as to disease severity in people with PD. Data were collected from 251 (61 % men) participants with PD; their median (min-max) age and PD duration were 70 (45-93) and 8 (1-43) years, respectively. A self-administered postal survey preceded a home visit which included observations, clinical tests and interview-administered questionnaires. Fall-related activity avoidance was assessed using the modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE) as well as by using a dichotomous (Yes/No) question. Further dichotomous questions concerned: the presence of FOF and the history (past 6 months) of falls or near falls, followed by stating the number of incidents. Disease severity was assessed according to the Hoehn and Yahr (HY) stages. In the total sample (n = 251), 41 % of the participants reported fall-related activity avoidance; the median mSAFFE score was 22. In relation to a history of fall, the proportions of participants (p < 0.001) that reported fall-related activity avoidance were: non-fallers (30 %), single fallers (50 %) and recurrent fallers, i.e. ≥ 2 falls (57 %). Among those that reported near falls (but no falls), 51 % (26 out of 51) reported fall-related activity avoidance. Of those that reported FOF, 70 % reported fall-related activity avoidance. Fall-related activity avoidance ranged from 24 % in the early PD-stage (HY I) to 74 % in the most severe stages (HY IV-V). Results indicate that fall-related activity avoidance may be related to a history of self-reported falls/near falls, FOF and disease severity in people with PD. Importantly, fall

Beef heifer growth and reproductive performance following two levels of pasture allowance during the fall grazing period.

PubMed

Bailey, B L; Griggs, T C; Rayburn, E B; Krause, K M

2014-08-01

The objective of this study was to compare heifer growth and reproductive performance following 2 levels of stockpiled fall forage allowance of orchardgrass (30.5%) and tall fescue (14.1%). Spring-born heifers (n = 203 and BW = 246 ± 28.9 kg) of primarily Angus background were allocated to 2 grazing treatments during the fall period (November 12 to December 17 in yr 1, November 7 to January 4 in yr 2, and November 7 to January 14 in yr 3) each replicated 3 times per year for 3 yr. Treatments consisted of daily pasture DM allowance of 3.5% of BW (LO) or daily pasture DM allowance of 7.0% of BW (HI) under strip-grazing management. Throughout the winter feeding period, mixed grass-legume haylage and soybean hulls were fed. Heifers were grazed as 1 group under continuous stocking after the winter period. Heifers in the LO group gained less than heifers in the HI group during the fall grazing period (0.12 vs. 0.40 kg/d; P < 0.0001). For each 1 10 g increase in NDF/kg fall pasture (DM basis), fall ADG decreased 0.14 kg (P = 0.01). During winter feeding, ADG was 0.30 and 0.39 kg/d for LO vs. HI heifers, respectively (P = 0.0008). During the spring grazing period (April 16 to May 24 in yr 1, April 22 to May 26 in yr 2, and April 5 to May 16 in yr 3), LO heifers had numerically greater ADG than HI heifers (1.38 vs. 1.30 kg/d; P = 0.64). Hip height (122.7 vs. 121.4 cm; P = 0.0055), BCS (5.8 vs. 5.6; P = 0.0057), and BW (356 vs. 335 kg; P < 0.0001) at the end of spring grazing was greater for HI than LO heifers. Heifers in the LO group compensated with greater summer ADG than heifers in the HI group (0.74 vs. 0.66 kg/d; P = 0.03). Total ADG from treatment initiation (November) through pregnancy diagnosis (August) was greater for HI than LO heifers (0.61 vs. 0.55 kg/d; P < 0.001) as was BW at pregnancy diagnosis (415 vs. 402 kg; P = 0.0055). Percentage of heifers reaching puberty by the time of AI was 34% for both groups (P = 0.93). Percentage of heifers becoming pregnant to

Clinical tests performed in acute stroke identify the risk of falling during the first year: postural stroke study in Gothenburg (POSTGOT).

PubMed

Persson, Carina U; Hansson, Per-Olof; Sunnerhagen, Katharina S

2011-03-01

To assess the likelihood of clinical tests for postural balance, walking and motor skills, performed during the first week after stroke, identifying the risk of falling. Prospective study. Patients with first stroke. Assessments were carried out during the first week, and the occurrence of falls was recorded 3, 6 and 12 months after stroke onset. The tests used were: 10-Metre Walking Test (10MWT), Timed Up & Go, Swedish Postural Assessment Scale for Stroke Patients, Berg Balance Scale and Modified Motor Assessment Scale. Cut-off levels were obtained by receiver operation characteristic curves, and odds ratios were used to assess cut-off levels for falling. The analyses were based on 96 patients. Forty-eight percent had at least one fall during the first year. All tests were associated with the risk of falling. The highest predictive values were found for the 10MWT (positive predictive value 64%, negative predictive value 76%). Those subjects who were unable to perform the 10MWT had the highest odds ratio, 6.06 (95% confidence interval 2.66-13.84, p<0.001) of falling. Clinical tests used during the first week after stroke onset can, to some extent, identify those patients at risk of falling during the first year after stroke.

Fear of falling as seen in the Multidisciplinary falls consultation.

PubMed

Gaxatte, C; Nguyen, T; Chourabi, F; Salleron, J; Pardessus, V; Delabrière, I; Thévenon, A; Puisieux, F

2011-06-01

Fear of falling may be as debilitating as the fall itself, leading to a restriction in activities and even a loss of autonomy. The main objective was to evaluate the prevalence of the fear of falling among elderly fallers. The secondary objectives were to determine the factors associated with the fear of falling and evaluate the impact of this fear on the activity "getting out of the house". Prospective study conducted between 1995 and 2006 in which fallers and patients at high risk for falling were seen at baseline by the multidisciplinary falls consultation team (including a geriatrician, a neurologist and a physical medicine and rehabilitation physician) and then, again 6 month later, by the same geriatrician. The fear of falling was evaluated with a yes/no question: "are you afraid of falling?". Out of 635 patients with a mean age of 80.6 years, 502 patients (78%) expressed a fear of falling. Patients with fear of falling were not older than those who did not report this fear, but the former were mostly women (P<0,001), who experienced more falls in the 6 months preceding the consultation (P=0.01), reported more frequently a long period of time spent on the floor after a fall (P<0.001), had more balance disorders (P=0.002) and finally, were using more frequently a walking technical aid (P=0.02). Patients with fear of falling were not going out alone as much as the fearless group (31% vs 53%, P<0.0001). Eighty-two percent of patients in the fearful group admitted to avoiding going out because they were afraid of falling. The strong prevalence of the fear of falling observed in this population and its consequences in terms of restricted activities justifies systematically screening for it in fallers or patients at risk for falling. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

The Personal and Health Service Impact of Falls in 85 Year Olds: Cross-Sectional Findings from the Newcastle 85+ Cohort Study

PubMed Central

Collerton, Joanna; Kingston, Andrew; Bond, John; Davies, Karen; Eccles, Martin P.; Jagger, Carol; Kirkwood, Thomas B. L.; Newton, Julia L.

2012-01-01

Introduction Falls are common in older people and increase in prevalence with advancing old age. There is limited knowledge about their impact in those aged 85 years and older, the fastest growing age group of the population. We investigated the prevalence and impact of falls, and the overlap between falls, dizziness and blackouts, in a population-based sample of 85 year olds. Methods Design: Cross-sectional analysis of baseline data from Newcastle 85+ Cohort Study. Setting: Primary care, North-East England. Participants: 816 men and women aged 85 years. Measurements: Structured interview with research nurse. Cost-consequence analysis of fall-related healthcare costs. Results Over 38% (313/816) of participants had fallen at least once in the previous 12 months and of these: 10.6% (33/312) sustained a fracture, 30.1% (94/312) attended an emergency department, and 12.8% (40/312) were admitted to hospital. Only 37.2% (115/309) of fallers had specifically discussed their falls problem with their general practitioner and only 12.7% (39/308) had seen a falls specialist. The average annual healthcare cost per faller was estimated at £202 (inter-quartile range £174–£231) or US$329 ($284–$377). ‘Worry about falling’ was experienced by 42.0% (128/305) of fallers, ‘loss of confidence’ by 40.0% (122/305), and ‘going out less often’ by 25.9% (79/305); each was significantly more common in women, odds ratios (95% confidence interval) for women: men of 2.63 (1.45–4.55), 4.00 (2.27–7.14), and 2.86 (1.54–5.56) respectively. Dizziness and blackouts were reported by 40.0% (318/796) and 6.4% (52/808) of participants respectively. There was marked overlap in the report of falls, dizziness and blackouts. Conclusions Falls in 85 year olds are very common, associated with considerable psychological and physical morbidity, and have high impact on healthcare services. Wider use of fall prevention services is needed. Significant expansion in acute and preventative

Habitat use and movement patterns by adult saugers from fall to summer in an unimpounded small-river system

USGS Publications Warehouse

Kuhn, K.M.; Hubert, W.A.; Johnson, K.; Oberlie, D.; Dufek, D.

2008-01-01

The Little Wind River drainage in Wyoming is a relatively small unimpounded river system inhabited by native saugers Sander canadensis. Radio telemetry was used to assess habitat use and movement patterns by adult saugers in the river system from fall through early summer. Fifty-four adult saugers were captured during fall 2004, surgically implanted with radio transmitters, and tracked through mid-July 2005. Tagged saugers selected large and deep pools. Such pools were abundant throughout the Little Wind River system and led to saugers being widely dispersed from fall to early spring. During fall, winter, and early spring, tagged saugers remained sedentary and moved short distances among pools in close proximity to each other. Longer movements by tagged saugers occurred from mid-spring to early summer, and were associated with both upstream and downstream movements to and from two river segments believed to be used for spawning. During early summer, most saugers returned to locations where they had been tagged the previous fall and had spent the winter. Our results provide evidence that preservation of the sauger fishery in the Wind River system will depend on maintaining fish passage throughout the portion of the watershed inhabited by saugers and preserving natural fluvial processes that maintain large and deep pools. ?? Copyright by the American Fisheries Society 2008.

Falls and Fear of Falling After Stroke: A Case-Control Study.

PubMed

Goh, Hui-Ting; Nadarajah, Mohanasuntharaam; Hamzah, Norhamizan Binti; Varadan, Parimalaganthi; Tan, Maw Pin

2016-12-01

Falls are common after stroke, with potentially serious consequences. Few investigations have included age-matched control participants to directly compare fall characteristics between older adults with and without stroke. Further, fear of falling, a significant psychological consequence of falls, has only been examined to a limited degree as a risk factor for future falls in a stroke population. To compare the fall history between older adults with and without a previous stroke and to identify the determinants of falls and fear of falling in older stroke survivors. Case-control observational study. Primary teaching hospital. Seventy-five patients with stroke (mean age ± standard deviation, 66 ± 7 years) and 50 age-matched control participants with no previous stroke were tested. Fall history, fear of falling, and physical, cognitive, and psychological function were assessed. A χ 2 test was performed to compare characteristics between groups, and logistic regression was performed to determine the risk factors for falls and fear of falling. Fall events in the past 12 months, Fall Efficacy Scale-International, Berg Balance Scale, Functional Ambulation Category, Fatigue Severity Scale, Montreal Cognitive Assessment, and Patient Healthy Questionnaire-9 were measured for all participants. Fugl-Meyer Motor Assessment was used to quantify severity of stroke motor impairments. Twenty-three patients and 13 control participants reported at least one fall in the past 12 months (P = .58). Nine participants with stroke had recurrent falls (≥2 falls) compared with none of the control participants (P < .01). Participants with stroke reported greater concern for falling than did nonstroke control participants (P < .01). Female gender was associated with falls in the nonstroke group, whereas falls in the stroke group were not significantly associated with any measured outcomes. Fear of falling in the stroke group was associated with functional ambulation level and balance

Timing Is Everything: A Comparative Study of the Adjustment Process of Fall and Mid-Year Community College Transfer Students at a Public Four-Year University

ERIC Educational Resources Information Center

Peska, Scott F.

2009-01-01

Many four-year institutions accept community college transfer students at mid-year (i.e., second semester) to recuperate declines in fall semester enrollments (Britt & Hirt, 1999). Students entering mid-year may face unique challenges adjusting and find that the institutional support to assist in their adjustment that is available to students…

Fracture predictive ability of physical performance tests and history of falls in elderly women: a 10-year prospective study.

PubMed

Wihlborg, A; Englund, M; Åkesson, K; Gerdhem, P

2015-08-01

In a large cohort of elderly women followed for 10 years, we found that balance, gait speed, and self-reported history of fall independently predicted fracture. These clinical risk factors are easily evaluated and therefore advantageous in a clinical setting. They would improve fracture risk assessment and thereby also fracture prevention. The aim of this study was to identify additional risk factors for osteoporosis-related fracture by investigating the fracture predictive ability of physical performance tests and self-reported history of falls. In the population-based Osteoporosis Prospective Risk Assessment study (OPRA), 1044 women were recruited at the age of 75 and followed for 10 years. At inclusion, knee extension force, standing balance, gait speed, and bone mineral density (BMD) were examined. Falls the year before investigation was assessed by questionnaire. Cox proportional hazards regression analysis was used to determine fracture hazard ratios (HR) with BMD, history of fracture, BMI, smoking habits, bisphosphonate, vitamin D, glucocorticoid, and alcohol use as covariates. Continuous variables were standardized and HR shown for each standard deviation change. Of all women, 427 (41%) sustained at least one fracture during the 10-year follow-up. Failing the balance test had an HR of 1.98 (1.18-3.32) for hip fracture. Each standard deviation decrease in gait speed was associated with an HR of 1.37 (1.14-1.64) for hip fracture. Previous fall had an HR of 1.30 (1.03-1.65) for any fracture; 1.39 (1.08-1.79) for any osteoporosis-related fracture; and 1.60 (1.03-2.48) for distal forearm fracture. Knee extension force did not show fracture predictability. The balance test, gait speed test, and self-reported history of fall all hold independent fracture predictability. Consideration of these clinical risk factors for fracture would improve the fracture risk assessment and subsequently also fracture prevention.

Fall risk assessment and prevention.

PubMed

Kline, Nancy E; Davis, Mary Elizabeth; Thom, Bridgette

2011-02-01

Patient falls are a common cause of morbidity and are the leading cause of injury deaths in adults age 65 years and older. Injuries sustained as result of falls in a cancer hospital are often severe, regardless of patient age, due to the nature of the underlying cancer. Falls are a nursing-sensitive indicator and nurses are in a unique position to assess, design, implement, and evaluate programs for fall risk reduction. We analyzed our nursing processes related to falls and fall prevention in conjunction with an evidence-based review, a research study to improve our fall risk-assessment process, and development of a comprehensive fall-reduction program. This article outlines how our institution developed a fall risk assessment for the oncology patient population, and utilized this assessment in a comprehensive nursing approach to fall prevention in both inpatient and outpatient settings.

Territoriality, site fidelity, and survivorship of willow flycatchers wintering in Costa Rica

USGS Publications Warehouse

Koronkiewicz, T.J.; Sogge, M.K.; van Riper, Charles; Paxton, E.H.

2006-01-01

We studied wintering Willow Flycatchers (Empidonax traillii) in two seasonal freshwater wetland habitats in northwestern Costa Rica during five boreal winters, to determine habitat occupancy, overwinter and between-year site and territory fidelity, and the degree to which the sexes maintain and defend winter territories. Both males and females used agonistic displays, song, and other vocalizations to maintain and defend mutually exclusive winter territories. Males were generally more abundant than females, but this varied by site and year. There was no significant difference in male and female territory size, nor any indication of sexual habitat segregation. Similarity in morphology and aggressiveness between the sexes may account for the lack of habitat segregation and the ability of females to maintain territories at wintering sites. Each year, 80%-92% of banded flycatchers that were present in midwinter remained at the site until late winter; of these, 86%-100% of individuals maintained the same territories throughout the entire period. We also observed nonterritorial floaters that subsequently established and held winter territories. Between-year site fidelity averaged 68%, and almost all returning birds established territories with boundaries similar to the previous year. Between-year apparent survivorship estimates ranged annually from 54%-72%, with no difference between sites but weak support for higher survivorship of males compared to females. Values for winter site and territory fidelity were generally higher than those reported for other species and for Willow Flycatchers on the breeding grounds; between-year survivorship estimates were similar to those reported for breeding flycatchers. ?? The Cooper Ornithological Society 2006.

Winter Season Mortality: Will Climate Warming Bring Benefits?

PubMed

Kinney, Patrick L; Schwartz, Joel; Pascal, Mathilde; Petkova, Elisaveta; Tertre, Alain Le; Medina, Sylvia; Vautard, Robert

2015-06-01

Extreme heat events are associated with spikes in mortality, yet death rates are on average highest during the coldest months of the year. Under the assumption that most winter excess mortality is due to cold temperature, many previous studies have concluded that winter mortality will substantially decline in a warming climate. We analyzed whether and to what extent cold temperatures are associated with excess winter mortality across multiple cities and over multiple years within individual cities, using daily temperature and mortality data from 36 US cities (1985-2006) and 3 French cities (1971-2007). Comparing across cities, we found that excess winter mortality did not depend on seasonal temperature range, and was no lower in warmer vs. colder cities, suggesting that temperature is not a key driver of winter excess mortality. Using regression models within monthly strata, we found that variability in daily mortality within cities was not strongly influenced by winter temperature. Finally we found that inadequate control for seasonality in analyses of the effects of cold temperatures led to spuriously large assumed cold effects, and erroneous attribution of winter mortality to cold temperatures. Our findings suggest that reductions in cold-related mortality under warming climate may be much smaller than some have assumed. This should be of interest to researchers and policy makers concerned with projecting future health effects of climate change and developing relevant adaptation strategies.

Winter season mortality: will climate warming bring benefits?

NASA Astrophysics Data System (ADS)

Kinney, Patrick L.; Schwartz, Joel; Pascal, Mathilde; Petkova, Elisaveta; Le Tertre, Alain; Medina, Sylvia; Vautard, Robert

2015-06-01

Extreme heat events are associated with spikes in mortality, yet death rates are on average highest during the coldest months of the year. Under the assumption that most winter excess mortality is due to cold temperature, many previous studies have concluded that winter mortality will substantially decline in a warming climate. We analyzed whether and to what extent cold temperatures are associated with excess winter mortality across multiple cities and over multiple years within individual cities, using daily temperature and mortality data from 36 US cities (1985-2006) and 3 French cities (1971-2007). Comparing across cities, we found that excess winter mortality did not depend on seasonal temperature range, and was no lower in warmer vs. colder cities, suggesting that temperature is not a key driver of winter excess mortality. Using regression models within monthly strata, we found that variability in daily mortality within cities was not strongly influenced by winter temperature. Finally we found that inadequate control for seasonality in analyses of the effects of cold temperatures led to spuriously large assumed cold effects, and erroneous attribution of winter mortality to cold temperatures. Our findings suggest that reductions in cold-related mortality under warming climate may be much smaller than some have assumed. This should be of interest to researchers and policy makers concerned with projecting future health effects of climate change and developing relevant adaptation strategies.

Falls from height: A retrospective analysis.

PubMed

Turgut, Kasim; Sarihan, Mehmet Ediz; Colak, Cemil; Güven, Taner; Gür, Ali; Gürbüz, Sükrü

2018-01-01

Emergency services manage trauma patients frequently and falls from height comprise the main cause of emergency service admissions. In this study, we aimed to analyse the demographic characteristics of falls from height and their relationship to the mortality. A total of 460 patients, who admitted to the Emergency Department of Inonu University between November 2011 and November 2014 with a history of fall from height, were examined retrospectively. Demographic parameters, fall characteristics and their effect to mortality were evaluated statistically. The study comprised of 292 (63.5%) men and 168 (36.5%) women patients. The mean age of all patients was 27±24.99 years. Twenty-six (5.6%) patients died and the majority of them were in ≥62 years old group. The highest percentage of falls was at 0-5 years age group (28.3%). People fell mainly from 1.1-4 metres(m) level (46.1%). The causes of falls were ordered as unintentional (92.2%), workplace (8.1%) and suicidal (1.7%). Skin and soft tissue injuries (37.4%) were the main traumatic lesions. Age, fall height, fall place, lineer skull fracture, subarachnoidal hemorrhage, cervical fracture, thoracic vertebra fracture and trauma scores had statistically significant effect on mortality. The casualties died because of subarachnoid hemorrhage mostly.

Effect of antecedent-hydrological conditions on rainfall triggering of debris flows in ash-fall pyroclastic mantled slopes of Campania (southern Italy)

USGS Publications Warehouse

Napolitano, E.; Fusco, F; Baum, Rex L.; Godt, Jonathan W.; De Vita, P.

2016-01-01

Mountainous areas surrounding the Campanian Plain and the Somma-Vesuvius volcano (southern Italy) are among the most risky areas of Italy due to the repeated occurrence of rainfallinduced debris flows along ash-fall pyroclastic soil-mantled slopes. In this geomorphological framework, rainfall patterns, hydrological processes taking place within multi-layered ash-fall pyroclastic deposits and soil antecedent moisture status are the principal factors to be taken into account to assess triggering rainfall conditions and the related hazard. This paper presents the outcomes of an experimental study based on integrated analyses consisting of the reconstruction of physical models of landslides, in situ hydrological monitoring, and hydrological and slope stability modeling, carried out on four representative source areas of debris flows that occurred in May 1998 in the Sarno Mountain Range. The hydrological monitoring was carried out during 2011 using nests of tensiometers and Watermark pressure head sensors and also through a rainfall and air temperature recording station. Time series of measured pressure head were used to calibrate a hydrological numerical model of the pyroclastic soil mantle for 2011, which was re-run for a 12-year period beginning in 2000, given the availability of rainfall and air temperature monitoring data. Such an approach allowed us to reconstruct the regime of pressure head at a daily time scale for a long period, which is representative of about 11 hydrologic years with different meteorological conditions. Based on this simulated time series, average winter and summer hydrological conditions were chosen to carry out hydrological and stability modeling of sample slopes and to identify Intensity- Duration rainfall thresholds by a deterministic approach. Among principal results, the opposing winter and summer antecedent pressure head (soil moisture) conditions were found to exert a significant control on intensity and duration of rainfall

Preventing falls in hospital.

PubMed

Pearce, Lynne

2017-02-27

Essential facts Falls are the most frequent adverse event reported in hospitals, usually affecting older patients. Every year, more than 240,000 falls are reported in acute hospitals and mental health trusts in England and Wales, equivalent to more than 600 a day, according to the Royal College of Physicians (RCP). But research shows that when nurses, doctors and therapists work together, falls can be reduced by 20-30%.

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.

Bulimia and anorexia nervosa in winter depression: lifetime rates in a clinical sample.

