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MedWorm.com provides a medical RSS filtering service. Over 7000 RSS medical sources are combined and output via different filters. This feed contains the latest news and research in Geriatrics



Last Build Date: Mon, 28 Mar 2016 16:25:54 +0100

 



The management of behavioural and psychological symptoms of dementia in the acute general medical hospital: a longitudinal cohort study

Mon, 28 Mar 2016 14:25:26 +0100

ConclusionsAntipsychotic medications and psychosocial interventions were the main methods used to manage BPSD; however, these were not implemented or monitored in a systematic fashion. (Source: International Journal of Geriatric Psychiatry)

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Smoking and RA: A Deadly Combination (CME/CE)

Sun, 27 Mar 2016 18:35:02 +0100

(MedPage Today) -- Medium-term mortality doubled in smokers with rheumatoid arthritis (Source: MedPage Today Geriatrics)



Patterns and persistence of behavioural and psychological symptoms in those with cognitive impairment: the importance of apathy

Sat, 26 Mar 2016 23:00:00 +0100

ConclusionsThis population‐based, multi‐centre study with a follow‐up period of 10 years showed that BPS are associated with mortality and most symptoms are persistent. Apathy was characterised by a high prevalence, a high persistence and a strong association with mortality, and has a negative impact on disability, management of other disease and caregiver burden. (Source: International Journal of Geriatric Psychiatry)






Depressive symptoms in early‐ and late‐onset older bipolar patients compared with younger ones

Sat, 26 Mar 2016 23:00:00 +0100

ConclusionsOlder patients constitute a meaningful proportion of bipolar patients under treatment. EO older patients suffered significantly from more frequent depressive symptoms than younger ones. LO older patients were predominantly bipolar II. So as bipolar illness progressed, depressive symptomatology became more frequent and manic episodes were less severe. Copyright © 2016 John Wiley & Sons, Ltd. (Source: International Journal of Geriatric Psychiatry)



Adjuvant chemotherapy in elderly patients with breast cancer: key challenges.

Sat, 26 Mar 2016 19:40:02 +0100

Authors: Pondé N, Dal Lago L, Azim HA Abstract Elderly women with early breast cancer (BC) form a heterogeneous and large subgroup (41.8% of women with BC are over 65). Decision making in this subgroup is made more difficult by lack of familiarity with their physical, cognitive and social issues. Adequate management depends on biological factors and accurate clinical evaluation through comprehensive geriatric assessment (CGA). CGA can help to better select and determine potential risks factors for patients who are candidates for adjuvant chemotherapy. It is still recently introduced in geriatric oncology and there is a lack of awareness of its importance. Available data on adjuvant chemotherapy for BC is limited but suggests it can be of benefit for well selected patients, though ...

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The Lichtenberg Financial Decision Screening Scale (LFDSS): A New Tool for Assessing Financial Decision Making and Preventing Financial Exploitation.

Sat, 26 Mar 2016 12:48:02 +0100

Authors: Lichtenberg PA, Ficker L, Rahman-Filipiak A, Tatro R, Farrell C, Speir JJ, Mall SJ, Simasko P, Collens HH, Jackman JD Abstract One of the challenges in preventing the financial exploitation of older adults is that neither criminal justice nor noncriminal justice professionals are equipped to detect capacity deficits. Because decision-making capacity is a cornerstone assessment in cases of financial exploitation, effective instruments for measuring this capacity are essential. We introduce a new screening scale for financial decision making that can be administered to older adults. To explore the scale's implementation and assess construct validity, we conducted a pilot study of 29 older adults seen by APS workers and 79 seen by other professionals. Case examples are includ...



The Effect of Social Support on Quality of Life in Older Adults Receiving Cognitive Behavioral Therapy.

Sat, 26 Mar 2016 12:40:02 +0100

Authors: LaRocca MA, Scogin FR Abstract The current study extends the findings of Scogin et al. (2007) by exploring the role of social support in changes in quality of life resulting from home-delivered cognitive behavioral therapy (CBT). One hundred thirty-seven participants, characterized primarily as rural, low resource, and frail, were randomly assigned to either CBT or a minimal support control condition. Hierarchical regression revealed that positive change in satisfaction with social support was associated with improvement in quality of life beyond the effects of the CBT treatment. In addition, pretreatment satisfaction with social support, and change in satisfaction with social support moderated the effect of CBT on quality of life. These results suggest that bolstering soc...



