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The murderer's maid : a Lizzie Borden novel
\"The Murderer's Maid interweaves the stories of two women: one, the servant of infamous Lizzie Borden, and the other a modern-day barista fleeing from an attempt on her life. Trapped by servitude and afraid for her own safety, Irish maid Bridget finds herself an unwilling witness to the tensions in the volatile Borden household. As Lizzie seethes with resentment, Bridget tries to perform her duties and keep her mouth shut. Unknowingly connected to the legendary crime of a century ago, Brooke, the illegitimate daughter of an immigrant maid, struggles to conceal her identity and stay a jump ahead of the men who want to kill her. When she unexpectedly falls in love with Anthony, a local attorney, she has to decide whether to stop running and begin her life anew.\"--Provided by publisher.
Book
A Randomized Trial of a Multifactorial Strategy to Prevent Serious Fall Injuries
Injuries from falls are major contributors to death and complications in older adults. In this pragmatic, cluster-randomized trial, a multifactorial intervention that was administered by nurses did not result in a significantly lower rate of first adjudicated serious fall injury than enhanced usual care.
Journal Article
Comprehensive Review of Vision-Based Fall Detection Systems
Vision-based fall detection systems have experienced fast development over the last years. To determine the course of its evolution and help new researchers, the main audience of this paper, a comprehensive revision of all published articles in the main scientific databases regarding this area during the last five years has been made. After a selection process, detailed in the Materials and Methods Section, eighty-one systems were thoroughly reviewed. Their characterization and classification techniques were analyzed and categorized. Their performance data were also studied, and comparisons were made to determine which classifying methods best work in this field. The evolution of artificial vision technology, very positively influenced by the incorporation of artificial neural networks, has allowed fall characterization to become more resistant to noise resultant from illumination phenomena or occlusion. The classification has also taken advantage of these networks, and the field starts using robots to make these systems mobile. However, datasets used to train them lack real-world data, raising doubts about their performances facing real elderly falls. In addition, there is no evidence of strong connections between the elderly and the communities of researchers.
Journal Article
Full of fall
April Pulley Sayre explores the transformation trees undergo in fall. This book explains the leaves' initial change from green to red, yellow, and orange, the shedding of the leaves, and the leaves crumbling as winter approaches. Additional information explains the science behind this process.
Book
Effectiveness of robotics fall prevention program among elderly in senior housings, Bangkok, Thailand: a quasi-experimental study
This study aimed at investigating the effectiveness of a robotic fall prevention program on knowledge, exercises, balance, and incidence of falls among elderly in senior housings.
This is a quasi-experimental study. Sixty-four elderly in two senior housings in Bangkok with Barthel Index scale ≥12, who had either at least one fall experience in the past 12 months and/or had Timed Up and Go (TUG) test ≥20 seconds were recruited and purposively assigned to the intervention group (received a small robot-installed fall prevention software, personal coaching, and handbook, n=32) and control group (received only handbook, n=32). Outcomes were knowledge score evaluated by structured questionnaire through face-to-face interviews, number of exercises measured by self-recorded diary, and balance score assessed by TUG and Berg Balance Scale (BBS). The incidence of falls was assessed by face-to-face interviews. Both groups were assessed at baseline, 3rd, and 6th month after the intervention.
There was a statistically significant improvement in knowledge mean score at 6th month in both the groups. However, the intervention group showed faster increase in knowledge mean score than the control group at 3rd month (
<0.01). The intervention group showed a statistically significant higher number of exercises than the control group at 3rd and 6th month (
<0.05). There was no statistically significant difference on TUG and BBS mean scores between the two groups at baseline, 3rd, and 6th month. However, the intervention group showed a statistically significant improvement in TUG and BBS at 6th month post-intervention (
<0.01). There was one fall reported in the control group.
The robotic fall prevention program increased knowledge on fall prevention and promoted exercises and balance among elderly in senior housings.
Journal Article
The Borden murders : Lizzie Borden & the trial of the century
\"In a compelling, linear narrative, Miller takes readers along as she investigates a brutal crime: the August 4, 1892, murders of wealthy and prominent Andrew and Abby Borden. The accused? Mild-mannered and highly respected Lizzie Borden, daughter of Andrew and stepdaughter of Abby. Most of what is known about Lizzie's arrest and subsequent trial (and acquittal) comes from sensationalized newspaper reports; as Miller sorts fact from fiction, and as a legal battle gets under way, a gripping portrait of a woman and a town emerges.\"--Provided by publisher.
Book
Falls among older adults: An exploration of trends, clinical outcomes, predisposing risk factors, and intervention strategies
The aim of this study is to evaluate fall trends, risk factors, and interventions aimed at reducing falls in older adult trauma patients in the healthcare & community settings in the United States.
A review was conducted utilizing PubMed, ProQuest, Cochrane, and Google Scholar search databases to identify relevant articles published prior to July 7, 2024. Studies were included if they assessed falls among the older adult population aged 55 years and older.
A total of 29 studies assessed met the inclusion criteria. Despite decreasing fall incidence in the community and hospital setting, fall-associated injuries, hospitalizations, and mortality in older adults have increased. Common predisposing factors for falls among older adults in the community and healthcare settings include advanced age, history of falls, recent hospitalization, and comorbid conditions affecting cognition, gait, and visual acuity. Interventions including strengthening exercise programs and individualized multifactorial plans reduced falls and fall-associated injuries in most studies.
Recent years demonstrated an increase in fall-associated injuries, hospitalizations, and mortality which underscores the urgent need for targeted multifactorial interventions.
•Recent years saw an overall downward trend in the incidence of falls in the elderly.•There are rising rates of fall-associated injuries, hospitalizations, and mortality.•A multifactorial approach is best to effectively reduce fall risk in the elderly.•Individualized fall prevention plans enhance patient safety and care quality.•Standardized guidelines and strategies are necessary to mitigate falls.
Journal Article
ADHERENCE TO INTERVENTIONS AT A FALL CLINIC: PRELIMINARY DESCRIPTIVE DATA FROM A SINGLE ACADEMIC INSTITUTION
Abstract
Background
Falls and fall-related injuries are major public health concerns. Approximately 50 billion dollars are spent on annual medical costs related to falls. Fall prevention is a priority for promoting active and healthy aging in older adults. Fall prevention clinics enable focused evaluation, identification, and treatment of modifiable risk factors, specifically for falls; however, their effectiveness is dependent upon patient adherence to preventive interventions.
Methods
We analyzed patients aged > 65 years who visited our fall clinic between February 2021 and February 2023. We took an interdisciplinary approach to improve adherence to recommendations, including follow-up phone calls by a dedicated nurse to confirm adherence, nurse-directed interventions such as Tai Chi sessions, and home environment assessments by a social worker.
Results
48 patients were included in this analysis, with a mean age of 84 (65-99), and 85% were female. Fall-specific risk factors identified included impairment of strength, gait, or balance (96%); use of fall-risk-increasing medications (54%); problems with feet affecting gait (40%); visual impairment (29%); and postural hypotension (6%). The adherence rates for our interventions were 48% for physical therapy referrals, 28% for podiatry referrals, 36% for ophthalmology referrals, 47% for other referrals, 75% for vitamin D prescriptions, and 50% for assistive device prescriptions.
Conclusions
There is room for improvement in adherence to referrals. A larger sample size and longer follow-up period are required to investigate factors related to non-adherence. The delivery of both verbal and written recommendations, the identification of each patient’s barriers, and same-day referrals may help improve adherence.
Journal Article