PubMed Central

Gruber, N P; Dilsaver, S C

1996-01-01

Symptoms of an eating disorder (hyperphagia, carbohydrate craving, and weight gain) are characteristic of wintertime depression. Recent findings suggest that the severity of bulimia nervosa peaks during fall and winter months, and that persons with this disorder respond to treatment with bright artificial light. However, the rates of eating disorders among patients presenting for the treatment of winter depression are unknown. This study was undertaken to determine these rates among 47 patients meeting the DSM-III-R criteria for major depression with a seasonal pattern. All were evaluated using standard clinical interviews and the Structured Clinical Interview for DSM-III-R. Twelve (25.5%) patients met the DSM-III-R criteria for an eating disorder. Eleven patients had onset of mood disorder during childhood or adolescence. The eating disorder followed the onset of the mood disorder. Clinicians should inquire about current and past symptoms of eating disorders when evaluating patients with winter depression. PMID:8580121

Plant community composition and biomass in Gulf Coast Chenier Plain marshes: Responses to winter burning and structural marsh management

USGS Publications Warehouse

Gabrey, S.W.; Afton, A.D.

2001-01-01

Many marshes in the Gulf Coast Chenier Plain, USA, are managed through a combination of fall or winter burning and structural marsh management (i.e., levees and water control structures; hereafter SMM). The goals of winter burning and SMM include improvement of waterfowl and furbearer habitat, maintenance of historic isohaline lines, and creation and maintenance of emergent wetlands. Although management practices are intended to influence the plant community, effects of these practices on primary productivity have not been investigated. Marsh processes, such as vertical accretion and nutrient cycles, which depend on primary productivity may be affected directly or indirectly by winter burning or SMM. We compared Chenier Plain plant community characteristics (species composition and above- and belowground biomass) in experimentally burned and unburned control plots within impounded and unimpounded marshes at 7 months (1996), 19 months (1997), and 31 months (1998) after burning. Burning and SMM did not affect number of plant species or species composition in our experiment. For all three years combined, burned plots had higher live above-ground biomass than did unburned plots. Total above-ground and dead above-ground biomasses were reduced in burned plots for two and three years, respectively, compared to those in unburned control plots. During all three years, belowground biomass was lower in impounded than in unimpounded marshes but did not differ between burn treatments. Our results clearly indicate that current marsh management practices influence marsh primary productivity and may impact other marsh processes, such as vertical accretion, that are dependent on organic matter accumulation and decay.

Prevention of Falls and Fall-Related Injuries in Community-Dwelling Seniors

PubMed Central

2008-01-01

Executive Summary In early August 2007, the Medical Advisory Secretariat began work on the Aging in the Community project, an evidence-based review of the literature surrounding healthy aging in the community. The Health System Strategy Division at the Ministry of Health and Long-Term Care subsequently asked the secretariat to provide an evidentiary platform for the ministry’s newly released Aging at Home Strategy. After a broad literature review and consultation with experts, the secretariat identified 4 key areas that strongly predict an elderly person’s transition from independent community living to a long-term care home. Evidence-based analyses have been prepared for each of these 4 areas: falls and fall-related injuries, urinary incontinence, dementia, and social isolation. For the first area, falls and fall-related injuries, an economic model is described in a separate report. Please visit the Medical Advisory Secretariat Web site, http://www.health.gov.on.ca/english/providers/program/mas/mas_about.html, to review these titles within the Aging in the Community series. Aging in the Community: Summary of Evidence-Based Analyses Prevention of Falls and Fall-Related Injuries in Community-Dwelling Seniors: An Evidence-Based Analysis Behavioural Interventions for Urinary Incontinence in Community-Dwelling Seniors: An Evidence-Based Analysis Caregiver- and Patient-Directed Interventions for Dementia: An Evidence-Based Analysis Social Isolation in Community-Dwelling Seniors: An Evidence-Based Analysis The Falls/Fractures Economic Model in Ontario Residents Aged 65 Years and Over (FEMOR) Objective To identify interventions that may be effective in reducing the probability of an elderly person’s falling and/or sustaining a fall-related injury. Background Although estimates of fall rates vary widely based on the location, age, and living arrangements of the elderly population, it is estimated that each year approximately 30% of community-dwelling individuals aged

The winter season - Northern Great Plains

USGS Publications Warehouse

Lambeth, David O.; Faanes, Craig A.

1981-01-01

This winter was hardly a winter by usual standards. At Grand Forks six record highs were set in February, a month which averaged 11°F above normal, and a -20° reading was not recorded the entire season for the first time in 50 years. Fort Peck Lake in Montana finally iced over February 12, only to begin reopening three days later (CMC). Temperatures reached into the 70s in South Dakota and that state was "powdery dry" as a result of the driest weather in 37 years (EMS, DLB). Across the Region, snow cover was either absent or inconsequential.

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.

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.

A Simple Algorithm to Predict Falls in Primary Care Patients Aged 65 to 74 Years: The International Mobility in Aging Study.

PubMed

Gomez, Fernando; Wu, Yan Yan; Auais, Mohammad; Vafaei, Afshin; Zunzunegui, Maria-Victoria

2017-09-01

Primary care practitioners need simple algorithms to identify older adults at higher risks of falling. Classification and regression tree (CaRT) analyses are useful tools for identification of clinical predictors of falls. Prospective cohort. Community-dwelling older adults at 5 diverse sites: Tirana (Albania), Natal (Brazil), Manizales (Colombia), Kingston (Ontario, Canada), and Saint-Hyacinthe (Quebec, Canada). In 2012, 2002 participants aged 65-74 years from 5 international sites were assessed in the International Mobility in Aging Study. In 2014 follow-up, 86% of the participants (n = 1718) were reassessed. These risk factors for the occurrence of falls in 2014 were selected based on relevant literature and were entered into the CaRT as measured at baseline in 2012: age, sex, body mass index, multimorbidity, cognitive deficit, depression, number of falls in the past 12 months, fear of falling (FoF) categories, and timed chair-rises, balance, and gait. The 1-year prevalence of falls in 2014 was 26.9%. CaRT procedure identified 3 subgroups based on reported number of falls in 2012 (none, 1, ≥2). The 2014 prevalence of falls in these 3 subgroups was 20%, 30%, and 50%, respectively. The "no fall" subgroup was split using FoF: 30% of the high FoF category (score >27) vs 20% of low and moderate FoF categories (scores: 16-27) experienced a fall in 2014. Those with multiple falls were split by their speed in the chair-rise test: 56% of the slow category (>16.7 seconds) and the fast category (<11.2 seconds) had falls vs 28% in the intermediate group (between 11.2 and 16.7 seconds). No additional variables entered into the decision tree. Three simple indicators: FoF, number of previous falls, and time of chair rise could identify those with more than 50% probability of falling. Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

Gross primary production controls the subsequent winter CO2 exchange in a boreal peatland.

PubMed

Zhao, Junbin; Peichl, Matthias; Öquist, Mats; Nilsson, Mats B

2016-12-01

In high-latitude regions, carbon dioxide (CO 2 ) emissions during the winter represent an important component of the annual ecosystem carbon budget; however, the mechanisms that control the winter CO 2 emissions are currently not well understood. It has been suggested that substrate availability from soil labile carbon pools is a main driver of winter CO 2 emissions. In ecosystems that are dominated by annual herbaceous plants, much of the biomass produced during the summer is likely to contribute to the soil labile carbon pool through litter fall and root senescence in the autumn. Thus, the summer carbon uptake in the ecosystem may have a significant influence on the subsequent winter CO 2 emissions. To test this hypothesis, we conducted a plot-scale shading experiment in a boreal peatland to reduce the gross primary production (GPP) during the growing season. At the growing season peak, vascular plant biomass in the shaded plots was half that in the control plots. During the subsequent winter, the mean CO 2 emission rates were 21% lower in the shaded plots than in the control plots. In addition, long-term (2001-2012) eddy covariance data from the same site showed a strong correlation between the GPP (particularly the late summer and autumn GPP) and the subsequent winter net ecosystem CO 2 exchange (NEE). In contrast, abiotic factors during the winter could not explain the interannual variation in the cumulative winter NEE. Our study demonstrates the presence of a cross-seasonal link between the growing season biotic processes and winter CO 2 emissions, which has important implications for predicting winter CO 2 emission dynamics in response to future climate change. © 2016 John Wiley & Sons Ltd.

Wintering bald eagle trends in northern Arizona, 1975-2000

Treesearch

Teryl G. Grubb

2003-01-01

Between 1975 and 2000, 4,525 sightings of wintering bald eagles (Haliaeetus leucocephalus) were recorded at Mormon Lake in northern Arizona. Numbers of wintering eagles fluctuated little in the 20 years from 1975 through 1994 (5.5 ± 3.0 mean sightings per day). However, during the winters of 1995 through 1997 local record highs of 59 to 118 eagles...

The consumption of two or more fall risk-increasing drugs rather than polypharmacy is associated with falls.

PubMed

Zia, Anam; Kamaruzzaman, Shahrul B; Tan, Maw P

2017-03-01

The presemt study aimed to determine the association between the risk of recurrent and injurious falls with polypharmacy, fall risk-increasing drugs (FRID) and FRID count among community-dwelling older adults. Participants (n = 202) were aged ≥65 years with two or more falls or one injurious fall in the past year, whereas controls (n = 156) included volunteers aged ≥65 years with no falls in the past year. A detailed medication history was obtained alongside demographic data. Polypharmacy was defined as "regular use of five or more prescription drugs." FRID were identified as cardiovascular agents, central nervous system drugs, analgesics and endocrine drugs; multiple FRID were defined as two or more FRID. Multiple logistic regression analyses were used to adjust for confounders. The use of non-steroidal anti-inflammatory drugs was independently associated with an increased risk of falls. Univariate analyses showed both polypharmacy (OR 2.23, 95% CI 1.39-3.56; P = 0.001) and the use of two or more FRID (OR 2.9, 95% CI 1.9-4.5; P = 0.0001) were significantly more likely amongst fallers. After adjustment for age, sex and comorbidities, blood pressure, and physical performance scores, polypharmacy was no longer associated with falls (OR 1.6, 95% CI 0.9-2.9; P = 0.102), whereas the consumption of two or more FRID remained a significant predictor for falls (OR 2.8, 95% CI 1.4-5.3; P = 0.001). Among high risk fallers, the use of two or more FRID was an independent risk factor for falls instead of polypharmacy. Our findings will inform clinical practice in terms of medication reviews among older adults at higher risk of falls. Future intervention studies will seek to confirm whether avoidance or withdrawal of multiple FRID reduces the risk of future falls. Geriatr Gerontol Int 2017; 17: 463-470. © 2016 Japan Geriatrics Society.

Medication use and fall-risk assessment for falls in an acute care hospital.

PubMed

Chiu, Ming-Huang; Lee, Hsin-Dai; Hwang, Hei-Fen; Wang, Shih-Chieh; Lin, Mau-Roung

2015-07-01

A nested case-control study was carried out to examine relationships of a fall-risk score and the use of single medications and polypharmacy with falls among hospitalized patients aged 50 years and older in Taiwan. There were 83 patients who experienced a fall during hospitalization in an acute-care hospital. Matched by age and sex, five control patients for each case were randomly selected from all other inpatients who had not experienced any fall at the time of the index fall. Patients who took tricyclic antidepressants, diuretics, and narcotics were 3.36-, 1.83- and 2.09-fold, respectively, more likely to experience a fall than their counterparts. Conversely, patients who took beta-blockers were 0.34-fold more likely than those who did not take them to experience a fall. Patients taking ≥6 medications were 3.08-fold more likely than those taking fewer medications to experience a fall, whereas those with anxiety were 4.72-fold more likely to experience a fall than those without. A high fall-risk score was not significantly associated with the occurrence of falls. Among older hospitalized patients, tricyclic antidepressants, diuretics, narcotics, and polypharmacy should be mindfully prescribed and reviewed on a regular basis. A fall-risk scale developed from community-dwelling older people might not accurately predict falls in hospitalized patients. Further research to validate the negative effect of beta-blocker use on falls is required. © 2014 Japan Geriatrics Society.

Periphyton dynamics in a subalpine mountain stream during winter

USGS Publications Warehouse

Gustina, G.W.; Hoffmann, J.P.

2000-01-01

We conducted two experiments to determine the activity of and factors which control periphyton during winter in Stevensville Brook, Vermont. The first experiment during winter/spring 1994 examined the effect of a 300 to 450% difference in light and doubling of flow (low and high light, slow and fast flow) on periphyton chlorophyll a (chl a) and ash-free dry mass (AFDM) from stream rocks and artificial substrata. A second experiment was performed to determine whether periphyton was nitrogen or phosphorus limited. In addition, stream water was sampled during fall/winter 1994/95 for nitrate (NO3), ammonia (NH4), soluble reactive phosphorus (SRP), and total phosphorus (TP) to determine the availability of nutrients in Stevensville Brook. Increases of up to 250% for AFDM and 600% for chl a during the first study indicated robust activity throughout the winter despite low temperatures and light. Flow had a negative effect and sampling date was found to have a significant effect on periphyton biomass (chl a and AFDM) while light was found to influence increases in AFDM on clay tiles only. Water analyses showed that SRP was less than 0.001 mg L-1, NH4 and TP were low and often undetectable, and NO3 remained at about 0.20 mg L-1. Results from the nutrient enrichment experiment showed a significant response of chl a to P but not N and no response of AFDM to enrichment with either N or P. In Stevensville Brook during winter, the algal community, as represented by the chl a concentration, is predominantly controlled by phosphorus concentrations and is influenced to a lesser extent by flow; the periphyton community as a whole, represented by AFDM, is controlled mostly by stream flow and light.

Manure Application under Winter Conditions: Nutrient Runoff and Leaching Losses

USDA-ARS?s Scientific Manuscript database

Winter application of manure is commonly practiced and potential nutrient losses can be difficult to predict due to wide variations in weather within a year and between years. This study was conducted to determine nutrient losses via surface runoff and subsurface leachate from winter-applied manure ...

Key areas for wintering North American herons

USGS Publications Warehouse

Mikuska, T.; Kushlan, J.A.; Hartley, S.

1998-01-01

Nearly all North American heron populations are migratory, but details of where they winter are little known. Locations where North American herons winter were identified using banding recovery data. North American herons winter from Canada through northern South America but especially in eastern North America south of New York, Florida, California, Louisiana, Texas, Mexico and Cuba, these areas accounting for 63% of winter recoveries. We identified regions where recoveries for various species clustered as "key areas." These forty-three areas constitute a network of areas that hold sites that likely are important to wintering North American herons. Within each area, we identify specific sites that are potentially important to wintering herons. The relative importance of each area and site within the network must be evaluated by further on the ground inventory. Because of biases inherent in the available data, these hypothesized key areas are indicative rather than exhaustive. As a first cut, this network of areas can serve to inform further inventory activities and can provide an initial basis to begin planning for the year-round conservation of North American heron populations.

Migration patterns and movements of sandhill cranes wintering in central and southwestern Louisiana

USGS Publications Warehouse

King, Sammy L.; Pierce, Aaron R.; Hersey, Kent R.; Winstead, Nicholas; Hartup, Barry K.

2010-01-01

In this study we trapped wintering sandhill cranes (Grus canadensis) in Louisiana and fitted them with satellite transmitters to determine their migration routes. Four of the 6 sandhill cranes with validated locations and a terminus point used the Central Flyway for spring migration; 2 of these 4 (the only 2 for which we have data) also used the Central Flyway for fall migration. Two of the 6 birds used the Mississippi Flyway for spring migration. The results of this study suggest that reintroduced whooping cranes (G. americana) that intermix and migrate with sandhill cranes that winter in Louisiana may enter the Central Flyway. In addition, the Mississippi Flyway is a viable option to use as a migration route for whooping cranes if they are reintroduced in Louisiana.

De novo characterization of fall dormant and nondormant alfalfa (Medicago sativa L.) leaf transcriptome and identification of candidate genes related to fall dormancy.

PubMed

Zhang, Senhao; Shi, Yinghua; Cheng, Ningning; Du, Hongqi; Fan, Wenna; Wang, Chengzhang

2015-01-01

Alfalfa (Medicago sativa L.) is one of the most widely cultivated perennial forage legumes worldwide. Fall dormancy is an adaptive character related to the biomass production and winter survival in alfalfa. The physiological, biochemical and molecular mechanisms causing fall dormancy and the related genes have not been well studied. In this study, we sequenced two standard varieties of alfalfa (dormant and non-dormant) at two time points and generated approximately 160 million high quality paired-end sequence reads using sequencing by synthesis (SBS) technology. The de novo transcriptome assembly generated a set of 192,875 transcripts with an average length of 856 bp representing about 165.1 Mb of the alfalfa leaf transcriptome. After assembly, 111,062 (57.6%) transcripts were annotated against the NCBI non-redundant database. A total of 30,165 (15.6%) transcripts were mapped to 323 Kyoto Encyclopedia of Genes and Genomes pathways. We also identified 41,973 simple sequence repeats, which can be used to generate markers for alfalfa, and 1,541 transcription factors were identified across 1,350 transcripts. Gene expression between dormant and non-dormant alfalfa at different time points were performed, and we identified several differentially expressed genes potentially related to fall dormancy. The Gene Ontology and pathways information were also identified. We sequenced and assembled the leaf transcriptome of alfalfa related to fall dormancy, and also identified some genes of interest involved in the fall dormancy mechanism. Thus, our research focused on studying fall dormancy in alfalfa through transcriptome sequencing. The sequencing and gene expression data generated in this study may be used further to elucidate the complete mechanisms governing fall dormancy in alfalfa.

De Novo Characterization of Fall Dormant and Nondormant Alfalfa (Medicago sativa L.) Leaf Transcriptome and Identification of Candidate Genes Related to Fall Dormancy

PubMed Central

Cheng, Ningning; Du, Hongqi; Fan, Wenna; Wang, Chengzhang

2015-01-01

Alfalfa (Medicago sativa L.) is one of the most widely cultivated perennial forage legumes worldwide. Fall dormancy is an adaptive character related to the biomass production and winter survival in alfalfa. The physiological, biochemical and molecular mechanisms causing fall dormancy and the related genes have not been well studied. In this study, we sequenced two standard varieties of alfalfa (dormant and non-dormant) at two time points and generated approximately 160 million high quality paired-end sequence reads using sequencing by synthesis (SBS) technology. The de novo transcriptome assembly generated a set of 192,875 transcripts with an average length of 856 bp representing about 165.1 Mb of the alfalfa leaf transcriptome. After assembly, 111,062 (57.6%) transcripts were annotated against the NCBI non-redundant database. A total of 30,165 (15.6%) transcripts were mapped to 323 Kyoto Encyclopedia of Genes and Genomes pathways. We also identified 41,973 simple sequence repeats, which can be used to generate markers for alfalfa, and 1,541 transcription factors were identified across 1,350 transcripts. Gene expression between dormant and non-dormant alfalfa at different time points were performed, and we identified several differentially expressed genes potentially related to fall dormancy. The Gene Ontology and pathways information were also identified. We sequenced and assembled the leaf transcriptome of alfalfa related to fall dormancy, and also identified some genes of interest involved in the fall dormancy mechanism. Thus, our research focused on studying fall dormancy in alfalfa through transcriptome sequencing. The sequencing and gene expression data generated in this study may be used further to elucidate the complete mechanisms governing fall dormancy in alfalfa. PMID:25799491

Preventing falls in hospital.

PubMed

Pearce, Lynne

2017-01-04

Falls are the most frequent adverse event reported in hospitals, usually affecting older patients. Every year, more than 240,000 falls are reported in acute hospitals and mental health trusts in England and Wales, equivalent to more than 600 per day, according to the Royal College of Physicians (RCP).

Relationship of deer and moose populations to previous winters' snow

USGS Publications Warehouse

Mech, L.D.; McRoberts, R.E.; Peterson, R.O.; Page, R.E.

1987-01-01

(1) Linear regression was used to relate snow accumulation during single and consecutive winters with white-tailed deer (Odocoileus virginianus) fawn:doe ratios, mosse (Alces alces) twinning rates and calf:cow ratios, and annual changes in deer and moose populations. Significant relationships were found between snow accumulation during individual winters and these dependent variables during the following year. However, the strongest relationships were between the dependent variables and the sums of the snow accumulations over the previous three winters. The percentage of the variability explained was 36 to 51. (2) Significant relationships were also found between winter vulnerability of moose calves and the sum of the snow accumulations in the current, and up to seven previous, winters, with about 49% of the variability explained. (3) No relationship was found between wolf numbers and the above dependent variables. (4) These relationships imply that winter influences on maternal nutrition can accumulate for several years and that this cumulative effect strongly determines fecundity and/or calf and fawn survivability. Although wolf (Canis lupus L.) predation is the main direct mortality agent on fawns and calves, wolf density itself appears to be secondary to winter weather in influencing the deer and moose populations.

[Preliminary results of a community fall prevention programme: Precan study (falls prevention in La Ribera)].

PubMed

Pérez-Ros, Pilar; Martínez-Arnau, Francisco; Tormos Miñana, Immaculada; López Aracil, Aranzazu; Oltra Sanchis, M Carmen; Pechene Mera, Leidy E; Tarazona-Santabalbina, Francisco José

2014-01-01

To evaluate the results of a fall prevention programme designed to be applied to the elderly living in the community. The sample consisted of 249 participants ≥70 years of age, who were randomly assigned to one of three groups. The monthly intervention group (GIM): instructions on fall prevention and healthy exercises to improve physical function and balance at beginning of the study, and a monthly theoretical and practical refresher session. The quarterly intervention group (GIT), with the same beginning intervention and a refresher session every three months. The control group (GC), the same beginning intervention but no refresher sessions. The mean age of the sample was 74.47 years (SD 5.33), with 64% women. The incidence of falls was reduced from 0.64 per patient year in the previous year to 0.39 in the post-intervention year in GIM, from 0.49 to 0.47 in GIT, and in the GC it remained at 0.47 before and twelve months after, but with no significant differences in the reduction between groups (P=.062). At the end of the study there was a decrease in Rizzo scale of 0.72 points (95% CI: 0.57-0.88, P<.001). An interdisciplinary community intervention programme can contribute to reducing the incidence of falls. Further studies are required to continue research into the incidence of falls in the elderly living in the community. Copyright © 2013 SEGG. Published by Elsevier Espana. All rights reserved.

Effect of hormone therapy on lean body mass, falls, and fractures: Six-year results from the Women’s Health Initiative Hormone Trials

PubMed Central

Bea, Jennifer W.; Zhao, Qiuhong; Cauley, Jane A.; LaCroix, Andrea Z.; Bassford, Tamsen; Lewis, Cora E.; Jackson, Rebecca D.; Tylavsky, Frances A.; Chen, Zhao

2010-01-01

Objective Loss of lean body mass with aging may contribute to falls and fractures. The objective of this analysis was to determine if taking postmenopausal hormone therapy (HT: estrogen plus progestogen therapy, EPT or estrogen therapy alone, ET) favorably affects age-related changes in lean body mass and if these changes partially account for decreased falls or fractures with HT. Methods Participants randomly assigned to either EPT (n=543) or control (n=471) and ET (n= 453) or control (n= 474) and receiving dual-energy X-ray absorptiometry (DXA) scans to estimate body composition during the Women’s Health Initiative (WHI) were evaluated. Falls and fracture occurrence were obtained by annual self-report. Fractures were confirmed by clinical chart review. Results At 6yrs post-randomization, lean body mass was not different between HT and control groups. Although lean body mass positively influenced BMD, independent of HT status, the preserved lean body mass observed in the HT arms in the first 3 years did not significantly contribute to models evaluating HT influence on falls and fractures between years 3 and 6. Women taking at least 80% of their medication in the HT arms demonstrated fewer falls compared to placebo; this difference was not attributable to change in lean body mass. Conclusions Despite early preservation of lean body mass with HT (3years), HT did not ameliorate long-term (6 years) loss in lean body mass with aging. PMID:20689466

Key areas for wintering North American herons

USGS Publications Warehouse

Mikuska, T.; Kushlan, J.A.; Hartley, S.