Cost Effectiveness of Operative Versus Non-Operative Treatment of Geriatric Type-II Odontoid Fracture

Sat, 26 Mar 2016 08:25:25 +0100

Conclusion. Operative treatment is cost-effective in patients age 65 to 84 when using $100,000/QALY as a benchmark but less effective and more costly than non-operative treatment in patients older than 84 years. Level of Evidence: 2 (Source: Spine)



SORLA regulates calpain-dependent degradation of synapsin

Fri, 25 Mar 2016 23:00:00 +0100

Discussion Our results suggest a novel function for SORLA which is in control of synapsin degradation, potentially impacting on synaptic vesicle endocytosis and/or exocytosis. (Source: Alzheimer's and Dementia: The Journal of the Alzheimer's Association)

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Epidemiology of vancomycin-resistant enterococci in postacute care facility and predictors of clearance: A 5-year retrospective cohort study

Fri, 25 Mar 2016 23:00:00 +0100

Conclusion The strongest risk factor for prolonged VRE carriage was old-age-home residents. Survival is adversely affected by VRE carriage and functional mobility. Patients with these factors should be managed more carefully, and active surveillance should be focused on this high-risk group to prevent spread of transmission. (Source: Journal of Clinical Gerontology and Geriatrics)



Evaluation of Audiometric Thresholds and Speech Perception Sentence Test in Adults and Elderly after Cochlear Implantation.

Fri, 25 Mar 2016 18:42:02 +0100

CONCLUSION: Both groups had excellent outcomes in audiometric and speech testing with the use of CI, but with a significantly better performance in the adult group. PMID: 27001711 [PubMed - as supplied by publisher] (Source: Current Aging Science)



Associations between DNA Damage, DNA Base Excision Repair Gene Variability and Alzheimer's Disease Risk.

Fri, 25 Mar 2016 16:25:07 +0100

CONCLUSION: Our results show that oxidative stress and disturbances in DRE are particularly responsible for the elevated DNA lesions in AD. The results suggest that oxidative stress and disruption in DNA repair may contribute to increased DNA damage in AD patients and risk of this disease. In addition, disturbances in DRE may be associated with polymorphisms of OGG1 and XRCC1. PMID: 27011006 [PubMed - as supplied by publisher] (Source: Dementia and Geriatric Cognitive Disorders)



The Effect of Prior Caffeine Consumption on Neuropsychological Test Performance: A Placebo-Controlled Study.

Fri, 25 Mar 2016 16:25:07 +0100

CONCLUSION: The results highlight the need to consider and control prior caffeine consumption when scoring neuropsychological assessments in the elderly, which is important for accuracy of diagnosis and corresponding normative data. PMID: 27002645 [PubMed - as supplied by publisher] (Source: Dementia and Geriatric Cognitive Disorders)

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The validity of three fall risk screening tools in an acute geriatric inpatient population - Latt MD, Loh KF, Ge L, Hepworth A.

Fri, 25 Mar 2016 16:13:53 +0100

We examined the validity of the Ontario Modified STRATIFY (OM) (St Thomas's Risk Assessment Tool in Falling Elderly Inpatients), The Northern Hospital Modified STRATIFY (TNH) and STRATIFY in predicting falls in an acute aged care unit. METHOD:... (Source: SafetyLit)



Challenges, solutions, and recommendations for Alzheimer's disease combination therapy

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: Available online 24 March 2016 Source:Alzheimer's & Dementia Author(s): James A. Hendrix, Randall J. Bateman, H. Robert Brashear, Cynthia Duggan, Maria C. Carrillo, Lisa J. Bain, Ronald DeMattos, Russell G. Katz, Susanne Ostrowitzki, Eric Siemers, Reisa Sperling, Ottavio V. Vitolo Given the complex neuropathology Alzheimer's disease (AD), combination therapy may be necessary for effective treatment. However, scientific, pragmatic, regulatory, and business challenges need to be addressed before combination therapy for AD can become a reality. Leaders from academia and industry, along with a former member of the Food and Drug Administration and the Alzheimer's Association, have explored these challenges and here propose a strategy to facilitate proof-o...



Disordered gambling and dementia

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: Available online 25 March 2016 Source:European Geriatric Medicine Author(s): G. Cipriani, D.M. Cammisuli, S. Danti, M. Di Fiorino Disordered gambling is a term used to describe the full range of gambling problems, which includes pathological and sub-clinical gambling. Pathological gambling is a psychiatric disorder with social consequences. The purpose of this paper was to explore the phenomenon of pathological gambling in persons suffering from dementia. Medline and Google Scholar searches were conducted for relevant articles, chapters, and books published before 2015. Search terms used included “pathological gambling”, “gambling disorder”, “behavioral and psychological symptoms of dementia”, “dementia”, “Alzheimer's disease”, and “frontotempo...



Volume 28 Issue 04

Thu, 24 Mar 2016 16:23:01 +0100

International Psychogeriatrics, Volume 28 Issue 04A highly respected, multidisciplinary journal, International Psychogeriatrics publishes high quality original research papers in the field of psychogeriatrics. The journal aims to be the leading peer reviewed journal dealing with all aspects of the mental health of older people throughout the world. Circulated to over 1,000 members of the International Psychogeriatric Association, International Psychogeriatrics also features important editorials, provocative debates, literature reviews, book reviews and letters to the editor. The journal has been steadily increasing the number of issues per year, and since 2012 has been publishing 12 issues per year. (Source: International Psychogeriatrics)

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Brevity is the soul of wit or psychogeriatrics is growing up: new Brief Report category for international psychogeriatrics

