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Generic textHow many 1 - Yes 0 - No 1 - Yes 0 - No How many1 - Yes 0 - No 1 - Yes 0 - No Generic text1 - Yes 0 - No How many1 - Yes 0 - No Generic text1 - Yes 0 - No How manyGeneric text1 - Yes 0 - No |
Generic textHow many 1 - Yes 0 - No 1 - Yes 0 - No How many1 - Yes 0 - No 1 - Yes 0 - No Generic text1 - Yes 0 - No How many1 - Yes 0 - No Generic text1 - Yes 0 - No How manyGeneric text1 - Yes 0 - No |
Generic textHow many 1 - Yes 0 - No 1 - Yes 0 - No How many1 - Yes 0 - No 1 - Yes 0 - No Generic text1 - Yes 0 - No How many1 - Yes 0 - No Generic text1 - Yes 0 - No How manyGeneric text1 - Yes 0 - No |
Generic textHow many 1 - Yes 0 - No 1 - Yes 0 - No How many1 - Yes 0 - No 1 - Yes 0 - No Generic text1 - Yes 0 - No How many1 - Yes 0 - No Generic text1 - Yes 0 - No How manyGeneric text1 - Yes 0 - No |
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Do you or your husband/wife/partner receive income from any of the sources listed on this show card? Husband/wife or partner Other, please specify
(Circle all that apply)
Do you or your husband/wife/partner receive income from any of the sources listed on this show card? Participant Other, please specify
(Circle all that apply)
Which of the letters on the show card represents your total net household income? Please include our own and your partner’s earned income (after deduction for income tax and national insurance), any state benefits and any other sources of income such as pension and interest. Please also include contributions from other members of your household (such as children). Please choose the period (annual, monthly or weekly) that is most convenient for you to use. Then, find the amount in pounds which represents your net household income and state the corresponding letter. Letter


How frequently at home or at work do you use your hands in strong movements, such as squeezing water out of a towel, playing racket sports, digging the garden, or carrying heavy items such as a suitcase, briefcase, bucket or shopping bag?
















Now I want to see how well you remember a list of fifteen words. I will show you one word at a time and when I reach the end of the list you have one minute to write down as many words as you can. Please write the words in any order you like. It is best not to talk to anyone while you are doing this. Are you willing to do this test?




Do you remember that list of 15 words I showed you earlier. I would like you to write down as many of those words as you can remember.
Nurse: Turn to page 11 of the paper test booklet. Record whether the fourth word list trial was attempted. Code one only.

I would now like you to do 10 chair rises. First I will ask you to fold your arms and, after I say, ‘And Go’, stand up from your chair and sit down again 10 times like this, as quickly as possible (demonstrate). Are you willing to do this test?

I would now like to assess your balance and co-ordination. First, I will ask you to fold your arms and, after I say ‘And Go’, stand on your dominant leg, and raise your other foot off the floor like this (demonstrate). I will ask you to hold this position for as long as you can or until I tell you to stop. Then I want you to repeat the test with your eyes closed. Are you willing to do this test?

Now I would like to time you while you get up from the chair and walk at a pace that is normal for you to the furthest line on the floor, turn around, walk back and sit back in the chair. Are you willing to do this test?

Please watch the display as you are squeezing so that you can see how well you are doing. I will take 3 measurements from your dominant hand and 3 measurements from your non dominant hand.
Record one only.













The last physical activity I would like you to do is to step on and off this step for a few minutes in time to a beat which will start at a slow pace, then get a little faster. I will stop the test after 8 minutes, or earlier if you want to stop or your heart rate reaches a certain level. Are you willing to do this test?

This test is very simple. I want you to walk 250 metres (about 275 yards) at your own speed and keeping a regular, consistent pace over the entire distance. It is not the aim to get there in the shortest time. Are you willing to do this test?


























nshd_06_ncs
A. NURSE INTERVIEW (1): Consents, urine and medical review
please give details in the table below. Use one row for each medication. Be sure to include use of puffer or inhaler or any medication for breathing, and any medications bought from a pharmacy.Use spare medication sheets if necessary and attach to questionaire
Name of medicine | How many hours ago did you last take the medicine? | Do you take this medicine regularly? | Is this medicine prescribed by your GP or consultant? | |
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Generic textHow many 1 - Yes 0 - No 1 - Yes 0 - No How many1 - Yes 0 - No 1 - Yes 0 - No Generic text1 - Yes 0 - No How many1 - Yes 0 - No Generic text1 - Yes 0 - No How manyGeneric text1 - Yes 0 - No |
Generic textHow many 1 - Yes 0 - No 1 - Yes 0 - No How many1 - Yes 0 - No 1 - Yes 0 - No Generic text1 - Yes 0 - No How many1 - Yes 0 - No Generic text1 - Yes 0 - No How manyGeneric text1 - Yes 0 - No |
Generic textHow many 1 - Yes 0 - No 1 - Yes 0 - No How many1 - Yes 0 - No 1 - Yes 0 - No Generic text1 - Yes 0 - No How many1 - Yes 0 - No Generic text1 - Yes 0 - No How manyGeneric text1 - Yes 0 - No |
Generic textHow many 1 - Yes 0 - No 1 - Yes 0 - No How many1 - Yes 0 - No 1 - Yes 0 - No Generic text1 - Yes 0 - No How many1 - Yes 0 - No Generic text1 - Yes 0 - No How manyGeneric text1 - Yes 0 - No |
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C. ECHO: (LV MASS, GLOBAL DIASTOLIC AND SYSTOLIC FUNCTION)
D. CAROTID IMT and DISTENSIBILITY
E. SELF-COMPLETION
G. BLOOD PRESSURE (SEATED)
H. ECG AND HEART RATE VARIABILITY
I. PULSE WAVE VELOCITY (PWV) AND PULSE WAVE ANALYSIS (PWA)
J. SALIVARY CORTISOL
K. ECONOMIC CIRCUMSTANCES
L. PERFORMANCE QUESTIONS AND TESTS
In the last 12 months, have you had a problem with the following?
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1 - Rarely or never 2 - Sometimes 3 - Often 4 - Very often |
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Sudden loss of balance? | |
Weakness in the arms? | |
Weakness in the legs? | |
Dizziness when standing up quickly? |
Have you had a problem with the following in the last 12 months?
- | |
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1 - Rarely or never 2 - Sometimes 3 - Often 4 - Very often |
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Paying attention? | |
Finding the right word? | |
Remembering things? | |
Remembering where you put something? |
Have you had difficulty with the following in the last 12 months?
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1 - No difficulty 2 - A little difficulty 3 - Some difficulty 4 - A great deal of difficulty |
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Reading a newspaper? | |
Recognizing a friend across the street? | |
Reading signs at night? | |
Hearing over the phone? | |
Hearing a normal conversation? | |
Hearing conversation in a noisy room? |