1998-01-01

Nearly all North American heron populations are migratory, but details of where they winter are little known. Locations where North American herons winter were identified using banding recovery data. North American herons winter from Canada through northern South America but especially in eastern North America south of New York, Florida, California, Louisiana, Texas, Mexico and Cuba, these areas accounting for 63% of winter recoveries. We identified regions where recoveries for various species clustered as 'key areas.' These forty-three areas constitute a network of areas that hold sites that likely are important to wintering herons. The relative importance of each area and site within the network must be evaluated by further on the ground inventory. Because of biases inherent in the available data, these hypothesized key areas are indicative rather than exhaustive. As a first cut, this network of areas can serve to inform further inventory activities and can provide an initial basis to begin planning for the year-round conservation of North American heron populations.

A one-year proprioceptive exercise programme reduces the incidence of falls in community-dwelling elderly people: A before-after non-randomised intervention study.

PubMed

Pérez-Ros, Pilar; Martinez-Arnau, Francisco M; Malafarina, Vincenzo; Tarazona-Santabalbina, Francisco J

2016-12-01

The risk of falls increases with age. Balance alteration and polypharmacy are independent contributors to an increased risk of falls. The primary aim was to assess whether a proprioceptive exercise programme reduces the incidence of falls. A secondary aim was to assess the association between drugs and falls. This was a before-after non-randomised intervention study. The study recruited independent and cognitively intact community-dwelling people aged over 69 years, from December 2012 to May 2014. The intervention was done by a nurse and consisted of a monthly supervised group session of proprioceptive training for 1 year, supplemented by a home diary exercise. Daily medication was reviewed. We included 572 subjects (63.3% women), mean age 76.1±3.9 years. The mean number of drugs prescribed at the start of the study was 4.7±3.0and 353 of the participants (61.7%) were taking four or more drugs a day. The elderly who fell were more dependent in their activities of daily living (Barthel index), and their balance was worse (determined using the Tinetti scale), as were their results on a cognitive scale (the MEC). After the intervention, an increase in self-perceived quality of life (EQ5D) was reported. The incidence of falls was reduced from 37.5% in the 12 months prior to the intervention to 25.7% in the 12 months after the intervention. During the follow-up, beta-blocker use was associated with an increased incidence of falls (OR=2.05; 95%IC: 1.24-3.39; p=0.005). In contrast, antiplatelet/anticoagulation drugs were associated with a lower risk of falls (OR=0.7; 95%IC: 0.55-0.88; p=0.003). The proprioceptive exercise programme reduced the incidence of falls in community-dwelling older people. Multiple drug use was an independent predictor of an increased risk of falls, and specific drug groups were associated with falls. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

[Freezing resistance and injury indices for different cultivars of winter-spring wheat in Huang-Huai-Hai Plain. I . Comparison of freezing resistance for different cultivars of winter-spring wheat during mid-winter period].

PubMed

Mu, Cheng-ying; Yang, Xiao-guang; Yang, Jie; Li, Ke-nan; Zheng, Dong-xiao

2015-10-01

The relationships between mortality rate and low temperature for different cultivars of winter-spring wheat during mid-winter period were identified through two-year outdoor potting experiments and indoor manually controlled freezing experiments. We defined the lethally critical temperature and the density of antifreeze capability when the mortality rate reached 10%, 20% and 50% for different cultivars of winter-spring wheat during mid-winter period. The strong-winterness wheat (Yanda 1817 and Jing 411) showed the best freezing resistance and the 50%-lethal temperatures (LT50) of these two cultivars were -21.5 °C and -21.2 °C, respectively. The freezing resistance of winterness wheat and weak-winternes wheat were worse than that of strong-winterness wheat. The LT50 of winterness wheat cultivars Nongda 211 and Nongda 5363 were -21.1 °C and -20.3 °C, while that of weak-winterness wheat cultivars Zheng 366 and Ping' an 8 were -18.5 °C and -18.4 °C , respectively. Springness wheat (Zheng 9023 and Yanzhan 4110) showed the worst freezing resistance, and the LT50 were -15.4 °C and -14.7 °C, respectively. When temperature declined to freezing injury occurred, mortality rate increment for weak-winterness wheat was the highest for each 1 °C decrease. The mortality rates of weak-winterness wheat cultivars Zheng 366 and Ping' an 8 increased by 16.8% and 25.8%, and that of winterness wheat cultivars Nongda 211 and Nongda 5363 increased by 14.7% and 18.9%. The mortality rate of strong-winterness wheat cultivars Yanda 1817 and Jing 411 increased by 15.4% and 13.1%, and that of springiness wheat cultivas Zheng 9023 and Yanzhan 4110 increased by 13.8% and 15.1%. Comparatively, if temperature decreased continuously after the occurrence of freezing injury, the weak-winterness wheat would suffer greater risk.

Interannual control of plankton communities by deep winter mixing and prey/predator interactions in the NW Mediterranean: Results from a 30-year 3D modeling study

NASA Astrophysics Data System (ADS)

Auger, P. A.; Ulses, C.; Estournel, C.; Stemmann, L.; Somot, S.; Diaz, F.

2014-05-01

A realistic modeling approach is designed to address the role of winter mixing on the interannual variability of plankton dynamics in the north-western (NW) Mediterranean basin. For the first time, a high-resolution coupled hydrodynamic-biogeochemical model (Eco3m-S) covering a 30-year period (1976-2005) is validated on available in situ and satellite data for the NW Mediterranean. In this region, cold, dry winds in winter often lead to deep convection and strong upwelling of nutrients into the euphotic layer. High nutrient contents at the end of winter then support the development of a strong spring bloom of phytoplankton. Model results indicate that annual primary production is not affected by winter mixing due to seasonal balance (minimum in winter and maximum in spring). However, the total annual water column-integrated phytoplankton biomass appears to be favored by winter mixing because zooplankton grazing activity is low in winter and early spring. This reduced grazing is explained here by the rarefaction of prey due to both light limitation and the effect of mixing-induced dilution on prey/predator interactions. A negative impact of winter mixing on winter zooplankton biomass is generally simulated except for mesozooplankton. This difference is assumed to stem from the lower parameterized mortality, top trophic position and detritivorous diet of mesozooplankton in the model. Moreover, model suggests that the variability of annual mesozooplankton biomass is principally modulated by the effects of winter mixing on winter biomass. Thus, interannual variability of winter nutrient contents in the euphotic layer, resulting from winter mixing, would control spring primary production and thus annual mesozooplankton biomass. Our results show a bottom-up control of mesozooplankton communities, as observed at a coastal location of the Ligurian Sea.

Spinal sagittal contour affecting falls: cut-off value of the lumbar spine for falls.

PubMed

Ishikawa, Yoshinori; Miyakoshi, Naohisa; Kasukawa, Yuji; Hongo, Michio; Shimada, Yoichi

2013-06-01

Spinal deformities reportedly affect postural instability or falls. To prevent falls in clinical settings, the determination of a cut-off angle of spinal sagittal contour associated with increase risk for falls would be useful for screening for high-risk fallers. The purpose of this study was to calculate the spinal sagittal contour angle associated with increased risk for falls during medical checkups in community dwelling elders. The subjects comprised 213 patients (57 men, 156 women) with a mean age of 70.1 years (range, 55-85 years). The upright and flexion/extension thoracic kyphosis and lumbar lordosis angles, and the spinal inclination were evaluated with SpinalMouse(®). Postural instability was evaluated by stabilometry, using the total track length (LNG), enveloped areas (ENV), and track lengths in the lateral and anteroposterior directions (X LNG and Y LNG, respectively). The back extensor strength (BES) was measured using a strain-gauge dynamometer. The relationships among the parameters were analyzed statistically. Age, lumbar lordosis, spinal inclination, LNG, X LNG, Y LNG, and BES were significantly associated with falls (P<0.05). Multivariate logistic regression analyses revealed that lumbar lordosis was the most significant factor (P<0.01). Univariate logistic regression analyses for falls about lumbar lordosis angles revealed that angles of 3° and less were significant for falls. The present findings suggest that increased age, spinal inclination, LNG, X LNG, Y LNG, and decreased BES and lumbar lordosis, are associated with falls. An angle of lumbar lordosis of 3° or less was associated with falls in these community-dwelling elders. Copyright © 2012 Elsevier B.V. All rights reserved.

The Neighborhood Environment: Perceived Fall Risk, Resources, and Strategies for Fall Prevention.

PubMed

Chippendale, Tracy; Boltz, Marie

2015-08-01

To explore the experience of older adults in their neighborhood in relation to perceived fall risk, fear of falling (FOF), and resources/strategies for fall prevention. Fourteen older adults, 65 years of age and older from 3 urban senior centers, participated in this qualitative study. The semistructured interview guidelines and background questionnaire were developed by the researchers based on the literature and an existing measure of walkability. Both tools were refined based on pilot interviews with seniors. Collaizzi's phenomenological method was used for data analysis. Five themes emerged from the data: (a) The built environment contributes to perceived fall risk and FOF, (b) personal strategies used to adapt to perceived neighborhood fall risks-behavioral approaches, (c) resources for physical activity and safety, (d) barriers to physical activity and exercise, and (e) neighborhood features as a motivator. Urban-dwelling seniors perceive that neighborhood features contribute to or mitigate fall risk and FOF. Behavioral strategies are used by seniors to prevent outdoor falls. The findings can help clinicians develop targeted fall prevention interventions for well elders and help urban planners to design and retrofit urban environments to reduce fall risk. © 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.

Older Persons’ Perception of Risk of Falling: Implications for Fall-Prevention Campaigns

PubMed Central

Hughes, Karen; van Beurden, Eric; Eakin, Elizabeth G.; Barnett, Lisa M.; Patterson, Elizabeth; Backhouse, Jan; Jones, Sue; Hauser, Darren; Beard, John R.; Newman, Beth

2008-01-01

Objectives. We examined older people’s attitudes about falls and implications for the design of fall-prevention awareness campaigns. Methods. We assessed data from (1) computer-assisted telephone surveys conducted in 2002 with Australians 60 years and older in Northern Rivers, New South Wales (site of a previous fall-prevention program; n=1601), and Wide Bay, Queensland (comparison community; n=1601), and (2) 8 focus groups (n=73). Results. Participants from the previous intervention site were less likely than were comparison participants to agree that falls are not preventable (odds ratio [OR]=0.76; 95% confidence interval [CI]=0.65, 0.90) and more likely to rate the prevention of falls a high priority (OR=1.31; 95% CI=1.09, 1.57). There was no difference between the groups for self-perceived risk of falls; more than 60% rated their risk as low. Those with a low perceived risk were more likely to be men, younger, partnered, and privately insured, and to report better health and no history of falls. Focus group data indicated that older people preferred messages that emphasized health and independence rather than falls. Conclusions. Although older people accepted traditional fall-prevention messages, most viewed them as not personally relevant. Messages that promote health and independence may be more effective. PMID:18172132

How Do Community-Dwelling Persons with Alzheimer Disease Fall? Falls in the FINALEX Study.

PubMed

Perttila, Niko M; Öhman, Hannareeta; Strandberg, Timo E; Kautiainen, Hannu; Raivio, Minna; Laakkonen, Marja-Liisa; Savikko, Niina; Tilvis, Reijo S; Pitkala, Kaisu H

2017-01-01

People with dementia are at high risk for falls. However, little is known of the features causing falls in Alzheimer disease (AD). Our aim was to investigate how participants with AD fall. In the FINALEX (Finnish Alzheimer Disease Exercise Trial) study, participants' ( n = 194) falls were followed up for 1 year by diaries kept by their spouses. The most common reason for falls ( n = 355) was stumbling ( n = 61). Of the falls, 123 led to injuries, 50 to emergency department visits, and 13 to fractures. The participants without falls ( n = 103) were younger and had milder dementia than those with 1 ( n = 34) or ≥2 falls ( n = 57). Participants with a Mini Mental State Examination score of around 10 points were most prone to fall. In adjusted regression models, good nutritional status, good physical functioning, and use of antihypertensive medication (incident rate ratio [IRR] 0.68, 95% confidence interval [CI] 0.54-0.85) protected against falls, whereas fall history (IRR 2.71, 95% CI 2.13-3.44), osteoarthritis, diabetes mellitus, chronic obstructive pulmonary disease, higher number of drugs, drugs with anticholinergic properties, psychotropics, and opioids (IRR 4.27, 95% CI 2.92-6.24) were risk factors for falls. Our study provides a detailed account on how and why people with AD fall, suggesting several risk and protective factors.

How Do Community-Dwelling Persons with Alzheimer Disease Fall? Falls in the FINALEX Study

PubMed Central

Perttila, Niko M.; Öhman, Hannareeta; Strandberg, Timo E.; Kautiainen, Hannu; Raivio, Minna; Laakkonen, Marja-Liisa; Savikko, Niina; Tilvis, Reijo S.; Pitkala, Kaisu H.

2017-01-01

Background People with dementia are at high risk for falls. However, little is known of the features causing falls in Alzheimer disease (AD). Our aim was to investigate how participants with AD fall. Methods In the FINALEX (Finnish Alzheimer Disease Exercise Trial) study, participants' (n = 194) falls were followed up for 1 year by diaries kept by their spouses. Results The most common reason for falls (n = 355) was stumbling (n = 61). Of the falls, 123 led to injuries, 50 to emergency department visits, and 13 to fractures. The participants without falls (n = 103) were younger and had milder dementia than those with 1 (n = 34) or ≥2 falls (n = 57). Participants with a Mini Mental State Examination score of around 10 points were most prone to fall. In adjusted regression models, good nutritional status, good physical functioning, and use of antihypertensive medication (incident rate ratio [IRR] 0.68, 95% confidence interval [CI] 0.54–0.85) protected against falls, whereas fall history (IRR 2.71, 95% CI 2.13–3.44), osteoarthritis, diabetes mellitus, chronic obstructive pulmonary disease, higher number of drugs, drugs with anticholinergic properties, psychotropics, and opioids (IRR 4.27, 95% CI 2.92–6.24) were risk factors for falls. Conclusions Our study provides a detailed account on how and why people with AD fall, suggesting several risk and protective factors. PMID:28690633

Effect of hormone therapy on lean body mass, falls, and fractures: 6-year results from the Women's Health Initiative hormone trials.

PubMed

Bea, Jennifer W; Zhao, Qiuhong; Cauley, Jane A; LaCroix, Andrea Z; Bassford, Tamsen; Lewis, Cora E; Jackson, Rebecca D; Tylavsky, Frances A; Chen, Zhao

2011-01-01

Loss of lean body mass with aging may contribute to falls and fractures. The objective of this analysis was to determine if taking postmenopausal hormone therapy (or HT: estrogen plus progestogen therapy or estrogen therapy alone) favorably affects age-related changes in lean body mass and if these changes partially account for decreased falls or fractures with HT. Participants randomly assigned to either estrogen plus progestogen therapy (n = 543) or control (n = 471) and estrogen therapy alone (n = 453) or control (n = 474) and receiving dual-energy x-ray absorptiometry scans to estimate body composition during the Women's Health Initiative were evaluated. Falls and fracture occurrence were obtained by annual self-report. Fractures were confirmed by a clinical chart review. At 6 years postrandomization, lean body mass was not different between HT and control groups. Although lean body mass positively influenced bone mineral density, independent of HT status, the preserved lean body mass observed in the HT arms in the first 3 years did not significantly contribute to models evaluating HT influence on falls and fractures between years 3 and 6. Women taking at least 80% of their medication in the HT arms demonstrated fewer falls compared with placebo; this difference was not attributable to change in lean body mass. Despite early preservation of lean body mass with HT (3 y), HT did not ameliorate long-term (6 y) loss in lean body mass with aging.

Factors associated with recognition and prioritization for falling, and the effect on fall incidence in community dwelling older adults.

PubMed

Jansen, Sofie; Schoe, Jolanda; van Rijn, Marjon; Abu-Hanna, Ameen; Moll van Charante, Eric P; van der Velde, Nathalie; de Rooij, Sophia E

2015-12-17

Recent trials have shown that multifactorial fall interventions vary in effectiveness, possibly due to lack of adherence to the interventions. The aim of this study was to examine what proportion of older adults recognize their falls risk and prioritize for fall-preventive care, and which factors are associated with this prioritization. Observational study within the intervention arm of a cluster randomized controlled trial (RCT) on the effect of preventive interventions for geriatric problems in older community-dwellers at risk of functional decline.  general practices in the Netherlands. Participants were community dwellers (70+) in whom falling was identified as a condition. A comprehensive geriatric assessment (CGA) was performed by a registered community care nurse. Participants were asked which of the identified conditions they recognized and prioritized for in a preventive care plan, and subsequent interventions were started. Multivariable logistic regression was performed to identify which factors were associated with this prioritization. Fall-incidence was measured during one-year follow-up. The RCT included 6668 participants, 3430 were in the intervention arm. Of those, 1209 were at risk of functional decline, of whom 936 underwent CGA. In 380 participants (41 %), falling was identified as a condition; 62 (16 %) recognized this and 37 (10 %) prioritized for it. Factors associated with prioritization for falls-prevention were: recurrent falls in the past year (OR 2.2 [95 % CI 1.1-4.4]), severe fear-of-falling (OR 2.7 [1.2-6.0]) and use of a walking aid (2.3 [1.1-5.0]). Sixty participants received a preventive intervention for falling; 29 had prioritized for falling. Incidence of falls was higher in the priority group than the non-priority group (67 % vs. 37 % respectively) during first six months of follow-up, but similar between groups after 12 months (40.7 % vs. 44.4 %). The proportion of community-dwellers at risk of falls that recognizes this

Cost-effectiveness analysis of a multifactorial fall prevention intervention in older home care clients at risk for falling.

PubMed

Isaranuwatchai, Wanrudee; Perdrizet, Johnna; Markle-Reid, Maureen; Hoch, Jeffrey S

2017-09-01

Falls among older adults can cause serious morbidity and pose economic burdens on society. Older age is a known risk factor for falls and age has been shown to influence the effectiveness of fall prevention programs. To our knowledge, no studies have explicitly investigated whether cost-effectiveness of a multifactorial fall prevention intervention (the intervention) is influenced by age. This economic evaluation explores: 1) the cost-effectiveness of a multifactorial fall prevention intervention compared to usual care for community-dwelling adults ≥ 75 years at risk of falling in Canada; and 2) the influence of age on the cost-effectiveness of the intervention. Net benefit regression was used to examine the cost-effectiveness of the intervention with willingness-to-pay values ranging from $0-$50,000. Effects were measured as change in the number of falls, from baseline to 6-month follow-up. Costs were measured using a societal perspective. The cost-effectiveness analysis was conducted for both the total sample and by age subgroups (75-84 and 85+ years). For the total sample, the intervention was not economically attractive. However, the intervention was cost-effective at higher willingness-to-pay (WTP) (≥ $25,000) for adults 75-84 years and at lower WTP (< $5,000) for adults 85+ years. The cost-effectiveness of the intervention depends on age and decision makers' WTP to prevent falls. Understanding the influence of age on the cost-effectiveness of an intervention may help to target resources to those who benefit most. Retrospectively registered. Clinicaltrials.gov identifier: NCT00463658 (18 April 2007).

Falls, sarcopenia and growth in early life

PubMed Central

Sayer, Avan Aihie; Syddall, Holly E; Martin, Helen J; Dennison, Elaine M; Anderson, Frazer H; Cooper, Cyrus

2007-01-01

Recent studies have shown that people with poor early growth have an increased risk of sarcopenia. Sarcopenia is an important risk factor for falls but it is not known whether poor early growth is related to falls. We investigated this in the Hertfordshire Cohort Study where 2148 participants completed a falls history. Grip strength was used as a marker of sarcopenia. Birth weight, weight at one year and conditional infant growth were analysed in relation to falls history. The prevalence of any fall in the last year was 14.3% for men and 22.5% for women. Falls in the last year were inversely related to adult grip strength, height and walking speed in men and women as well as to lower conditional infant growth in men (OR 1.27 [95% CI 1.04, 1.56] per SD decrease in conditional infant growth, p=0.02). This association was attenuated after adjustment for grip strength. Our findings support an association between poor early growth and falls in older men which appears to be mediated partly through sarcopenia. The lack of relationship with birth weight suggests that postnatal rather than prenatal influences on muscle growth and development may be important for risk of falls in later life. PMID:16905644

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

Identifying nursing home residents at risk for falling.

PubMed

Kiely, D K; Kiel, D P; Burrows, A B; Lipsitz, L A

1998-05-01

To develop a fall risk model that can be used to identify prospectively nursing home residents at risk for falling. The secondary objective was to determine whether the nursing home environment independently influenced the development of falls. A prospective study involving 1 year of follow-up. Two hundred seventy-two nursing homes in the state of Washington. A total of 18,855 residents who had a baseline assessment in 1991 and a follow-up assessment within the subsequent year. Baseline Minimum Data Set items that could be potential risk factors for falling were considered as independent variables. The dependent variable was whether the resident fell as reported at the follow-up assessment. We estimated the extrinsic risk attributable to particular nursing home environments by calculating the annual fall rate in each nursing home and grouping them into tertiles of fall risk according to these rates. Factors associated independently with falling were fall history, wandering behavior, use of a cane or walker, deterioration of activities of daily living performance, age greater than 87 years, unsteady gait, transfer independence, wheelchair independence, and male gender. Nursing home residents with a fall history were more than three times as likely to fall during the follow-up period than residents without a fall history. Residents in homes with the highest tertile of fall rates were more than twice as likely to fall compared with residents of homes in the lowest tertile, independent of resident-specific risk factors. Fall history was identified as the strongest risk factor associated with subsequent falls and accounted for the vast majority of the predictive strength of the model. We recommend that fall history be used as an initial screener for determining eligibility for fall intervention efforts. Studies are needed to determine the facility characteristics that contribute to fall risk, independent of resident-specific risk factors.

Mercer County Community College Remedial Program Assessment, August 1988. Two Year Follow-Up of the Fall 1986 Cohort.

ERIC Educational Resources Information Center

Porter, Al

This assessment of New Jersey's Mercer County Community College's (MCCC's) remedial program provides a program overview, results of a two-year follow-up of fall 1986 remedial students, and comparative data from previous years. The program overview examines policies and procedures concerning placement criteria, exit standards, program acceptance,…

Risk factors, incidence, consequences and prevention strategies for falls and fall-injury within older indigenous populations: a systematic review.

