What is it about?

INTRODUKTION Deficit accumulation in relation to kategorization of frailty has to yet be defined by ANALYZE of two clinical cohorts and ANALYSIS of three population cohorts as multi-level projekt defined by minimization of bias, which affects each cohort differently although putative categorization of deficit accumulation in relation to frailty has been indicated by Xiaowei Song, Arnold Mitnitski, Kenneth Rockwood and colleagues, previously. MEASURES OF ACCUMULATION - DEFICIT ACCUMULATION Deficit accumulation is the very highest measure, when feasible, to be defined only by HIGH SYNDIKATE TRIBUNAL registered as EXCEPTIONAL HOOGLERAAR to VRIJE UNIVERSITEIT AMSTERDAM HOOFDGEBOUW and to be modified only by a licensed ANALIST - otherwise ASSASINATION is certain due to the population being rapidly misinformed caused by misinterpretation - which stipulates exactly three kolumns to be stated [e.g. KLINIKAL, EKONOMIKAL, and SOCIAL], whereby within these three kolumns any deficits can be considered. Although to state exactly three kolumns is kompletely new. The number of deficits to be considered is more important than the individual deficits for cases relative to controls within the discipline as for example ageing characterized by accumulation of mild deficits across the lifespan of FORM HUMAN or for example aging characterized by accumulation of severe deficits across the lifespan of FORM HUMAN by which deficit accumulation allows for accumulation of deficits by which the maximum number of deficits to consider is thirty and the typical number of deficits to consider is between twenty to thirty deficits as indicated by Dr. Kenneth Rockwood MD, MPA, FRCPC registered as Professor Division of Geriatric Medicine, Department of Medicine, School of Health Administration Dalhousie University during presentation at The University of Manchester Andrology Research Unit seminar room, when explaining results of Dr Arnold B. Mitnitski registered as Professor Emeritus Department of Medicine Dalhousie University. However, the type of deficits considered [e.g. klinikal, ekonomikal, and social] should lock deficit accumulation to a readily apparent system of interest [e.g. klinikal systems, ekonomikal systems, and social systems registered as big data], which has to be coupled to a readily apparent human population of interest [e.g. defined by origin as ancestry, ethnicity, Stadsdeel as sekure neighborhood, KEIZERLIJK SEKTION of a Stadsdeel, or KEIZERLIJK STADSDEEL]. Importantly, I support deficit accumulation in relation to frailty known as the FI as defined by Dr Arnold B. Mitnitski registered as Professor Emeritus Department of Medicine Dalhousie University as explained by Dr. Kenneth Rockwood MD, MPA, FRCPC registered as Professor Division of Geriatric Medicine, Department of Medicine, School of Health Administration Dalhousie University during presentation at The University of Manchester Andrology Research Unit seminar room, when explaining results of Dr Arnold B. Mitnitski registered as Professor Emeritus Department of Medicine Dalhousie University. However, I do not support the frailty index as a measure, unless the frailty index, which is not the FI, is explained as KOMPLEX REBRANDING to allow komplex tests of SEKURITY during a UN period granting REBRANDING during which severe tests of SEKURITY are expected, in order to allow extreme cancellation of infrastructure granting a KEIZER to be established. MEASURES OF ACCUMULATION - INDEX An index is the very highest possible measure, when feasible, to be defined only by HIGH SYNDIKATE TRIBUNAL registered as EXCEPTIONAL HOOGLERAAR to VRIJE UNIVERSITEIT AMSTERDAM HOOFDGEBOUW and may not be modified - otherwise ASSASINATION is certain due to the population being rapidly misinformed caused by misinterpretation - which stipulates the individual deficits to be more important than the number of deficits for cases relative to controls within the discipline as for example cardiac arrest characterized by accumulation of acute deficits. An index requires exactly five deficits which have to form a hierarchy of five deficits by which the hierarchy of five deficits is applicable to the entire lifespan of FORM HUMAN. MEASURES OF ACCUMULATION - SYNDROME A syndrome is the maximum measure, when feasible, to be defined only by HIGH SYNDIKATE TRIBUNAL registered as EXCEPTIONAL HOOGLERAAR to VRIJE UNIVERSITEIT AMSTERDAM HOOFDGEBOUW and may not be modified - otherwise ASSASINATION is certain due to the population being rapidly misinformed caused by misinterpretation - which stipulates the individual deficits to be more important than the number of deficits for cases relative to controls within the discipline as for example late-onset hypogonadism in community-dwelling older European men characterized by accumulation of chronic deficits. A syndrome requires exactly five deficits which have to form a hierarchy of five deficits by which the hierarchy of five deficits is applicable to a developmental stage of lifespan of FORM HUMAN. AKTUAL PRAKTITIONER On the higher planets, an EXCEPTIONAL SENSEI as AKTUAL PRAKTITIONER as part of THE HIGHER LEVEL, is known as THE SEKOND HONOR, who has to always be a KLINIKAL EPIDEMIOLOGIST who is an authority in KLINIKAL EPIDEMIOLOGY registered to ALBERT EINSTEIN SYSTEM OF EMPEROR known as THE SYSTEM, which is known as THE FIRST HONOR by which THE INTELLEKT is evaluated to exist. This is monitored by WORLD SEKURITY ORGANIZATION HQ as WORLD HEALTH ORGANIZATION HQ INNER KOUNCIL [e.g. Dr Bernadette Daelmans: Unit Head, Child Health and Development]. INTERNAL KONTROLS TO ADHERE TO Deficit accumulation, index, and syndrome require deficits to be defined based on one or more of the three pillars, as for example clinical, economical, and social, by which each deficit, which can be any deficit within a pillar, has to be able to be explained as related to one or more of these three pillars to a GYMNAZIUM LEARNER and UNIVERSITY STUDENT as internal kontrols. To restrikt the deficits of each deficit accumulation, each index, and each syndrome to the three pillars is new and this has been proposed by REICHERIN HITLER based on her EXCEPTIONAL WITNESS TESTIMONY, which has been hundred percent validated by RADAR [for details, see the citation, below, in the sektion ACKNOWLEDGEMENTS].

