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Demand for emergency department (ED) services is increasing worldwide. The fastest growth in ED presentations is by patients aged ≥65 years, currently representing 18% of all attendances. Older patients present with more complex clinical conditions and multiple co-morbidities. This means they are likely to spend more time in ED, are more likely to be admitted to hospital, and are more likely to re-attend. The Safe Elderly Emergency Discharge (SEED) project aims to determine whether current models of emergency care ensure safe discharge and facilitate optimal health outcomes for older patients; and develop a tailored evidence-based care framework applicable to Australian and international settings. Risk screening for unsafe discharge will be conducted on patients aged ≥65 years discharged home from ED. Patients will be followed for 6 months post-ED presentation to monitor health outcomes and map their care journey. Demographic, clinical, and functional characteristics will be collected. The primary outcome is unsafe discharge, defined as unplanned re-presentation/admission within 30 days of the index presentation. Secondary outcomes include unplanned ED re-presentation/hospital admission within 6 months; patient experience; change in functional status; functional decline; health service utilisation; and death within 6 months. The effectiveness of the ED discharge risk screening tools for predicting unsafe discharge will be evaluated at 30 days and 6 months. SEED will determine the risk factors for unplanned ED re-presentation/hospital admission at 30 days for patients aged ≥65 years presenting to ED; which will inform the development of an evidence-based older patient care framework for EDs.

The document titled "ROLL of HONOR 2023" is an article from the FAA Safety Briefing journal published in March/April 2024. It lists the recipients of the Wright Brothers Master Pilot Award in 2023, which is the FAA's most prestigious award for pilots. The award recognizes pilots who have demonstrated 50 years of exemplary aviation flight experience, distinguished professionalism, and a steadfast commitment to aviation safety. The article provides a comprehensive list of the Master Pilots recognized in each state, and readers can find more information about the award on the FAASafety.gov/MasterPilot website. The FAA also awarded the Charles Taylor Master Mechanic Award to individuals for their outstanding aviation maintenance experience, professionalism, and commitment to aviation safety. The award is named after Charles Taylor, the first aviation mechanic in powered flight. Furthermore, the FAA presented the Wright Brothers Master Pilot awards to members of Experimental Aircraft Association Chapter 983 in Granbury, Texas, during a ceremony on Veterans Day, which was the largest of its kind for the FAA. [Extracted from the article]

Profiles several jazz musicians from New Orleans, Louisiana. Bassist Ed Wise; Drummer Ocie Davis; Trumpet player Andrew Baham; Pianist Roger Dickerson.

For decades, daily low-dose aspirin has been recommended to prevent the development of cardiovascular disease and reduce the risk for myocardial infarction or stroke in middle-aged and older adults. However, [...]

Objective: To evaluate the implementation and outcomes of evidence-based fall-risk-reduction processes when those processes are implemented using a multiteam system (MTS) structure. Data Sources/Study Setting: Fall-risk-reduction process and outcome measures from 16 small rural hospitals participating in a research demonstration and dissemination study from August 2012 to July 2014. Previously, these hospitals lacked a fall-event reporting system to drive improvement. Study Design: A one-group pretest-posttest embedded in a participatory research framework. We required hospitals to implement MTSs, which we supported by conducting education, developing an online toolkit, and establishing a fall-event reporting system. Data Collection: Hospitals used gap analyses to assess the presence of fall-risk-reduction processes at study beginning and their frequency and effectiveness at study end; they reported fall-event data throughout the study. Principal Findings: The extent to which hospitals implemented 21 processes to coordinate the fall-risk-reduction program and trained staff specifically about the program predicted unassisted and injurious fall rates during the end-of-study period (January 2014-July 2014). Bedside fall-risk-reduction processes were not significant predictors of these outcomes. Conclusions: Multiteam systems that effectively coordinate fall-risk-reduction processes may improve the capacity of hospitals to manage the complex patient, environmental, and system factors that result in falls. KEYWORDS falls, implementation evaluation, multiteam systems, patient safety, quality improvement, 1 | INTRODUCTION Approximately 3 percent of hospitalized patients fall annually. (1,2) Nearly one-fourth of these falls result in injury (3) with an average associated excess cost of $7000 per [...]

5.00pm The Chase Bradley Walsh hosts the quiz show. (R) (S) (HD) 6.00 Regional News Weather (S) (HD) 6.30 ITV Evening News Weather (S) (HD) 7.00 Emmerdale Jamie worries about [...]

5.00pm The Chase Bradley Walsh presents the quiz show. Executive producers Michael Kelpie and Martin Scott Series producer Helen Tumbridge (R) (S) (HD) 6.00 Regional News Weather (S) (HD) 6.30 [...]

