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A variety of procedures have been used to identify irregularities in gait in elderly persons with cognitive declines and dementia. The present paper describes an automatic indoor movement tracking system that measures changes in path direction as well as rate and duration of movement. Gait irregularities have been observed to distin-Objective We(More)
Females incarcerated for drug-related offenses represent one of the fastest growing populations within jails and prisons. The few studies of female offenders with substance abuse disorders depict a population with multiple psychosocial problems and treatment needs, and one that is characterized by frequent exposure to sexual abuse and other violence. The(More)
OBJECTIVE To determine if movement path tortuosity in everyday ambulation decreases in Veterans being treated in a residential setting for traumatic brain injury. Elevated path tortuosity is observed in assisted living facility residents with cognitive impairment and at risk for falls, and tortuosity may decrease over the course of cognitive rehabilitation(More)
OBJECTIVES We hypothesized that variability in voluntary movement paths of assisted living facility (ALF) residents would be greater in the week preceding a fall compared with residents who did not fall. DESIGN Prospective, observational study using telesurveillance technology. SETTING Two ALFs. PARTICIPANTS The sample consisted of 69 older ALF(More)
INTRODUCTION In this editorial, we report on the development of a smart-home–based cognitive prosthetic that will deliver 24/7 rehabilitation at the James A. Haley Veterans' Hospital Polytrauma Transitional Rehabilitation Program (PTRP) facility in Tampa, Florida. The Tampa Smart Home was designed to address two weaknesses identified by PTRP clinicians in(More)
OBJECTIVE Rehabilitation of patients with traumatic brain injury typically includes therapeutic prompts for keeping appointments and adhering to medication regimens. Level of cognitive impairment may significantly affect a traumatic brain injury victim's ability to benefit from text-based prompting. We tested the hypothesis that spatial disorientation as(More)
OBJECTIVE In comparison to veterans without a history of traumatic brain injury (TBI), we hypothesized that veterans with past TBI would have slower walking speed and more path tortuosity, TBI symptoms, problems with spatial orientation, and poorer executive function. SETTING Community nonclinical. PARTICIPANTS Seventeen males (mean age of 37.2 years)(More)
OBJECTIVES To explore the extent of and factors associated with male residents who change wandering status post nursing home admission. DESIGN Longitudinal design with secondary data analyses. Admissions over a 4-year period were examined using repeat assessments with the Minimum Data Set (MDS) to formulate a model understanding the development of(More)
The current study evaluates the extent of prior drug use and psychosocial dysfunction related to drug use among 499 jail inmates referred to the Hillsborough County Sheriff's Office Substance Abuse Treatment Program. Results indicate that inmates were involved with drugs for an average of more than 7 years, and with cocaine for almost 5 years. The majority(More)
OBJECTIVES To explore the extent of and factors associated with male nursing home residents who wander. DESIGN Cross-sectional design with secondary data analyses. SETTING One hundred thirty-four nursing home facilities operated by the Department of Veterans Affairs. PARTICIPANTS Fifteen thousand ninety-two nursing home residents with moderate or(More)