Engineering topics

Kelly, P. A.

Publications and source records attributed to Kelly, P. A..

6 records

NASA NTRS2006

Fat-Soluble Vitamin Status in Self-Neglecting Elderly

Elder self-neglect is a form of elder mistreatment. The systematic characterization of self-neglecting individuals is the goal of the CREST project. Reported here is the evaluation of fat-soluble vitamin status. Self-neglect (SN) subjects were recruited and consented following referral from Adult Protective Services. Control (CN) subjects were matched for age, gender, race, and socioeconomic status, as possible. We report here on 47 SN subjects (age 77 plus or minus 7, mean plus or minus SD; body weight 76 kg plus or minus 26) and 40 CN subjects (77 y plus or minus 7, 79 kg plus or minus 20). Blood samples were analyzed for indices of fat-soluble vitamin status. Plasma retinol (p less than 0.01) was lower in SN subjects. Plasma tocopherol tended (p less than 0.06) to be lower in SN subjects, while gamma-tocopherol was unchanged. SN subjects tended to have lower serum 25-OH vitamin D (p less than 0.11), and to be vitamin D deficient (26% below 23 mmol/L). Hypercalcemia occurred more often in SN subjects (23% had values above 2.56 mmol/L), as did elevated parathyroid hormone concentrations (p less than 0.05). These data demonstrate that many nutrients are affected in the self-neglecting elderly, and that long-term deficits are evident by the nature of changes in fat soluble vitamins.

Kala, G.↗

NASA NTRS2006

Nutritional Status in Self-Neglecting Elderly

Elder self-neglect is the most common, and most compelling form of elder mistreatment. Individuals who cannot provide the basic needs for themselves may develop social, functional, and physical deficits. The CREST project has the goal of systematically characterizing these individuals, and the objective of the study reported here is to characterize aspects of their nutritional status. Self-neglect (SN) subjects referred from Adult Protective Services were recruited and consented. Control (CN) subjects were matched for age, gender, race, and socio-economic status when possible. Reported here are data on 47 SN subjects (age 77 +/- 7, mean +/- SD; body weight 76 kg +/- 26) and 40 CN subjects (77 +/- 7, 79 kg +/- 20). Blood samples were analyzed for indices of nutritional status. SN subjects had higher serum concentrations of homocysteine (p < 0.01) and methylmalonic acid (p < 0.05). Red blood cell folate levels were lower (p < 0.01) in the SN subjects and serum folate levels tended (p < 0.07) to be lower, also. C-reactive protein concentrations were higher than 10 mg/dL in 36% of SN subjects and 18% of CN subjects. Total cholesterol and triglyceride concentrations were similar in the two groups. These data demonstrate that the self-neglecting elderly population is at risk with respect to several markers of nutritional status.

Oliver, S. Mathews↗

NASA NTRS2006

The Making of a Self-Neglect Severity Scale

Research in elder self-neglect has lagged behind that of other forms of mistreatment, despite the fact that self-neglect is the most common allegation reported to Adult Protective Service agencies throughout the US. The lack of a gold-standard to measure self-neglect has hampered efforts to study this phenomenon. Researchers designed the Self-neglect Severity Scale (SSS) based on interviews with Adult Protective Service workers and a national expert panel. The SSS is based on observation and interview and is administered in the home to include an environmental assessment. It was piloted, extensively field tested and then revised. The CREST SSS was developed using survey data and consultation with experts in the field. This instrument utilizes observer ratings, interview responses, and assesses subjects physical and environmental domains. It also assesses functional status as it relates to health and safety issues. After field and pilot testing the SSS was finalized and is currently undergoing reliability and validity testing. The CREST SSS was developed as a state scale to provide a common language for describing cases of self-neglect. It is the first self-neglect severity scale available to researchers. If found to be both reliable and valid it can be used in future intervention studies.

Smith, Scott M.↗

NASA NTRS1986

Hesitation in tracking induced by a concurrent manual task

When people are required to track with one hand and perform occasional discrete responses with the other hand, there is a strong possibility that errors will be induced in tracking attributable to the simultaneous action by the other. This problem was investigated by pairing pursuit tracking (right hand) with a handle movement response (left hand) guided by an auditory stimulus. Tracking is assumed to represent flight control and the left hand response to represent other aspects of aircraft system management. The general goal of this research is to identify the types of errors induced into tracking by the requirement of a secondary response with the other hand. An attempt is reported to determine if hesitations can be reduced further by combining tracking emphasis with a higher degree of practice. It is concluded that there is a tendency to freeze the tracking response when a discrete simultaneous response is required of the other hand. By contrast, practice seems to reduce hesitations while also improving left hand reaction time. Thus there appears to be a mode of control which permits tracking and discrete simultaneous responses to occur together.

Kelly, P. A.↗

NASA NTRS1985

Hesitations in continuous tracking induced by a concurrent discrete task

Subjects performed a continuous visually-guided pursuit tracking task with the right hand. From time to time (intervals averaging 30 sec) an auditory tone appeared signaling the subjects to perform a discrete response with the left hand. The presence of this tone was frequently associated with a hesitation in right-hand tracking which lasted 1/3 sec or longer. The rate of occurrence of these hesitations was about the same when the left-hand response involved a choice between competing responses as when the left hand responded in a predetermined direction. Hesitations occurred for three different mechanical tracking manipulanda using different controlling muscles, and appeared to be due to freezing rather than to relaxation of muscular action. The rate of occurrence of hesitations declined with practice, and this improvement in right-hand performance was accompanied by an improvement in performance of the concurrent left-hand response. The presence of hesitations, and their reduction with practice, can be interpreted within several viewpoints.

Klapp, S. T.↗

NASA NTRS1984

Types of Tracking Errors Induced by Concurrent Secondary Manual Task

Future one-man helicopters may require the pilot to control flight with one hand, and simultaneously manipulate other instruments using the other hand. The nature of errors induced in a right hand tracking task (simulating flight control) when responses are required by the left hand are examined. The present experiment focused on detection of hesitations in which the tracking joy stick remained motionless for 1/3 sec. or longer.

Klapp, S. T.↗