PubMed

Lukaszyk, Caroline; Harvey, Lara; Sherrington, Cathie; Keay, Lisa; Tiedemann, Anne; Coombes, Julieann; Clemson, Lindy; Ivers, Rebecca

2016-12-01

To examine the risk factors, incidence, consequences and existing prevention strategies for falls and fall-related injury in older indigenous people. Relevant literature was identified through searching 14 electronic databases, a range of institutional websites, online search engines and government databases, using search terms pertaining to indigenous status, injury and ageing. Thirteen studies from Australia, the United States, Central America and Canada were identified. Few studies reported on fall rates but two reported that around 30% of indigenous people aged 45 years and above experienced at least one fall during the past year. The most common hospitalised fall injuries among older indigenous people were hip fracture and head injury. Risk factors significantly associated with falls within indigenous populations included poor mobility, a history of stroke, epilepsy, head injury, poor hearing and urinary incontinence. No formally evaluated, indigenous-specific fall prevention interventions were identified. Falls are a significant and growing health issue for older indigenous people worldwide that can lead to severe health consequences and even death. No fully-evaluated, indigenous-specific fall prevention programs were identified. Implications for Public Health: Research into fall patterns and fall-related injury among indigenous people is necessary for the development of appropriate fall prevention interventions. © 2016 Public Health Association of Australia.

Twenty years of workers' compensation costs due to falls from height among union carpenters, Washington state.

PubMed

Lipscomb, Hester J; Schoenfisch, Ashley L; Cameron, Wilfrid; Kucera, Kristen L; Adams, Darrin; Silverstein, Barbara A

2014-09-01

Falls from height (FFH) are a longstanding, serious problem in construction. We report workers' compensation (WC) payments associated with FFH among a cohort (n = 24,830; 1989-2008) of carpenters. Mean/median payments, cost rates, and adjusted rate ratios based on hours worked were calculated using negative-binomial regression. Over the 20-year period FFH accounted for $66.6 million in WC payments or $700 per year for each full-time equivalent (2,000 hr of work). FFH were responsible for 5.5% of injuries but 15.1% of costs. Cost declines were observed, but not monotonically. Reductions were more pronounced for indemnity than medical care. Mean costs were 2.3 times greater among carpenters over 50 than those under 30; cost rates were only modestly higher. Significant progress has been made in reducing WC payments associated with FFH in this cohort particularly through 1996; primary gains reflect reduction in frequency of falls. FFH that occur remain costly. © 2014 Wiley Periodicals, Inc.

A winter severity index for the state of Maine.

DOT National Transportation Integrated Search

2009-01-01

Winter maintenance in the Sate of Maine consumes around twenty percent of the Bureau of : Maintenance and Operations budget each year. Costs are directly related to the length and severity : of a winter season. In addition, the cost of materials and ...

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

Unusually cold and dry winters increase mortality in Australia.

PubMed

Huang, Cunrui; Chu, Cordia; Wang, Xiaoming; Barnett, Adrian G

2015-01-01

Seasonal patterns in mortality have been recognised for decades, with a marked excess of deaths in winter, yet our understanding of the causes of this phenomenon is not yet complete. Research has shown that low and high temperatures are associated with increased mortality independently of season; however, the impact of unseasonal weather on mortality has been less studied. In this study, we aimed to determine if unseasonal patterns in weather were associated with unseasonal patterns in mortality. We obtained daily temperature, humidity and mortality data from 1988 to 2009 for five major Australian cities with a range of climates. We split the seasonal patterns in temperature, humidity and mortality into their stationary and non-stationary parts. A stationary seasonal pattern is consistent from year-to-year, and a non-stationary pattern varies from year-to-year. We used Poisson regression to investigate associations between unseasonal weather and an unusual number of deaths. We found that deaths rates in Australia were 20-30% higher in winter than summer. The seasonal pattern of mortality was non-stationary, with much larger peaks in some winters. Winters that were colder or drier than a typical winter had significantly increased death risks in most cities. Conversely summers that were warmer or more humid than average showed no increase in death risks. Better understanding the occurrence and cause of seasonal variations in mortality will help with disease prevention and save lives. Copyright © 2014 Elsevier Inc. All rights reserved.

Highlights of 2012 Fall Meeting

NASA Astrophysics Data System (ADS)

Finn, Carol

2013-01-01

This past December the streets of San Francisco, Calif., surrounding the Moscone Center were awash with a sea of Earth and space scientists attending the 45th consecutive AGU Fall Meeting, eager to share and expand their knowledge "for the benefit of humanity." As it has for many years, attendance at AGU's Fall Meeting—the largest gathering of Earth and space scientists in the world—continued to increase, this year passing the 24,000 mark. Attendees at the meeting, which took place on 3-7 December 2012, hailed from 97 countries; nearly 7000 of them were students. News from the Fall Meeting was carried in newspapers and on Web sites around the world, and the social media sphere lit up with talk of AGU and the Fall Meeting. It's even reported that for a short time we were a trending topic on Twitter.

Falls among union carpenters.

PubMed

Lipscomb, Hester J; Li, Leiming; Dement, John M

2003-08-01

Falls are a leading cause of morbidity and mortality in the construction trades. We identified a cohort of 16,215 active union carpenters, hours worked, and their workers' compensation claims for a 10-year period. The data on this well-defined cohort were used to describe their work-related falls; to define rates of injury and the associated costs; and to identify high-risk groups. Same level falls occurred at a rate of 1.8/200,000 hours worked; falls from elevations at a rate of 2.3/200,000 hours worked. These injuries resulted in direct payments of 0.30 dollars per hour of work or 2.40 dollars per 8-hr day. Mean costs per fall increased with increasing age. Age was not associated with risk of falls from elevations; younger carpenters had modestly reduced rates of falls from the same level. Rates of falls decreased with increasing time in the union. Carpenters whose usual work involved drywall installation or residential work were at highest risk. Falls are a significant public health risk for carpenters and they are responsible for a significant burden of work-related injury costs. While there is a need for prevention of falls from elevations--through training, enforcement of fall protection regulations, improved safety climate, or engineering changes--there is also the need to prevent falls from lower elevations. Differences in risk likely reflect varying exposures and safety practices in different areas of carpentry, as well as training, experience, and job assignments based on longevity in the union. Copyright 2003 Wiley-Liss, Inc.

Ensemble Mean Density and its Connection to Other Microphysical Properties of Falling Snow as Observed in Southern Finland

NASA Technical Reports Server (NTRS)

Tiira, Jussi; Moisseev, Dmitri N.; Lerber, Annakaisa von; Ori, Davide; Tokay, Ali; Bliven, Larry F.; Petersen, Walter

2016-01-01

In this study measurements collected during winters 2013/2014 and 2014/2015 at the University of Helsinki measurement station in Hyytiala are used to investigate connections between ensemble mean snow density, particle fall velocity and parameters of the particle size distribution (PSD). The density of snow is derived from measurements of particle fall velocity and PSD, provided by a particle video imager, and weighing gauge measurements of precipitation rate. Validity of the retrieved density values is checked against snow depth measurements. A relation retrieved for the ensemble mean snow density and median volume diameter is in general agreement with previous studies, but it is observed to vary significantly from one winter to the other. From these observations, characteristic mass- dimensional relations of snow are retrieved. For snow rates more than 0.2mm/h, a correlation between the intercept parameter of normalized gamma PSD and median volume diameter was observed.

Ixodes ricinus parasitism of birds increases at higher winter temperatures.

PubMed

Furness, Robert W; Furness, Euan N

2018-06-01

Increasing winter temperatures are expected to cause seasonal activity of Ixodes ricinus ticks to extend further into the winter. We caught birds during winter months (November to February) at a site in the west of Scotland over a period of 24 years (1993-1994 to 2016-2017) to quantify numbers of attached I. ricinus and to relate these to monthly mean temperature. No adult ticks were found on any of the 21,731 bird captures, but 946 larvae and nymphs were found, with ticks present in all winter months, on 16 different species of bird hosts. All ticks identified to species were I. ricinus. I. ricinus are now active throughout the year in this area providing temperature permits. No I. ricinus were present in seven out of eight months when the mean temperature was below 3.5º C. Numbers of I. ricinus attached to birds increased rapidly with mean monthly temperatures above 7º C. Winter temperatures in Scotland have been above the long-term average in most years in the last two decades, and this is likely to increase risk of tick-borne disease. © 2018 The Society for Vector Ecology.

Crop and livestock enterprise integration: Effects of annual crops used for fall forage production on livestock productivity

USDA-ARS?s Scientific Manuscript database

Diversification of farm enterprises is important to maintain sustainable production systems. Systems that integrate crops and livestock may prove beneficial to each enterprise. Our objectives were to determine the effects of annual crops grazed in the fall and early-winter period on cow and calf gro...

Differences and Similarities between Summer and Winter Temperatures and Winds during MaCWAVE

NASA Technical Reports Server (NTRS)

Schmidlin, F. J.; Goldberg, R. A.

2008-01-01

The Mountain and Convective Waves Ascending Vertically Experiment (MaCWAVE) was carried out in two sequences: one during the summer from the Andoya Rocket Range (69N) during July 2002 to examine convective initiation of gravity waves. The second was a winter sequence from ESRANGE (68N) during January 2003 to examine mountain-initiated waves. Inflatable falling spheres released from small meteorological rockets provided significant information about the variation of temperature and wind from 50 km and higher. The small rocket launch activity was restricted to 12-hour periods that inhibited observing a full diurnal cycle, nonetheless, the time-history of the measurements have provided information about tidal motion. During summer, temperature variation was smaller than observed during winter when peak differences reached 15-20 K at 80-85 km. variation in zonal winds varied up to more than 100 mps in summer and winter. Times of wind vs. altitude showed that the peak zonal component occurred approximately two hours ahead of the peak meridional wind. Measurement details and the observed variations are discussed.

[Impact of fall risk and fear of falling on mobility of independently living senior citizens transitioning to frailty: screening results concerning fall prevention in the community].

PubMed

Anders, J; Dapp, U; Laub, S; von Renteln-Kruse, W

2007-08-01

There is a strong relation between mobility, walking safety and living independently in old age. People with walking problems suffer from fear of falling and tend to restrict their mobility and performance level in the community environment--even before falls occur. This study was planned to test the validity and prognostic value of a fall risk screening instrument ("Sturz-Risiko-Check") that has already shown its feasibility, acceptance and reliability, targeting independently living senior citizens. The study sample was recruited from a sheltered housing complex in Hamburg (with written consent). Persons with need of professional care ("Pflegestufe" in Germany) were excluded. The residents were asked to fill in the multidimensional questionnaire ("Sturz-Risiko- Check"). In a second step, a trained nurse asked the participants in a phone call about their competence in the instrumental activities of daily living (I-ADL mod. from Lawton, Brody 1969) and about their usual mobility performance level (e.g. frequency and distance of daily walks, use of public transport). According to the number and weight of self-reported risk factors for falling, three groups: "low fall risk", "medium fall risk" and "high fall risk" were classified. Finally, this classification was re-tested after one year, asking for falls and fall related injuries. A total of 112 senior citizens without need of personal care, living in a sheltered housing facility were asked to participate. Acceptance was high (76.1%). Self-reported data from 79 participants concerning falls, fall-risk, mobility and instrumental activities of daily living were included in the statistical analyses. Mean age was 78 (64 to 93) years and associated by a high percentage of women (75.9%) in this sample. The older participants reported 0 to 13 different factors (mean 5) related to a high risk of future falls. Most participants (78.5%) quit cycling because of fear of falling. There was a high incidence in the study sample

The Remarkable 2003-2004 Winter and Other Recent Warm Winters in the Arctic Stratosphere Since the Late 1990s

NASA Technical Reports Server (NTRS)

Manney, Gloria L.; Krueger, Kirstin; Sabutis, Joseph L.; Sena, Sara Amina; Pawson, Steven

2004-01-01

The 2003-2004 Arctic winter was remarkable in the 40-year record of meteorological analyses. A major warming beginning in early January 2004 led to nearly two months of vortex disruption with high-latitude easterlies in the middle to lower stratosphere. The upper stratospheric vortex broke up in late December, but began to recover by early January, and in February and March was the strongest since regular observations began in 1979. The lower stratospheric vortex broke up in late January. Comparison with two previous years, 1984-1985 and 1986-1987, with prolonged mid-winter warming periods shows unique characteristics of the 2003-2004 warming period: The length of the vortex disruption, the strong and rapid recovery in the upper stratosphere, and the slow progression of the warming from upper to lower stratosphere. January 2004 zonal mean winds in the middle and lower stratosphere were over two standard deviations below average. Examination of past variability shows that the recent frequency of major stratospheric warmings (seven in the past six years) is unprecedented. Lower stratospheric temperatures were unusually high during six of the past seven years, with five having much lower than usual potential for PSC formation and ozone loss (nearly none in 1998-1999, 2001-2002 and 2003-2004, and very little in 1997-1998 and 2000-2001). Middle and upper stratospheric temperatures, however, were unusually low during and after February. The pattern of five of the last seven years with very low PSC potential would be expected to occur randomly once every approximately 850 years. This cluster of warm winters, immediately following a period of unusually cold winters, may have important implications for possible changes in interannual variability and for determination and attribution of trends in stratospheric temperatures and ozone.

Falls risk assessment in older patients in hospital.

PubMed

Matarese, Maria; Ivziku, Dhurata

2016-07-27

Falls are the most frequent adverse event reported in hospitals, usually affecting older patients. All hospitals in NHS organisations develop risk prevention policies that include falls risk assessment. Falls risk assessment involves the use of risk screening tools, aimed at identifying patients at increased risk of falls, and risk assessment tools, which identify a patient's risk factors for falls. Various risk screening tools have been used in clinical practice, but no single tool is able to identify all patients at risk of falls or to accurately exclude all those who are not at risk of falls. Guidelines recommend that patients aged 65 years and over who are admitted to hospital should be considered at high risk of falls and that a multifactorial falls risk assessment should be performed. Therefore, falls risk assessment tools should be used to identify the risk factors for each inpatient aged 65 years or over, in order to determine the most appropriate care plan for falls prevention and to maximise patient mobility and independence.

Sex-specific association between obesity and self-reported falls and injuries among community-dwelling Canadians aged 65 years and older.

PubMed

Handrigan, G A; Maltais, N; Gagné, M; Lamontagne, P; Hamel, D; Teasdale, N; Hue, O; Corbeil, P; Brown, J P; Jean, S

2017-02-01

This study investigated the relationship between body mass index (BMI) and falls among community-dwelling elderly. Results indicate that obesity is associated with increased falls and there appears to be a sex-specific difference with obese men at higher risk of falling. Obesity is identified as a risk factor for falls in men. The prevalence of falls, fall-related injuries, and obesity has increased over the last decade. The objectives of this study were to investigate sex-specific association and dose-response relationship between BMI and falls (and related injuries) among community-dwelling elderly. Our study sample consisted of 15,860 adults aged 65 years or older (6399 men and 9461 women) from the 2008-2009 Canadian Community Health Survey-Healthy Aging (CCHS-HA). Falls, fall-related injuries, and BMI measures were self-reported. For both sex, dose-response curves presenting the relationship between BMI, falls, and fall-related injuries were first examined. Thereafter, multivariate logistic regression analyses were also performed to investigate these relationships after adjustment for potentially confounding variables. Of women, 21.7 % reported a fall and 16.9 % of men. The dose-response relationship between BMI and prevalence of falls showed that underweight and obese individuals reported falling more than normal and overweight individuals; this being more apparent in men than women. Finally, the dose relationship between BMI and prevalence of fall-related injuries showed that only obese men seem more likely to have sustained a fall-related injury. Results from the multivariate analysis showed that obesity in men was significantly associated with higher odds of falling odds ratio (OR) 1.33 (1.04-1.70) and was not significantly associated with higher odds of fall-related injuries OR 1.10 (0.66-1.84) over a 12-month period compared to normal weight men. For women, obesity was not significantly associated with higher fall prevalence OR 0.99 (0.79-1.25) and

Atlantic forcing of Western Mediterranean winter rain minima during the last 12,000 years

NASA Astrophysics Data System (ADS)

Zielhofer, Christoph; Fletcher, William J.; Mischke, Steffen; De Batist, Marc; Campbell, Jennifer F. E.; Joannin, Sebastien; Tjallingii, Rik; El Hamouti, Najib; Junginger, Annett; Stele, Andreas; Bussmann, Jens; Schneider, Birgit; Lauer, Tobias; Spitzer, Katrin; Strupler, Michael; Brachert, Thomas; Mikdad, Abdeslam

2017-02-01

The limited availability of high-resolution continuous archives, insufficient chronological control, and complex hydro-climatic forcing mechanisms lead to many uncertainties in palaeo-hydrological reconstructions for the Western Mediterranean. In this study we present a newly recovered 19.63 m long core from Lake Sidi Ali in the North African Middle Atlas, a transition zone of Atlantic, Western Mediterranean and Saharan air mass trajectories. With a multi-proxy approach based on magnetic susceptibility, carbonate and total organic C content, core-scanning and quantitative XRF, stable isotopes of ostracod shells, charcoal counts, Cedrus pollen abundance, and a first set of diatom data, we reconstruct Western Mediterranean hydro-climatic variability, seasonality and forcing mechanisms during the last 12,000 yr. A robust chronological model based on AMS 14C dated pollen concentrates supports our high-resolution multi-proxy study. Long-term trends reveal low lake levels at the end of the Younger Dryas, during the mid-Holocene interval 6.6 to 5.4 cal ka BP, and during the last 3000 years. In contrast, lake levels are mostly high during the Early and Mid-Holocene. The record also shows sub-millennial- to centennial-scale decreases in Western Mediterranean winter rain at 11.4, 10.3, 9.2, 8.2, 7.2, 6.6, 6.0, 5.4, 5.0, 4.4, 3.5, 2.9, 2.2, 1.9, 1.7, 1.5, 1.0, 0.7, and 0.2 cal ka BP. Early Holocene winter rain minima are in phase with cooling events and millennial-scale meltwater discharges in the sub-polar North Atlantic. Our proxy parameters do not show so far a clear impact of Saharan air masses on Mediterranean hydro-climate in North Africa. However, a significant hydro-climatic shift at the end of the African Humid Period (∼5 ka) indicates a change in climate forcing mechanisms. The Late Holocene climate variability in the Middle Atlas features a multi-centennial-scale NAO-type pattern, with Atlantic cooling and Western Mediterranean winter rain maxima generally

A Downturn of the Strong Winter-Warming Trend In Europe

NASA Technical Reports Server (NTRS)

Otterman, Joseph; Atlas, Robert; Bungato, Dennis; Koslowsky, Dirk; Wos, Alojzy; Atlas, Robert (Technical Monitor)

2002-01-01

Surface-air temperatures measured in winter at 3 meteorological stations in central Europe rise substantially for most of the second-half of the 20th century. This means shorter winter, and longer growing season, which has positive implications for regional agriculture. However, these positive trends stopped in winter of 1996, and for the recent 7 years no further climatic amelioration is reported.

Comparison of the Validity of Four Fall-Related Psychological Measures in a Community-Based Falls Risk Screening

ERIC Educational Resources Information Center

Moore, Delilah S.; Ellis, Rebecca; Kosma, Maria; Fabre, Jennifer M.; McCarter, Kevin S.; Wood, Robert H.

2011-01-01

We examined the measurement properties of fall-related psychological instruments with a sample of 133 older adults (M age = 74.4 years, SD = 9.4). Measures included the Comprehensive Falls Risk Screening Instrument, Falls-efficacy Scale-International (FES-I), Activities-specific Balance Confidence (ABC), modified Survey of Activities and Fear of…

46 CFR 122.704 - Maintenance of falls.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Maintenance of falls. 122.704 Section 122.704 Shipping..., Maintenance, and Inspection of Lifesaving Equipment § 122.704 Maintenance of falls. (a) Each fall used in a... fall must be renewed when necessary due to deterioration or at internals of not more than 5 years...

46 CFR 122.704 - Maintenance of falls.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Maintenance of falls. 122.704 Section 122.704 Shipping..., Maintenance, and Inspection of Lifesaving Equipment § 122.704 Maintenance of falls. (a) Each fall used in a... fall must be renewed when necessary due to deterioration or at internals of not more than 5 years...

46 CFR 122.704 - Maintenance of falls.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 4 2014-10-01 2014-10-01 false Maintenance of falls. 122.704 Section 122.704 Shipping..., Maintenance, and Inspection of Lifesaving Equipment § 122.704 Maintenance of falls. (a) Each fall used in a... fall must be renewed when necessary due to deterioration or at internals of not more than 5 years...

46 CFR 122.704 - Maintenance of falls.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Maintenance of falls. 122.704 Section 122.704 Shipping..., Maintenance, and Inspection of Lifesaving Equipment § 122.704 Maintenance of falls. (a) Each fall used in a... fall must be renewed when necessary due to deterioration or at internals of not more than 5 years...

46 CFR 122.704 - Maintenance of falls.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Maintenance of falls. 122.704 Section 122.704 Shipping..., Maintenance, and Inspection of Lifesaving Equipment § 122.704 Maintenance of falls. (a) Each fall used in a... fall must be renewed when necessary due to deterioration or at internals of not more than 5 years...

Disease state fingerprint for fall risk assessment.

PubMed

Similä, Heidi; Immonen, Milla

2014-01-01

Fall prevention is an important and complex multifactorial challenge, since one third of people over 65 years old fall at least once every year. A novel application of Disease State Fingerprint (DSF) algorithm is presented for holistic visualization of fall risk factors and identifying persons with falls history or decreased level of physical functioning based on fall risk assessment data. The algorithm is tested with data from 42 older adults, that went through a comprehensive fall risk assessment. Within the study population the Activities-specific Balance Confidence (ABC) scale score, Berg Balance Scale (BBS) score and the number of drugs in use were the three most relevant variables, that differed between the fallers and non-fallers. This study showed that the DSF visualization is beneficial in inspection of an individual's significant fall risk factors, since people have problems in different areas and one single assessment scale is not enough to expose all the people at risk.

Spring and fall phytoplankton blooms in a productive subarctic ecosystem, the eastern Bering Sea, during 1995-2011

NASA Astrophysics Data System (ADS)

Sigler, Michael F.; Stabeno, Phyllis J.; Eisner, Lisa B.; Napp, Jeffrey M.; Mueter, Franz J.

