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1.
J Small Anim Pract ; 65(2): 132-143, 2024 02.
Artigo em Inglês | MEDLINE | ID: mdl-37956993

RESUMO

OBJECTIVES: Tick-borne encephalitis virus and louping ill virus are neurotropic flaviviruses transmitted by ticks. Epidemiologically, tick-borne encephalitis is endemic in Europe whereas louping ill's predominant geographical distribution is the UK. Rarely, these flaviviruses affect dogs causing neurological signs. This case series aimed to describe the clinical, clinicopathological, and imaging findings, as well as the outcomes in six dogs with meningoencephalitis and/or meningomyelitis caused by a flavivirus in the UK in 2021. MATERIALS AND METHODS: Observational retrospective case-series study. Clinical data were retrieved from medical records of dogs with positive serological or immunohistochemical results from three different institutions from spring to winter 2021. RESULTS: Six dogs were included in the study. All dogs presented an initial phase of pyrexia and/or lethargy followed by progressive signs of spinal cord and/or intracranial disease. Magnetic resonance imaging showed bilateral and symmetrical lesions affecting the grey matter of the thalamus, pons, medulla oblongata, and thoracic or lumbar intumescences with none or mild parenchymal and meningeal contrast enhancement. Serology for tick-borne encephalitis virus was positive in five dogs with the presence of seroconversion in two dogs. The viral distinction between flaviviruses was not achieved. One dog with negative serology presented positive immunohistochemistry at post-mortem examination. Three dogs survived but presented neurological sequelae. Three dogs were euthanased due to the rapid progression of the clinical signs or static neurological signs. CLINICAL SIGNIFICANCE: These cases raise awareness of the presence of tick-borne encephalitis as an emergent disease or the increased prevalence of louping ill virus affecting dogs in the UK.


Assuntos
Doenças do Cão , Vírus da Encefalite Transmitidos por Carrapatos , Encefalite Transmitida por Carrapatos , Carrapatos , Cães , Animais , Encefalite Transmitida por Carrapatos/diagnóstico , Encefalite Transmitida por Carrapatos/epidemiologia , Encefalite Transmitida por Carrapatos/veterinária , Estudos Retrospectivos , Reino Unido/epidemiologia , Doenças do Cão/diagnóstico
2.
J Opt Soc Am A Opt Image Sci Vis ; 40(6): 1084-1100, 2023 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-37706762

RESUMO

Recently we predicted and experimentally validated a new physical mechanism for altering the propagation path of a monochromatic beam [Opt. Express30, 38907 (2022)OPEXFF1094-408710.1364/OE.467678]. Specifically, we showed that by properly tailoring the spatial distribution of the linear state of polarization transverse to the direction of propagation, the beam followed a curved trajectory in free space. Here we extend the model to the partially coherent and partially polarized polychromatic case by redefining the beam amplitude, phase, and polarization angle as appropriate statistical quantities. In particular, the definition of polarization angle represents a fundamentally new quantity in modeling beam propagation and is shown to be consistent with recent works on energy and momentum flow. In the new model, the beam curvature matches that of our previous work in the fully coherent case but is predicted to vanish for an unpolarized, spatially incoherent beam. Simulated beam trajectories are shown for varying levels of initial partial coherence and for different polarization profiles. A new class of non-diffracting beams is also suggested by way of example.

3.
Opt Express ; 30(21): 38907-38929, 2022 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-36258444

RESUMO

We propose, analyze and demonstrate experimentally an entirely new optical effect in which the centroid of a coherent optical beam can be designed to propagate along a curved trajectory in free space by tailoring the spatial distribution of linear polarization across the transverse beam profile. Specifically, a non-zero spatial gradient of second order or higher in the linear state of polarization is shown to cause the beam centroid to "accelerate" in the direction transverse to the direction of propagation. The effect is confirmed experimentally using spatial light modulation to create the distribution in linear polarization and then measuring the transverse location of the beam profile at varying propagation distances. The observed displacement of the beam centroid is shown to closely match the theory out to 34m propagation distance.