Thu, 24 Mar 2016 16:23:01 +0100

Editorial Nicola T. Lautenschlager, International Psychogeriatrics, Volume 28 Issue 04, pp 525-526Abstract (Source: International Psychogeriatrics)



In vivo imaging of neurodegeneration in dementia with Lewy bodies (DLB)

Thu, 24 Mar 2016 16:23:01 +0100

Article Commentary Chiadi U. Onyike, Gwenn S. Smith, International Psychogeriatrics, Volume 28 Issue 04, pp 527-528Abstract (Source: International Psychogeriatrics)



Spouses’ experience of living with a partner diagnosed with a dementia: a synthesis of the qualitative research

Thu, 24 Mar 2016 16:23:01 +0100

Review Articles Margaret Pozzebon, Jacinta Douglas, David Ames, International Psychogeriatrics, Volume 28 Issue 04, pp 537-556Abstract (Source: International Psychogeriatrics)



Levels of depressive symptoms may modify the relationship between the WHOQOL-BREF and its determining factors in community-dwelling older adults

Thu, 24 Mar 2016 16:23:01 +0100

Research Articles Yu-Chen Chang, Wen-Chen Ouyang, Mei-Chun Lu, Jung-Der Wang, Susan C. Hu, International Psychogeriatrics, Volume 28 Issue 04, pp 591-601Abstract (Source: International Psychogeriatrics)



Older people coping with low mood: a qualitative study

Thu, 24 Mar 2016 16:23:01 +0100

Research Articles Margaret von Faber, Geertje van der Geest, Gerda M. van der Weele, Jeanet W. Blom, Roos C. van der Mast, Ria Reis, Jacobijn Gussekloo, International Psychogeriatrics, Volume 28 Issue 04, pp 603-612Abstract (Source: International Psychogeriatrics)

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Depressive symptomatology and associated factors in dementia in Europe: home care versus long-term care

Thu, 24 Mar 2016 16:23:01 +0100

Research Articles Clarissa Giebel, Caroline Sutcliffe, Hilde Verbeek, Adelaida Zabalegui, Maria Soto, Ingalill Rahm Hallberg, Kai Saks, Anna Renom-Guiteras, Riitta Suhonen, David Challis, International Psychogeriatrics, Volume 28 Issue 04, pp 621-630Abstract (Source: International Psychogeriatrics)



The impact of positive reappraisal on positive (and negative) emotion among older adults

Thu, 24 Mar 2016 16:23:01 +0100

Research Articles Jamie S. Nowlan, Viviana M. Wuthrich, Ronald M. Rapee, International Psychogeriatrics, Volume 28 Issue 04, pp 681-693Abstract (Source: International Psychogeriatrics)



Community day care with carer support versus usual nursing home-based day care: effects on needs, behavior, mood, and quality of life of people with dementia

Thu, 24 Mar 2016 16:23:01 +0100

Research Articles A. Marijke van Haeften-van Dijk, Franka J. M. Meiland, Bart J. J. Hattink, Ton J. E. M. Bakker, Rose-Marie Dröes, International Psychogeriatrics, Volume 28 Issue 04, pp 631-645Abstract (Source: International Psychogeriatrics)



Falling for her psychiatrist: an unusual cause of falls in the elderly

Thu, 24 Mar 2016 16:23:01 +0100

Case Report Michelle Glauser, Vahid Payman, International Psychogeriatrics, Volume 28 Issue 04, pp 695-696Abstract (Source: International Psychogeriatrics)



Subcortical volume changes in dementia with Lewy bodies and Alzheimer's disease. A comparison with healthy aging

Thu, 24 Mar 2016 16:23:01 +0100

Research Articles Rosie Watson, Sean J. Colloby, Andrew M. Blamire, John T. O’Brien, International Psychogeriatrics, Volume 28 Issue 04, pp 529-536Abstract (Source: International Psychogeriatrics)

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Communication and respect for people with dementia: student learning (CARDS) – the development and evaluation of a pilot of an education intervention for pre-qualifying healthcare students

Thu, 24 Mar 2016 16:23:01 +0100

Research Articles Julia Helen Wood, Ledia Alushi, John A. Hammond, International Psychogeriatrics, Volume 28 Issue 04, pp 647-656Abstract (Source: International Psychogeriatrics)



Mental healthcare for older adults in rural Greece

Thu, 24 Mar 2016 16:23:01 +0100

Letter Vaios Peritogiannis, Athina Tatsioni, Thiresia Manthopoulou, Venetsanos Mavreas, International Psychogeriatrics, Volume 28 Issue 04, pp 698-700Abstract (Source: International Psychogeriatrics)



Empowerment of young people who have a parent living with dementia: a social model perspective

Thu, 24 Mar 2016 16:23:01 +0100

Research Articles Karen Hutchinson, Chris Roberts, Michele Daly, Caroline Bulsara, Susan Kurrle, International Psychogeriatrics, Volume 28 Issue 04, pp 657-668Abstract (Source: International Psychogeriatrics)



