Context-Cognitive impairment and functional disability are major determinants of caregiving needs societal healthcare costs.Although the incidence severe sepsis is high rising, especially among older adults, magnitude patients' long-term cognitive limitations after unknown.Objective-Determine change in physical functioning patients who survive sepsis, controlling for their pre-sepsis functioning. Design-Prospective cohort.Setting-The Health Retirement Study (HRS) conducted interviews with a...

This study examines the relative contributions of giving versus receiving support to longevity in a sample older married adults. Baseline indicators and were used predict mortality status over 5-year period Changing Lives Older Couples sample. Results from logistic regression analyses indicated that was significantly reduced for individuals who reported providing instrumental friends, relatives, neighbors, emotional their spouse. Receiving had no effect on once taken into consideration....

Purpose Although breast-conserving surgery (BCS) is often assumed to result in minimal deformity, many patients report postoperative breast asymmetry. Understanding the effect of asymmetry on psychosocial functioning essential for make an informed choice surgery. Patients and Methods All women who underwent BCS at University Michigan Medical Center (Ann Arbor, MI) during a 4-year period were surveyed using mailed questionnaire (N = 714; response rate 79.5%). Women queried regarding five...

Traditional investigations of caregiving link it to increased caregiver morbidity and mortality, but do not disentangle the effects providing care from those being continuously exposed an ailing loved one with serious health problems. We explored this possible confound in a national, longitudinal survey elderly married individuals ( N = 3,376). Results showed that spending at least 14 hr per week spouse predicted decreased mortality for caregiver, independently behavioral cognitive...

To summarize existing research on individual numeracy and methods for presenting risk information to patients.We selectively retrieved articles from MEDLINE the Social Sciences Citation Index.Many Americans have low skills, a deficit that impedes effective health care. Approaches communication vary in current practice, but how risks are presented can significantly affect both patients' perceptions their knowledge.Adhering some basic principles patients improve understanding. However,...

We examined the hypothesis that relationship between financial status and subjective well-being, typically found to be very small in cross-sectional studies, is moderated by health status. Specifically, we predicted wealth would buffer well-being after onset of a disability. Using data from Health Retirement Study, longitudinal study people at approaching retirement age, employed within-subjects analyses test whether measured prior disability protected participants' some negative effects new...

Objectives. We sought to test the hypothesis that providing help others predicts a reduced association between stress and mortality. Methods. examined data from participants (n = 846) in study Detroit, Michigan, area. Participants completed baseline interviews assessed past-year stressful events whether participant had provided tangible assistance friends or family members. Participant mortality time death was monitored for 5 years by way of newspaper obituaries monthly state death-record...

Abstract Background The objective of this study was to examine the association between education and incidence accelerated cognitive decline. Methods Secondary analyses data from Health Retirement Study (HRS), a nationally representative prospective cohort U.S. residents were conducted (N = 28,417). Cox proportional hazards survival models layered on longitudinal mixed-effects modeling jointly healthy aging decline consistent with patterns seen in preclinical Alzheimer’s disease related...

Although patient diabetes self-management is a key determinant of health outcomes, there little evidence on whether patients' own assessments their correlates with glycemic control and aspects high-quality care. We explored these associations in nationwide sample Veterans' Affairs (VA) patients diabetes.We abstracted information achieved level (HbA(1c)) processes care (receipt HbA(1c) test, eye examination, nephropathy screen) from medical records 1032 diabetic who received 21 VA facilities...

Abstract Objective To examine the daily life patterns of both pain and fatigue symptoms objective physical activity (using ambulatory monitoring) in women with symptomatic lower extremity osteoarthritis (OA), to evaluate how momentary impact levels. Methods Sixty age ≥55 years (40 knee or hip OA 20 matched controls) participated an observational study involving 2 laboratory visits a 5‐day home data collection period. During period levels were assessed continuously, inputted 6 times day into...

Abstract OBJECTIVE. We examined whether tailored activity pacing intervention was more effective at reducing pain and fatigue than general intervention. METHOD. Adults with knee or hip osteoarthritis (N = 32) stratified by age gender were randomized to receive either Participants wore an accelerometer for 5 days that measured physical allowed repeated symptom assessment. Physical data used tailor instruction. Outcomes 10-week follow-up (Western Ontario McMaster Universities Osteoarthritis...

The incidence and outcomes of out-of-hospital cardiac arrest vary widely across cities. It is unknown whether similar differences exist at the neighborhood level.To determine extent to which neighborhoods have persistently high rates but low bystander cardiopulmonary resuscitation (CPR).Multilevel Poisson regression 1108 arrests from 161 census tracts as captured by Cardiac Arrest Registry Enhance Survival (CARES).Fulton County, Georgia, between 1 October 2005 30 November 2008.Incidence...

Objective Although it has been well established that fatigue is common among older adults with osteoarthritis (OA), relatively little known about how in daily life affects physical activity. The purposes of this study were to examine the relationship between momentary and subsequent activity people OA who reported clinically relevant levels moderators relationship. Methods People knee or hip participated performance assessments, completed questionnaires, underwent a home monitoring period...

Osteoarthritis (OA) is one of the leading causes chronic disability in older adults, often causing significant impairment mobility. OA symptoms have been linked to mental functioning, including depression, anxiety, and negative affect. To examine whether anger anxiety mediate relationship between social support mobility among adults with knee osteoarthritis, data from Everyday Quality Life Older Blacks Whites (EQUAL) study (N = 336) were analyzed using Hayes' PROCESS model SPSS test direct...

Abstract Objective To examine effects of activity strategy training (AST), a structured rehabilitation program taught by occupational therapists and designed to teach adaptive strategies for symptom control engagement in physical (PA). Methods A randomized controlled pilot trial was conducted at 4 sites (3 senior housing facilities 1 center) southeastern, lower Michigan. Fifty‐four older adults with hip or knee osteoarthritis (mean ± SD age 75.3 7.1 years) participated. At each site, were...

Abstract Introduction Tamoxifen and raloxifene are chemopreventive drugs that can reduce women's relative risk of primary breast cancer by 50%; however, most women eligible for these have chosen not to take them. The reasons low uptake may be related knowledge or attitudes towards the drugs. We aimed examine impact an online chemoprevention decision aid (DA) on informed intentions decisions at high cancer. Methods conducted a randomized clinical trial, assessing effect DA about choices...

To further a just energy transition, jobs lost at retiring coal plants could be replaced by wind and solar plants. No research quantifies the feasibility costs of such an undertaking across United States. Complicating are workers' place-based preferences that prevent them from moving long distances, e.g. to high renewable resource regions. We formulate bottom-up optimization model quantify technical replacing plant with local versus distant in renewables sector. For contiguous States, we...