4.
Geophys Res Lett ; 49(11): e2021GL097390, 2022 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-35865009

RESUMO

We present 14 simultaneous Chandra X-ray Observatory (CXO)-Hubble Space Telescope (HST) observations of Jupiter's Northern X-ray and ultraviolet (UV) aurorae from 2016 to 2019. Despite the variety of dynamic UV and X-ray auroral structures, one region is conspicuous by its persistent absence of emission: the dark polar region (DPR). Previous HST observations have shown that very little UV emission is produced by the DPR. We find that the DPR also produces very few X-ray photons. For all 14 observations, the low level of X-ray emission from the DPR is consistent (within 2-standard deviations) with scattered solar emission and/or photons spread by Chandra's Point Spread Function from known X-ray-bright regions. We therefore conclude that for these 14 observations the DPR produced no statistically significant detectable X-ray signature.

6.
Environ Monit Assess ; 194(3): 149, 2022 Feb 07.
Artigo em Inglês | MEDLINE | ID: mdl-35128616

RESUMO

This study investigated the changes in soil erosion associated with land use change from 2000 to 2020 in a mountainous rural area. Land use change was detected using Landsat images and soil erosion was estimated using the revised universal soil loss equation (RUSLE). The results show that deforestation and fallow cultivation caused substantial soil loss, whereas conversion from uncultivated land to cropland reduced soil erosion. A conversion from 711 ha cropland and 234 ha forestland to uncultivated land increased the average soil loss from 17 ton·ha-1·year-1 to 42 ton·ha-1·year-1 and the area of eroded soil at the very high level from 276 to 1058 ha between 2000 and 2010. In contrast, a wide expansion of cropland from 637 ha uncultivated land decreased the average soil loss from 42 ton·ha-1·year-1 to 32 ton·ha-1·year-1 and the area of eroded soil at the very high level from 1058 to 690 ha between 2010 and 2020. We suggest management measures such as forest protection, afforestation, reforestation, fruit tree development, and soil erosion control practices in coffee and maize cultivation to reduce soil erosion.


Assuntos
Conservação dos Recursos Naturais , Erosão do Solo , Monitoramento Ambiental , Solo , Vietnã
7.
Osteoporos Int ; 33(5): 1171-1176, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35031808

RESUMO

Hyperkyphosis (HK), or accentuated forward spinal curvature, commonly affects older people, although its causes are not completely understood. We tested whether a measure of bone quality, trabecular bone score (TBS), is associated with HK in 1997 older men, and determined that men with degraded TBS were more likely to have HK. INTRODUCTION: While vertebral fractures and low bone mineral density (BMD) contribute to kyphosis progression, it is unknown whether the trabecular bone score (TBS) may provide additional information on bone quality that could influence the degree of kyphosis. We hypothesized that degraded TBS would be associated with hyperkyphosis (HK) defined as a Cobb angle > 50°. METHODS: Using data from 1997 participants of the Osteoporotic Fractures in Men (MrOS) Study who had baseline TBS and Cobb angle kyphosis measured, we investigated whether men with degraded TBS were more likely to be hyperkyphotic, even after adjustment for BMD and prevalent vertebral fractures. RESULTS: Men were an average age of 74 ± 6 (mean ± SD) years with a mean kyphosis angle of 38.6 ± 11.5°, 295 (15%) were classified as hyperkyphotic, and 416 (21%) had degraded TBS. Compared with men with TBS > 1.2, men with degraded TBS were more likely to have HK (OR: 1.47, 95% CI: 1.06-2.06, p = 0.02) after adjusting for age, clinic, race, BMI, hip BMD, and prevalent vertebral fracture. If spine instead of hip BMD was included in the model, the odds ratio decreased to 1.35 (95% CI: 0.97-1.89, p = 0.08). CONCLUSIONS: Older men with degraded TBS are more likely to have HK not explained by underlying vertebral fractures.


Assuntos
Cifose , Fraturas por Osteoporose , Fraturas da Coluna Vertebral , Absorciometria de Fóton , Idoso , Idoso de 80 Anos ou mais , Densidade Óssea , Osso Esponjoso/diagnóstico por imagem , Estudos Transversais , Humanos , Cifose/complicações , Cifose/diagnóstico por imagem , Vértebras Lombares/diagnóstico por imagem , Masculino , Fraturas por Osteoporose/diagnóstico por imagem , Fraturas por Osteoporose/epidemiologia , Fraturas por Osteoporose/etiologia , Fraturas da Coluna Vertebral/diagnóstico por imagem , Fraturas da Coluna Vertebral/epidemiologia , Fraturas da Coluna Vertebral/etiologia
8.
Nat Biotechnol ; 40(1): 74-85, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34489600

