Validating an evidence-based, self-rated fall risk questionnaire (FRQ) for older adults

Background

Falls are a common, serious, and often unrecognized problem facing older adults. The objective of this study was to provide an initial clinical and statistical validation for a public health strategy of fall risk self-assessment by older adults using a Fall Risk Questionnaire (FRQ).

Methods

Adults age 65 + (n = 40) were recruited at a Los Angeles Veterans Affairs (VA) medical facility and at a local assisted living facility. Participants completed the FRQ self-assessment and results were compared to a “gold standard” of a clinical evaluation of risks using the American/British Geriatrics Society guidelines to assess independent predictors of falls: history of previous falls, fear of falling, gait/balance, muscle weakness, incontinence, sensation and proprioception, depression, vision, and medications. For the comparison, we used an iterative statistical approach, weighing items based on relative risk.

Results

There was strong agreement between the FRQ and clinical evaluation (kappa = .875, p < .0001). Individual item kappa values ranged from .305-.832. After dropping one FRQ item (vision risk) because of inadequate agreement with the clinical evaluation (kappa = .139, p = .321), the final FRQ had good concurrent validity.

Conclusions

The FRQ goes beyond existing screening tools in that it is based on both evidence and clinical acceptability and has been initially validated with clinical examination data. A larger validation with longitudinal follow-up should determine the actual strength of the FRQ in predicting future falls.     

Anticoagulant rodenticide exposure in raptors from Ontario,Canada

Environmental Science and Pollution Research - Anticoagulant rodenticides (ARs) are used globally to control rodent pest infestations in both urban and agricultural settings. It is well documented...     

EVALUATION OF THE ROSGEN STREAM CLASSIFICATION SYSTEM IN CHEQUAMEGON‐NICOLET NATIONAL FOREST,WISCONSIN1

ABSTRACT: Data collected from 121 stream reaches during 1991 to 1993 were evaluated to determine the applicability of the Rosgen Stream Classification System (RSCS) to the low relief terrain within the Chequamegon‐Nicolet National Forest (CNNF) in Wisconsin, USA. All reaches were classified to RSCS Level I and II except that 10.7 percent had sinuosities below the continuum limits and one reach had a predominantly organic substrate. Five of eight possible RSCS Level I types were observed including B, C, D, A, E, and F; 86 percent were C and E types. Seventeen of 94 possible RSCS Level II types were observed. Most reaches were slightly entrenched, had low to moderate width/depth ratios, relatively low sinuosity, low slope, and sand or gravel as the dominant channel material. Discriminant analyses were used to verify the applicability of RSCS for streams within the CNNF; discriminant functions correctly classified 92.5 and 94.7 percent of the Level I and II RSCS types, respectively. When limits for E and F types were modified slightly at Level II by adding an additional category for slopes less than 0.1 percent (a modification we recommend for low relief terrain), discriminant functions correctly classified 99.1 percent of the types. Adding another slope break at 0.3 percent produced similar results. Based on our analyses, RSCS works well within the CNNF and is probably applicable to other areas with low‐relief terrain.     

The anti-predator function of ‘eyespots’ on camouflaged and conspicuous prey

Animals utilise various strategies to reduce the risk of predation, including camouflage, warning colours and mimicry, and many of these protective signals promote avoidance behaviour in predators. For example, various species possess paired circular ‘eyespots’, which startle or intimidate predators, preventing or halting an attack. However, little is known of how the efficacy of such signals relates to the context in which they are found, and no studies have tested the relative effectiveness of anti-predator signals when on otherwise camouflaged and conspicuous prey. We find that the protective value of conspicuous wing spots, placed on artificial moth-like targets presented to wild birds in the field, is strongly affected by the attributes of the prey ‘animal’ on which they are found. Wing spots reduced predation when on conspicuous prey but were rendered ineffective when on otherwise camouflaged targets, indeed they increased the risk of predation compared to non-marked camouflaged controls. These results demonstrate how different anti-predator strategies may interact, and that protective signals can switch from being beneficial to costly under different contexts.     

Accelerated seeded precipitation pre-treatment of municipal wastewater to reduce scaling

Membrane based treatment processes are very effective in removing salt from wastewater, but are hindered by calcium scale deposit formation. This study investigates the feasibility of removing calcium from treated sewage wastewater using accelerated seeded precipitation. The rate of calcium removal was measured during bench scale batch mode seeded precipitation experiments at pH 9.5 using various quantities of calcium carbonate as seed material. The results indicate that accelerated seeded precipitation may be a feasible option for the decrease of calcium in reverse osmosis concentrate streams during the desalination of treated sewage wastewater for irrigation purposes, promising decreased incidence of scaling and the option to control the sodium adsorption ratio and nutritional properties of the desalted water. It was found that accelerated seeded precipitation of calcium from treated sewage wastewater was largely ineffective if carried out without pre-treatment of the wastewater. Evidence was presented that suggests that phosphate may be a major interfering substance for the seeded precipitation of calcium from this type of wastewater. A pH adjustment to 9.5 followed by a 1-h equilibration period was found to be an effective pre-treatment for the removal of interferences. Calcium carbonate seed addition at 10 g l⁻¹ to wastewater that had been pre-treated in this way was found to result in calcium precipitation from supersaturated level at 60 mg l⁻¹ to saturated level at 5 mg l⁻¹. Approximately 90% reduction of the calcium level occurred 5 min after seed addition. A further 10% reduction was achieved 30 min after seed addition.     

