Journal Article Fear of Falling and Fall-Related Efficacy in Relationship to Functioning Among Community-Living Elders Get access Mary E. Tinetti, Tinetti 1Department Internal Medicine, Yale University School Medicine Search for other works by this author on: Oxford Academic PubMed Google Scholar Carlos F. Mendes De Leon, Leon 2Department Epidemiology Public Health, John T. Doucette, Doucette Dorothy I. Baker 3Yale Nursing Gerontology, Volume 49, Issue 3, May 1994, Pages M140–M147,...

BACKGROUND: Serious fall injury represents a little studied, yet common and potentially preventable, cause of morbidity mortality among older persons. We determined the frequency of, risk factors for, experiencing serious events persons in community. SUBJECTS: A representative sample 1103 community‐living aged 72 years underwent comprehensive baseline 1‐year evaluations. MAIN OUTCOME MEASURES: During median 31 months follow‐up, data were obtained using calendars. Injury from telephone...

Despite increased risk for psychiatric disorders after trauma exposure, many people are able to adapt with minimal life disruption, and others eventually recover a symptomatic period. This study examined psychosocial factors associated resilience recovery from in high-risk sample of African American adults exposed range severe traumas, who participated structured diagnostic interviews.The included 259 patients at least one traumatic event, recruited primary care offices Howard University...

OBJECTIVES: The objectives were to identify situational risk factors associated with suffering a serious fall injury and determine whether, what extent, predisposing contributed independently of injury. DESIGN: Nested cohort study. SETTING: General community. PARTICIPANTS: 568 members representative sample community‐living persons 72 years age or older who fell during median follow‐up 36 months. MEASUREMENTS: Candidate factors, identified baseline face‐to‐face home assessment, the...

To evaluate the safety and efficacy of botulinum toxin type A injection in essential tremor hand.Botulinum is an effective treatment for dystonia, spasticity, other movement disorders has been found to be useful open-label studies one double-masked study hand tremor.One hundred thirty-three patients with were randomized low-dose (50 U) or high-dose (100 (Botox) vehicle placebo treatment. Injections made into wrist flexors extensors. Patients followed 16 weeks. The effect was assessed by...

Background. Few studies of hip fracture have large enough samples men, minorities, and persons with specific comorbidities to examine differences in their mortality functional outcomes. To address this problem, we combined three cohorts patients produce a sample 2692 followed for 6 months. Method. Data on mortality, mobility, other activities daily living (ADLs) were available from all cohorts. We used multiple regression the association race, gender, comorbidity 6-month survival function,...

Asthma morbidity and mortality are not distributed homogeneously among populations. To assess the relationship between asthma hospitalization rates socioeconomic factors, we conducted an ecologic analysis using small geographical areas defined by postal zip code in New York City. correlated with low median family income, percentage of minorities population, children under age 18. Lack access to preventive health care, poor housing conditions, environmental exposures, genetic susceptibility...

From January 1962 to May 1979, 23 patients with biopsy-proved intramedullary spinal cord tumors were treated initially total resection, subtotal irradiation, or resection and irradiation. Local control was achieved in 1/2 after 1/3 8/9 radiation therapy, 5/8 therapy alone. The ependymomas exhibited a dose-response relationship; of eight followed five more years postirradiation, local 2/3 time dose fraction (TDF) less than 55, TDF 55-65, 2/2 greater 65. actuarial 5- 10-year survival rates 58%...

To examine unidentified heterogeneity in hip fracture patients that may predict variation functional outcomes.Observational, longitudinal, multisite cohort study.Three separate cohorts from five hospitals the metropolitan New York area and eight Baltimore.Two thousand six hundred ninety-two treated at one of 13 followed for 6 months postfracture.A mobility measure with three categories (independent (walks independently or a device), limited independence (needs human assistance supervision to...

Surgical correction of orofacial clefts greatly mitigates negative outcomes. However, access to reconstructive surgery is limited in developing countries. The present study reviews epidemiological data from a single charitable organization, Smile Train, with database surgical cases 33 African countries 2001-2011.Demographic and clinical patient were collected questionnaires completed by the participating surgeons. These recorded Excel, analyzed using SPSS compared previously reported...

Background or aims: Lack of clinical trial awareness is a known obstacle to enrollment. We sought define the prevalence in US population, determine characteristics associated with increased awareness, and explore potential disparities awareness. Methods: utilized data from Health Information National Trends Survey 2008 2012. Logistic regression was assess predictors particularly sociodemographic variables information-seeking preferences. Trial preferences were compared patient subgroups...

The ability of health-care providers to demonstrate empathy toward their patients results in a number positive outcomes improving the quality care. In addition, provider's level emotional intelligence (EI) can further doctor-patient relationship, stimulating more personalized and comprehensive manner treating patients. Furthermore, personality traits clinician may positively or negatively influence that as well clinical outcomes. This study was designed evaluate levels podiatric medical...

To determine if higher exposures measured in early childhood to environmental phenols, phthalates, pesticides, and/or trace elements, are associated with increased odds of having a diagnosis Autism Spectrum Disorder (ASD), Developmental Delay (DD), or Other Early Concerns (OEC) compared typically developing children (TD).This study included 627 between the ages 2-5 who participated Childhood Risks from Genetics and Environment (CHARGE) study. Urine samples were collected at same visit where...

Background MR elastography (MRE) has been shown to have excellent performance for noninvasive liver fibrosis staging. However, there is limited knowledge regarding the precision and test-retest repeatability of stiffness measurement with MRE in multicenter setting. Purpose To determine across multiple centers using same phantoms. Materials Methods In this study, three cylindrical phantoms made polyvinyl chloride gel mimicking different degrees humans (phantoms 1–3: soft, medium, hard...

Abstract Objective. The objective of this study was to compare the efficacy surveillance high-resolution computed tomography (HRCT) and physical examination/endoscopy (PE/E) with fluorodeoxyglucose (FDG)-positron emission (PET)/HRCT for detection relapse in head neck squamous cell carcinoma (HNSCC) after primary treatment. Methods. This is a retrospective analysis contemporaneously performed FDG-PET/HRCT, HRCT, PE/E 99 curatively treated patients HNSCC during post-therapy performance test...

We assessed the relation between maternal respiratory problems and preterm labor delivery in a cohort of 3,891 women who delivered singleton livebirth. Study participants were asked about their medical history 12 months before conception; reported asthma had higher risk [relative (RR) estimate = 2.33, 95% confidence interval (CI) 1.03–5.26]. Asthmatic also an increased (RR 1.77, CI 0.60–5.24). Maternal during pregnancy associated with both inhibited 2.14, 1.25–3.66) 2.03, 1.08–3.82)....

Abstract Background Long distance trucking is associated with significant health risks. However, to our knowledge no published data exist regarding healthcare service access by the estimated two million long‐haul truckers in United States. Methods A cross‐sectional study was designed assess among these workers. Five hundred‐twenty‐one anonymous self‐administered surveys were completed at 16 truck stops 14 states from July through August 2002. Results Forty‐seven percent of those surveyed...

ABSTRACT Primary immunodeficiency results in recurrent infections, organ dysfunction, and autoimmunity. We studied 237 patients referred for suspicion of immunodeficiency, using a scoring system based on clinical information. The 113 with had higher scores more episodes chronic illnesses were likely to have neutropenia, lymphopenia, or splenomegaly.