RESUMO

Molecular profiling of single cells has advanced our knowledge of the molecular basis of development. However, current approaches mostly rely on dissociating cells from tissues, thereby losing the crucial spatial context of regulatory processes. Here, we apply an image-based single-cell transcriptomics method, sequential fluorescence in situ hybridization (seqFISH), to detect mRNAs for 387 target genes in tissue sections of mouse embryos at the 8-12 somite stage. By integrating spatial context and multiplexed transcriptional measurements with two single-cell transcriptome atlases, we characterize cell types across the embryo and demonstrate that spatially resolved expression of genes not profiled by seqFISH can be imputed. We use this high-resolution spatial map to characterize fundamental steps in the patterning of the midbrain-hindbrain boundary (MHB) and the developing gut tube. We uncover axes of cell differentiation that are not apparent from single-cell RNA-sequencing (scRNA-seq) data, such as early dorsal-ventral separation of esophageal and tracheal progenitor populations in the gut tube. Our method provides an approach for studying cell fate decisions in complex tissues and development.


Assuntos
Análise de Célula Única , Transcriptoma , Animais , Hibridização in Situ Fluorescente/métodos , Camundongos , Organogênese/genética , RNA Mensageiro/genética , Análise de Célula Única/métodos , Transcriptoma/genética
9.
J Prev Alzheimers Dis ; 7(4): 242-250, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32920626

RESUMO

BACKGROUND: Recruitment for Alzheimer's disease (AD)-focused studies, particularly prevention studies, is challenging due to the public's lack of awareness about study opportunities coupled with studies' inclusion and exclusion criteria, resulting in a high screen fail rate. OBJECTIVES: To develop an internet-based participant recruitment registry for efficiently and effectively raising awareness about AD-focused study opportunities and connecting potentially eligible volunteers to studies in their communities. METHODS: Individuals age 18 and older are eligible to join the Alzheimer's Prevention Registry (APR). Individuals provide first and last name, year of birth, country, and zip/postal code to join the APR; for questions regarding race, ethnicity, sex, family history of AD or other dementia, and diagnosis of cognitive impairment, individuals have the option to select "prefer not to answer." The APR website maintains a list of recruiting studies and contacts members who have opted in by email when new studies are available for enrollment. RESULTS: As of December 1, 2019, 346,661 individuals had joined the APR. Members had a mean age of 63.3 (SD 11.7) years and were predominately women (75%). 94% were cognitively unimpaired, 50% reported a family history of AD or other dementia, and of those who provided race, 76% were white. 39% joined the APR as a result of a paid social media advertisement. To date, the APR helped recruit for 82 studies. CONCLUSIONS: The APR is a large, internet-based participant recruitment registry designed to raise awareness about AD prevention research and connect members with enrolling studies in their communities. It has demonstrated the ability to recruit and engage a large number of highly motivated members and assist researchers in meeting their recruitment goals. Future publications will report on the effectiveness of APR for accelerating recruitment and enrollment into AD-focused studies.


Assuntos
Doença de Alzheimer/prevenção & controle , Seleção de Pacientes , Sistema de Registros , Idoso , Ensaios Clínicos como Assunto , Feminino , Humanos , Internet , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade
10.
Appl Opt ; 59(25): 7553-7559, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32902454

RESUMO

This work provides a new, to the best of our knowledge, approach to constructing linear models for object detection in a scene. Specifically, we use representative training data in order to estimate the parameters describing a generalized wavelet model for the express purpose of detecting the presence of maritime targets in a scene. The parameter estimates are taken as those that maximize the probability of detecting the targets for a fixed probability of false alarm. The approach is then demonstrated on a database of short-wave infrared imagery containing various watercraft. Results are then compared to some of the more standard wavelet bases used in detection applications.

11.
PLoS One ; 15(5): e0233524, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32469962

RESUMO

Understanding the requirements and tolerances of the seedlings of climax species is fundamental for tropical forest restoration. This study investigates how the presence and abundance of seedlings of a previously dominant, now threatened species (Dipterocapus dyeri Pierre), varies across a range of environmental conditions. Dipterocapus dyeri seedling abundance and site characteristics were recorded at 122 observation points (4 m2) at nine clusters from two sites. Seedling presence (p = 0.065) and abundance varied significantly (p = 0.001) between the two sites, and was strongly correlated with adult D. dyeri dominance and lower soil pH, and weakly correlated with canopy openness and total stand basal area. Dipterocarpus dyeri seedlings were also grown in shade houses with three light levels on two soils. Seedling survival was significantly lower at the lowest light level (<10% full irradiance) at 13% for the forest soil and 25% for degraded soil. At higher irradiance the seedling survival rates were greater than 99%. Moisture levels remained high at the lowest light level and many seedlings died from fungal infection. We concluded that secondary forests which contain adequate numbers of adult D. dyeri as seed sources, light availability, soil pH of < 5.0, and good drainage strongly favour survival and growth of D. dyeri seedlings. Historically, D. dyeri was dominant in moist deciduous tropical forest across south-eastern Vietnam, but today it is rare. Active management of these recovering forests is essential in order to recover this high-value, climax forest species.