Protecting people and property: the influence of land-use planners on flood hazard mitigation in New Urbanist developments

Research suggests that characteristics of local government land-use planners help determine the priority that local communities place on flood hazard mitigation. However, research has not examined the significance of land-use planners' values and role orientations for flood hazard mitigation. Multiple regression analysis is used to examine the influence that land-use planners' values and role orientations have on flood hazard mitigation in a national sample of New Urbanist development projects. Findings indicate that land-use planners' values and role orientations have significant implications for flood hazard mitigation in these projects. The paper recommends that local governments adopt a land-use planning approach to flood hazard mitigation that relies on land-use planners to help direct development away from hazardous portions of development sites.     

Impacts of atmospheric pollution on the plant communities of British acid grasslands

Air pollutants are recognised as important agents of ecosystem change but few studies consider the effects of multiple pollutants and their interactions. Here we use ordination, constrained cluster analysis and indicator value analyses to identify potential environmental controls on species composition, ecological groupings and indicator species in a gradient study of UK acid grasslands. The community composition of these grasslands is related to climate, grazing, ozone exposure and nitrogen deposition, with evidence for an interaction between the ecological impacts of base cation and nitrogen deposition. Ozone is a key agent in species compositional change but is not associated with a reduction in species richness or diversity indices, showing the subtly different drivers on these two aspects of ecosystem degradation. Our results demonstrate the effects of multiple interacting pollutants, which may collectively have a greater impact than any individual agent.     

用人工湿地处理乳制品厂废水的研究

在进水ＣＯＤ浓度４００ｍｇ／Ｌ－８００ｍｇ／Ｌ,温度１５℃－２３℃时,人工湿地装置处理乳制品加工废水的ＣＯＤ去除率达９７％－９８％,面积负荷率达２３．３ｇ／（ｍ＾２．ｄ）－２８．２ｇ（ｍ＾２．ｄ）,ＢＯＤ５的去除率达９７％－９９％,ＢＯＤ５的面积负荷率为１２．６ｇ（ｍ＾２．ｄ）－１７．２ｇ（ｍ＾２．ｄ）,几乎７０％－９０％ＣＯＤ和ＢＯＤ５去除率发生在进水沟段。     

UNCERTAINTY OF EXTREME FLOOD ESTIMATES INCORPRATING HISTORICAL DATA1

ABSTRACT: The ability to predict extreme floods is an important part of the planning process for any water project for which failure will be very costly. The length of a gage record available for use in estimating extreme flows is generally much shorter than the recurrence interval of the desired flows, resulting in estimates having a high degree of uncertainty. Maximum likelihood estimators of the parameters of the three parameter lognormal (3PLN) distribution, which make use of historical data, are presented. A Monte Carlo study of extreme flows estimated from samples drawn from three hypothetical 3PLN populations showed that inclusion of historical flows with the gage record reduced the bias and variance of extreme flow estimates. Asymptotic theory approximations of parameter variances and covariances calculated using the second and mixed partial derivatives of the log likelihood function agreed well with Monte Carlo results. First order approximations of the standard deviations of the extreme flow estimates did not agree with the Monte Carlo results. An alternative method for calculating those standard deviations, the “asymptotic simulation” method, is described. The standard deviations calculated by asymptotic simulation agree well with the Monte Carlo results.     

Regional characteristics of land use in Northeast and Southern Blue Ridge Province: Associations with acid rain effects on surface-water chemistry

The Direct/Delayed Response Project (DDRP) is one of several studies being conducted by the United States Environmental Protection Agency to assess risk to surface waters from acidic deposition in the eastern United States. In one phase of DDRP, land use, wetland, and forest cover data were collected for statistical samples of 145 Northeast lake and 35 Southern Blue Ridge Province stream watersheds in the United States. Land-use and other data then were extrapolated from individual to target watershed populations. Project statistical design allows summarization of results for various subsets of the target population. This article discusses results and implications of the land-use and land-cover characterization for both regions. Forest cover was the primary land use in both regions. In the Northeast, developed (agriculture and urban) land was positively associated with surface-water chemistry values for acid neutralizing capacity, Ca plus Mg, pH, and sulfate in the Pocono/Catskill subregion. Extensive wetlands and beaver activity occur in parts of the Northeast region, whereas topography limits wetland and riparian development in the Southern Blue Ridge Province. Northeast soils have low sulfate adsorption capacity, most watersheds are near sulfur steady state, and lake sulfate concentrations are controlled principally by levels of sulfur deposition. Net annual sulfur retention in Northeast watersheds is positively correlated with occurrence of wetlands and beaver impoundments. In contrast, most Southern Blue Ridge Province soils have high sulfate adsorption capacities, resulting in high net watershed sulfur retention. At the present time, stream sulfate concentrations and percent sulfur retention are controlled principally by soil chemical properties related to adsorption rather than atmospheric deposition and land use. The information in this document has been funded wholly by the United States Environmental Protection Agency. It has been subjected to the agency's peer and administrative review, and it has been approved for publication as an EPA document. Mention of trade names or commercial products does not constitute endorsement or recommendation for use.