Internet video chat (Skype) family conversations as a treatment of agitation in nursing home residents with dementia

Thu, 24 Mar 2016 16:23:01 +0100

Letter Eva S. Van der Ploeg, Barbara Eppingstall, Daniel W. O’Connor, International Psychogeriatrics, Volume 28 Issue 04, pp 697-698Abstract (Source: International Psychogeriatrics)



Insomnia is associated with suicide attempt in middle-aged and older adults with depression

Thu, 24 Mar 2016 16:23:01 +0100

Research Articles Daniel B. Kay, Alexandre Y. Dombrovski, Daniel J. Buysse, Charles F. Reynolds, Amy Begley, Katalin Szanto, International Psychogeriatrics, Volume 28 Issue 04, pp 613-619Abstract (Source: International Psychogeriatrics)

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Relationship between marijuana and other illicit drug use and depression/suicidal thoughts among late middle-aged and older adults

Thu, 24 Mar 2016 16:23:01 +0100

Research Articles Namkee G. Choi, Diana M. DiNitto, C. Nathan Marti, Bryan Y. Choi, International Psychogeriatrics, Volume 28 Issue 04, pp 577-589Abstract (Source: International Psychogeriatrics)



The mediating role of cardiovascular risk factors in the relationship between symptoms of apathy and incident cardiovascular disease in community-dwelling older individuals

Thu, 24 Mar 2016 16:23:01 +0100

Research Articles Lisa S. M. Eurelings, James Jaccard, Eric P. Moll van Charante, Piet Eikelenboom, Suzanne A. Ligthart, Willem A. van Gool, Edo Richard, International Psychogeriatrics, Volume 28 Issue 04, pp 669-679Abstract (Source: International Psychogeriatrics)



Correlates and predictors of loneliness in older-adults: a review of quantitative results informed by qualitative insights

Thu, 24 Mar 2016 16:23:01 +0100

Review Articles Jiska Cohen-Mansfield, Haim Hazan, Yaffa Lerman, Vera Shalom, International Psychogeriatrics, Volume 28 Issue 04, pp 557-576Abstract (Source: International Psychogeriatrics)



IPG volume 28 issue 4 Cover and Front matter

Thu, 24 Mar 2016 16:23:01 +0100

Miscellaneous International Psychogeriatrics, Volume 28 Issue 04, pp f1-f2Abstract (Source: International Psychogeriatrics)



IPG volume 28 issue 4 Cover and Back matter

Thu, 24 Mar 2016 16:23:01 +0100

Miscellaneous International Psychogeriatrics, Volume 28 Issue 04, pp b1-b2Abstract (Source: International Psychogeriatrics)

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Exercise may reduce memory decline associated with ageing

Thu, 24 Mar 2016 16:22:38 +0100

Physical exercise in older people is associated with a slower rate of decline in memory and some thinking skills that occur with ageing, according to research carried out by the University of Miami. (Source: Alzheimers Society)



Associations between DNA Damage, DNA Base Excision Repair Gene Variability and Alzheimer's Disease Risk

Thu, 24 Mar 2016 16:22:24 +0100

Conclusion: Our results show that oxidative stress and disturbances in DRE are particularly responsible for the elevated DNA lesions in AD. The results suggest that oxidative stress and disruption in DNA repair may contribute to increased DNA damage in AD patients and risk of this disease. In addition, disturbances in DRE may be associated with polymorphisms of OGG1 and XRCC1.Dement Geriatr Cogn Disord 2016;41:152-171 (Source: Dementia and Geriatric Cognitive Disorders)



Hospice and ED Use in Cancer Patients With a Poor PrognosisHospice and ED Use in Cancer Patients With a Poor Prognosis

Thu, 24 Mar 2016 16:00:00 +0100

Does enrollment in hospice reduce emergency department visits? Journal of the American Geriatrics Society (Source: Medscape Today Headlines)



Erratum to: Gender differences in metabolic syndrome components among the Korean 66-year-old population with metabolic syndrome

Thu, 24 Mar 2016 00:00:00 +0100

(Source: BMC Geriatrics)

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Book award announcement

Wed, 23 Mar 2016 23:00:00 +0100

(Source: Australasian Journal on Ageing)



Identifying the gaps — indigenous ageing

Wed, 23 Mar 2016 23:00:00 +0100

(Source: Australasian Journal on Ageing)



Ageism: The next big ‘‐ism’ to address?

Wed, 23 Mar 2016 23:00:00 +0100

(Source: Australasian Journal on Ageing)



Long and winding road: Aged care use before death

Wed, 23 Mar 2016 23:00:00 +0100

ConclusionThe comprehensive PIAC database allows research into patterns of use of aged care services that can inform decision‐making by clients, carers, providers and funders of the services. (Source: Australasian Journal on Ageing)

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Facing the times: A young onset dementia support group: FacebookTM style

Wed, 23 Mar 2016 23:00:00 +0100

Young onset dementia accounts for up to 1 in 10 dementia diagnoses. Those diagnosed face premature transition into the realm of aged care services and adjustment to an illness of ageing prior to age 65. To help elicit communication of the perceived psychosocial needs of this group, provide a platform to gain peer support and advocate for increased awareness, the Young Onset Dementia Support Group was established on the social networking site, FacebookTM. Followers post comments, read educational or otherwise interesting news feeds, share inspirational quotes and access others living with dementia worldwide. Facebook provides a means of rapid global reach in a way that allows people with dementia to increase their communications and potentially reduce isolation. This paper was authored by t...



