OBJECTIVES To investigate whether 3 positive psychological characteristics, related to sense of control, modify the associations of physical performance levels with subsequent functional decline and institutionalization. METHOD One thousand five hundred and thirty-two men and women participating in the Longitudinal Aging Study Amsterdam and not living in an institution in 2005-2006 were inclu...

OBJECTIVES To measure relative fitness and frailty in older people without specific frailty instruments and to relate that measurement to long-term health outcomes. DESIGN Retrospective cohort studies. SETTING Two population-based studies of people aged approximately 70 at baseline and followed up to 10 years (in the Canadian Study of Health and Aging (CSHA)) or 26 years in the Gothenburg H...

consequent difficulty living independently, living in the community requires not only medical and support services, but also housing. All too often, however, housing sponsors and long-term care providers operate in isolation, leading at best to frustration on the part of individuals, who must piece together workable housing and service arrangements, and at worst to otherwise avoidable instituti...

Since the mid-1980s, the Dutch government has placed increasing emphasis on crime prevention to curb the rising crime rate. New local, regional and national projects have been Implemented. Some significant developments In terms of processes and outcomes of the crime prevention efforts are reviewed. Four examples of successful projects are discussed (prevention of shopping center deterioration, ...

Charles, aged 12 years, was referred to the Mental Hygiene Clinic for commitment to the State Training School for the feebleminded. He came to us in February, 1929, from the 7B class in Junior High School. His previous school record was somewhat unusual in that he had been placed in special class from 4th grade, and after one year there had been sent to Junior High School. His marks in the 7th ...

Risk Factor or Consequence of Poor Outcomes After Rehabilitation? To the Editor: We have read with interest the study written by Harari et al1 regarding the evolution of patients suffering from new-onset fecal incontinence after stroke. These authors observe the long-term fluctuating nature of such condition, the negative impact on mortality and institutionalization, as well as its narrow relat...