Methods. Secondary data analysis was performed on a population-based longitudinal study of 1644 community-dwelling older adults living in London, U.K.; Hamburg, Germany; Solothurn, Switzerland. Data were this website collected at baseline and 1-year
follow-up using a self-administered multidimensional health risk appraisal questionnaire, including validated questions on falls, mobility disability status (high function, preclinical disability, task difficulty), and demographic and health-related characteristics. Associations were evaluated using bivariate and multivariate logistic regression analyses.
Results. Overall incidence of falls was 24%, and increased by worsening mobility disability status: high function Defactinib concentration (17%), preclinical disability (32%), task difficulty (40%), test-of-trend p <.003. In multivariate
analysis adjusting for other fall risk factors, preclinical disability (odds ratio [OR] = 1.7, 95% confidence interval [CI], 1.1-2.5), task difficulty (OR = 1.7, 95% CI, 1.1-2.6) and history of falls (OR = 4.7, 95% CI, 3.5-6.3) were the strongest significant predictors of falls. In stratified multivariate analyses, preclinical disability equally predicted falls in participants with (OR = 1.7, 95% CI, 1.0-3.0) and without history of falls (OR = 1.8, 95% CI, 1.1-3.0).
Conclusions. This study provides longitudinal evidence that self-reported preclinical disability predicts incident falls at I-year follow-up independent of other self-reported fall risk factors. Multidimensional geriatric assessment that includes preclinical disability may provide a unique early warning system as well as potential selleck inhibitor targets for intervention.”
“Multisensory behavioral benefits generally occur when one modality provides improved or disambiguating information to another. Here, we show benefits when no information is apparently provided. Participants performed an auditory frequency discrimination task in which auditory stimuli were paired with uninformative visual stimuli. Visual-auditory stimulus onset asynchrony was varied between -10 ms (sound first) to 80 ms without compromising perceptual simultaneity. In most stimulus onset asynchrony conditions,
response times to audiovisual pairs were significantly shorter than auditory-alone controls. This suggests a general processing advantage for multisensory stimuli over unisensory stimuli, even when only one modality is informative. Response times were shortest with an auditory delay of 65 ms, indicating an audiovisual ‘perceptual optimum’ that may be related to processing simultaneity.”
“Background. The quality of health care for older Americans with multiple chronic conditions is suboptimal. We designed “”Guided Care”" (GC) to enhance quality of care by integrating a registered nurse, intensively trained in chronic care, into primary care practices to work with physicians in providing comprehensive chronic care to 50-60 multimorbid older patients.
Methods.