Dr Atul Gawande on being mortal: Does it matter?

Wed, 23 Mar 2016 23:00:00 +0100

(Source: Australasian Journal on Ageing)



Using mobile devices to prevent heatstroke‐related disability and death in older Australians

Wed, 23 Mar 2016 23:00:00 +0100

(Source: Australasian Journal on Ageing)












Australian and New Zealand Society for Geriatric Medicine Position Statement – Immunisation of older people

Wed, 23 Mar 2016 23:00:00 +0100

(Source: Australasian Journal on Ageing)



Comparisons of the utility of researcher‐defined and participant‐defined successful ageing

Wed, 23 Mar 2016 23:00:00 +0100

ConclusionsWhile the current study suggested an improved classification algorithm using a common research definition, future research should explore how subjective and objective aspects of successful ageing may be combined to derive a measure relevant to policy and practice. (Source: Australasian Journal on Ageing)

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Microfluidic Technologies for Yeast Replicative Lifespan Studies

Wed, 23 Mar 2016 23:00:00 +0100

Publication date: Available online 23 March 2016 Source:Mechanisms of Ageing and Development Author(s): Kenneth L Chen, Matthew M Crane, Matt Kaeberlein The budding yeast Saccharomyces cerevisiae has been used as a model organism for the study of aging for over 50 years. In this time, the canonical aging experiment—replicative lifespan analysis by manual microdissection—has remained essentially unchanged. Recently, microfluidic technologies have been developed that may be able to substitute for this time- and labor-intensive procedure. These technologies also allow cell physiology to be observed throughout the entire lifetime. Here, we review these devices, novel observations they have made possible, and some of the current system limitations. (Source: Mechanisms of Ageing and Dev...



Needed: De-prescription Randomized Trials in Geriatric Population

Wed, 23 Mar 2016 23:00:00 +0100

(Cleveland Clinic, Ohio, USA)(Editorial; p37) (Source: Journal of Pakistan Medical Students)






Methylation profiles in peripheral blood CD4+ lymphocytes versus brain: The relation to Alzheimer's disease pathology

Wed, 23 Mar 2016 23:00:00 +0100

Discussion There is no strong evidence of change in CD4+ lymphocytes methylation among older persons over an average of 7.5 years. Methylation associations with AD pathology found in neocortex are not directly reflected in CD4+ lymphocytes. (Source: Alzheimer's and Dementia: The Journal of the Alzheimer's Association)



Predicting the progression of Alzheimer's disease dementia: A multidomain health policy model

Wed, 23 Mar 2016 23:00:00 +0100

Discussion The model developed is exploratory and has limitations but illustrates the importance of using a multidomain approach when assessing impacts of AD and interventions. (Source: Alzheimer's and Dementia: The Journal of the Alzheimer's Association)

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Molecular genetics of early-onset Alzheimer disease revisited

Wed, 23 Mar 2016 23:00:00 +0100

Publication date: Available online 24 March 2016 Source:Alzheimer's & Dementia Author(s): Rita Cacace, Kristel Sleegers, Christine Van Broeckhoven As the discovery of the Alzheimer disease (AD) genes, APP, PSEN1, and PSEN2, in families with autosomal dominant early-onset AD (EOAD), gene discovery in familial EOAD came more or less to a standstill. Only 5% of EOAD patients are carrying a pathogenic mutation in one of the AD genes or a APOE risk allele ε4, most of EOAD patients remain unexplained. Here, we aimed at summarizing the current knowledge of EOAD genetics and its role in ongoing approaches to understand the biology of AD and disease symptomatology as well as developing new therapeutics. Next, we explored the possible molecular mechanisms that might underlie the missin...



Effects of Japanese drum exercise on depression and physical function in community-dwelling older women

Wed, 23 Mar 2016 23:00:00 +0100

Conclusion Our results did not support the hypothesis that the Japanese drum exercise can improve depressive mood in older women. However, depressive mood showed a slight improvement in the intervention group, suggesting that a longer or more frequent session of intervention might have had an effect. (Source: Journal of Clinical Gerontology and Geriatrics)



Defining polypharmacy in the elderly: a systematic review protocol

Wed, 23 Mar 2016 23:00:00 +0100

Introduction Ageing—along with its associated physiological and pathological changes—places individuals at a higher risk of multimorbidity and treatment-related complications. Today, polypharmacy, a common and important problem related to drug use, occurs subsequent to this multimorbidity in the elderly in all populations. In recent decades, several scientific investigations have studied polypharmacy and its correlates, using different approaches and definitions, and their results have been inconclusive. Differences in definitions and approaches in these studies form a barrier against reaching a conclusion regarding the risk factors and consequences of polypharmacy. It is therefore imperative to establish an appropriate definition of polypharmacy. Methods and analysis A system...