2014-11-01

The timing and magnitude of phytoplankton blooms in subarctic ecosystems often strongly influence the amount of energy that is transferred through subsequent trophic pathways. In the eastern Bering Sea, spring bloom timing has been linked to ice retreat timing and production of zooplankton and fish. A large part of the eastern Bering Sea shelf (~500 km wide) is ice-covered during winter and spring. Four oceanographic moorings have been deployed along the 70-m depth contour of the eastern Bering Sea shelf with the southern location occupied annually since 1995, the two northern locations since 2004 and the remaining location since 2001. Chlorophyll a fluorescence data from the four moorings provide 37 realizations of a spring bloom and 33 realizations of a fall bloom. We found that in the eastern Bering Sea: if ice was present after mid-March, spring bloom timing was related to ice retreat timing (p<0.001, df=1, 24); if ice was absent or retreated before mid-March, a spring bloom usually occurred in May or early June (average day 148, SE=3.5, n=11). A fall bloom also commonly occurred, usually in late September (average day 274, SE=4.2, n=33), and its timing was not significantly related to the timing of storms (p=0.88, df=1, 27) or fall water column overturn (p=0.49, df=1, 27). The magnitudes of the spring and fall blooms were correlated (p=0.011, df=28). The interval between the spring and fall blooms varied between four to six months depending on year and location. We present a hypothesis to explain how the large crustacean zooplankton taxa Calanus spp. likely respond to variation in the interval between blooms (spring to fall and fall to spring).

Habitat change and geomorphic response related to sediment releases during reservoir drawdowns at Fall Creek Lake, Oregon

NASA Astrophysics Data System (ADS)

Keith, M. K.; Wallick, R.; Bangs, B. L.; Taylor, G.; Gordon, G. W.; White, J. S.; Mangano, J.

2017-12-01

Reservoir drawdowns at Fall Creek Lake, Oregon lower lake levels to facilitate downstream passage of juvenile spring Chinook salmon through the 55-m high dam. Since 2011, annual fall and winter drawdowns have improved fish passage, but temporarily lowering the lake nearly to streambed has increased downstream transport of predominantly fine (<2 mm) sediment to the lower gravel-bed reaches of Fall Creek and the Middle Fork Willamette River. Repeated releases of reservoir sediments have uncertain long-term consequences for downstream reaches where dam construction has reduced peak flows, coarse sediment transport, and habitat creation. Here, we evaluate site and reach-scale geomorphic responses to sediment released from the reservoir over 2011-17. At the reach-scale, sediment aggradation is most apparent in low velocity zones along channel margins and in side channels and alcoves of Fall Creek nearest to the dam. These areas accumulate sediment following the drawdown and are colonized with vegetation, such as reed canary grass, thereby increasing the trapping efficiency for fine sediment during the following year's drawdown. Fine sediment accumulation in off-channel areas has reduced the available rearing area for some salmonid species but may provide alternative habitat suitable for other native aquatic species such as Pacific lamprey ammocoetes that live in fine substrates for several years. Changes in off-channel aquatic habitat and bare gravel bars related to the drawdowns are small relative to the historically dynamic conditions on the Middle Fork (presently stable). Fall Creek, historically and presently stable, has fewer off-channel areas than the Middle Fork, so filling those areas has greater reach-scale impacts on habitat. Locally, deposition measured following the 2015 drawdown showed most aggradation on high-elevation gravel bars and low-elevation floodplains occurred when flows were higher on Fall Creek ( 2,000 ft3/s) and the Middle Fork (near bankfull

Long Term Decline in Eastern US Winter Temperature Extremes.

NASA Astrophysics Data System (ADS)

Trenary, L. L.; DelSole, T. M.; Tippett, M. K.; Doty, B.

2016-12-01

States along the US eastern seaboard have experienced successively harsh winter conditions in recent years. This has prompted speculation that climate change is leading to more extreme winter conditions. In this study we quantify changes in the observed winter extremes over the period 1950-2015, by examining year-to-year differences in intensity, frequency and likelihood of daily cold temperature extremes in the north, mid, and south Atlantic states along the US east coast. Analyzing station data for these three regions, we find that while the north and mid-Atlantic regions experienced record-breaking cold temperatures in 2015, there is no long-term increase in the intensity of cold extremes anywhere along the eastern seaboard. Likewise, despite the record number of cold days in these two regions during 2014 and 2015, there is no systematic increase in the frequency of cold extremes. To determine whether the observed changes are natural or human-forced, we repeat our analysis using a suite of climate simulations, with and without external forcing. Generally, model simulations suggest that human-induced forcing does not significantly influence the range of daily winter temperature. Combining this result with the fact that the observed winter temperatures are becoming warmer and less variable, we conclude that the recent intensification of eastern US cold extremes is only temporary.

Variation in spring migration routes and breeding distribution of northern pintails Anas acuta that winter in Japan

USGS Publications Warehouse

Hupp, Jerry W.; Yamaguchi, Noriyuki; Flint, Paul L.; Pearce, John M.; Tokita, Ken-ichi; Shimada, Tetsuo; Ramey, Andrew M.; Kharitonov, Sergei; Higuchi, Hiroyoshi

2011-01-01

In North America, spring migration routes and breeding distribution of northern pintails Anas acuta vary because some individuals opportunistically nest at mid-latitudes in years when ephemeral prairie wetlands are available, whereas others regularly nest in arctic and sub-arctic regions where wetland abundance is more constant. Less was known about migration routes and breeding distribution of pintails in East Asia. From 2007–2009 we marked 198 pintails on their wintering areas in Japan with satellite transmitters to: 1) document spring migration routes and summer distribution, 2) evaluate migratory connections and breeding season sympatry with North American pintails, and 3) determine if pintails used the same migration routes in fall as in spring. Most pintails (67%) migrated to the Kamchatka or Chukotka peninsulas in eastern Russia either directly from Japan or via Sakhalin Island, Russia. Remaining pintails primarily migrated to the Magadan region or Kolyma River Basin in eastern Russia via Sakhalin Island. The Chukotka Peninsula was the most common summer destination, with highest densities in the Anadyr Lowlands; a region also used by pintails that migrate from North America. One pintail migrated to St. Lawrence Island, Alaska, in spring and another briefly migrated to the western coast of Alaska in fall. Autumn migration routes generally mirrored spring migration although most pintails bypassed Sakhalin Island in fall. Compared to North American pintails, pintails that winter in Japan exhibited less variation in migration routes and breeding distribution, and nested at higher latitudes. In the Russian Far East there is no region with habitats comparable in extent to the ephemeral mid-latitude wetlands of North America. Consequently, East Asian pintails mainly nest in arctic and sub-arctic regions where annual consistency in wetlands promotes constancy in migration routes and breeding distribution. Breeding season sympatry between pintails from different

Fear of Falling in Women with Fibromyalgia and Its Relation with Number of Falls and Balance Performance.

PubMed

Collado-Mateo, D; Gallego-Diaz, J M; Adsuar, J C; Domínguez-Muñoz, F J; Olivares, P R; Gusi, N

2015-01-01

To evaluate fear of falling, number of falls, and balance performance in women with FM and to examine the relationship between these variables and others, such as balance performance, quality of life, age, pain, and impact of fibromyalgia. A total of 240 women participated in this cross-sectional study. Of these, 125 had fibromyalgia. Several variables were assessed: age, fear of falling from 0 to 100, number of falls, body composition, balance performance, lower limb strength, health-related quality of life, and impact of fibromyalgia. Women with fibromyalgia reported more falls and more fear of falling. Fear of falling was associated with number of falls in the last year, stiffness, perceived balance problems, impact of FM, and HRQoL whereas the number of falls was related to fear of falling, balance performance with eyes closed, pain, tenderness to touch level, anxiety, self-reported balance problems, impact of FM, and HRQoL. FM has an impact on fear of falling, balance performance, and number of falls. Perceived balance problems seem to be more closely associated with fear of falling than objective balance performance.

The impact exploration of agricultural drought on winter wheat yield in the North China Plain

NASA Astrophysics Data System (ADS)

Yang, Jianhua; Wu, Jianjun; Han, Xinyi; Zhou, Hongkui

2017-04-01

Drought is one of the most serious agro-climatic disasters in the North China Plain, which has a great influence on winter wheat yield. Global warming exacerbates the drought trend of this region, so it is important to study the effect of drought on winter wheat yield. In order to assess the drought-induced winter wheat yield losses, SPEI (standardized precipitation evapotranspiration index), the widely used drought index, was selected to quantify the drought from 1981 to 2013. Additionally, the EPIC (Environmental Policy Integrated Climate) crop model was used to simulate winter wheat yield at 47 stations in this region from 1981 to 2013. We analyzed the relationship between winter wheat yield and the SPEI at different time scales in each month during the growing season. The trends of the SPEI and the trends of winter wheat yield at 47 stations over the past 32 years were compared with each other. To further quantify the effect of drought on winter wheat yield, we defined the year that SPEI varied from -0.5 to 0.5 as the normal year, and calculated the average winter wheat yield of the normal years as a reference yield, then calculated the reduction ratios of winter wheat based on the yields mentioned above in severe drought years. As a reference, we compared the results with the reduction ratios calculated from the statistical yield data. The results showed that the 9 to 12-month scales' SPEI in April, May and June had a high correlation with winter wheat yield. The trends of the SPEI and the trends of winter wheat yield over the past 32 years showed a positive correlation (p<0.01) and have similar spatial distributions. The proportion of the stations with the same change trend between the SPEI and winter wheat yield was 70%, indicating that drought was the main factor leading to a decline in winter wheat yield in this region. The reduction ratios based on the simulated yield and the reduction ratios calculated from the statistical yield data have a high positive

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.

Get connected: New Fall Meeting technology

NASA Astrophysics Data System (ADS)

Moscovitch, Mirelle

2012-11-01

Kick off your 2012 Fall Meeting experience today by joining the Fall Meeting Community, an interactive Web-based community. Whether you are attending this year's Fall Meeting or are just interested in learning more, this site can help you connect with colleagues, learn about the groundbreaking research and amazing programming being presented in San Francisco, and plan your trip to the largest Earth and space science conference of the year. Available through the Fall Meeting Web site (http://fallmeeting.agu.org), the Community allows you to share your Fall Meeting experience like never before. You can join groups based on your interests, and each group includes a message board that allows you to ask questions, post comments, discuss presentations, and make plans with colleagues. You can also create your own groups and use the Community's robust search engine to find and connect with friends. And because the Fall Meeting Web site was improved for 2012 to allow for nearly seamless functionality on mobile devices, you can access much of the same Community functionality on the go.

Fall prevention in central coast community pharmacies.

PubMed

Stuart, Gina M; Kale, Helen L

2018-04-19

Fall injuries among people aged 65 years and over (older people) cause substantial health decline and cost to the health system. In 2009 in New South Wales, 25.6% of older people fell in the previous year, and 10.7% (32 000) were hospitalised. Pharmacists are trusted professionals, who interact extensively with older people and have potential to augment fall prevention in pharmacies. This brief report describes how professional development improved pharmacist's knowledge and confidence in fall prevention, encouraged implementation of fall prevention plans and facilitated the provision of brief fall prevention interventions for older clients, after identification of fall risk. In 2014, pharmacists from all Central Coast pharmacies (n = 76) were invited to free, continuing professional development (CPD) in fall prevention. It provided education and resources to identify clients' fall risk, conduct brief fall prevention interventions and implement fall prevention health promotion plans (FPHPP). Pharmacists completed written: Baseline and post-workshop questionnaires to assess changes in pharmacist's knowledge and confidence, and existing fall prevention in pharmacies. Logs of client fall risk and brief fall prevention interventions offered to clients. Four-month follow-up questionnaires to assess implementation of FPHPPs and pharmacy practice changes. Pharmacists representing 36% of pharmacies participated. At four-month follow-up, 67% had implemented FPHPPs, and 62% delivered brief interventions determined by client fall risk. Fall prevention in pharmacies can be augmented through locally provided CPD tailored for pharmacists. SO WHAT?: This model could increase fall prevention reach. It is transferable to settings where health professionals provide services to older adults and require reregistration through professional development. © 2018 Australian Health Promotion Association.

Sea ice radar signatures from ERS-1 SAR during late Summer and Fall in the Beaufort and Chukchi Seas

NASA Technical Reports Server (NTRS)

Holt, Benjamin; Cunningham, Glenn; Kwok, Ron

1993-01-01

A study which examines ERS-1 C band SAR (Synthetic Aperture Radar) imagery of sea ice obtained in the Beaufort and Chukchi Seas from mid Summer through Fall freeze up and early Winter in 1991 is presented. Radar backscatter statistics of sea ice were obtained from the imagery, using common floes tracked through consecutive repeat images whenever possible. During the Summer months, strong fluctuations in ice signatures of several dB are observed over 2 to 3 day periods, which are found to be closely related to air temperature excursions above and below freezing that alters the phase of the ice surface. As air temperatures drop steadily below freezing in the Fall, the signatures of the pack ice increase in brightness and become more stable with time. Multiyear ice is distinguished from rough and smooth first year ice. There are also variations in the multiyear signatures with latitude. Large variations are seen in new ice and open water contained within leads which results in ambiguous classification.

Understanding Design Vulnerabilities in the Physical Environment Relating to Patient Fall Patterns in a Psychiatric Hospital: Seven Years of Sentinel Events.

PubMed

Bayramzadeh, Sara; Portillo, Margaret; Carmel-Gilfilen, Candy

2018-05-01

The influence of the physical environment on patient falls has not been fully explored in psychiatric units, despite this patient population's vulnerability and the critical role of the physical environment in patient safety. The research objective is to describe the spatial and temporal pattern of falls occurrences and their location in relation to the levels of safety continuum model. This article presents an exploratory case study design. Seven years of retrospective data on patient falls, yielding 818 sentinel events, in an 81-bed psychiatric hospital in the United States were collected and analyzed. Data focused on extrinsic factors for falls, emphasizing the physical environment. Through a content analysis of the sentinel event narratives, recorded by the hospital staff, this study explored patient falls related to location and elements of the physical environment. The analysis revealed that 15% of recorded falls were attributed to some aspect of or element within the physical environment. The most typical locations of falls were patient rooms (39%), patient bathrooms (22%), and dayrooms (20%). Also, the results identified patterns of environmental factors that appeared linked to increasing patients' susceptibility to falls. Risk factors included poor nighttime lighting, flooring surfaces that were uneven, and spaces that inadvertently limited visual access and supervision. The physical environment plays an often-unexamined role in fall events and specific locations. These results are deserving of further research on design strategies and applications to reduce patient falls in psychiatric hospital settings.

Local Normative Data on easyCBM[R] Reading and Mathematics: Fall 2009. Technical Report # 0918

ERIC Educational Resources Information Center

Tindal, Gerald; Alonzo, Julie; Anderson, Daniel

2009-01-01

We developed equivalent, alternate forms of easyCBM[R] in reading (n=20 forms) and mathematics (n=13 forms) with different skills reflective of the National Reading Panel (NRP) and the National Council of Teachers of Mathematics (NCTM), respectively. We then took three forms to use as screening measures in the fall, winter, and spring so educators…

New methods for fall risk prediction.

PubMed

Ejupi, Andreas; Lord, Stephen R; Delbaere, Kim

2014-09-01

Accidental falls are the leading cause of injury-related death and hospitalization in old age, with over one-third of the older adults experiencing at least one fall or more each year. Because of limited healthcare resources, regular objective fall risk assessments are not possible in the community on a large scale. New methods for fall prediction are necessary to identify and monitor those older people at high risk of falling who would benefit from participating in falls prevention programmes. Technological advances have enabled less expensive ways to quantify physical fall risk in clinical practice and in the homes of older people. Recently, several studies have demonstrated that sensor-based fall risk assessments of postural sway, functional mobility, stepping and walking can discriminate between fallers and nonfallers. Recent research has used low-cost, portable and objective measuring instruments to assess fall risk in older people. Future use of these technologies holds promise for assessing fall risk accurately in an unobtrusive manner in clinical and daily life settings.

Tree-ring dating of meteorite fall in Sikhote-Alin, Eastern Siberia - Russia

NASA Astrophysics Data System (ADS)

Fantucci, R.; Di Martino, Mario; Serra, Romano

2012-01-01

This research deals with the fall of the Sikhote-Alin iron meteorite on the morning of 12 February 1947, at about 00:38 h Utrecht, in a remote area in the territory of Primorsky Krai in Eastern Siberia (46°09‧36″N, 134°39‧22″E). The area engulfed by the meteoritic fall was around 48 km2, with an elliptic form and thousands of craters. Around the large craters the trees were torn out by the roots and laid radially to the craters at a distance of 10-20 m; the more distant trees had broken tops. This research investigated through dendrocronology n.6 Scots pine trees (Pinus Sibirica) close to one of the main impact craters. The analysis of growth anomalies has shown a sudden decrease since 1947 for 4-8 years after the meteoritic impact. Tree growth stress, detected in 1947, was analysed in detail through wood microsection that confirmed the winter season (rest vegetative period) of the event. The growth stress is mainly due to the lost crown (needle lost) and it did not seem to be caused due to direct damages on trunk and branches (missing of resin ducts).

Differences and Similarities in MaCWAVE Summer and Winter Temperatures and Winds

NASA Technical Reports Server (NTRS)

Schmidlin, F. J.; Goldberg, R. A.

2008-01-01

Small meteorological rockets released inflatable falling spheres during the MaCWAVE Campaign. The Mountain and Convective Waves Ascending Vertically Experiment (MaCWAVE) was carried out in two parts, a summer sequence from Andoya Rocket Range (69N) during July 2002 to examine convective initiation of gravity waves and a winter sequence from ESRANGE (68N) during January 2003 to examine mountain-terrain initiated gravity waves. The sphere-tracked data provided significant information about the variation of temperature and wind from 70 km and above. The changes observed may be considered akin to tidal motion; unfortunately the launch activity was restricted to 12-hour periods, thus the observation of a full diurnal cycle was not possible. During summer, temperature variation was smaller than that observed during winter when peak to null differences reached 15-20 K at 80-85 km. Variation in the zonal winds varied up to 100+mps in summer and winter. Examination of the times of peak wind vs altitude showed that the peak zonal wind occurred approximately two hours ahead of the peak meridional wind. We provide details about the measurements and observed variations.

Severe European winters in a secular perspective

NASA Astrophysics Data System (ADS)

Hoy, Andreas; Hänsel, Stephanie

2017-04-01

Temperature conditions during the winter time are substantially shaped by a strong year-to-year variability. European winters since the late 1980s - compared to previous decades and centuries - were mainly characterised by a high temperature level, including recent record-warm winters. Yet, comparably cold winters and severe cold spells still occur nowadays, like recently observed from 2009 to 2013 and in early 2017. Central England experienced its second coldest December since start of observations more than 350 years ago in 2010, and some of the lowest temperatures ever measured in northern Europe (below -50 °C in Lapland) were recorded in January 1999. Analysing thermal characteristics and spatial distribution of severe (historical) winters - using early instrumental data - helps expanding and consolidating our knowledge of past weather extremes. This contribution presents efforts towards this direction. We focus on a) compiling and assessing a very long-term instrumental, spatially widespread and well-distributed, high-quality meteorological data set to b) investigate very cold winter temperatures in Europe from early measurements until today. In a first step, we analyse the longest available time series of monthly temperature averages within Europe. Our dataset extends from the Nordic countries up to the Mediterranean and from the British Isles up to Russia. We utilise as much as possible homogenised times series in order to ensure reliable results. Homogenised data derive from the NORDHOM (Scandinavia) and HISTALP (greater alpine region) datasets or were obtained from national weather services and universities. Other (not specifically homogenised) data were derived from the ECA&D dataset or national institutions. The employed time series often start already during the 18th century, with Paris & Central England being the longest datasets (from 1659). In a second step, daily temperature averages are involved. Only some of those series are homogenised, but

Risk assessment of fall-related occupational accidents in the workplace

PubMed Central

Tsukada, Tsukimi; Sakakibara, Hisataka

2016-01-01

Objectives: This study aimed to examine effective assessment methods of falls in the workplace. Methods: There were 436 employees (305 males and 131 females) of electrical appliance manufacturers included in this study. In 2014, a baseline survey was conducted using the fall scores questionnaire and the self-check risk assessment of falls and other accidents in the workplace (physical function measurement and questionnaire). In 2015, the occurrence of falls in the past year was investigated. Multivariate logistic regression analyses were performed to examine factors relevant to falls. Results: In total, 62 subjects (14.2%) fell during the year, including those who fell during off-hours. The occurrence of falls during that one year was only associated with having experienced falls during the past year in the baseline survey (odds ratio [OR] 5.0; 95% confidence interval [CI] 2.5-9.7). Falls during that year were also related to the inability to walk 1 km continuously (OR 0.1; 95% CI 0.1-0.6), tripping sometimes (OR 4.0; 95% CI 1.6-9.9), step height differences at home (OR 3.0; 95% CI 1.3-6.8), and working in the production section (OR 0.2; 95% CI 0.1-0.5). Measurements of physical functions, such as muscle strength, balance, and agility, were not different between subjects who fell and those who did not. Conclusions: Our results showed that the questionnaire assessing falls during the past year could be useful to assess the risk of falls in the workplace. Annual checks for falls may contribute to fall prevention programs in the workplace. PMID:27725487

Predicting falls using two instruments (the Hendrich Fall Risk Model and the Morse Fall Scale) in an acute care setting in Lebanon.

PubMed

Nassar, Nada; Helou, Nancy; Madi, Chantal

2014-06-01

To assess the predictive value of two instruments (the Morse Fall Scale (MFS) and the Heindrich II Fall Risk Model (HFRM)] in a Middle Eastern country (Lebanon) and to evaluate the factors that are related to falls. A prospective observational cross-sectional design was used. Falls and fall-related injuries in the acute care settings contribute a substantial health and economic burden on patients and organisations. Preventing falls is a priority for most healthcare organisations. While the risk of falling cannot be eliminated, it can be significantly reduced through accurate assessment of patients' risk of falling. Data from 1815 inpatients at the American University of Beirut Medical Center (AUBMC) in Lebanon were evaluated using two instruments to predict falls: the MFS and the HFRM. The incidence of falls was 2·7% in one year. The results indicate that while the instruments were significantly correlated, the HFRM was more sensitive in predicting falls than the MFS. The internal consistency of both scales was moderate, but inter-rater reliability was high. Patients using antiepileptic drugs and assistance devises had higher odds of falling. Although both instruments were easy to use in a Middle Eastern country, the HFRM rather than the MFS is recommended for inpatients in an acute care setting as it had higher sensitivity and specificity. It is recommended that while the HFRM had adequate sensitivity, it is not seamless, and as such, nurses should not rely entirely on it. Rather, nurses should use their expert clinical judgement, their ethical obligations and cultural considerations to implement a safer environment of care for the patient. © 2013 John Wiley & Sons Ltd.

Falls prevention in practice: guidance and case study.

PubMed

Nazarko, Linda

2006-12-01

Falls are a major health issue for older people. Each year 1.57 million older people fall more than three times and 70,000 fracture their hips, and injury which frequently leads to disability and even death. The National Service framework for Older People identified falls prevention as a major health priority. This article explains how a community based falls service led by a nurse and physiotherapist identified falls risk factors affecting a housebound 97-year-old lady. Factors identified and treated were poor balance and strength, osteoarthritis of the knees and thumbs, inadequate pain control, uncorrected poor vision, oedema of the legs and feet, unsuitable footwear and an unsuitable walking aid. As a result of the interventions falls risk was reduced and quality of life improved.