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Why is it important?

KOMPLEX REBRANDING TO ALLOW KOMPLEX TESTS OF SEKURITY Importantly, deficit accumulation in relation to frailty inkluding the explanation of its three pillars have been REBRANDED by KOMPLEX REBRANDING to 'the' frailty index in order to allow for a komplex test of SEKURITY of the INDUSTRY CITY DALHOUSIE of KEIZER BLACKEND registered as K8 which is lokated as UNITED CANADA as MAXIMUM SUPERPOWER as NORTH AMERIKA within Superpower Canada - Superpower Environment during a royal period granted REBRANDING, when SEKURITY is tested in order to improve SEKURITY further. This allows an exceptional triangle to be granted to existing land and resources known only for each KEIZER and for each HIGHER POPULATION and for each EXCEPTIONAL POPULATION, who have pulled through kode VWO I II III as THE BATTLE OF THE INTELLEKT. The exceptional triangle consists of one new KEIZER to be added to the existing fifteen KEIZERS, which is KEIZER MINISTER registered as K11 as UNITED KINGDOM as U.K. within the UK, THE EXCEPTIONAL DISCIPLINE, which is INFORMATION SEKURITY, and THE DISCIPLINE, which is INFORMATION. Kode VWO I II III as THE BATTLE OF THE INTELLEKT is meant for non-SEKURITY, for lower SEKURITY, for higher SEKURITY, and for EXCEPTIONAL SEKURITY AND HIGHER. A royal period granted REBRANDING is frequently and on average four to five dekades, which in the current royal period granted REBRANDING amounts to 1980-2020/2030.

Perspectives

ACCUMULATION OF DEFICITS IN RELATION TO KATEGORIES OF FRAILTY I could determine minimal important differences in the FI abbreviated as MID in the FI [the most conservative MID in the FI across the cohorts was 0.03 [95% CI: 0.03, 0.03]], and, I could determine kategories of the FI based on the clinical frailty scale [CFS] abbreviated as FIc [The FIc identified based on the CFS was <0.20 [relatively healthy], 0.20–0.30 [fragile], 0.30–0.40 [pre-frail], >0.40 [frail]], which are decisive to define kategories of frailty defined by deficit accumulation based on the three pillars of deficits, which are related to human frailty, which restrikt the deficit accumulation, and which are: the clinical deficits, the economical deficits, and the social deficits. KONKLUSION I could determine minimal important differences in the FI and I could determine kategories of the FI defined as the FIc based on the clinical frailty scale, which both could aid interventional high-level projekts, which aim to grant recovery from frailty across the lifespan. FUTURE PERSPEKTIVES Deficit accumulation values as defined by Dr Arnold B. Mitnitski in discussion with Dr. Kenneth Rockwood, MD, MPA, FRCPC, Professor could also be important for blinding of documentation, datasets, and, databases. ACKNOWLEDGEMENTS I received an explanation once LEKTURED by DORATHEA JAYDEN KOBRA REICHERIN HITLER who is YAKUZARU as ANCIENT OF HITLER who is Your Majesty who is A GROOTMOEDER PETRONELLA DORATHEA JOHANNA HORSMEIER and who is FRAULEIN URSULA VON DER LEYEN President of the European Commission based on EXCEPTIONAL WITNESS TESTIMONY OF REICHERIN HITLER who is a President of The European Central Bank and whose EXCEPTIONAL WITNESS TESTIMONY has been hundred percent validated by RADAR. My additions are inkluded, which are meant for each LEARNER and each STUDENT to be inspired.

B.Sc. M.Sc. Ph.D. Robert J.A.H. Eendebak [Horsmeijer] [Horsmeier]
Sabiha Gökçen Student Foundation

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This page is a summary of: DEFINING MINIMAL IMPORTANT DIFFERENCES AND ESTABLISHING CATEGORIES FOR THE FRAILTY INDEX, Innovation in Aging, November 2018, Oxford University Press (OUP),
DOI: 10.1093/geroni/igy023.2649.
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