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.     

First and early second-trimester diagnosis of fetal urinary tract anomalies using transvaginal sonography

Urinary tract anomalies are common. Prenatal diagnosis is important and enables either special obstetric management or termination of pregnancy and probably in the future, intrauterine intervention. Transvaginal sonography (TVS) allows visualization of the normal and anomalous fetal urinary tract at an early stage. One thousand nine hundred and forty women were examined via TVS at an early stage of pregnancy between 10 and 16 weeks from the last menstrual period (LMP) and 35 anomalies (1·8 per cent) were clearly identified: 29 cases of low urinary tract obstruction, 2 cases of multicystic dysplastic kidney, 2 cases of polycystic kidney (infantile type), 1 case of double collecting system, and 1 case of horseshoe kidney. Potter syndrome could be ruled out in three patients who had delivered fetuses suffering from this anomaly in previous pregnancies. The concise and early identification of anomalies makes TVS an important aid in the hands of the obstetrician, ultrasonographer, and neonatologist.     

Effects of bio-organic fertilizers on pineapple heart rot and bacterial community structure北大核心CSCD

Heart rot is a common soil-borne disease in the pineapple industry, but the situation can be alleviated by the application of bio-fertilizers with beneficial microbiomes. Clarifying the controlling mechanism of bio-organic fertilizer on the high incidence of heart rot is critical in monocultural pineapple cropping patterns. In our study, the soil of continuous cropping pineapple orchards was collected. Three types of carriers (rapeseed cake, peat soil, and coconut bran), biocontrol strains (Bacillus subtilis HL2 and Streptomyces strain HL3), and organic fertilizer (YJ) were composted into different bio-fertilizers (KC, KN, KY, LC, LN, and LY), which were used in pot experiments. The controlling effect of the bio-fertilizer was determined based on the response of pineapple heart rot and bacterial communities to different fertilizing methods. Our results revealed that the incidence of heart rot in bio-fertilizer KC was the lowest, which decreased by 20% and 13.3%, respectively, compared to HF (chemical fertilizer, 16-16-16) and YJ (organic fertilizer). The richness and diversity of soil bacterial communities in all biofertilized treatments (KC, KN, KY, LC, LN, and LY) were significantly higher than those in HF. However, the α-diversity indices of the bio-fertilizers (KC, KN, and KY) were higher than those of LC, LN, and LY, and the bacterial community composition was significantly different. The bacteria GP4, GP6, Bacillus, and Azohydromonas were enriched in KC, KN, and KY, while the relative abundance of Streptomyces increased significantly in LC, LN, and LY. Furthermore, Spearman correlation analysis showed that the relative abundance of these bacterial groups was significantly negatively correlated with the incidence of pineapple heart rot. In summary, the application of bio-organic fertilizers can decrease the incidence of pineapple heart rot by altering the soil bacterial community structure and stimulating beneficial soil microorganisms, which is important for reconstructing the ecological balance in continuous pineapple orchards. © 2022 Authors. All rights reserved.     

Limb reduction and chorion villus sampling

Upper limb reduction was diagnosed by ultrasound scan at 17 weeks after chorion villus sampling at 9 weeks' gestation. Pregnancy was terminated and necropsy confirmed limb reduction in an otherwise normal fetus. The relationship of limb reduction to amniotic band syndrome is discussed.     

编码水稻胞外核苷酸双磷酸酶基因的表达特性

NTPDase(Nucleoside triphosphate-diphosphohydrolase,核苷酸双磷酸酶)在哺乳动物巾分布于细胞膜,可以水解细胞外ATP和其他核苷酸,从而调控胞外核苷酸代谢及信号应答.根据水稻NTPD基因序列设计引物,在不同胁迫条件样品中,通过PCR扩增水稻NTPD基因,结果表明水稻NTPD基因表达水平在盐胁迫样品中升高.为进一步分析水稻NTPD基因的功能,构建了该基因的过量表达、RNA干涉载体,通过根癌农杆菌介导转入水稻品种日本晴并获得阳性植株.半定量RT-PCR分析达到过量表达和干涉日的.在盐胁迫条件下,TO代过表达转基因植株表现出一定程度的抗胁迫能力,RNA干涉转基因植株的生长则受到抑制.图7表3参20     

Hydrogeochemical data as a tool for exploration and mapping: a case study from part of Afikpo Basin southeastern Nigeria

Fourteen (14) characters from six (6) water samples collected from springs, ponds, and streams located in Lower Cretaceous sedimentary area of Afikpo Basin have been analyzed. These include pH, turbidity, conductivity, total dissolved solid, hardness, Fe²⁺, Ca²⁺, Mg²⁺, K⁺, NO₃ ^?, Cl^?, SO₄ ^2?, and Na⁺. These sediments, which are Turonian and Coniacian in age, are subdivided into two by a basic rock dyke. Results of the analyses show clearly that the Turonian sediments, intruded by dolerite, have net Fe²⁺, HCO₃ ^?, Ca²⁺, Mg²⁺, Mn²⁺, Cl^?, and SO₄ ^2? concentration while those from the younger Coniacian sediment have net higher amounts of K⁺, Na⁺, and Mn²⁺. The overriding mafic minerals in the basic intrusive rock possibly led to higher leaching into ground water system near it. On the other hand, the presence of feldsparthic to kaolinitic sands of the younger Coniacian units led to higher K⁺ and Na⁺ matter in the water from these zones. The formations dip away from the older sediments. Concentrations of these characters are within acceptable drinking water standards by World Health Organization but noticeable anomalous zones for Fe²⁺, Mg²⁺, and Ca²⁺ are zones of basic rock suites. Areas with greater Na⁺ and K⁺ are traceable to sandy units. It is thus concluded that more analysis of surface, subsurface, and pond water samples can be utilized for minerals search and geological mapping. At this stage, it forms a veritable reconnaissance tool.     

Biodegradability of Epoxidized Soybean Oil Based Thermosets in Compost Soil Environment

In this study, bio-thermoset from epoxidized soybean oil (ESO) was prepared in the presence of methylhexahydrophthalic anhydride curing agent and 2-ethyl-4-methylimidazole catalyst. The crosslink densities of the synthesized ESO are ranged from 0.109 × 10^?3 to 0.308 × 10^?3 mol/cm³. The ESO bio-thermosets were exposed to the soil-burial test for 8 months. Weight change and morphology of the degraded ESO specimens were assessed. It was found that the weight loss of ESO was governed by the materials compositions, crosslink density and the soil-burial exposure time. The 3 mm thickness ESO bio-thermosets with crosslink density of 0.109 × 10^?3 mol/cm³ had fully biodegraded after soil-burial for 6 months. In addition, 16S rDNA sequencing was carried out to identify the soil microorganisms. It was suggested that Comamonas sp., Bacillus sp., Streptomyces sp. and Acinetobacter sp. are the possible soil microbes that degrade the ESO bio-thermosets in the compost soil environment.