Het toepassen van valpreventiemaatregelen bij thuiswonende ouderen: een survey onderzoek in Vlaanderen

Objectives

Falls in community-dwelling older persons occur frequently. The consequences emphasize the need to screen systematically for an increased fall risk and a targeted multifactorial and multidisciplinary approach. This study describes the extent to which fall prevention strategies are applied by primary healthcare workers in Flanders. Insight in barriers is provided.

Method

An online survey was collected by the Centre of Expertise for Falls and fracture Prevention Flanders.

Results

1483 respondents are included. 93% are confronted monthly with falls. 96% believe they can make a positive contribution to fall prevention. At least once a year, respondents inquire about falls (62%) and screen for gait/balance problems (84%). A multifactorial assessment is performed in case of a recent fall (95%) or an increased fall risk (76%). Most frequently respondents give advice on safe environment/behaviour (93%), walking aid (91%), personal alarm system (89%) and footwear (85%). Unmotivated older persons (75%) who ignore their fall risk (85%), insufficient time (60%), financial compensation (54%), staff (50%), communication (31%) and knowledge (23%) are important barriers.

Conclusions

Although respondents are aware of the importance of fall prevention, these results reveal a necessity of sufficient knowledge, structured multidisciplinary cooperation and a clear policy. Raising awareness of older persons remains crucial.

     

MTSS1 is epigenetically regulated in glioma cells and inhibits glioma cell motility

Epigenetic silencing by DNA methylation in brain tumors has been reported for many genes, however, their function on pathogenesis needs to be evaluated. We investigated the MTSS1 gene, identified as hypermethylated by differential methylation hybridization (DMH). Fifty-nine glioma tissue samples and seven glioma cell lines were examined for hypermethylation of the MTSS1 promotor, MTSS1 expression levels and gene dosage. GBM cell lines were treated with demethylating agents and interrogated for functional consequences of MTSS1 expression after transient transfection. Hypermethylation was significantly associated with IDH1/2 mutation. Comparative SNP analysis indicates higher incidence of loss of heterozygosity of MTSS1 in anaplastic astrocytomas and secondary glioblastomas as well as hypermethylation of the remaining allele. Reversal of promoter hypermethylation results in an increased MTSS1 expression. Cell motility was significantly inhibited by MTSS1 overexpression without influencing cell growth or apoptosis. Immunofluorescence analysis of MTSS1 in human astrocytes indicates co-localization with actin filaments. MTSS1 is down-regulated by DNA methylation in glioblastoma cell lines and is part of the G-CIMP phenotype in primary glioma tissues. Our data on normal astrocytes suggest a function of MTSS1 at focal contact structures with an impact on migratory capacity but no influence on apoptosis or cellular proliferation.     

Forest above-ground volume assessments with terrestrial laser scanning: a ground-truth validation experiment in temperate,managed forests

Background and AimsQuantifying the Earth’s forest above-ground biomass (AGB) is indispensable for effective climate action and developing forest policy. Yet, current allometric scaling models (ASMs) to estimate AGB suffer several drawbacks related to model selection and uncertainties about calibration data traceability. Terrestrial laser scanning (TLS) offers a promising non-destructive alternative. Tree volume is reconstructed from TLS point clouds with quantitative structure models (QSMs) and converted to AGB with wood basic density. Earlier studies have found overall TLS-derived forest volume estimates to be accurate, but highlighted problems for reconstructing finer branches. Our objective was to evaluate TLS for estimating tree volumes by comparison with reference volumes and volumes from ASMs.MethodsWe quantified the woody volume of 65 trees in Belgium (from 77 to 2800 L; Pinus sylvestris, Fagus sylvatica, Larix decidua, and Fraxinus excelsior) with QSMs and destructive reference measurements. We tested a volume expansion factor (VEF) approach by multiplying the solid and merchantable volume from QSMs by literature VEF values.Key ResultsStem volume was reliably estimated with TLS. Total volume was overestimated by +21 % using original QSMs, by +9 % and –12 % using two sets of VEF-augmented QSMs, and by –7.3 % using best-available ASMs. The most accurate method differed per site, and the prediction errors for each method varied considerably between sites.ConclusionsVEF-augmented QSMs were only slightly better than original QSMs for estimating tree volume for common species in temperate forests. Despite satisfying estimates with ASMs, the model choice was a large source of uncertainty, and species-specific models did not always exist. Therefore, we advocate for further improving tree volume reconstructions with QSMs, especially for fine branches, instead of collecting more ground-truth data to calibrate VEF and allometric models. Promising developments such as improved co-registration and smarter filtering approaches are ongoing to further constrain volumetric errors in TLS-derived estimates.     

Effects of Season,Needle Age,and Elevated Atmospheric CO2 on Chlorophyll Fluorescence Parameters and Needle Nitrogen Concentration in Scots Pine (Pinus sylvestris)

Six-year-old Scots pine (Pinus sylvestris L.) seedlings were grown in open top chambers (OTCs) at ambient (AC) or elevated (ambient + 400 µmol mol^–1; EC) CO₂ concentration for three years (1996–1998). Chlorophyll (Chl) a fluorescence of current and one-year-old needles was measured in the field at two-weekly intervals in the period July–October 1998. In addition, Chl, carbon (C), and nitrogen (N) concentrations in both needle age classes were determined monthly during the same period. Chl fluorescence parameters were not significantly affected by EC, suggesting there was no response of the light reactions and the photochemical efficiency of photosystem 2. Chl concentrations were not significantly different but a reduced N concentration was observed in needles of EC treatment. Significant differences between needle age classes were observed for all parameters, but were most apparent under EC and toward the end of the growing season, possibly due to an acclimation process. As a result, significant interactions between CO₂ treatment, needle age class, and season were found. This study emphasizes the importance of repeated measures including different leaf/needle age classes to assess the photosynthetic response of trees under EC.     

A comparison of models explaining muscle activation patterns for isometric contractions

One of the main problems in motor-control research is the muscle load sharing problem, which originates from the fact that the number of muscles spanning a joint exceeds the number of degrees of freedom of the joint. As a consequence, many different possibilities exist for the activation of muscles in order to produce a desired joint torque. Several models describing muscle activation have been hypothesized over the last few decades to solve this problem. This study presents theoretical analyses of the various models and compares the predictions of these models with new data on muscle activation patterns for isometric contractions in various directions. None of the existing models fitted the experimental data in all aspects. The best fit was obtained by models based on minimization of the squared sum of muscle forces (∑ _m φ² _m , which is almost equivalent to the Moore-Penrose pseudo-inverse solution), muscle stress σ (∑ _m σ _m ²) or muscle activation α (∑ _m α _m ²). Since muscle activation patterns are different for isometric contractions and for movements, it could well be that other models or optimization criteria are better suited to describe muscle activation patterns for movements. The results of our simulations demonstrate that the predicted muscle activation patterns do not depend critically on the parameters in the model. This may explain why muscle activation patterns are highly stereotyped for all subjects irrespective of differences between subjects in many neuro-anatomical aspects, such as, for example, in the physiological cross-sectional area of muscle. Received: 24 September 1998 / Accepted in revised form: 1 March 1999     

Quantification of two cytochrome P-450 isoenzymes by an enzyme-linked immunosorbent assay (ELISA)

An enzyme linked immunosorbent assay (ELISA) using monoclonal and polyclonal antibodies has been developed to quantify individual cytochrome P-450 isoenzymes in microsomal preparations, namely UT-A and PB-B. This very sensitive method can be used for the rapid processing of large quantities of determinations and requires only limited amounts of antibodies.