Does daily vitamin D 800 IU and calcium 1000 mg supplementation decrease the risk of falling in ambulatory women aged 65-71 years? A 3-year randomized population-based trial (OSTPRE-FPS).

PubMed

Kärkkäinen, Matti K; Tuppurainen, Marjo; Salovaara, Kari; Sandini, Lorenzo; Rikkonen, Toni; Sirola, Joonas; Honkanen, Risto; Arokoski, Jari; Alhava, Esko; Kröger, Heikki

2010-04-01

The hypothesis was that the calcium and vitamin D supplementation prevents falls at the population level. The OSTPRE-FPS was a randomized population-based open-trial with 3-year follow-up. The supplementation group (n=1566) received daily cholecalciferol 800IU+calcium carbonate 1000mg, while the control group (n=1573) received no supplementation or placebo. A randomly selected subsample of 593 subjects underwent a detailed measurement program including serum 25(OH)D measurements. The occurrence of falls was the primary outcome of the study. The participants in the subsample were telephoned at 4 months intervals and the rest of the trial population was interviewed by phone once a year. In the entire trial population (ETP), there were 812 women with 1832 falls in the intervention group and 833 women with 1944 falls in the control group (risk ratio was 0.98, 95% CI 0.92-1.05, P=0.160). The supplementation was not associated with single or multiple falls in the ETP. However, in the subsample, multiple fall incidence decreased by 30% (odds ratio (OR) 0.70, 95% CI 0.50-0.97, P=0.034) in the supplementation group. Further, the supplementation decreased the incidence of multiple falls requiring medical attention (OR 0.72, 95% CI 0.53-0.97, P=0.031) in the ETP. The mean compliance in the entire trial population was 78% and in the subsample 79%. Overall, the primary analysis showed no association between calcium and vitamin D supplementation and risk of falls. However, the results of a post hoc analysis suggested that there was a decreased risk of multiple falls requiring medical attention: this finding requires confirmation. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

33 CFR 100.109 - Winter Harbor Lobster Boat Race, Winter Harbor, ME.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Winter Harbor Lobster Boat Race, Winter Harbor, ME. 100.109 Section 100.109 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... Lobster Boat Race, Winter Harbor, ME. (a) Regulated area. The regulated area includes all waters of Winter...

A prospective study on the variation in falling and fall risk among community-dwelling older citizens in 12 European countries

PubMed Central

Franse, Carmen B; Rietjens, Judith AC; Burdorf, Alex; van Grieken, Amy; Korfage, Ida J; van der Heide, Agnes; Mattace Raso, Francesco; van Beeck, Ed; Raat, Hein

2017-01-01

Objectives The rate of falling among older citizens appears to vary across different countries, but the underlying aspects causing this variation are unexplained. We aim to describe between-country variation in falling and explore whether intrinsic fall risk factors can explain possible variation. Design Prospective study on data from the cross-national Survey of Health, Ageing and Retirement in Europe (SHARE). Setting Twelve European countries (Austria, Belgium, Czech Republic, Denmark, Estonia, France, Germany, Italy, The Netherlands, Spain, Sweden, Switzerland). Participants Community-dwelling persons aged ≥65 years (n=18 596). Measurements Socio-demographic factors (age, gender, education level and living situation) and intrinsic fall risk factors (less than good self-rated health (SRH), mobility limitations, limitations with activities of daily living (ADL), dizziness, impaired vision, depression and impaired cognition) were assessed in a baseline interview. Falling was assessed 2 years later by asking whether the participant had fallen within the 6 months prior to the follow-up interview. Results There was significant between-country variation in the rate of falling (varying from 7.9% in Switzerland to 16.2% in the Czech Republic). The prevalence of intrinsic fall risk factors varied twofold to fourfold between countries. Associations between factors age ≥80 years, less than good SRH, mobility limitations, ADL limitations, dizziness and depression, and falling were different between countries (p<0.05). Between-country differences in falling largely persisted after adjusting for socio-demographic differences but strongly attenuated after adjusting for differences in intrinsic fall risk factors. Conclusion There is considerable variation in the rate of falling between European countries, which can largely be explained by between-country variation in the prevalence of intrinsic fall risk factors. There are also country-specific variations in the

A prospective study on the variation in falling and fall risk among community-dwelling older citizens in 12 European countries.

PubMed

Franse, Carmen B; Rietjens, Judith Ac; Burdorf, Alex; van Grieken, Amy; Korfage, Ida J; van der Heide, Agnes; Mattace Raso, Francesco; van Beeck, Ed; Raat, Hein

2017-06-30

The rate of falling among older citizens appears to vary across different countries, but the underlying aspects causing this variation are unexplained. We aim to describe between-country variation in falling and explore whether intrinsic fall risk factors can explain possible variation. Prospective study on data from the cross-national Survey of Health, Ageing and Retirement in Europe (SHARE). Twelve European countries (Austria, Belgium, Czech Republic, Denmark, Estonia, France, Germany, Italy, The Netherlands, Spain, Sweden, Switzerland). Community-dwelling persons aged ≥65 years (n=18 596). Socio-demographic factors (age, gender, education level and living situation) and intrinsic fall risk factors (less than good self-rated health (SRH), mobility limitations, limitations with activities of daily living (ADL), dizziness, impaired vision, depression and impaired cognition) were assessed in a baseline interview. Falling was assessed 2 years later by asking whether the participant had fallen within the 6 months prior to the follow-up interview. There was significant between-country variation in the rate of falling (varying from 7.9% in Switzerland to 16.2% in the Czech Republic). The prevalence of intrinsic fall risk factors varied twofold to fourfold between countries. Associations between factors age ≥80 years, less than good SRH, mobility limitations, ADL limitations, dizziness and depression, and falling were different between countries (p<0.05). Between-country differences in falling largely persisted after adjusting for socio-demographic differences but strongly attenuated after adjusting for differences in intrinsic fall risk factors. There is considerable variation in the rate of falling between European countries, which can largely be explained by between-country variation in the prevalence of intrinsic fall risk factors. There are also country-specific variations in the association between these intrinsic risk factors and falling. These findings

Ensemble mean density and its connection to other microphysical properties of falling snow as observed in Southern Finland

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

Tiira, Jussi; Moisseev, Dmitri N.; von Lerber, Annakaisa

In this study measurements collected during winters 2013/2014 and 2014/2015 at the University of Helsinki measurement station in Hyytiala are used to investigate connections between ensemble mean snow density, particle fall velocity and parameters of the particle size distribution (PSD). The density of snow is derived from measurements of particle fall velocity and PSD, provided by a particle video imager, and weighing gauge measurements of precipitation rate. Validity of the retrieved density values is checked against snow depth measurements. Here, a relation retrieved for the ensemble mean snow density and median volume diameter is in general agreement with previous studies,more » but it is observed to vary significantly from one winter to the other. From these observations, characteristic mass–dimensional relations of snow are retrieved. For snow rates more than 0.2 mm h -1, a correlation between the intercept parameter of normalized gamma PSD and median volume diameter was observed.« less

Ensemble mean density and its connection to other microphysical properties of falling snow as observed in Southern Finland

DOE PAGES

Tiira, Jussi; Moisseev, Dmitri N.; von Lerber, Annakaisa; ...

2016-09-28

In this study measurements collected during winters 2013/2014 and 2014/2015 at the University of Helsinki measurement station in Hyytiala are used to investigate connections between ensemble mean snow density, particle fall velocity and parameters of the particle size distribution (PSD). The density of snow is derived from measurements of particle fall velocity and PSD, provided by a particle video imager, and weighing gauge measurements of precipitation rate. Validity of the retrieved density values is checked against snow depth measurements. Here, a relation retrieved for the ensemble mean snow density and median volume diameter is in general agreement with previous studies,more » but it is observed to vary significantly from one winter to the other. From these observations, characteristic mass–dimensional relations of snow are retrieved. For snow rates more than 0.2 mm h -1, a correlation between the intercept parameter of normalized gamma PSD and median volume diameter was observed.« less

Self-Reported Unsteadiness Predicts Fear of Falling, Activity Restriction, Falls, and Disability.

PubMed

Donoghue, Orna A; Setti, Annalisa; O'Leary, Neil; Kenny, Rose Anne

2017-07-01

To determine if self-reported unsteadiness during walking is associated with fear of falling (FOF), fear-related activity restriction, falls, and disability over 2 years in community-dwelling adults. Data were obtained from the first 2 waves of The Irish Longitudinal Study on Ageing, a population-based study. Participants completed a home-based interview and a center-based health assessment at baseline and a home-based interview at 2 years follow-up. Community-dwelling adults aged ≥65 years, with Mini-Mental State Examination score ≥18 at baseline, and fully observed variables were included in the analyses (N = 1621). Outcome variables were FOF, fear-related activity restriction, recurrent falls, and disability. Unsteadiness was independently associated with an increased risk of all outcomes at follow-up after adjusting for sociodemographic variables, and physical, mental, and cognitive health (Incidence Rate Ratio [IRR] range 1.49-2.29; P < .05). All associations were attenuated after adjusting for usual gait speed but remained consistent in direction. The association was strongest for fear-related activity restriction [IRR = 1.82 (1.21-2.73); P < .01]. There was also evidence of an association between unsteadiness and an increased risk of activity restriction in adults who did not report FOF at baseline [IRR = 1.99 (1.10-3.61); P < .05]. Self-reported unsteadiness is independently associated with an increased risk of FOF, fear-related activity restriction, recurrent falls, and disability at follow-up. Self-reported balance/steadiness should be included in routine assessment of older adults especially those at risk of falls. As unsteadiness is modifiable, older adults should be targeted for balance-related training or medication review to minimize future risk of these outcomes. Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

Fear of Falling in Women with Fibromyalgia and Its Relation with Number of Falls and Balance Performance

PubMed Central

Collado-Mateo, D.; Gallego-Diaz, J. M.; Adsuar, J. C.; Domínguez-Muñoz, F. J.; Olivares, P. R.; Gusi, N.

2015-01-01

Objective. To evaluate fear of falling, number of falls, and balance performance in women with FM and to examine the relationship between these variables and others, such as balance performance, quality of life, age, pain, and impact of fibromyalgia. Methods. A total of 240 women participated in this cross-sectional study. Of these, 125 had fibromyalgia. Several variables were assessed: age, fear of falling from 0 to 100, number of falls, body composition, balance performance, lower limb strength, health-related quality of life, and impact of fibromyalgia. Results. Women with fibromyalgia reported more falls and more fear of falling. Fear of falling was associated with number of falls in the last year, stiffness, perceived balance problems, impact of FM, and HRQoL whereas the number of falls was related to fear of falling, balance performance with eyes closed, pain, tenderness to touch level, anxiety, self-reported balance problems, impact of FM, and HRQoL. Conclusion. FM has an impact on fear of falling, balance performance, and number of falls. Perceived balance problems seem to be more closely associated with fear of falling than objective balance performance. PMID:26618173

Massive Organic Matter Fall Processing and Organic Enrichment in Deep Sea Sediments: the Role of Fall Type

NASA Astrophysics Data System (ADS)

Hannides, A. K.; Smith, C. R.; Baco-Taylor, A. R.

2005-12-01

Resource-limited deep-sea sedimentary settings are occasionally punctuated with massive organic matter (MOM) falls, such as fish and marine mammal carcasses, macrophytes and wood. In the case of whale falls, previous studies have shown that sharp gradients in microbial activity exist within a few meters of these falls. These sites are characterized by intense sulfate reduction and sulfide generation, which are commonly attributed to sedimentary organic enrichment from MOM, and in part support extensive chemosynthetic communities that rely on endosymbiotic oxidation of this sulfide for energy. Enrichment is brought about by the fragmentation and dissemination activities of deep-sea megafauna: scavengers in the case of carcasses and macrophytes, and wood borers in the case of wood.Differences in MOM fall composition and structure and the subsequent megafaunal processing raise questions concerning the patterns of organic enrichment around these falls and how these patterns vary with fall type. We present an extensive data set of surface sediment organic carbon and nitrogen content at whale, kelp and wood falls of various ages in the California Borderland Basins region. Evidence for organic enrichment around whale falls is lacking, corroborating previous findings. However, distinctly low C:N ratios in surface sediments adjacent to whale falls suggest more complex processing of MOM in this zone. This pattern persists regardless of whale fall age. On the contrary, evidence for organic enrichment around kelp and wood falls abounds. Organic carbon and nitrogen content values adjacent to 3 month-old kelp falls are 25-50 % higher than those 1 m away from the falls and traces of this signal persist for at least 3 more months. In the case of wood falls, 6 month-old falls do not show any significant traces of enrichment, but 3 years after the fall event organic carbon content adjacent to the falls increases by 2-5 times that of background. C:N ratios concomitantly increase to

Fall incidence in Germany: results of two population-based studies, and comparison of retrospective and prospective falls data collection methods.

PubMed

Rapp, Kilian; Freiberger, Ellen; Todd, Chris; Klenk, Jochen; Becker, Clemens; Denkinger, Michael; Scheidt-Nave, Christa; Fuchs, Judith

2014-09-20

Fall incidence differs considerably between studies and countries. Reasons may be differences between study samples or different assessment methods. The aim was to derive estimates of fall incidence from two population-based studies among older community-living people in Germany and compare retrospective and prospective falls data collection methods. Data were derived from the 2008-11 wave of the German health interview and examination survey for adults (DEGS1), and the Activity and Function of the Elderly in Ulm study (ActiFE-Ulm). Data collection took place in community facilities (DEGS1) or participants' homes (ActiFE-Ulm). Participation rates were 42% (newly recruited) and 64% (panel component) in DEGS1 and 19.8% in ActiFE-Ulm. Self-report retrospective fall data covering the previous 12 month period in DEGS1 and ActiFE-Ulm were collected, but only ActiFE-Ulm used prospective 12 month fall calendars. The incidence of 'any fall' and 'recurrent falls' were calculated for both methods. Fall rates increased with age in men but not women. The ActiFE-Ulm prospectively assessed incidence (95% confidence interval) in women and men aged 65- < 90 years were 38.7 (36.9-40.5) and 29.7 (28.1-31.3) fallers/year and 13.7 (12.5-14.9) and 10.9 (9.9-12.0) recurrent fallers/year, respectively. Retrospective and prospective fall incidence in ActiFE-Ulm did not differ.The retrospectively assessed incidence of 'any fall' among persons 65- < 80 years were significantly lower in DEGS1 than ActiFE-Ulm (women: 25.7% (22.4-29.2) versus 37.4% (34.8-39.9); men: 16.3% (13.6-19.3) versus 28.9% (26.6-31.1). Retrospective incidence estimates of recurrent falls were similar in both studies for women (10.4% (8.3-12.9) versus 10.2% (8.5-11.8)) and men (6.1% (4.3-8.5) versus 8.4% (7.1-9.8)). Both studies were population-based, but retrospective self-reported fall incidence differed between studies. Study design influences retrospective reported fall incidence considerably. Costly

Falls risk assessment begins with hello: lessons learned from the use of one home health agency's fall risk tool.

PubMed

Flemming, Patricia J; Ramsay, Katherine

2012-10-01

Identifying older adults at risk for falls is a challenge all home healthcare agencies (HHAs) face. The process of assessing for falls risk begins with the initial home visit. One HHA affiliated with an academic medical center describes its experience in development and use of a Falls Risk Assessment (FRA) tool over a 10-year period. The FRA tool has been modified since initial development to clarify elements of the tool based on research and to reflect changes in the Outcome and Assessment Information Set (OASIS) document. The primary purpose of this article is to share a validated falls risk assessment tool to facilitate identification of fall-related risk factors in the homebound population. A secondary purpose is to share lessons learned by the HHA during the 10 years using the FRA.

Factors inducing falling in schizophrenia patients

PubMed Central

Tsuji, Yoko; Akezaki, Yoshiteru; Mori, Kohei; Yuri, Yoshimi; Katsumura, Hitomi; Hara, Tomihiro; Usui, Yuki; Fujino, Yoritaka; Nomura, Takuo; Hirao, Fumio

2017-01-01

[Purpose] The purpose of this study is to investigate the factors causing falling among patients with schizophrenia hospitalized in psychiatric hospitals. [Subjects and Methods] The study subjects were divided into either those having experienced a fall within the past one year (Fall group, 12 patients) and those not having experienced a fall (Non-fall group, 7 patients), and we examined differences between the two groups. Assessment items measured included muscle strength, balance ability, flexibility, body composition assessment, Global Assessment of Functioning scale (GAF), the antipsychotic drug intake, and Drug Induced Extra-Pyramidal Symptoms Scale (DIEPSS). [Results] As a result, significant differences were observed in regard to One leg standing time with eyes open, Time Up and Go Test (TUGT), and DIEPSS Sialorrhea between the Fall group and the Non-fall group. [Conclusion] These results suggest that a decrease in balance ability was significantly correlated with falling in schizophrenia patients. PMID:28356628

Cultural variation in seasonal depression: cross-national differences in winter versus summer patterns of seasonal affective disorder.

PubMed

Kasof, Joseph

2009-05-01

Research suggests that two dimensions of national culture, individualism-collectivism and power distance, predict affective responses to the seasonally varying levels of ambient sunlight that may underlie regular cycles of mood and behavior in Seasonal Affective Disorder (SAD). Specifically, negative affect is predicted by the diminished sunlight of fall-winter in countries higher in individualism and lower in power distance, and by the increased sunlight of spring-summer in countries lower in individualism and higher in power distance. This study tests whether individualism correlates positively, and power distance negatively, with the frequency of winter-SAD relative to that of summer-SAD. A search for studies reporting frequencies of both winter-SAD and summer-SAD identified 55 samples encompassing 18 countries and 38,408 participants, including 1931 with SAD. The frequency of winter-SAD, relative to that of summer-SAD, correlated positively with individualism (r=.67, p=.001) and negatively with power distance (r=-.72, p=.0001). Countries in which winter-SAD was more common than summer-SAD were significantly more individualistic and less power-distant than countries in which summer-SAD was more common than winter-SAD. Results survived various tests of threats to validity. The study is limited by the quantity, quality, diversity, and representativeness of the research under review and by its correlational design. Individualism and power distance are strongly related to the relative prevalence of winter-SAD and summer-SAD. Culture may play an important but previously overlooked role in the etiology of SAD.

Falls and fear of falling in vertigo and balance disorders: A controlled cross-sectional study.

PubMed

Schlick, Cornelia; Schniepp, Roman; Loidl, Verena; Wuehr, Max; Hesselbarth, Kristin; Jahn, Klaus

2016-01-01

Vertigo and dizziness are among the most prevalent symptoms in neurologic disorders. Although many of these patients suffer from postural instability and gait disturbances, there is only limited data on their risk of falling. We conducted a controlled cross-sectional study at the tertiary care outpatient clinic of the German Center for Vertigo and Balance Disorders using a self-administered questionnaire to assess falls, fall-related injuries, and fear of falling. The recruitment period was 6 months. A total of 569 patients (mean age 59.6 ± 17.1 years, 55% females) and 100 healthy participants were included (response rate > 90%). Dizzy patients with central balance disorders (Parkinsonian, cerebellar, and brainstem oculomotor syndromes) had the highest fall rates (> 50% recurrent fallers, odds ratio > 10). The rate of recurrent fallers was 30% in bilateral vestibular failure and peripheral neuropathy (odds ratio > 5). Patients with functional dizziness (somatoform or phobic vertigo) were concerned about falling but did not fall more often than healthy controls (odds ratio 0.87). Falls are common in patients presenting to a dizziness unit. Those with central syndromes are at risk of recurrent and injurious falling. Fall rates and fear of falling should be assessed in balance disorders and used to guide the regimen of rehabilitation therapy. The identification of risk factors would help provide protective measures to these groups of patients.

An experimental field evaluation of winter carryover effects in semi-anadromous brown trout (Salmo trutta).

PubMed

Midwood, Jonathan D; Larsen, Martin H; Boel, Mikkel; Aarestrup, Kim; Cooke, Steven J

2015-11-01

For semi-anadromous brown trout, the decision whether or not to smoltify and migrate to the sea is believed to be made at the end of the preceding summer in response to both local environmental conditions and individual physiological status. Stressors experienced during the fall may therefore influence their propensity to migrate as well as carry over into the winter resulting in mortality when fish face challenging environmental conditions. To evaluate this possibility, we artificially elevated cortisol levels in juvenile trout (via intracoelomic injection of cortisol in the fall) and used passive integrated transponder tags to compare their overwinter and spring survival, growth, and migration success relative to a control group. Results suggest that overwinter mortality is high for individuals in this population regardless of treatment. However, survival rates were 2.5 times lower for cortisol-treated fish and they experienced significantly greater loss in mass. In addition, less than half as many cortisol-treated individuals made it downstream to a stationary antenna over the winter and also during the spring migration compared to the control treatment. These results suggest that a fall stressor can reduce overwinter survival of juvenile brown trout, negatively impact growth of individuals that survive, and ultimately result in a reduction in the number of migratory trout. Carryover effects such as those documented here reveal the cryptic manner in which natural and anthropogenic stressors can influence fish populations. J. Exp. Zool. 323A: 645-654, 2015. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

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.

Fall Prevention in Apprentice Carpenters

PubMed Central

Kaskutas, Vicki; Dale, Ann Marie; Lipscomb, Hester; Gaal, John; Fuchs, Mark; Evanoff, Bradley; Faucette, Julia; Gillen, Marion; Deych, Elena

2013-01-01

Objectives Falls from heights are a leading cause of mortality and morbidity in the construction industry, especially among inexperienced workers. We surveyed apprentice carpenters to identify individual and organizational factors associated with falls from heights. Methods We developed a 72-item fall prevention survey with multiple domains including fall experience, fall prevention knowledge, risk perceptions, confidence in ability to prevent falls, training experience, and perceptions of the safety climate and crew safety behaviors. We administered the questionnaire to apprentice carpenters in this cross-sectional study. Results Of the 1,025 respondents, 51% knew someone who had fallen from height at work and 16% had personally fallen in the past year, with ladders accounting for most of the falls. Despite participation in school-based and on-the-job training, fall prevention knowledge was poor. Ladders were perceived as low risk and ladder training was rare. Apprentices reported high levels of unsafe fall-related behaviors on their work crews. Apprentices working residential construction were more likely to fall than those working commercial construction, as were apprentices working on crews with fewer senior carpenters to provide mentorship, and those reporting more unsafe behaviors among fellow workers. Conclusions Despite participation in a formal apprenticeship program, many apprentices work at heights without adequate preparation and subsequently experience falls. Apprenticeship programs can improve the timing and content of fall prevention training. This study suggests that organizational changes in building practices, mentorship, and safety culture must also occur in order to decrease worker falls from heights. PMID:19953214

Prevalence of fall injuries and risk factors for fall among hospitalized children in a specialized childrens hospital in Saudi Arabia.

