Search results for "accident"
showing 10 items of 561 documents
A coordinated preventive care approach for healthy ageing in five European cities: A mixed methods study of process evaluation components
2019
To evaluate specific process components of the Urban Health Centres Europe (UHCE) approach; a coordinated preventive care approach aimed at healthy ageing by decreasing falls, polypharmacy, loneliness and frailty among older persons in community settings of five cities in the United Kingdom, Greece, Croatia, the Netherlands and Spain.Mixed methods evaluation of specific process components of the UHCE approach: reach of the target population, dose of the intervention actually delivered and received by participants and satisfaction and experience of main stakeholders involved in the approach.The UHCE approach intervention consisted of a preventive assessment, shared decision-making on a care …
Predictors of Falls and Fractures Leading to Hospitalization in People With Dementia: A Representative Cohort Study.
2018
OBJECTIVES: Investigate predictors of falls and fractures leading to hospitalization in a large cohort of people with dementia. DESIGN: A retrospective cohort study. SETTING AND PARTICIPANTS: People with diagnosed dementia between January 2007 and March 2013, aged >65 years, were assembled using data from the Maudsley Biomedical Research Centre Case Register, from 4 boroughs in London serving a population of 1.3 million people. MEASURES: Falls and/or fractures leading to hospitalization were ascertained from linked national records. Demographic data, cognitive test scores, medications, and symptom and functioning scores from Health of the Nation Outcome Scales (HoNOS65+) were modeled in mul…
FallSkip device is a useful tool for fall risk assessment in sarcopenic older community people.
2021
PURPOSE Fall prevention is a major health concern for the ageing population. Sarcopenia is considered a risk factor for falls. Some instruments, such as Time Up and Go (TUG), are used for screening risk. The use of sensors has also been shown to be a viable tool that can provide accurate, cost-effective, and easy to manage assessment of fall risk. One novel sensor for assessing fall risk in older people is the Fallskip device. The present study evaluates the performance of the FallSkip device against the TUG method in fall risk screening and assesses its measurement properties in sarcopenic older people. METHODS A cross-sectional study was made in a sample of community-dwelling sarcopenic a…
Nutritional Status and Risk Factors for Frailty in Community-Dwelling Older People: A Cross-Sectional Study
2020
Objective: This study aims to assess the relationship that frailty has with nutritional status and functional risk factors in community-dwelling older adults. Methods: Cross-sectional study in community-dwelling older people, independent for walking and without impaired cognition. Frailty was assessed by Fried criteria. Nutritional status was analyzed by the Mini Nutritional Assessment Short Form (MNA-SF), biochemical markers (albumin, total proteins, cholesterol, lymphocytes, and hemoglobin)
Physical activity programs for balance and fall prevention in elderly: A systematic review
2019
BACKGROUND: Due to demographic changes the world's population is progressively ageing. The physiological decay of the elderly adult may lead to a reduction in the ability to balance and an increased risk of falls becoming an important issue among the elderly. In order to counteract the decay in the ability to balance, physical activity has been proven to be effective. The aim of this study is to systematically review the scientific literature in order to identify physical activity programs able to increase balance in the elderly. METHODS: This review is based on the data from Medline-NLM, Pubmed, ScienceDirect, and SPORTDiscuss and includes randomized control trials that have analyzed balan…
Lifetime Adherence to Physical Activity Recommendations and Fall Occurrence in Community-dwelling Older Adults: a Retrospective Cohort Study
2012
Wright RL, Robinson PD, Peters DM. Lifetime adherence to physical activity recommendations and fall occurrence in community-dwelling older adults: a retrospective cohort study. J. Hum. Sport Exerc. Vol. 7, No. 1, pp. 310-320, 2012. Falling is a major health concern for community-dwelling older adults. Regular physical activity has been proposed to prevent falls. The aim of this study was to assess whether the achievement of the 2004 UK Department of Health physical activity recommendations over a lifetime had a protective effect against falling in older people. 313 community-dwelling older adults completed a questionnaire about lifetime physical activity and fall occurrence. There were sign…
Occupational exposure to home risk factors: analysis of physical and mental health condition of a group of Sicilian housewives
2016
INTRODUCTION: The work of housewives, in many ways, still lacks professional respect; particularly with respect to the neglect of exposure to risk factors such as: chemical, physical, biological, psychological and accidents. The purpose of this study is to analyze the possible impact of environmental risk factors on the physical and mental health of a group of Sicilian housewives. METHODS: We enrolled housewives living in Palermo and Catania and administered an anonymous questionnaire to obtain knowledge of three factors: (1) the habits of the respondents, (2) the type of house in which they lived and worked, (3) the diseases they suffered. We also administered them a hospital anxiety and d…
Dance movement therapy and falls prevention
2017
Falls are a leading cause of morbidity, healthcare use and mortality. Dance is a popular form of physical activity among older people and previous research has suggested that it may improve various health outcomes in this population, including balance, gait and muscle performance. A systematic review of the potential benefits of dance on falls and fear of falling is lacking. Thus, we conducted a systematic review considering all randomized controls trials (RCTs) investigating if dance can reduce falls and improve fear of falling in older adults. Major databases were searched from inception until 1 March 2017 and a total of 10 RCTs were identified, which included a total of 680 people (n = 3…
Konfliktbewältigung als pathogenetisches Bindeglied zwischen psychosozialen Belastungen in der Kindheit und psychischen Erkrankungen im Erwachsenenal…
2001
Zusammenfassung Fragestellung: In der vorliegenden Studie wird der Zusammenhang zwischen neurotischen beziehungsweise unreifen Konfliktbewaltigungsstrategien mit spezifischen psychosozialen Belastungen in der Kindheit und deren kumulative Wirkung untersucht. Es wird dabei die Hypothese uberpruft, ob bestimmte Konfliktbewaltigungsstrategien als pathogenetisches Bindeglied zwischen psychischer Erkrankung im Erwachsenenalter und psychosozialen Belastungen und Traumatisierungen in der Kindheit angesehen werden konnen. Methode: 407 konsekutiv in der Ambulanz einer psychosomatischen Universitatsklinik untersuchte Patienten konnten nach abgeschlossener Diagnostik und Klassifikation nach ICD-10 in …
Das Krankheitsbild des doppelseitigen Carotisverschlusses
1974
An Hand von 10 eigenen Fallen wird das Krankheitsbild des doppelseitigen Carotisverschlusses dargestellt. Typische Verlaufsformen werden beschrieben. Am haufigsten sind: kontralaterale Hemiparese bei stummem einseitigem Verschlus, akute doppelseitige Symptomatik und langsam progrediente Hemisymptomatik. Die relativ geringe Bedeutung unblutiger Untersuchungsverfahren wird besprochen, nur die Angiographie kann die Diagnose sichern. Im klinischen Bild sollten auch diskrete beidseitige Symptome, ungewohnlich ausgepragte psychische Ausfalle oder auch eine verzogerte Ruckbildung der Ausfalle nach einem Insult an die Diagnose denken lassen. Die verschiedenen therapeutischen Konsequenzen werden bes…