Effective strategies to motivate nursing home residents in oral healthcare and to prevent or reduce responsive behaviours to oral healthcare: a systematic review protocol

Wed, 23 Mar 2016 23:00:00 +0100

Introduction Oral healthcare in nursing homes is less than optimal, with severe consequences for residents' health and quality of life. To provide the best possible oral healthcare to nursing home residents, care providers need strategies that have been proven to be effective. Strategies can either encourage and motivate residents to perform oral healthcare themselves or can prevent or overcome responsive behaviours from residents when care providers assist with oral healthcare. This systematic review aims to identify studies that evaluate the effectiveness of such strategies and to synthesise their evidence. Methods and analysis We will conduct a comprehensive search in the databases MEDLINE, EMBASE, Evidence Based Reviews—Cochrane Central Register of Controlled Trials, CINAHL and ...

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Incidentally Raised Cardiac Troponin I Has a Worse Prognosis in Older Patients Compared to Those with Normal Cardiac Troponin I and Patients with Acute Coronary Syndrome: A Cohort Study

Wed, 23 Mar 2016 21:22:27 +0100

Conclusion: There is a significant association between an incidental rise in cTnI level with mortality and LOS in older patients. Further research is required to evaluate whether a more systematic management of these patients would improve the prognosis.Gerontology (Source: Gerontology)



Evaluation Studies of Robotic Rollators by the User Perspective: A Systematic Review

Wed, 23 Mar 2016 21:22:27 +0100

Conclusions: Apart from the heterogeneity, methodological deficits in most of the identified studies became apparent. Recommendations for future evaluation studies include: clear definition of target user group, adequate selection of subjects, inclusion of other assistive mobility devices for comparison, evaluation of the habitual use of advanced prototypes, adequate assessment strategy with established, standardized and validated methods, and statistical analysis of study results. Assessment strategies may additionally focus on specific functionalities of the robotic rollators allowing an individually tailored assessment of innovative features to document their added value.Gerontology (Source: Gerontology)



CardioBrief: Top HF Expert Decries 'Unbelievable Folly' of Clinical Trials and Guidelines

Wed, 23 Mar 2016 20:35:02 +0100

(MedPage Today) -- Milton Packer, MD, calls the system to test and evaluate heart failure drugs dysfunctional (Source: MedPage Today Geriatrics)

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At-Risk Limbs More Likely to See Catheter Than Scalpel

Wed, 23 Mar 2016 19:30:00 +0100

(MedPage Today) -- Endovascular procedures now exceed surgery in critical limb ischemia (Source: MedPage Today Geriatrics)



Imaging Predicts TIA, Minor Stroke Recurrence (CME/CE)

Wed, 23 Mar 2016 19:00:00 +0100

(MedPage Today) -- Clinical prediction scores without imaging were not predictive (Source: MedPage Today Geriatrics)



Medical alert systems: In vogue, and for some, invaluable

Wed, 23 Mar 2016 13:15:17 +0100

My elderly dad is sporting a cool new mobile device these days, complete with a sleek design and an aluminum cover. It’s not a smartphone or a laptop or a tablet; it’s a medical alert system, a one-button gadget that can summon emergency help. “Many older people who live alone embrace the devices, because they worry how they would get help if they fell and couldn’t get to a phone. And it’s reassuring for their kids to know there’s a backup system in place,” says geriatrician Dr. Suzanne Salamon, assistant professor at Harvard Medical School. The devices weren’t always so popular. Once the target of comedians (an issue that kept some seniors from using them), medical alert systems are now in big demand, perhaps due to an aging population, advances in technology, and the real...



[Comprehensive geriatric assessment (CGA) in elderly with cancer: For whom?]

Wed, 23 Mar 2016 03:27:02 +0100

Authors: Liuu E, Caillet P, Curé H, Anfasi N, De Decker L, Pamoukdjian F, Canouï-Poitrine F, Soubeyran P, Paillaud E, sous l’égide de la Société francophone d’oncogériatrie (SoFOG) Abstract Scientific societies recommend the implementation of a comprehensive geriatric assessment (CGA) in cancer patients aged 70 and older. The EGA is an interdisciplinary multidimensional diagnostic process seeking to assess the frail older person in order to develop a coordinated plan of treatment and long-term follow-up. Identification of comorbidities and age-induced physiological changes that may increase the risk of anticancer treatment toxicities is essential to better assess the risk-benefit ratio in elderly cancer patients. The systematic implementation of a CGA for each patient is ...



