Prevalence of Frailty in European Emergency Departments (FEED): an international flash mob study

Introduction Current emergency care systems are not optimized to respond to multiple and complex problems associated with frailty. Services may require reconfiguration to effectively deliver comprehensive frailty care, yet its prevalence and variation are poorly understood. This study primarily determined the prevalence of frailty among older people attending emergency care. Methods This cross-sectional study used a flash mob approach to collect observational European emergency care data over a 24-h period (04 July 2023). Sites were identified through the European Task Force for Geriatric Emergency Medicine collaboration and social media. Data were collected for all individuals aged 65 + who attended emergency care, and for all adults aged 18 + at a subset of sites. Variables included demographics, Clinical Frailty Scale (CFS), vital signs, and disposition. European and national frailty prevalence was determined with proportions with each CFS level and with dichotomized CFS 5 + (mild or more severe frailty). Results Sixty-two sites in fourteen European countries recruited five thousand seven hundred eighty-five individuals. 40% of 3479 older people had at least mild frailty, with countries ranging from 26 to 51%. They had median age 77 (IQR, 13) years and 53% were female. Across 22 sites observing all adult attenders, older people living with frailty comprised 14%. Conclusion 40% of older people using European emergency care had CFS 5 + . Frailty prevalence varied widely among European care systems. These differences likely reflected entrance selection and provide windows of opportunity for system configuration and workforce planning

Separate modal analysis for tumor detection with a Digital Image Elasto Tomography (DIET) breast cancer screening system

Digital Image Elasto Tomography (DIET) is a non-invasive breast cancer screening modality that induces mechanical vibrations into a breast and images its surface mo- tion with digital cameras. A new approach in software based diagnosis of this surface motion is presented, focussing on the second natural frequency of the breast. Sepa- rate modal analysis is used to estimate the modal parameters using imaging data from silicone phantoms. The second natural frequency proves to be a reliable metric with the potential to clearly distinguish cancerous and healthy tissue as well as providing an approximate location for the tumor. Furthermore, thorough statistical analysis is performed to verify the results

Zuidnederlandse Archeologische Rapporten 41

Bij het buurtschap Passewaaij, ten zuidwesten van Tiel, wordt sinds het begin van de jaren '90 van de 20ste eeuw een nieuwbouwwijk gerealiseerd. Voorafgaand aan de bouwactiviteiten zijn in de loop der jaren meerdere vindplaatsen uit diverse perioden archeologisch onderzocht. De belangrijkste vindplaatsen zijn de nederzetting Oude Tielseweg, de nederzetting Passewaaijse Hogeweg, het centrale grafveld tussen de twee genoemde nederzettingen en de nederzetting Hogeweg/Zennewijnenseweg. Alle vindplaatsen hebben vooral met betrekking tot de Romeinse tijd belangrijke resultaten opgeleverd. De voorliggende publicatie heeft betrekking op het grafveld aan de Passewaaijse Hogeweg