Assuntos
Conservação dos Recursos Naturais , Florestas , Clima Tropical , Plântula , Solo , Vietnã
12.
Osteoporos Int ; 31(6): 1097-1104, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32040599

RESUMO

Hyperkyhosis is thought to be a fall risk factor in older adults. This large study of older men found that fall risk increased with greater kyphosis measured with the blocks method, but did not find an association between kyphosis and falls when measured by the commonly used the Cobb angle method. INTRODUCTION: Research suggests an association between hyperkyphosis and falls in community-dwelling older adults, though this has not been investigated within large, population-based studies. This study sought to determine whether two measures of kyphosis prospectively predict fall risk over 3 years among older men. METHODS: Within the Osteoporotic Fractures in Men Study (MrOS), we conducted two 3-year prospective studies of 2346 and 2928 men. The first group had kyphosis measured by the Cobb angle at visit 1, while the second group had kyphosis assessed with the blocks method at visit 3; both groups then self-reported falls tri-annually for 3 years. Poisson regression with GEE was used to obtain relative risks (RR) of falls. RESULTS: The fall rates over 3 years were 651/1000 person-years among the visit 1 sample (mean age 74 ± 6 years) and 839/1000 person-years among the visit 3 sample (mean age 79 ± 5 years). In adjusted models of the visit 3 sample, the risk of falls was increased by 12% for each standard deviation increase (1.4 blocks) in the number of blocks required to achieve a neutral head and neck position (RR = 1.12, 95% CI = 1.06, 1.18). The Cobb angle was not associated with falls in the visit 1 sample. CONCLUSIONS: Although the Cobb angle did not predict falls in community-dwelling older men over 3 years, the blocks method of measuring kyphosis was predictive of falls in this population. This difference could be due to the Cobb angle's focus on thoracic kyphosis, whereas the blocks method may additionally capture abnormal cervical spine curvature.


Assuntos
Acidentes por Quedas , Cifose , Idoso , Idoso de 80 Anos ou mais , Humanos , Cifose/diagnóstico , Cifose/epidemiologia , Masculino , Postura , Estudos Prospectivos , Fatores de Risco , Coluna Vertebral/fisiopatologia
13.
J Am Acad Child Adolesc Psychiatry ; 59(8): 952-963, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-31445873

RESUMO

OBJECTIVE: To determine motor vehicle crash (MVC) risk in adults with a history of childhood attention-deficit/hyperactivity disorder (ADHD) and persistent ADHD symptoms. METHOD: Participants with (n = 441) and without (n = 239; local normative comparison group) childhood ADHD from the Multimodal Treatment of Attention-Deficit/Hyperactivity Disorder (MTA) Study were included. Participants provided self-reports on total number of MVCs they had been involved in and the time of licensure. Driving experience was estimated as the number of months since licensure. Total number of MVCs by adulthood was regressed on baseline ADHD status adjusting for sex, age at follow-up, driving experience, baseline oppositional defiant disorder/conduct disorder comorbidity, baseline household income level, adult oppositional defiant disorder/conduct disorder symptoms, adolescent and adult substance use, and adult antisocial personality disorder symptoms. We repeated the analysis using adult ADHD status (persistent versus desistant versus local normative comparison group) and symptom level as the predictor variables. Results are presented as incidence rate ratio (IRR) and CI. RESULTS: Childhood ADHD was associated with a higher number of MVCs (IRR = 1.45, CI = 1.15-1.82), and adult ADHD symptom persistence was associated with more MVCs than desistance (IRR = 1.46, CI = 1.14-1.86). ADHD desistance was not associated with a significantly increased risk for MVCs compared with the local normative comparison group (IRR = 1.24, CI = 0.96-1.61). Concurrent symptoms of inattention and hyperactivity/impulsivity predicted MVC risk. CONCLUSION: Persistence of ADHD into adulthood is a stronger predictor of MVC risk than childhood-limited ADHD. CLINICAL TRIAL REGISTRATION INFORMATION: Multimodal Treatment of Attention Deficit Hyperactivity Disorder (MTA) Study; https://clinicaltrials.gov; NCT00000388.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade , Acidentes de Trânsito , Adolescente , Adulto , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Transtorno do Deficit de Atenção com Hiperatividade/terapia , Transtornos de Deficit da Atenção e do Comportamento Disruptivo , Criança , Terapia Combinada , Comorbidade , Humanos , Veículos Automotores
14.
Environ Int ; 127: 305-316, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30953813

