BackgroundThis paper provides a first comparative exploratory analysis of our findings from DEMDATA, a collaborative project between Austria and the Czech Republic. Analysed here are data from the residents and the environment assessment protocol.MethodsIn a cross sectional study design, residents from randomly drawn and stratified nursing homes were investigated using a common study protocol.ResultsFrom a total resident pool of 1666 persons, 1085 (571 in Austria, 514 in the Czech Republic) persons signed a consent form and participated in the data collection.More than 70% of residents assessed were female and the population was on average 85 years old. A discrepancy between the presence of a medical diagnosis in the charts of the residents and the results of cognitive testing was found. In Austria, 85.2%, in the Czech Republic 53.0% of residents had cognitive impairment. In Austria 80.0%, and in the Czech Republic 56.7% had behavioural problems. With respect to pain, 44.8% in Austria, and 51.5% in the Czech Republic had mild to severe pain. 78.4% of Austrian and 74.5% of the residents had problems with mobility and both populations were in danger of malnutrition.ConclusionsMost of the prevalence rates are comparable with previous studies also using direct resident assessment. Variations in prevalence rates seem to result mainly from the assessment technique (direct cognitive testing vs. medical chart review). The high prevalence rates for dementia, behavioural symptoms, pain and malnutrition indicate an immediate call for attention to further research and practice development.

Inhibition of return (IOR) facilitates visual search by discouraging the reinspection of recently processed items. We investigated whether IOR operates across two consecutive searches of the same display for different targets. In Experiment 1, we demonstrated that IOR is present within each of the two searches. In Experiment 2, we found no evidence for IOR across searches. In Experiment 3, we showed that IOR is present across the two searches when the first search is interrupted, suggesting that the completion of the search is what causes the resetting of IOR. We concluded that IOR is a partially flexible process that can be reset when the task completes, but not necessarily when it changes. When resetting occurs, this flexibility ensures that the inhibition of previously visited locations does not interfere with the new search.

BackgroundThe treatment of pain and treatment of anxiety are two of the most complex issues in nursing homes worldwide, mainly because of the large numbers of people with cognitive impairment who reside in this environment.AimThe aim of this study was to investigate the administration of analgesics and anxiolytics to people living in nursing homes, taking into account cognitive status.MethodsFor this cross-sectional study, we used data from 404 residents who lived in nine randomly selected nursing homes in the Czech Republic and participated in the Czech-Austrian Long-Term Care Research Project called DEMDATA. Information about medication administration was obtained from medical records. Cognitive impairment was evaluated by the Mini-Mental State Examination, and pain was measured by the Pain Assessment in Advanced Dementia. To measure anxiety, we used the Behavioral Pathology in Alzheimer’s Disease Rating Scale in residents with severe-to-moderate dementia and also the standardized questionnaire EuroQol in other residents.ResultsIn all, 68% (95% CI 62–74) of residents with pain did not receive any analgesic medication and 31% (95% CI 25–38) of residents were administered some analgesics and continued to report pain. The lowest reported occurrence of pain, as well as the lowest prevalence of analgesic administration, was in residents with moderate-to-severe dementia. We found that an alarming percentage of residents in the nursing homes were not treated sufficiently.ConclusionThis study indicates that treatment effects should be better monitored.

For survival, it is necessary to attend quickly towards dangerous objects, but to turn away from something that is disgusting. We tested whether fear and disgust sounds direct spatial attention differently. Using fMRI, a sound cue (disgust, fear or neutral) was presented to the left or right ear. The cue was followed by a visual target (a small arrow) which was located on the same (valid) or opposite (invalid) side as the cue. Participants were required to decide whether the arrow pointed up- or downwards while ignoring the sound cue. Behaviorally, responses were faster for invalid compared to valid targets when cued by disgust, whereas the opposite pattern was observed for targets after fearful and neutral sound cues. During target presentation, activity in the visual cortex and IPL increased for targets invalidly cued with disgust, but for targets validly cued with fear which indicated a general modulation of activation due to attention. For the TPJ, an interaction in the opposite direction was observed, consistent with its role in detecting targets at unattended positions and in relocating attention. As a whole our results indicate that a disgusting sound directs spatial attention away from its location, in contrast to fearful and neutral sounds.

Hierarchical graphs (e.g. file system browsers and preference trees) represent objects (e.g. files and folders) as graph nodes and relations between them (e.g. sub-folder relations) as lines. We investigated the temporal organisation of two processes that are necessary for comprehending such graphs-search for the graph nodes and reasoning about their relation. We tracked eye movements to change graphs while participants interpreted them. In Experiment 1, we masked the graph at a time when search processes had finished but reasoning was hypothetically ongoing. We observed a dramatic deterioration in comprehension compared with unmasked graphs. In Experiment 2, we changed the relation between critical graph nodes after search for them had finished, unbeknownst to participants. Participants mostly based their response on the graph as presented after the change. These results suggest that comprehension processes are organised in a sequential manner, an observation that can potentially be applied to the interactive presentation of graphs.