Incidence and costs of unintentional falls in older people in the United Kingdom

STUDY OBJECTIVE: To estimate the number of accident and emergency (A&E) attendances, admissions to hospital, and the associated costs as a result of unintentional falls in older people. DESIGN: Analysis of national databases for cost of illness. SETTING: United Kingdom, 1999, cost to the National Health Service (NHS) and Personal Social Services (PSS). PARTICIPANTS: Four age groups of people 60 years and over (60–64, 65–69, 70–74, and 75) attending an A&E department or admitted to hospital after an unintentional fall. Databases analysed were the Home Accident Surveillance System (HASS) and Leisure Accident Surveillance System (LASS), and Hospital Episode Statistics (HES). MAIN RESULTS: There were 647 721 A&E attendances and 204 424 admissions to hospital for fall related injuries in people aged 60 years and over. For the four age groups A&E attendance rates per 10 000 population were 273.5, 287.3, 367.9, and 945.3, and hospital admission rates per 10 000 population were 34.5, 52.0, 91.9, and 368.6. The cost per 10 000 population was £300 000 in the 60–64 age group, increasing to £1 500 000 in the 75 age group. These falls cost the UK government £981 million, of which the NHS incurred 59.2%. Most of the costs (66%) were attributable to falls in those aged 75 years. The major cost driver was inpatient admissions, accounting for 49.4% of total cost of falls. Long term care costs were the second highest, accounting for 41%, primarily in those aged 75 years. CONCLUSIONS: Unintentional falls impose a substantial burden on health and social services

The Collapse of Composite Cylindrical Panels with Various Thickness using Finite Element Analysis

This study compared numerical collapse results of graphite-epoxy cylindrical panels with free vertical edges undergoing axial compression for three different shell theories. Symmetric quasi-isotropic laminates were investigated using solid panels and panels with five different centralized cutouts with three thicknesses. The theories compared in the study were the Simplified Large displacement moderate Rotation (SLR) theory, the Donnell Cylindrical Shell (Modified Donnell) theory, and the Classical Donnell theory. The purpose of the study was to determine when large rotations and through-the-thickness shear become important in the numerical collapse analysis of cylindrical composite shells. By observing cases where the numerical collapse results for each of the three theories differed noticeably (\u3e3%), it could be determined when large rotations and through-the-thickness shear were important. The effects of large rotations were noticed in nearly all of the panels with large cutouts (\u3e3% panel area). Large rotations were also found to be important for thicker panels with either no cutout or a small cutout. The effects of through-the-thickness shear were only noticed in the thickest panels with large cutouts

Farm-based recreation in England and Wales

SIGLEAvailable from British Library Document Supply Centre-DSC:DXN037124 / BLDSC - British Library Document Supply CentreGBUnited Kingdo

The Octave (Birmingham - Sheffield Hallam) automated pipeline for extracting oscillation parameters of solar-like main-sequence stars

The number of main-sequence stars for which we can observe solar-like oscillations is expected to increase considerably with the short-cadence high-precision photometric observations from the NASA Kepler satellite. Because of this increase in number of stars, automated tools are needed to analyse these data in a reasonable amount of time. In the framework of the asteroFLAG consortium, we present an automated pipeline which extracts frequencies and other parameters of solar-like oscillations in main-sequence and subgiant stars. The pipeline uses only the timeseries data as input and does not require any other input information. Tests on 353 artificial stars reveal that we can obtain accurate frequencies and oscillation parameters for about three quarters of the stars. We conclude that our methods are well suited for the analysis of main-sequence stars, which show mainly p-mode oscillations.Comment: accepted by MNRA

Reliability of P mode event classification using contemporaneous BiSON and GOLF observations

We carried out a comparison of the signals seen in contemporaneous BiSON and GOLF data sets. Both instruments perform Doppler shift velocity measurements in integrated sunlight, although BiSON perform measurements from the two wings of potassium absorption line and GOLF from one wing of the NaD1 line. Discrepancies between the two datasets have been observed. We show,in fact, that the relative power depends on the wing in which GOLF data observes. During the blue wing period, the relative power is much higher than in BiSON datasets, while a good agreement has been observed during the red period.Comment: 7 pages, HELAS II: Helioseismology, Asteroseismology, and MHD Connections, conference proceedin

Field perceptions of the Vision Initiative for Children\u27s preschool vision screening training model