RESUMO

BACKGROUND: Exposure to fine particulate matter (PM2.5), an ambient air pollutant with mass-based standards promulgated under the Clean Air Act, and black carbon (BC), a common component of PM2.5, are both associated with cardiovascular health effects. OBJECTIVES: To elucidate whether BC is associated with distinct, or stronger, cardiovascular responses compared to PM2.5, we conducted a systematic review. We evaluated the associations of short- and long-term BC, or the related component elemental carbon (EC), with cardiovascular endpoints including heart rate variability, heart rhythm, blood pressure and vascular function, ST segment depression, repolarization abnormalities, atherosclerosis and heart function, in the context of what is already known about PM2.5. DATA SOURCES: We conducted a stepwise systematic literature search of the PubMed, Web of Science and TOXLINE databases and applied Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines for reporting our results. STUDY ELIGIBILITY CRITERIA: Studies reporting effect estimates for the association of quantitative measurements of ambient BC (or EC) and PM2.5, with relevant cardiovascular endpoints (i.e. meeting inclusion criteria) were included in the review. Included studies were evaluated for risk of bias in study design and results. STUDY APPRAISAL AND SYNTHESIS METHODS: Risk of bias evaluations assessed aspects of internal validity of study findings based on study design, conduct, and reporting to identify potential issues related to confounding or other biases. Study results are presented to facilitate comparison of the consistency of associations with PM2.5 and BC within and across studies. RESULTS: Our results demonstrate similar associations for BC (or EC) and PM2.5 with the cardiovascular endpoints examined. Across studies, associations for BC and PM2.5 varied in their magnitude and precision, and confidence intervals were generally overlapping within studies. Where differences in the magnitude of the association between BC or EC and PM2.5 within a study could be discerned, no consistent pattern across the studies examined was apparent. LIMITATIONS: We were unable to assess the independence of the effect of BC, relative the effect of PM2.5, on the cardiovascular system, nor was information available to understand the impact of differential exposure misclassification. CONCLUSIONS: Overall, the evidence indicates that both BC (or EC) and PM2.5 are associated with cardiovascular effects but the available evidence is not sufficient to distinguish the effect of BC (or EC) from that of PM2.5 mass.


Assuntos
Carbono/farmacologia , Sistema Cardiovascular/efeitos dos fármacos , Material Particulado/farmacologia , Pressão Sanguínea , Bases de Dados Factuais , Frequência Cardíaca/efeitos dos fármacos , Humanos
16.
Appl Opt ; 57(16): 4524-4536, 2018 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-29877400

RESUMO

A new model for turbulence-corrupted imagery is proposed based on the theory of optimal mass transport. By describing the relationship between photon density and the phase of the traveling wave, and combining it with a least action principle, the model suggests a new class of methods for approximately recovering the solution of the photon density flow created by a turbulent atmosphere. Both coherent and incoherent imagery are used to validate and compare the model to other methods typically used to describe this type of data. Given its superior performance in describing experimental data, the new model suggests new algorithms for a variety of atmospheric imaging and wave propagation applications.

17.
Appl Opt ; 57(5): 1140-1150, 2018 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-29469898

RESUMO

This work investigates a probabilistic model for splice loss in single mode optical fibers. We derive the probability density function for loss values as a function of lateral and angular misalignment. We then use observed data to estimate these model parameters; both Bayesian and maximum likelihood estimation procedures are described. These estimates can then be used to provide an indication of the relative importance of various loss mechanisms. Alternatively, if one is given values for maximum lateral and angular misalignment, our results allow for predictions of expected distribution of loss values. An overall goal of this paper is to demonstrate that, beyond the mean and variance of splice loss, there is significant information in the shape of the distribution of values. A second goal is to understand the trade-off between the number of splice loss measurements and the confidence in estimates of parameters in the splice loss model.