Alzheimer’s appears to have a worse effect on women than men, review suggests

Wed, 23 Mar 2016 02:24:56 +0100

Alzheimer’s disease appears to have a worse effect on women than men, even at the same stage of the disease, according to a research review from academics at the University of Hertfordshire. (Source: Alzheimers Society)



The Effect of Prior Caffeine Consumption on Neuropsychological Test Performance: A Placebo-Controlled Study

Wed, 23 Mar 2016 02:24:07 +0100

Conclusion: The results highlight the need to consider and control prior caffeine consumption when scoring neuropsychological assessments in the elderly, which is important for accuracy of diagnosis and corresponding normative data.Dement Geriatr Cogn Disord 2016;41:146-151 (Source: Dementia and Geriatric Cognitive Disorders)



Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study

Wed, 23 Mar 2016 00:00:00 +0100

Decreased independence and loss of functional ability are issues regarded as inevitably connected to old age. This ageism may have negative influences on older adults’ beliefs about aging, making it difficult ... (Source: BMC Geriatrics)



Projecting the effects of long-term care policy on the labor market participation of primary informal family caregivers of elderly with disability: insights from a dynamic simulation model

Wed, 23 Mar 2016 00:00:00 +0100

Using Singapore as a case study, this paper aims to understand the effects of the current long-term care policy and various alternative policy options on the labor market participation of primary informal fami... (Source: BMC Geriatrics)



Physical activity and progenitor cell-mediated endothelial repair in chronic heart failure: is there a role for epigenetics?

Tue, 22 Mar 2016 23:00:00 +0100

Publication date: Available online 22 March 2016 Source:Mechanisms of Ageing and Development Author(s): Rina Recchioni, Fiorella Marcheselli, Roberto Antonicelli, Raffaella Lazzarini, Emanuela Mensà, Roberto Testa, Antonio Domenico Procopio, Fabiola Olivieri Chronic heart failure (CHF) is the most common cardiac disease among the elderly and a leading cause of mortality in elderly patients. Endothelial dysfunction is held to have a major role in the development and progression of CHF, which results in progressively impaired functional capacity. Endothelial progenitor cells (EPCs) and circulating angiogenic cells (CACs) are the main players involved in the endogenous repair mechanisms that can counteract endothelial dysfunction. A mounting body of data indicates that exercise enh...

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A hybrid genetic algorithm-queuing multi-compartment model for optimizing inpatient bed occupancy and associated costs

Tue, 22 Mar 2016 23:00:00 +0100

Conclusion Encoding the whole information provided by both the queuing system and the cost model through chromosomes, the genetic algorithm represents an efficient tool in optimizing the bed allocation and associated costs. The methodology can be extended to different medical departments with minor modifications in structure and parameterization. Graphical abstract (Source: Artificial Intelligence in Medicine)



Health and happiness among community‐dwelling older adults in Domkhar valley, Ladakh, India

Tue, 22 Mar 2016 23:00:00 +0100

ConclusionsSubjective quality of life among older adults in Domkhar was higher than Japanese controls despite a higher rate of difficulty in basic activities of daily living. We have to consider prevention, treatment, and care of not only diseases and disabilities, but also loneliness for the older adults. Geriatr Gerontol Int 2016; ••: ••–••. (Source: Geriatrics and Gerontology International)



Differences in caregiver daily impression by sex, education and career length

Tue, 22 Mar 2016 23:00:00 +0100

ConclusionsWe found that the CDI variable, “poor eye contact,” is influenced by career length. Caregivers with more experience attach more importance to their impression of residents' eyes than do those with less experience. Sex‐related differences in CDI might also exist. Geriatr Gerontol Int 2016; ••: ••–•• (Source: Geriatrics and Gerontology International)



Internalization of tau antibody and pathological tau protein detected with a flow cytometry multiplexing approach

Tue, 22 Mar 2016 23:00:00 +0100

Discussion This approach allows rapid in vitro screening of antibody uptake and retention in conjunction with pathologic tau protein before more detailed studies in animals or other more complex model systems. (Source: Alzheimer's and Dementia: The Journal of the Alzheimer's Association)



Chronic Subdural Haematoma in the Elderly: Is It Time for a New Paradigm in Management?

Tue, 22 Mar 2016 23:00:00 +0100

Abstract Chronic subdural haematoma (CSDH) is a common neurological condition that usually affects the elderly. The optimal treatment strategy remains uncertain, principally because there is a lack of a good evidence base. In this paper, we review the literature concerning the peri-operative and operative care of patients. In particular, we highlight the non-surgical aspects of care that might impact on patient outcomes and CSDH recurrence. We propose that an integrated approach to care in patients with CSDH, similar to care of fragility fractures in the elderly, may be an important strategy to improve patient care and outcomes. (Source: Current Geriatrics Reports)



Free choice in residential care for older people — A philosophical reflection

Tue, 22 Mar 2016 23:00:00 +0100

Conclusions The interviewees reported a high degree of self-determination in the process. It appeared that in order to restore self-respect and personal agency, the older individuals had transformed their restricted choice into a choice made of free will or freer will. (Source: Journal of Aging Studies)



Defensive medicine due to different fears by patients and physicians in geriatric atrial fibrillation patients and second victim syndrome

