Implementing STEADI in Academic Primary Care to Address Older Adult Fall Risk.

Background And Objectives: Falls are the leading cause of injury-related deaths in older adults. Objectives include describing implementation of the Centers for Disease Control and Prevention's Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative to help primary care providers (PCPs) identify and manage fall risk, and comparing a 12-item and a 3-item fall screening questionnaire.

Design And Methods: We systematically incorporated STEADI into routine patient care via team training, electronic health record tools, and tailored clinic workflow.

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

[This corrects the article on p. 190 in vol. 4, PMID: 27660753.

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

A multifactorial approach to assess and manage modifiable risk factors is recommended for older adults with a history of falls. Limited research suggests that this approach does not routinely occur in clinical practice, but most related studies are based on provider self-report, with the last chart audit of United States practice published over a decade ago. We conducted a retrospective chart review to assess the extent to which patients aged 65+ years with a history of repeated falls or fall-related health-care use received multifactorial risk assessment and interventions.

Personal assistance services in the workplace: A literature review.

Background: Personal assistance services (PAS) can be valuable adjuncts to the complement of accommodations that support workers with disabilities. This literature review explored the professional literature on the use of PAS in the workplace.

Methods: Bibliographic sources were used to locate relevant research studies on the use of PAS in the workplace.

Secondhand smoke exposure in Alaskan households with children.

Introduction: Secondhand smoke (SHS) exposure causes premature death and disease in children and non-smoking adults; the home is the primary source of SHS exposure. The aim of this study was to assess variance in the prevalence of children's SHS exposure in Alaskan households with an adult smoker according to rurality, race/ethnicity, income and education, household age composition, marital status, amount smoked each day, and beliefs in SHS health consequences.

Method: Telephone interviews were conducted between 2004 and 2007 on a population-based random sample of 1119 Alaskan adult smokers with children living in the household.

Employer benefits from making workplace accommodations.

Background: This study explored workplace disability accommodations and their benefits. The participants were employers and human resource professionals who had not used the services of the Job Accommodation Network (JAN). The companies included large businesses (more than 499 employees) and small businesses (fewer than 500 employees).

Personal Assistance Services (PAS) for individuals with disabilities: self-care at the workplace.

Objective: The intent of this investigation was to identify current definitions, issues, and strategies related to the use of Personal Assistance Services (PAS) in the workplace.

Participants: The participants were employees with disabilities who used PAS in the workplace as well as employers who participated in research studies over the past 20 years.

Methods: More than 30 articles were reviewed to determine PAS definitions, use, policies, and outcomes.

Dietary camelina meal versus flaxseed with and without supplemental copper for broiler chickens: live performance and processing yield.

An experiment was conducted to compare the responses of young broiler chickens to corn-soybean meal diets supplemented with flaxseed or camelina meal versus a corn-soybean meal control and the factorial effect of 150 mg/kg of Cu supplementation on performance and processing yield. A randomized complete block design with a 2 x 3 factorial arrangement was used with 7 replicates from hatch to 21 d of age (n = 294; 7 chicks per replicate). Body weight of birds fed 10% camelina meal or 10% flaxseed was significantly reduced compared with the control birds.

Cost of workplace accommodations for individuals with disabilities: with or without personal assistance services.

Background: This study compared the expense associated with use of personal assistance services (PAS) for individuals with disabilities to the expense incurred by individuals with disabilities who did not use PAS. The intent of this investigation was to assess the disability accommodation costs and benefits of PAS and non-PAS cases.

Methods: The study uses 1,182 follow-up telephone surveys and 24 telephone interviews of employers who had previously contacted the Job Accommodation Network (JAN) to discuss disability-related accommodations for an employee or potential employee that were conducted from January 2004 through December 2006.

Balloon alignment T-stenting for bifurcation coronary artery disease using the sirolimus-eluting stent.

Objective: The purpose of this study was to evaluate the long-term outcomes of bifurcation coronary lesions treated with a novel technique called "balloon alignment T-stenting".

Background: The optimal technique for the treatment of bifurcation coronary disease has not yet been established.

Methods: Twenty-six patients with bifurcation coronary lesions were treated with currently available drug-eluting stent (DES) platforms.

Promising though not yet proven: emerging strategies to promote myocardial salvage.

Remarkable advances in our ability to achieve early and sustained culprit vessel patency in acute myocardial infarction have been satisfying, but our enthusiasm must be tempered by the knowledge that the overall treatment strategy often leaves an inadequate long term clinical result. Early success of percutaneous therapy as judged at angiography does not ensure recovery of normal left ventricular function, the most important determinant of survival in acute myocardial infarction. That congestive heart failure and death still complicate apparently successful percutaneous procedures underscores the need to develop novel therapies which salvage jeopardized myocardium, limit infarct size and preserve left ventricular function.

Informed decision making on assistive technology workplace accommodations for people with visual impairments.

Underemployment of people with visual impairments is an important problem in the world of work. Barriers to successful employment include the lack of informed decision making concerning AT as a workplace accommodation. Choosing effective Assistive Technology (AT) as an accommodation solution is imperative to successful employment of individuals with vision impairments.

Caregiving for parents and parents-in-law: is gender important?

This article analyzes cross-sectional data collected from 1,585 employed caregivers of parents and parents-in-law. Hierarchical regression models were used to examine the additive and multiplicative effects of relationship status (parent or parent-in-law) and gender on caregiving activities, resources, and costs. Findings indicate that both the caregiver's gender and the elder's gender are associated with care provided to and from parents and parents-in-law.

Sex, marital status, and psychological distress in later life: a comparative analysis.

Some investigators maintain that while married men experience less distress than married women, the opposite may be true for those who are not married. In this instance, women are thought to report fewer symptoms of distress than men. The purpose of this study is to examine the relationships among gender, marital status, psychological distress and alcohol use in five culturally-diverse groups of older adults: U.

Effects of preference, prompt, and task agreement on the discrimination learning of mentally retarded adults.

Twenty-seven mentally retarded employees of a sheltered workshop were trained on five discrimination tasks (wires, hardware, moldings, capacitors, and fasteners) using five combination of preference, prompt, and task agreement: all agree, preference different, prompt different, tasks different, and all different. The data revealed that when the learners were prompted in the dimension of the target discrimination (a) fewer errors were made, (b) training time was reduced, and (c) fewer training trials were required to reach criterion. Preference for a particular dimension (color, shape, or size, as measured by a screening test) did not significantly affect performance on the discrimination tasks.

Moments of transfer of stimulus control in practical assembly tasks by mentally retarded adults.

Twenty vocational rehabilitation clients, divided into two aptitude groups, were trained to assemble three different 10-part apparatuses (lawn mower engine, electric drill, and bicycle brake) using three progressive prompt delay intervals (1, 3, and 5 seconds). The experimenter modeled selection and placement of each part on Trial 1 (0-second delay). On Trial 2, the modeling prompt was delayed 1, 3, or 5 seconds.