PubMed

AlSowailmi, Banan Abdullah; AlAkeely, Maha Heshaam; AlJutaily, Hayat Ibrahim; Alhasoon, Mohammad Abdulaziz; Omair, Amir; AlKhalaf, Hamad Abdullah

2018-01-01

Fall injuries among children during hospital stay is a major patient safety issue. Inpatient pediatric falls can lead to numerous negative consequences. In contrast to adults, there is a paucity of information on the prevalence and risk factors associated with children's falls during hospitalization. Identify the prevalence of fall injuries among hospital.ized children and describe the demographic and environmental factors that could predict a higher risk of severe outcomes of fall. Descriptive, cross-sectional prevalence study. Specialized children's hospital. Data was obtained through the electronic Safety Reporting System (SRS). All reported fall events during hospitalization in children less than or equal 14 years of age for the period from 1 April 2015 to 30 April 2016 were included. Fall events that occurred in the day care unit and the outpatient clinic were excluded. Prevalence and possible risk factors for fall events. 48. The prevalence of falls among the 4860 admitted children was 9.9 (95% CI=7.5, 13.1) per 1000 patients (48/4860). A majority of the falls were among boys (n=26, 54%), in the age group from 1-5 years old (n=22, 46%), in children at high risk of falling (n=35, 73%), with normal mobility status (n=21, 44%), and with no history of previ.ous falls (n=33, 69%). Severe injuries accounted for 25% of falls (n=12). However, falls among the moderate risk category (n=9, 69%) were more often severe than falls among the high risk category of children (n=12, 34%) (P=.03). Risk factor identification is required to prevent falls and their severe outcomes. Underreporting and single-centered study. None.

Falls: Epidemiology, Pathophysiology, and Relationship to Fracture

PubMed Central

Berry, Sarah D.; Miller, Ram

2009-01-01

Falls are common in the elderly, and frequently result in injury, disability, and institutionalization. Although the causes of falls are complex, most falls result from an interaction between individual characteristics that increase an individual's propensity to fall and acute mediating risk factors that provide the opportunity to fall. Predisposing risk factors include age-associated changes in strength and balance, age-associated comorbidities such as osteoarthritis, visual impairment and dementia, psychotropic medications, and certain footwear. Fewer studies have focused on acute precipitating factors, but environmental and situational factors are clearly important to the risk of falls. Approximately 30% of falls result in an injury that requires medical attention and with fractures occurring in approximately 10% of falls. Fractures associated with falls are multi-factorial in origin. In addition to the traditional risk factors for falls, the fall descent, fall impact, and bone strength are all important determinants of whether a fracture will occur as a result of an event. In recent years, numerous studies have been directed toward the development of effective fall and fall-related fracture prevention interventions. PMID:19032925

Home advantage in the Winter Paralympic Games 1976-2014.

PubMed

Wilson, Darryl; Ramchandani, Girish

2017-01-01

There is a limited amount of home advantage research concerned with winter sports. There is also a distinct lack of studies that investigate home advantage in the context of para sport events. This paper addresses this gap in the knowledge by examining home advantage in the Winter Paralympic Games. Using a standardised measure of success, we compared the performances of host nations at home with their own performances away from home between 1976 and 2014. Both country level and individual sport level analysis is conducted for this time period. Comparisons are also drawn with the Winter Olympic Games since 1992, the point from which both the Winter Olympic Games and the Winter Paralympic Games have been hosted by the same nations and in the same years. Clear evidence of a home advantage effect in the Winter Paralympic Games was found at country level. When examining individual sports, only alpine skiing and cross country skiing returned a significant home advantage effect. When comparing home advantage in the Winter Paralympic Games with the Winter Olympic Games for the last seven host nations (1992-2014), we found that home advantage was generally more pronounced (although not a statistically significant difference) in the case of the former. The causes of home advantage in the Winter Paralympic Games are unclear and should be investigated further.

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

Condition of larval (furcilia VI) and one year old juvenile Euphausia superba during the winter-spring transition in East Antarctica

NASA Astrophysics Data System (ADS)

Virtue, Patti; Meyer, Bettina; Freier, Ulrich; Nichols, Peter D.; Jia, Zhongnan; King, Rob; Virtue, Jacob; Swadling, Kerrie M.; Meiners, Klaus M.; Kawaguchi, So

2016-09-01

Antarctic krill, Euphausia superba, is an important species in the Southern Ocean ecosystem. Information on krill condition during winter and early spring is slowly evolving with our enhanced ability to sample at this time of year. However, because of the limited spatial and temporal data, our understanding of fundamental biological parameters for krill during winter is limited. Our study assessed the condition of larval (furcilia VI) and one year old juvenile krill collected in East Antarctica (115°E-130°E and 64°S-66°S) from September to October 2012. Krill condition was assessed using morphometric, elemental and biochemical body composition, growth rates, oxygen uptake and lipid content and composition. Diet was assessed using fatty acid biomarkers analysed in the krill. The growth rate of larvae was 0.0038 mm day with an inter-moult period of 14 days. The average oxygen uptake of juvenile krill was 0.30±0.02 μl oxygen consumed per mg dry weight per hour. Although protein was not significantly different amongst the krill analysed, the lipid content of krill was highly variable ranging from 9% to 27% dry weight in juveniles and from 4% to 13% dry weight in larvae. Specific algal biomarkers, fatty acids ratios, levels of both long-chain (≥C20) monounsaturated fatty acids and bacterial fatty acids found in krill were indicative of the mixed nature of dietary sources and the opportunistic feeding capability of larval and juvenile krill at the end of winter.

Falls in people with Parkinson's disease: A prospective comparison of community and home-based falls.

PubMed

Lamont, Robyn M; Morris, Meg E; Menz, Hylton B; McGinley, Jennifer L; Brauer, Sandra G

2017-06-01

Falls are common and debilitating in people with Parkinson's disease (PD) and restrict participation in daily activities. Understanding circumstances of falls in the community and at home may assist clinicians to target therapy more effectively. To compare the characteristics of community and home fallers and the circumstances that contribute to falls in people living with PD. People with mild-moderately severe PD (n=196) used a daily falls diary and telephone hotline to report prospectively the occurrence, location and circumstances of falls over 14 months. 62% of people with PD fell, with most falling at least once in the community. Compared to people who fell at home, the community-only fallers had shorter durations of PD (p=0.012), less severe disease (p=0.008) and reported fewer falls in the year prior to the study (p=0.003). Most falls occurred while people were ambulant, during postural transitions and when medication was working well. Community-based falls were frequently attributed to environmental factors such as challenging terrains (p<0.001), high attention demands (p=0.029), busy or cluttered areas (p<0.001) and tasks requiring speed (p=0.020). Physical loads were more often present in home than community-based falls (p=0.027). Falls that occur in the community typically affect people with earlier PD and less severe disease than home-based falls. Individuals experiencing community-based falls may benefit from physiotherapy to manage challenging environments and high attention demands. Copyright © 2017 Elsevier B.V. All rights reserved.

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.

Assessment of suspended-sediment transport, bedload, and dissolved oxygen during a short-term drawdown of Fall Creek Lake, Oregon, winter 2012-13

USGS Publications Warehouse

Schenk, Liam N.; Bragg, Heather M.

2014-01-01

The drawdown of Fall Creek Lake resulted in the net transport of approximately 50,300 tons of sediment from the lake during a 6-day drawdown operation, based on computed daily values of suspended-sediment load downstream of Fall Creek Dam and the two main tributaries to Fall Creek Lake. A suspended-sediment budget calculated for 72 days of the study period indicates that as a result of drawdown operations, there was approximately 16,300 tons of sediment deposition within the reaches of Fall Creek and the Middle Fork Willamette River between Fall Creek Dam and the streamgage on the Middle Fork Willamette River at Jasper, Oregon. Bedload samples collected at the station downstream of Fall Creek Dam during the drawdown were primarily composed of medium to fine sands and accounted for an average of 11 percent of the total instantaneous sediment load (also termed sediment discharge) during sample collection. Monitoring of dissolved oxygen at the station downstream of Fall Creek Dam showed an initial decrease in dissolved oxygen concurrent with the sediment release over the span of 5 hours, though the extent of dissolved oxygen depletion is unknown because of extreme and rapid fouling of the probe by the large amount of sediment in transport. Dissolved oxygen returned to background levels downstream of Fall Creek Dam on December 18, 2012, approximately 1 day after the end of the drawdown operation.

Relationship Between Perceived Risk of Falling and Adoption of Precautions to Reduce Fall Risk.

PubMed

Blalock, Susan J; Gildner, Paula L; Jones, Jennifer L; Bowling, James M; Casteel, Carri H

2016-06-01

To better understand the relationship between perceived risk of falling and awareness and adoption of four specific precautions that older adults have taken to reduce this risk. Cross-sectional. Data were collected in in-person interviews conducted in the homes of study participants. Interviews conducted between March 2011 and September 2013 and lasted an average of 60-90 minutes. A stratified sampling strategy designed to enroll an equal number of homebound and nonhomebound participants was used. All participants (N = 164) were recruited from central North Carolina. Participants were asked about 1-year fall history, perceived risk of falling, restriction of activities because of fear of falling, awareness of four recommended fall prevention behaviors (exercise, annual medication review, bathroom grab bars, safe footwear), and current practice of these behaviors. In bivariate analyses, individuals who were aware of two behaviors recommended to reduce the risk of falling (exercise, use of safe footwear) and had adopted these behaviors perceived their risk of falling as lower than individuals who were aware of the recommended behaviors but had not adopted them. Moreover, in multivariate analyses, individuals who did not know that exercise is recommended to reduce the risk of falling perceived their risk of falling as lower than those who were aware of this recommendation and had adopted it. Individuals were least likely to be aware that medication reviews and exercise are recommended to reduce fall risk. Awareness of behaviors recommended to reduce fall risk appears necessary for adoption of these behaviors to reduce perceived risk. Fall-prevention campaigns should emphasize behaviors where awareness is low. © 2016, Copyright the Authors Journal compilation © 2016, The American Geriatrics Society.

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.

Dehydration in the Winter Arctic Tropopause Region

NASA Technical Reports Server (NTRS)

Pfister, Leonhard; Jensen, Eric; Podolske, James; Selkirk, Henry; Anderson, Bruce; Avery, Melody; Diskin. Glenn

2004-01-01

Recent work has shown that limited amounts of tropospheric air can penetrate as much as 1 km into the middleworld stratosphere during the arctic winter. This, coupled with temperatures that are cold enough to produce saturation mixing ratios of less than 5 ppmv at the tropopause, results in stratospheric cloud formation and upper tropospheric dehydration. Even though these "cold outbreaks" occupy only a small portion of the area in the arctic (1-2%), their importance is magnified by an order of magnitude because of the air flow through them. This is reinforced by evidence of progressive drying through the winter measured during SOLVE-1. The significance of this process lies in its effect on the upper tropospheric water content of the middle and high latitude tropopause region, which plays an important role in regulating the earth's radiative balance. There appears to be significant year-to-year variability in the incidence of the cold outbreaks. This work has two parts. First, we describe case studies of dehydration taken from the SOLVE and SOLVE2 aircraft sampling missions during the Arctic winters of 2000 and 2003 respectively. Trajectory based microphysical modeling is employed to examine the sensitivity of the dehydration to microphysical parameters and the nature of sub-grid scale temperature fluctuations. We then examine the year-to-year variations in potential dehydration using a trajectory climatology.

Cost-effectiveness of a day hospital falls prevention programme for screened community-dwelling older people at high risk of falls.

PubMed

Irvine, Lisa; Conroy, Simon P; Sach, Tracey; Gladman, John R F; Harwood, Rowan H; Kendrick, Denise; Coupland, Carol; Drummond, Avril; Barton, Garry; Masud, Tahir

2010-11-01

multifactorial falls prevention programmes for older people have been proved to reduce falls. However, evidence of their cost-effectiveness is mixed. economic evaluation alongside pragmatic randomised controlled trial. randomised trial of 364 people aged ≥70, living in the community, recruited via GP and identified as high risk of falling. Both arms received a falls prevention information leaflet. The intervention arm were also offered a (day hospital) multidisciplinary falls prevention programme, including physiotherapy, occupational therapy, nurse, medical review and referral to other specialists. self-reported falls, as collected in 12 monthly diaries. Levels of health resource use associated with the falls prevention programme, screening (both attributed to intervention arm only) and other health-care contacts were monitored. Mean NHS costs and falls per person per year were estimated for both arms, along with the incremental cost-effectiveness ratio (ICER) and cost effectiveness acceptability curve. in the base-case analysis, the mean falls programme cost was £349 per person. This, coupled with higher screening and other health-care costs, resulted in a mean incremental cost of £578 for the intervention arm. The mean falls rate was lower in the intervention arm (2.07 per person/year), compared with the control arm (2.24). The estimated ICER was £3,320 per fall averted. the estimated ICER was £3,320 per fall averted. Future research should focus on adherence to the intervention and an assessment of impact on quality of life.

Occupational fall injuries presenting to the emergency department.

PubMed

Son, Hyung Min; Kim, Sun Hyu; Shin, Sang Do; Ryoo, Hyun Wook; Ryu, Hyun Ho; Lee, Ji Ho

2014-04-01

This study was performed to evaluate occupational and fall injuries presenting to the ED, the risk factors associated with falls among all occupational injuries, and factors affecting prognosis. Data from ED-based Occupational Injury Surveillance System were analysed to investigate the occupational injuries. The 2147 occupational injury subjects were divided into two groups: fall (n = 213, 9.9%) and non-fall (n = 1934, 90.1%). Data including baseline and clinical characteristics were compared between the groups. The mean age was older in the fall group (46 vs 42 years old). The rate of construction site-related injury was 32% in the fall group and only 8% in the non-fall group. Injury occurrence during regular working hours (09.00 hours to 18.00 hours) was 70% in the fall group and 57% in the non-fall group. Injury severity using the Excess Mortality Ratio-adjusted Injury Severity Score (EMR-ISS) was more severe in the fall group than in the non-fall group, and days away from work were longer in the fall group than the non-fall group. Older age, compared with an age <29 years old and presence in a construction area during regular working hours were factors associated with fall injuries. Factors affecting prolonged absence for work were older age, higher EMR-ISS, fall injury and poor workplace environmental conditions. Risk factors associated with fall-related occupational injuries include older age and being at a construction area during regular working hours. Falls among occupational injuries are more severe than other injuries and result in longer work loss. © 2014 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

Long-term dynamics of winter and summer annual communities in the Chihuahuan Desert

USGS Publications Warehouse

Guo, Q.; Brown, J.H.; Valone, T.J.

2002-01-01

Using 15 years of census data from permanent quadrats, this paper compared the characteristics and temporal dynamics of these two distinct, spatially coexistent but temporally segregated communities. Although the total number of summer annual species recorded during our 15 years observation was higher than winter annuals, the average number of species observed each year was higher in the winter community. The winter community exhibited lower temporal variation in total plant abundance and populations of individual species, lower species turnover rate and higher evenness than the summer community. The higher seasonal species diversity (i.e., number of species observed in each season) in winters rather than the overall special pool (over 15 yrs) may be responsible for the greater community stability of winter annuals. The difference in long-term community dynamics between the two communities of annuals plants are likely due to the differences in total species pool, life history traits (e.g., seed size), and seasonal climatic regimes.

Trends in selected water-quality characteristics, Flathead River at Flathead, British Columbia, and at Columbia Falls, Montana, water years, 1975-86

USGS Publications Warehouse

Cary, L.E.

1989-01-01

Data for selected water quality variables were evaluated for trends at two sampling stations--Flathead River at Flathead, British Columbia (Flathead station) and Flathead River at Columbia Falls, Montana (Columbia Falls station). The results were compared between stations. The analyses included data from water years 1975-86 at the Flathead station and water years 1979-86 at the Columbia Falls station. The seasonal Kendall test was applied to adjusted concentrations for variables related to discharge and to unadjusted concentrations for the remaining variables. Slope estimates were made for variables with significant trends unless data were reported as less than the detection limit. At the Flathead station, concentrations of dissolved solids, calcium, magnesium, sodium, dissolved nitrite plus nitrate nitrogen, ammonia nitrogen (total and dissolved), total organic nitrogen, and total phosphorus increased during the study period. Concentrations of total nitrite plus nitrate nitrogen and dissolved iron decreased during the same period. At the Columbia Falls station, concentrations increased for calcium and magnesium and decreased for sulfate and dissolved phosphorus. No trends were detected for 10 other variables tested at each station. Data for the Flathead station were reanalyzed for water years 1979-86. Trends in the data increased for magnesium and dissolved nitrite plus nitrate nitrogen and decreased for dissolved iron. Magnesium was the only variable that displayed a trend (increasing) at both stations. The increasing trends that were detected probably will not adversely affect the water quality of the Flathead River in the near future. (USGS)

Fall detection of elderly through floor vibrations and sound.

PubMed

Litvak, Dima; Zigel, Yaniv; Gannot, Israel

2008-01-01

Falls are very prevalent among the elderly especially in their home. The statistics show that approximately one in every three adults 65 years old or older falls each year. Almost 30% of those falls result in serious injuries. Studies have shown that the medical outcome of a fall is largely dependent upon the response and rescue time. Therefore, reliable and immediate fall detection system is important so that adequate medical support could be delivered. We have developed a unique and inexpensive solution that does not require subjects to wear anything. The solution is based on floor vibration and acoustic sensing, and uses a pattern recognition algorithm to discriminate between human or inanimate object fall events. Using the proposed system we can detect human falls with a sensitivity of 95% and specificity of 95%.

The design and development of a complex multifactorial falls assessment intervention for falls prevention: The Prevention of Falls Injury Trial (PreFIT).

PubMed

Bruce, Julie; Ralhan, Shvaita; Sheridan, Ray; Westacott, Katharine; Withers, Emma; Finnegan, Susanne; Davison, John; Martin, Finbarr C; Lamb, Sarah E

2017-06-01

This paper describes the design and development of a complex multifactorial falls prevention (MFFP) intervention for implementation and testing within the framework of a large UK-based falls prevention randomised controlled trial (RCT). A complex intervention was developed for inclusion within the Prevention of Falls Injury Trial (PreFIT), a multicentre pragmatic RCT. PreFIT aims to compare the clinical and cost-effectiveness of three alternative primary care falls prevention interventions (advice, exercise and MFFP), on outcomes of fractures and falls. Community-dwelling adults, aged 70 years and older, were recruited from primary care in the National Health Service (NHS), England. Development of the PreFIT MFFP intervention was informed by the existing evidence base and clinical guidelines for the assessment and management of falls in older adults. After piloting and modification, the final MFFP intervention includes seven falls risk factors: a detailed falls history interview with consideration of 'red flags'; assessment of balance and gait; vision; medication screen; cardiac screen; feet and footwear screen and home environment assessment. This complex intervention has been fully manualised with clear, documented assessment and treatment pathways for each risk factor. Each risk factor is assessed in every trial participant referred for MFFP. Referral for assessment is based upon a screening survey to identify those with a history of falling or balance problems. Intervention delivery can be adapted to the local setting. This complex falls prevention intervention is currently being tested within the framework of a large clinical trial. This paper adheres to TIDieR and CONSORT recommendations for the comprehensive and explicit reporting of trial interventions. Results from the PreFIT study will be published in due course. The effectiveness and cost-effectiveness of the PreFIT MFFP intervention, compared to advice and exercise, on the prevention of falls and

Marine assemblages respond rapidly to winter climate variability.

PubMed

Morley, James W; Batt, Ryan D; Pinsky, Malin L

2017-07-01

Even species within the same assemblage have varied responses to climate change, and there is a poor understanding for why some taxa are more sensitive to climate than others. In addition, multiple mechanisms can drive species' responses, and responses may be specific to certain life stages or times of year. To test how marine species respond to climate variability, we analyzed 73 diverse taxa off the southeast US coast in 26 years of scientific trawl survey data and determined how changes in distribution and biomass relate to temperature. We found that winter temperatures were particularly useful for explaining interannual variation in species' distribution and biomass, although the direction and magnitude of the response varied among species from strongly negative, to little response, to strongly positive. Across species, the response to winter temperature varied greatly, with much of this variation being explained by thermal preference. A separate analysis of annual commercial fishery landings revealed that winter temperatures may also impact several important fisheries in the southeast United States. Based on the life stages of the species surveyed, winter temperature appears to act through overwinter mortality of juveniles or as a cue for migration timing. We predict that this assemblage will be responsive to projected increases in temperature and that winter temperature may be broadly important for species relationships with climate on a global scale. © The Authors Global Change Biology Published by John Wiley & Sons Ltd.

Project Profile Report. Fall 1993.

ERIC Educational Resources Information Center

Pennsylvania Coll. of Technology, Williamsport.

Pennsylvania College of Technology's Project Profile seeks to provide a portrait of all students entering each fall by collecting and analyzing surveys completed at the time of admission and comparing them to previous years. This report presents data on the 4,942 students who applied and matriculated in fall 1993 and includes comparisons by…

Polypharmacy as a risk for fall occurrence in geriatric outpatients.

PubMed

Kojima, Taro; Akishita, Masahiro; Nakamura, Tetsuro; Nomura, Kazushi; Ogawa, Sumito; Iijima, Katsuya; Eto, Masato; Ouchi, Yasuyoshi

2012-07-01

To investigate the predictors of falls, such as comorbidity and medication, in geriatric outpatients in a longitudinal observational study. A total of 172 outpatients (45 men and 126 women, mean age 76.9 ± 7.0 years) were evaluated. Physical examination, clinical history and medication profile were obtained from each patient at baseline. These patients were followed for up to 2 years and falls were self-reported to their physicians. The factors associated with falls were analyzed statistically. A total of 32 patients experienced falls within 2 years. On univariate analysis, older age, osteoporosis, number of comorbid conditions and number of drugs were significantly associated with falls within 2 years. On multiple logistic regression analysis, the number of drugs was associated with falls, independent of age, sex, number of comorbid conditions and other factors that were significantly associated in univariate analysis. A receiver-operator curve evaluating the optimal cut-off value for the number of drugs showed that taking five or more drugs was a significant risk. In geriatric outpatients, polypharmacy is associated with falls. Intervention studies are needed to clarify the causal relationship between polypharmacy, comorbidity and falls. © 2011 Japan Geriatrics Society.

Winter fog is decreasing in the fruit growing region of the Central Valley of California

NASA Astrophysics Data System (ADS)

Baldocchi, Dennis; Waller, Eric

2014-05-01

The Central Valley of California is home to a variety of fruit and nut trees. These trees account for 95% of the U.S. production, but they need a sufficient amount of winter chill to achieve rest and quiescence for the next season's buds and flowers. In prior work, we reported that the accumulation of winter chill is declining in the Central Valley. We hypothesize that a reduction in winter fog is cooccurring and is contributing to the reduction in winter chill. We examined a 33 year record of satellite remote sensing to develop a fog climatology for the Central Valley. We find that the number of winter fog events, integrated spatially, decreased 46%, on average, over 32 winters, with much year to year variability. Less fog means warmer air and an increase in the energy balance on buds, which amplifies their warming, reducing their chill accumulation more.