18.
Mol Ecol Resour ; 18(3): 602-619, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29352511

RESUMO

The pine processionary moth Thaumetopoea pityocampa (Lepidoptera: Notodontidae) is the main pine defoliator in the Mediterranean region. Its urticating larvae cause severe human and animal health concerns in the invaded areas. This species shows a high phenotypic variability for various traits, such as phenology, fecundity and tolerance to extreme temperatures. This study presents the construction and analysis of extensive genomic and transcriptomic resources, which are an obligate prerequisite to understand their underlying genetic architecture. Using a well-studied population from Portugal with peculiar phenological characteristics, the karyotype was first determined and a first draft genome of 537 Mb total length was assembled into 68,292 scaffolds (N50 = 164 kb). From this genome assembly, 29,415 coding genes were predicted. To circumvent some limitations for fine-scale physical mapping of genomic regions of interest, a 3X coverage BAC library was also developed. In particular, 11 BACs from this library were individually sequenced to assess the assembly quality. Additionally, de novo transcriptomic resources were generated from various developmental stages sequenced with HiSeq and MiSeq Illumina technologies. The reads were de novo assembled into 62,376 and 63,175 transcripts, respectively. Then, a robust subset of the genome-predicted coding genes, the de novo transcriptome assemblies and previously published 454/Sanger data were clustered to obtain a high-quality and comprehensive reference transcriptome consisting of 29,701 bona fide unigenes. These sequences covered 99% of the cegma and 88% of the busco highly conserved eukaryotic genes and 84% of the busco arthropod gene set. Moreover, 90% of these transcripts could be localized on the draft genome. The described information is available via a genome annotation portal (http://bipaa.genouest.org/sp/thaumetopoea_pityocampa/).


Assuntos
Genoma de Inseto , Lepidópteros/genética , Animais , Cromossomos Artificiais Bacterianos , Bases de Dados Genéticas , Perfilação da Expressão Gênica , Biblioteca Gênica , Cariotipagem , Transcriptoma
19.
Osteoporos Int ; 29(1): 163-169, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29018904

RESUMO

Hyperkyphosis commonly affects older persons and is associated with morbidity and mortality. Many have hypothesized that hyperkyphosis increases fall risk. Within this prospective study of older adults, kyphosis was significantly associated with incident falls over 1 year. Measures of hyperkyphosis could enhance falls risk assessments during primary care office visits. INTRODUCTION: To determine the association between four measures of kyphosis and incident and injurious falls in older persons. METHODS: Community-dwelling adults aged 65 and older (n = 72) residing in southern California were invited to participate in a prospective cohort study. Participants had kyphosis assessed four ways. Two standing measures included a flexicurve ruler placed against the back to derive a kyphotic index and the Debrunner kyphometer, a protractor used to measure the kyphotic angle in degrees. Two lying measures included the blocks method (number of 1.7 cm blocks needed to achieve a neutral head position while lying supine) and traditional Cobb angle calculation derived from DXA based lateral vertebral assessment. Baseline demographic, clinical, and other health information (including a timed up and go (TUG) test) were assessed at a clinic visit. Participants were followed monthly through email or postcard for 1 year, with falls outcomes confirmed through telephone interview. RESULTS: Mean age was 77.8 (± 7.1) among the 52 women and 20 men. Over 12 months, 64% of participants experienced at least one incident fall and 35% experienced an injurious fall. Each standard deviation increase in kyphosis resulted in more than doubling the adjusted odds of an incident fall, even after adjusting for TUG. Odds of injurious falls were less consistent across measures; after adjusting for TUG, only the blocks method was associated with injurious falls. CONCLUSIONS: Each kyphosis measure was independently associated with incident falls. Findings were inconsistent for injurious falls; the blocks measure suggested the strongest association. If these findings are replicated, the blocks measure could be incorporated into office visits as a quick and efficient tool to identify patients at increased fall risk.


Assuntos
Acidentes por Quedas/estatística & dados numéricos , Cifose/complicações , Idoso , Idoso de 80 Anos ou mais , California/epidemiologia , Feminino , Humanos , Incidência , Vida Independente , Cifose/diagnóstico , Cifose/epidemiologia , Cifose/fisiopatologia , Masculino , Equilíbrio Postural , Estudos Prospectivos , Recidiva , Índice de Gravidade de Doença , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/etiologia , Ferimentos e Lesões/fisiopatologia
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