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5.00pm The Chase Four contestants face today's Chaser. (R) (S) (HD) 6.00 Regional News Weather (S) (HD) 6.30 ITV Evening News Weather (S) (HD) 7.00 Emmerdale Charity seeks out Priya [...]

5.00pm The Chase Bradley Walsh presents the quiz. (R) (S) (HD) 6.00 Regional News Weather (S) (HD) 6.30 ITV Evening News Weather (S) (HD) 7.00 Emmerdale Dan is adamant he [...]

Vera 8.00pm The detective hunts for clues in an army barracks, but the suspects soon close ranks 5.00pm The Chase Bradley Walsh presents the quiz show. (R) (S) (HD) 6.00 [...]

5.00pm Cash Trapped Quiz hosted by Bradley Walsh. (S) (HD) 6.00 Regional News Weather (S) (HD) 6.30 ITV Evening News Weather (S) (HD) 7.00 Emmerdale Leyla struggles with some news. [...]

Background. There is a high incidence of falls in older adults with knee osteoarthritis (OA). Adequate dynamic balance and mobility reduce the risk of falls; however, there are currently no validated, advanced tests of dynamic balance and mobility for individuals with knee OA. Objective. The purpose of this study was to determine the convergent validity, known-groups validity, and test-retest reliability of a dynamic test of balance and mobility, the Community Balance and Mobility Scale (CB&M), in a knee OA population. Design. A cross-sectional design was used. Methods. Twenty-five individuals aged 50 years and older with medial knee OA and an equal number of healthy controls completed the CB&M and other tests of balance and mobility, including the Berg Balance Scale, the Timed 'Up & Go' Test, a test of maximal single-leg stance time, and the 10-Meter Walk Test (self-selected and fast walking speed). Convergent validity of balance tests with the CB&M was assessed using Pearson product moment correlation coefficients, and known-groups validity was assessed using independent t tests. Test-retest reliability of the CB&M was assessed using intraclass correlation coefficients (ICCs) and standard error of measurement (SEM). Results. Scores on the CB&M were significantly correlated with all measures of balance and mobility for those with knee OA. There were significant differences in CB&M scores between groups. Scores on the CB&M were highly reliable in people with knee OA (ICC=.95, 95% confidence interval [95% CI] =0.70 to 0.99; SEM=3, 95% CI=2.68 to 4.67). Limitations. Few participants had severe knee OA. Conclusions. The CB&M displayed moderate convergent validity, excellent known-groups validity, and high test-retest reliability. The CB&M can be used as a valid and reliable tool to assess dynamic balance and mobility deficits in people with knee OA., Falls in elderly people are a significant public health concern. In one sample of more than 5,000 adults aged 65 years and older, more than 25% reported experiencing a fall [...]

Background. Poor balance control, mobility restrictions, and fall injuries are serious problems for many older adults. Objective. The purpose of this study was to evaluate a new dynamic standing balance assessment test for identifying individuals at risk for falling in a group of community-dwelling older adults. Design. This was a cross-sectional observational study of 72 community-dwelling older adults who were receiving rehabilitation in a geriatric day hospital. Method. A Dynamic Balance Assessment (DBA) test protocol was developed based on the concept of the Sensory Organization Test and the Clinical Test of Sensory Interaction and Balance. The DBA consists of 6 tasks performed on a normal floor surface and repeated on a sponge surface. A flexible pressure mat was used to record the foot's center of pressure (COP) on both surfaces, and loss of balance was recorded. Balance performance also was evaluated using the Berg Balance Scale, the Timed 'Up & Go' Test, gait speed, and the Six-Minute Walk Test. Participants were classified as 'fallers' or 'nonfallers' based on a self-report. Results. No significant differences were noted between the faller group (n=47) and the nonfaller group (n=25) for demographic variables or medications. The DBA composite scores, which were derived from analysis of COP excursions of the 6 tasks performed on the sponge surface, were able to distinguish between fallers and nonfallers. Of the clinical tests, only the Timed 'Up & Go' Test was able to differentiate between the faller and nonfaller groups. Limitations. A prospective study is needed to confirm the current findings and to expand testing to a larger and more diverse sample. Conclusions. The findings indicate that analysis of the extent and amount of COP displacements during selected tasks and under different surface conditions is an appropriate method to assess dynamic standing balance controls and can discriminate between fallers and nonfallers among community-dwelling elderly people., Declines in self-efficacy, increased susceptibility to falls, and reduced mobility are serious problems facing many older adults. Balance impairment and fear of falling can occur following singular events (1,2) or [...]

About the Best Sellers: These lists are an expanded version of those appearing in the November 27, 2011 print edition of the Book Review, reflecting sales for the week ending [...]

Byline: Ricki Lewis, PhD About 30,000 people in the United States have Huntington disease (HD), and 200,000 of their relatives are 'at-risk,' facing the 1-in-2 chance that comes with having [...]