Clinical relevance of about-yearly changes in blood pressure and the environment

NASA Astrophysics Data System (ADS)

Halberg, Franz; Cornélissen, Germaine; Haus, Erhard; Northrup, Gordon; Portela, Ana; Wendt, Hans; Otsuka, Kuniaki; Kumagai, Yuji; Watanabe, Yoshihiko; Zaslavskaya, Rina

1996-12-01

Changes identified by inferential statistics from summer to winter of high to low arterial blood pressures (BP) have been quantified as a large predictable about-yearly BP swing. This condition of a large annual BP amplitude (LABPA) raises concern about hypotension as well as hypertension and raises new questions regarding appropriate guidelines for diagnosis and treatment. Recommendations made in the fall on the basis of data collected in the summer may be totally inadequate in dealing with the patient's condition in the winter. In order to avoid such mistakes, it is imperative to implement a systematic surveillance of BP in the light of current chronobiological limits. Patients with a large circannual BP amplitude are particularly suited for a study of the underlying hormonal mechanisms. The longitudinal monitoring of their BP is also amenable to the study of environmental influences from near and far.

Yarning about fall prevention: community consultation to discuss falls and appropriate approaches to fall prevention with older Aboriginal and Torres Strait Islander people.

PubMed

Lukaszyk, Caroline; Coombes, Julieann; Turner, Norma Jean; Hillmann, Elizabeth; Keay, Lisa; Tiedemann, Anne; Sherrington, Cathie; Ivers, Rebecca

2017-08-01

Fall related injury is an emerging issue for older Indigenous people worldwide, yet few targeted fall prevention programs are currently available for Indigenous populations. In order to inform the development of a new Aboriginal-specific fall prevention program in Australia, we conducted community consultation with older Aboriginal people to identify perceptions and beliefs about falls, and to identify desired program elements. Yarning Circles were held with Aboriginal and Torres Strait Islander people aged 45 years and over. Each Yarning Circle was facilitated by an Aboriginal researcher who incorporated six indicative questions into each discussion. Questions explored the impact of falls on Yarning Circle participants, their current use of fall prevention services and investigated Yarning Circle participant's preferences regarding the design and mode of delivery of a fall prevention program. A total of 76 older Aboriginal people participated in ten Yarning Circles across six sites in the state of New South Wales. Participants associated falls with physical disability, a loss of emotional well-being and loss of connection to family and community. Many participants did not use existing fall prevention services due to a lack of availability in their area, having no referral provided by their GP and/or being unaware of fall prevention programs in general. Program elements identified as important by participants were that it be Aboriginal-specific, group-based, and on-going, with the flexibility to be tailored to specific communities, with free transport provided to and from the program. Older Aboriginal people reported falls to be a priority health issue, with a significant impact on their health and well-being. Few older Aboriginal people accessed prevention programs, suggesting there is an important need for targeted Aboriginal-specific programs. A number of important program elements were identified which if incorporated into prevention programs, may help to

Prevention of falls in older people.

PubMed

Close, Jacqueline C T

In recent years the evidence base for prevention of falls in older people has increased and associated with this has been an inevitable expansion in clinical services which attempt to localize and implement what is described in the literature. This article reviews the basic physiology implicit in maintenance of the upright posture; highlights the diversity of medical and non-medical risk factors associated with falls; describes the clinical assessment of an older person at risk of falls; reviews the evidence for intervention in the prevention of falls in older people; and acknowledges the need for a clear strategic direction to successfully prevent falls and the requirement for ongoing research as well as much needed service evaluation.

Winter is losing its cool

NASA Astrophysics Data System (ADS)

Feng, S.

2017-12-01

Winter seasons have significant societal impacts across all sectors ranging from direct human health to ecosystems, transportation, and recreation. This study quantifies the severity of winter and its spatial-temporal variations using a newly developed winter severity index and daily temperature, snowfall and snow depth. The winter severity and the number of extreme winter days are decreasing across the global terrestrial areas during 1901-2015 except the southeast United States and isolated regions in the Southern Hemisphere. These changes are dominated by winter warming, while the changes in daily snowfall and snow depth played a secondary role. The simulations of multiple CMIP5 climate models can well capture the spatial and temporal variations of the observed changes in winter severity and extremes during 1951-2005. The models are consistent in projecting a future milder winter under various scenarios. The winter severity is projected to decrease 60-80% in the middle-latitude Northern Hemisphere under the business-as-usual scenario. The winter arrives later, ends earlier and the length of winter season will be notably shorter. The changes in harsh winter in the polar regions are weak, mainly because the warming leads to more snowfall in the high latitudes.

Projected climate change impacts on winter recreation in the ...

EPA Pesticide Factsheets

A physically-based water and energy balance model is used to simulate natural snow accumulation at 247 winter recreation locations across the continental United States. We combine this model with projections of snowmaking conditions to determine downhill skiing, cross-country skiing, and snowmobiling season lengths under baseline and future climates, using data from five climate models and two emissions scenarios. The present-day simulations from the snow model without snowmaking are validated with observations of snow-water-equivalent from snow monitoring sites. Projected season lengths are combined with baseline estimates of winter recreation activity to monetize impacts to the selected winter recreation activity categories for the years 2050 and 2090. Estimate the physical and economic impact of climate change on winter recreation in the contiguous U.S.

Workplace slip, trip and fall injuries and obesity.

PubMed

Koepp, Gabriel A; Snedden, Bradley J; Levine, James A

2015-01-01

The objective of this study was to examine the relationship between slip, trip and fall injuries and obesity in a population of workers at the Idaho National Laboratory (INL) in Idaho Falls, Idaho. INL is an applied engineering facility dedicated to supporting the US Department of Energy's mission. An analysis was performed on injuries reported to the INL Medical Clinic to determine whether obesity was related to an increase in slip, trip and fall injuries. Records were analysed that spanned a 6-year period (2005-2010), and included 8581 employees (mean age, 47 ± 11 years and body mass index [BMI], 29 ± 5 kg/m(2); 34% obesity rate). Of the 189 people who reported slip, trip and fall injuries (mean age, 48 ± 11 years), 51% were obese (P < 0.001 compared with uninjured employees), and their mean BMI was 31 ± 6 kg/m(2) (P < 0.001). Obesity in this population was associated with a greater rate of slip, trip and fall injuries.

Albeni Falls Wildlife Protection, Mitigation, and Enhancement Plan, Final Report 1987.

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

Martin, Robert C.

1988-08-01

A wildlife impact assessment and mitigation plan has been developed for the US Army Corps of Engineers Albeni Falls Project in northern Idaho. The Habitat Evaluation Procedure (HEP) was used to evaluate pre- and post-construction habitat conditions at the Albeni Falls Project. There were 6617 acres of wetlands converted to open water due to development and operation of the project. Eight evaluation species were selected with impacts expressed in numbers of Habitat Units (HU's). For a given species, one HU is equivalent to one acre of prime habitat. The Albeni Falls Project resulted in estimated losses of 5985 mallard HU's,more » 4699 Canada goose HU's, 3379 redhead HU's, 4508 breeding bald eagle HU's, 4365 wintering bald eagle HU's, 2286 black-capped chickadee HU's, 1680 white-tailed deer HU's, and 1756 muskrat HU's. The yellow warbler gained 71 HU's. Therefore, total target species estimated impacts were 28,587 HU's. Impacts on peregrine falcons were not quantified in terms of HU's. Projects have been proposed by an interagency team of biologists to mitigate the impacts of Albeni Falls on wildlife. The HEP was used to estimate benefits of proposed mitigation projects to target species. Through a series of proposed protection and enhancement actions, the mitigation plan will provide benefits of an estimated 28,590 target species HU's to mitigate Albeni Falls wildlife habitat values lost. 52 refs., 9 figs., 14 tabs.« less

Winter Ecology.

ERIC Educational Resources Information Center

Birkeland, Karl W.; Halfpenny, James C.

1987-01-01

Discusses some of the ecological variables involved with plant and animal survival during the winter months. Addresses the effects of changing climatic conditions on habitats, foot-loading indexes, and the overall concept of adaptation. Provides some simple teaching activities dealing with winter survival. (TW)

A comparative statistical study of long-term agroclimatic conditions affecting the growth of US winter wheat: Distributions of regional monthly average precipitation on the Great Plains and the state of Maryland and the effect of agroclimatic conditions on yield in the state of Kansas

NASA Technical Reports Server (NTRS)

Welker, J.

1981-01-01

A histogram analysis of average monthly precipitation over 30 and 84 year periods for both Maryland and Kansas was made and the results compared. A second analysis, a statistical assessment of the effect of average monthly precipitation on Kansas winter wheat yield was made. The data sets covered the three periods of 1941-1970, 1887-1970, and 1887-1921. Analyses of the limited data sets used (only the average monthly precipitation and temperature were correlated against yield) indicated that fall precipitation values, especially those of September and October, were more important to winter wheat yield than were spring values, particularly for the period 1941-1970.

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.

Exploring the relationship between fall risk-increasing drugs and fall-related fractures.

PubMed

De Winter, Sabrina; Vanwynsberghe, Sarah; Foulon, Veerle; Dejaeger, Eddy; Flamaing, Johan; Sermon, An; Van der Linden, Lorenz; Spriet, Isabel

2016-04-01

Hospital admissions due to fall-related fractures are a major problem in the aging population. Several risk factors have been identified, including drug use. Most studies often retrieved prescription-only drugs from national databases. These are associated with some limitations as they do not always reliably reproduce the complete patient's active drug list. To evaluate the association between the number of FRIDs intake identified by a standardised medication reconciliation process and a fall-related fracture leading to a hospital admission in older adults. The first cohort has been recruited from one traumatology ward of a tertiary teaching hospital in Belgium and the second cohort has been recruited from 11 community pharmacies in Belgium. A prospective study with two individually matched cohorts was performed. Adult patients (≥75 years) admitted with an injury due to a fall were included in the first cohort (faller group). The second cohort consisted of patients who did not suffer from a fall within the last 6 months (non-faller group). Matching was performed for age, gender, place of residence and use of a walking aid. In both groups, clinical pharmacists and undergraduate pharmacy students obtained the medication history, using a standardised approach. A list of drugs considered to increase the risk of falling was created. It included cardiovascular drugs and drugs acting on the nervous system. A linear mixed model was used to compare the number of fall risk-increasing drugs between fallers and non-fallers. The number of fall risk-increasing drugs in a faller versus a non-faller group. Sixty-one patients were matched with 121 non-fallers. Patients received on average 3.1 ± 2.1 and 3.2 ± 1.8 fall risk-increasing drugs in the faller and in the non-faller group, respectively. The mean number of fall risk-increasing drugs was comparable in both groups (p = 0.844), even after adjusting for alcohol consumption, fear of falling, vision and foot problems (p = 0

Industrial, agricultural, and petroleum contaminants in cormorants wintering near the Houston Ship Channel, Texas, USA

USGS Publications Warehouse

King, K.A.; Stafford, C.J.; Cain, B.W.; Mueller, A.J.; Hall, H.D.

1987-01-01

Double-crested cormorants (Phalacrocorax auritus ) collected in the Houston Ship Channel, Texas, USA, in November shortly after their fall migration contained residues of several industrial, agricultural, and petroleum contaminants including polychlorinated styrenes (PCS's), polychlorinated biphenyls (PCB's), DDE, and petroleum hydrocarbons. PCS concentrations in over-wintering birds collected in late February were three times higher than those in birds collected in November. PCB and petroleum concentrations remained at about the same level throughout the 3-month winter period. Petroleum hydrocarbons were present in all cormorants and residues in some individuals exceeded 25 ppm (wet weight). Mean DDE residues in samples collected in November and February were less than 1 ppm. Low concentrations of five other organochlorine compounds, not detected in cormorants collected in November, were recovered in birds collected in February.

Preventing Falls in Older Persons.

PubMed

Moncada, Lainie Van Voast; Mire, L Glen

2017-08-15

The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. The U.S. Preventive Services Task Force and American Academy of Family Physicians recommend exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling older adults who are at increased risk of falls. Although the U.S. Preventive Services Task Force and American Academy of Family Physicians do not recommend routine multifactorial intervention to prevent falls in all community-dwelling older adults, they state that it may be appropriate in individual cases. The Centers for Disease Control and Prevention developed an algorithm to aid in the implementation of the American Geriatrics Society/British Geriatrics Society guideline. The algorithm suggests assessment and multifactorial intervention for those who have had two or more falls or one fall-related injury. Multifactorial interventions should include exercise, particularly balance, strength, and gait training; vitamin D supplementation with or without calcium; management of medications, especially psychoactive medications; home environment modification; and management of postural hypotension, vision problems, foot problems, and footwear. These interventions effectively decrease falls in the community, hospital, and nursing home settings. Fall prevention is reimbursed as part of the Medicare Annual Wellness Visit.

Winter in the Ouachitas--a severe winter storm signature in Pinus echinata in the Ouachita Mountains of Oklahoma and Arkansas, USA

Treesearch

Douglas J. Stevenson; Thomas B. Lynch; Pradip Saud; Robert Heineman; Randal Holeman; Dennis Wilson; Keith Anderson; Chris Cerny; James M. Guldin

2016-01-01

Each year severe winter storms (≈ice storms) damage trees throughout the southern USA. Arkansas and Oklahoma have a history of severe winter storms. To extend that history back beyond the reach of written records, a distinctive tree ring pattern or signature is needed. Storm-caused breakage, branch loss and bending stress provide that signature. We found a severe storm...

History of falls, gait, balance, and fall risks in older cancer survivors living in the community.

PubMed

Huang, Min H; Shilling, Tracy; Miller, Kara A; Smith, Kristin; LaVictoire, Kayle

2015-01-01

Older cancer survivors may be predisposed to falls because cancer-related sequelae affect virtually all body systems. The use of a history of falls, gait speed, and balance tests to assess fall risks remains to be investigated in this population. This study examined the relationship of previous falls, gait, and balance with falls in community-dwelling older cancer survivors. At the baseline, demographics, health information, and the history of falls in the past year were obtained through interviewing. Participants performed tests including gait speed, Balance Evaluation Systems Test, and short-version of Activities-specific Balance Confidence scale. Falls were tracked by mailing of monthly reports for 6 months. A "faller" was a person with ≥1 fall during follow-up. Univariate analyses, including independent sample t-tests and Fisher's exact tests, compared baseline demographics, gait speed, and balance between fallers and non-fallers. For univariate analyses, Bonferroni correction was applied for multiple comparisons. Baseline variables with P<0.15 were included in a forward logistic regression model to identify factors predictive of falls with age as covariate. Sensitivity and specificity of each predictor of falls in the model were calculated. Significance level for the regression analysis was P<0.05. During follow-up, 59% of participants had one or more falls. Baseline demographics, health information, history of falls, gaits speed, and balance tests did not differ significantly between fallers and non-fallers. Forward logistic regression revealed that a history of falls was a significant predictor of falls in the final model (odds ratio =6.81; 95% confidence interval =1.594-29.074) (P<0.05). Sensitivity and specificity for correctly identifying a faller using the positive history of falls were 74% and 69%, respectively. Current findings suggested that for community-dwelling older cancer survivors with mixed diagnoses, asking about the history of falls may

Prevention of falls and fall-related injuries in community-dwelling seniors: an evidence-based analysis.

PubMed

2008-01-01

In early August 2007, the Medical Advisory Secretariat began work on the Aging in the Community project, an evidence-based review of the literature surrounding healthy aging in the community. The Health System Strategy Division at the Ministry of Health and Long-Term Care subsequently asked the secretariat to provide an evidentiary platform for the ministry's newly released Aging at Home Strategy.After a broad literature review and consultation with experts, the secretariat identified 4 key areas that strongly predict an elderly person's transition from independent community living to a long-term care home. Evidence-based analyses have been prepared for each of these 4 areas: falls and fall-related injuries, urinary incontinence, dementia, and social isolation. For the first area, falls and fall-related injuries, an economic model is described in a separate report.Please visit the Medical Advisory Secretariat Web site, http://www.health.gov.on.ca/english/providers/program/mas/mas_about.html, to review these titles within the Aging in the Community series.AGING IN THE COMMUNITY: Summary of Evidence-Based AnalysesPrevention of Falls and Fall-Related Injuries in Community-Dwelling Seniors: An Evidence-Based AnalysisBehavioural Interventions for Urinary Incontinence in Community-Dwelling Seniors: An Evidence-Based AnalysisCaregiver- and Patient-Directed Interventions for Dementia: An Evidence-Based AnalysisSocial Isolation in Community-Dwelling Seniors: An Evidence-Based AnalysisThe Falls/Fractures Economic Model in Ontario Residents Aged 65 Years and Over (FEMOR) OBJECTIVE: To identify interventions that may be effective in reducing the probability of an elderly person's falling and/or sustaining a fall-related injury. Although estimates of fall rates vary widely based on the location, age, and living arrangements of the elderly population, it is estimated that each year approximately 30% of community-dwelling individuals aged 65 and older, and 50% of those aged 85

Cost-effectiveness in fall prevention for older women.

PubMed

Hektoen, Liv F; Aas, Eline; Lurås, Hilde

2009-08-01

The aim of this study was to estimate the cost-effectiveness of implementing an exercise-based fall prevention programme for home-dwelling women in the > or = 80-year age group in Norway. The impact of the home-based individual exercise programme on the number of falls is based on a New Zealand study. On the basis of the cost estimates and the estimated reduction in the number of falls obtained with the chosen programme, we calculated the incremental costs and the incremental effect of the exercise programme as compared with no prevention. The calculation of the average healthcare cost of falling was based on assumptions regarding the distribution of fall injuries reported in the literature, four constructed representative case histories, assumptions regarding healthcare provision associated with the treatment of the specified cases, and estimated unit costs from Norwegian cost data. We calculated the average healthcare costs per fall for the first year. We found that the reduction in healthcare costs per individual for treating fall-related injuries was 1.85 times higher than the cost of implementing a fall prevention programme. The reduction in healthcare costs more than offset the cost of the prevention programme for women aged > or = 80 years living at home, which indicates that health authorities should increase their focus on prevention. The main intention of this article is to stipulate costs connected to falls among the elderly in a transparent way and visualize the whole cost picture. Cost-effectiveness analysis is a health policy tool that makes politicians and other makers of health policy conscious of this complexity.

Evaluation and economic value of winter weather forecasts

NASA Astrophysics Data System (ADS)

Snyder, Derrick W.

State and local highway agencies spend millions of dollars each year to deploy winter operation teams to plow snow and de-ice roadways. Accurate and timely weather forecast information is critical for effective decision making. Students from Purdue University partnered with the Indiana Department of Transportation to create an experimental winter weather forecast service for the 2012-2013 winter season in Indiana to assist in achieving these goals. One forecast product, an hourly timeline of winter weather hazards produced daily, was evaluated for quality and economic value. Verification of the forecasts was performed with data from the Rapid Refresh numerical weather model. Two objective verification criteria were developed to evaluate the performance of the timeline forecasts. Using both criteria, the timeline forecasts had issues with reliability and discrimination, systematically over-forecasting the amount of winter weather that was observed while also missing significant winter weather events. Despite these quality issues, the forecasts still showed significant, but varied, economic value compared to climatology. Economic value of the forecasts was estimated to be 29.5 million or 4.1 million, depending on the verification criteria used. Limitations of this valuation system are discussed and a framework is developed for more thorough studies in the future.

Primary Care Fall Risk Assessment for Elderly West Virginians.

PubMed

Minkemeyer, Vivian M; Meriweather, Matt; Shuler, Franklin D; Mehta, Saurabh P; Qazi, Zain N

2015-01-01

West Virginia is ranked second nationally for the percent of its population 65 years of age. The elderly are especially susceptible to falls with fall risk increasing as age increases. Because falls are the number one cause of injury-related morbidity and mortality in the West Virginia elderly, evaluation of fall risk is a critical component of the patient evaluation in the primary care setting. We therefore highlight fall risk assessments that require no specialized equipment or training and can easily be completed at an established office visit. High quality clinical practice guidelines supported by the American Geriatric Society recommend yearly fall risk evaluation in the elderly. Those seniors at greatest risk of falls will benefit from the standardized therapy protocols outlined and referral to a balance treatment center. Patients with low-to-moderate fall risk attributed to muscle weakness or fatigue should be prescribed lower extremity strengthening exercises, such as kitchen counter exercises, to improve strength and balance.

A systematic review and meta-analysis of exercise-based falls prevention strategies in adults aged 50+ years with visual impairment.

PubMed

Dillon, Lisa; Clemson, Lindy; Ramulu, Pradeep; Sherrington, Catherine; Keay, Lisa

2018-05-06

To determine the impact of exercise or physical training on falls or physical function in people aged 50+ years with visual impairment, compared with control (no intervention or usual care). An updated systematic review of randomised controlled trials, investigating the effect of exercise or physical activity on falls prevention or physical function in adults aged 50+ with visual impairment. Searches of CINAHL, the Cochrane Register of Controlled Trials (CENTRAL), Embase, and Medline were undertaken. Three trials were identified for the period February 2013 to July 2017 and added to the four in the original review. New trials evaluated yoga, the Otago Exercise Programme in combination with a home safety programme and the Alexander Technique. Meta-analysis of data from two trials (n = 163) indicated a non-statistically significant positive impact of exercise on the Chair Stand Test (WMD -1.85 s, 95% CI -4.65 to 0.96, p = 0.20, I 2 22%). In this update, two new trials measured falls so meta-analysis was possible for three trials (n = 539) and revealed no impact on falls (RR 1.05, 95% CI 0.73 to 1.50, p = 0.81, I 2 30%). Although exercise or physical training can improve physical function in older adults with visual impairment, and diverse strategies are being evaluated, there are no proven falls prevention strategies. In the few studies available, falls are not consistently reported and more work is required to investigate falls prevention in older adults with visual impairment. © 2018 The Authors Ophthalmic & Physiological Optics © 2018 The College of Optometrists.

Survey on fall detection and fall prevention using wearable and external sensors.

PubMed

Delahoz, Yueng Santiago; Labrador, Miguel Angel

2014-10-22

According to nihseniorhealth.gov (a website for older adults), falling represents a great threat as people get older, and providing mechanisms to detect and prevent falls is critical to improve people's lives. Over 1.6 million U.S. adults are treated for fall-related injuries in emergency rooms every year suffering fractures, loss of independence, and even death. It is clear then, that this problem must be addressed in a prompt manner, and the use of pervasive computing plays a key role to achieve this. Fall detection (FD) and fall prevention (FP) are research areas that have been active for over a decade, and they both strive for improving people's lives through the use of pervasive computing. This paper surveys the state of the art in FD and FP systems, including qualitative comparisons among various studies. It aims to serve as a point of reference for future research on the mentioned systems. A general description of FD and FP systems is provided, including the different types of sensors used in both approaches. Challenges and current solutions are presented and described in great detail. A 3-level taxonomy associated with the risk factors of a fall is proposed. Finally, cutting edge FD and FP systems are thoroughly reviewed and qualitatively compared, in terms of design issues and other parameters.

Survey on Fall Detection and Fall Prevention Using Wearable and External Sensors