Because lay vision screeners rarely receive formal training in how to screen vision and because older children were seen in clinic with vision disorders that should have been detected earlier through vision screening, a pediatric ophthalmologist and the researcher created the Vision Initiative for Children (VIC) in 2001 as a statewide program of the West Virginia University Eye Institute. VIC has trained, equipped, and provided ongoing support to lay individuals who are mandated or want to screen preschoolers\u27 vision. This program evaluation study explored, from the perspective of Head Start personnel, whether VIC prepares Head Start personnel to screen preschoolers\u27 vision and whether participants encountered screening experiences that were not discussed during VIC\u27s workshop. Forty-seven participants, representing 8 of the state\u27s 24 Head Start grantees, completed an evaluation at the end of each workshop; 27 completed a postworkshop evaluation after screening vision. The workshop evaluation captured perceptions of the instructional content and delivery system, the instructor\u27s skills in teaching and delivering the content, and the logistical arrangements. The postworkshop evaluation captured perceptions of the workshop after screening vision. This study also explored whether participants learned new vision screening knowledge, as measured by the difference between pretest and posttest scores administered at the workshop; whether they maintained knowledge, as measured by the difference in scores between the workshop posttest and a 3-month posttest; and which of VIC\u27s job aids they preferred. Results yielded positive perceptions and indicated that participants learned and maintained a significant amount of knowledge, regardless of education. Participants preferred a flowchart (96%) and handout packet (92%) over a web site (15%) as job aids for transferring learning from the workshop to the workplace. Results indicated that 44% of participants encountered no vision screening experiences that were not discussed during the workshop; 56% encountered distracting screening environments, uncooperative younger children, and concerns that pediatricians, in follow-up exams, reported vision was good although children failed vision screening. Additionally, 92% of participants reported that animated Microsoft PowerPoint slides enhanced their learning, 96% reported that receiving instructor feedback during practice enhanced their learning, 100% reported that practicing tests were necessary parts of a vision screening workshop, and 98% reported that an instructor\u27s modeling and demonstration of tests were necessary parts of a vision screening workshop

A thorough analysis of the short- and mid-term activity-related variations in the solar acoustic frequencies

The frequencies of the solar acoustic oscillations vary over the activity cycle. The variations in other activity proxies are found to be well correlated with the variations in the acoustic frequencies. However, each proxy has a slightly different time behaviour. Our goal is to characterize the differences between the time behaviour of the frequency shifts and of two other activity proxies, namely, the area covered by sunspots and the 10.7cm flux. We define a new observable that is particularly sensitive to the short-term frequency variations. We then compare the observable when computed from model frequency shifts and from observed frequency shifts obtained with the Global Oscillation Network Group (GONG) for cycle 23. Our analysis shows that on the shortest time-scales the variations in the frequency shifts seen in the GONG observations are strongly correlated with the variations in the area covered by sunspots. However, a significant loss of correlation is still found. We verify that the times when the frequency shifts and the sunspot area do not vary in a similar way tend to coincide with the times of the maxima of the quasi-biennial variations seen in the solar seismic data. A similar analysis of the relation between the 10.7cm flux and the frequency shifts reveals that the short-time variations in the frequency shifts follow even more closely those of the 10.7cm flux than those of the sunspot area. However, a loss of correlation between frequency shifts and 10.7cm flux variations is still found around the same times.Comment: 7 pages, 6 figures, accepted for publication in MNRA

On the relation between activity-related frequency shifts and the sunspot distribution over the solar cycle 23

The activity-related variations in the solar acoustic frequencies have been known for 30 years. However, the importance of the different contributions is still not well established. With this in mind, we developed an empirical model to estimate the spot-induced frequency shifts, which takes into account the sunspot properties, such as area and latitude. The comparison between the model frequency shifts obtained from the daily sunspot records and those observed suggests that the contribution from a stochastic component to the total frequency shifts is about 30%. The remaining 70% is related to a global, long-term variation. We also propose a new observable to investigate the short- and mid-term variations of the frequency shifts, which is insensitive to the long-term variations contained in the data. On the shortest time scales the variations in the frequency shifts are strongly correlated with the variations in the total area covered by sunspots. However, a significant loss of correlation is still found, which cannot be fully explained by ignoring the invisible side of the Sun when accounting for the total sunspot area. We also verify that the times when the frequency shifts and the sunspot areas do not vary in a similar way tend to coincide with the times of the maximum amplitude of the quasi-biennial variations found in the seismic data.Comment: 4 pages, 2 figures, proceedings of the Joint TASC2 - KASC9 Workshop - SPACEINN - HELAS8 Conference "Seismology of the Sun and the Distant Stars 2016: Using Today's Successes to Prepare the Future". To be published by the EPJ Web of Conference

Kinetic energy of protons in ice Ih and water: a path integral study

The kinetic energy of H and O nuclei has been studied by path integral molecular dynamics simulations of ice Ih and water at ambient pressure. The simulations were performed by using the q-TIP4P/F model, a point charge empirical potential that includes molecular flexibility and anharmonicity in the OH stretch of the water molecule. Ice Ih was studied in a temperature range between 210-290 K, and water between 230-320 K. Simulations of an isolated water molecule were performed in the range 210-320 K to estimate the contribution of the intramolecular vibrational modes to the kinetic energy. Our results for the proton kinetic energy, K_H, in water and ice Ih show both agreement and discrepancies with different published data based on deep inelastic neutron scattering experiments. Agreement is found for water at the experimental melting point and in the range 290-300 K. Discrepancies arise because data derived from the scattering experiments predict in water two maxima of K_H around 270 K and 277 K, and that K_H is lower in ice than in water at 269 K. As a check of the validity of the employed water potential, we show that our simulations are consistent with other experimental thermodynamic properties related to K_H, as the temperature dependence of the liquid density, the heat capacity of water and ice at constant pressure, and the isotopic shift in the melting temperature of ice upon isotopic substitution of either H or O atoms. Moreover, the temperature dependence of K_H predicted by the q-TIP4P/F model for ice Ih is found to be in good agreement to results of path integral simulations using ab initio density functional theory.Comment: 11 pages, 6 figures, 2 table