Tue, 22 Mar 2016 23:00:00 +0100

The treatment of atrial fibrillation (AF) patients has altered dramatically in recent years with the emergence and approval of the novel oral anticoagulants, antiplatelet or devices [1–4]; but under-treatment and under-education of AF patients continue [5] despite their high risk of stroke and clear indication for anticoagulation according to established risk scores [6,7]. Appropriate use and continued adherence are absolutely critical concerns. In a 1-year study of elderly patients with AF, 26% of patients 80years and older stopped taking oral anticoagulant drug within the first year, largely due to perceived safety issues. (Source: International Journal of Cardiology)

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Abdominal Pain in the Geriatric Patient

Tue, 22 Mar 2016 23:00:00 +0100

Abdominal pain in the elderly can be a challenging and difficult condition to diagnose and treat. The geriatric population has significant comorbidities and often takes polypharmacy that can mask symptoms. The presentation of common conditions can be different than that in the younger population, often lacking the traditional indicators of disease, making it of pivotal importance for the clinician to consider a wide differential during their workup. It is also important to consider extra-abdominal abnormality that may manifest as abdominal pain. (Source: Emergency Medicine Clinics of North America)



Hypovitaminosis D is an Independent Associated Factor of Overactive Bladder in Older Adults

Tue, 22 Mar 2016 23:00:00 +0100

(Source: Archives of Gerontology and Geriatrics)



Effect of traditional resistance and power training using rated perceived exertion for enhancement of muscle strength, power, and functional performance

Tue, 22 Mar 2016 23:00:00 +0100

Abstract The present study compared the effects of 12 weeks of traditional resistance training and power training using rated perceived exertion (RPE) to determine training intensity on improvements in strength, muscle power, and ability to perform functional task in older women. Thirty healthy elderly women (60–75 years) were randomly assigned to traditional resistance training group (TRT; n = 15) or power training group (PT; n = 15). Participants trained twice a week for 12 weeks using six exercises. The training protocol was designed to ascertain that participants exercised at an RPE of 13–18 (on a 6–20 scale). Maximal dynamic strength, muscle power, and functional performance of lower limb muscles were assessed. Maximal dynamic strength muscle strength leg press ...



Improving the management of behaviour that challenges associated with dementia in care homes: protocol for pharmacy-health psychology intervention feasibility study

Tue, 22 Mar 2016 23:00:00 +0100

Introduction The inappropriate use of antipsychotics in people with dementia for behaviour that challenges is associated with an estimated 1800 deaths annually. However, solely focusing on antipsychotics may transfer prescribing to other equally dangerous psychotropics. Little is known about the role of pharmacists in the management of psychotropics used to treat behaviours that challenge. This research aims to determine whether it is feasible to implement and measure the effectiveness of a combined pharmacy–health psychology intervention incorporating a medication review and staff training package to limit the prescription of psychotropics to manage behaviour that challenges in care home residents with dementia. Methods/analysis 6 care homes within the West Midlands will be recruit...

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Osteoporosis and periodontal disease in the elderly

Tue, 22 Mar 2016 21:39:45 +0100

Ignasiak Z, Radwan-Oczko M, Rozek-Piechura K, Cholewa M, Skrzek A, Ignasiak T, Slawinska T (Source: Clinical Interventions in Aging)



Understanding Muscle Dysfunction in Chronic Fatigue Syndrome.

Tue, 22 Mar 2016 18:55:02 +0100

Discussion. Bioenergetic muscle dysfunction is evident in CFS/ME, with a tendency towards an overutilisation of the lactate dehydrogenase pathway following low-level exercise, in addition to slowed acid clearance after exercise. Potentially, these abnormalities may lead to the perception of severe fatigue in CFS/ME. PMID: 26998359 [PubMed] (Source: Journal of Aging Research)



Forthcoming Issues

Tue, 22 Mar 2016 18:07:29 +0100

Geriatric Disorders (Source: Veterinary Clinics of North America: Equine Practice)



Pelzman's Picks: Avoiding Burnout Made Easy

Tue, 22 Mar 2016 16:00:00 +0100

(MedPage Today) -- Also: another way to use Fitbit data, attentive discharges (Source: MedPage Today Geriatrics)

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Comparison of 2 Different Exercise Approaches: Tai Chi Versus Otago, in Community-Dwelling Older Women

Tue, 22 Mar 2016 15:34:16 +0100

Conclusions: The findings from this study support the efficacy of the TC and Otago exercise programs in improving mobility in this sample of subjects. Furthermore, the Otago group showed greater improvement in lower extremity strength, whereas the TC group showed greater improvement in balance (OLS test). Also, the TC group showed a greater improvement in gait velocity after TC training program compared with the Otago exercise program. However, this study does not elucidate which exercise program is a more effective intervention method with older women for fall prevention. (Source: Journal of Geriatric Physical Therapy)



Reliability, Validity, and Minimal Detectable Change of Balance Evaluation Systems Test and Its Short Versions in Older Cancer Survivors: A Pilot Study

Tue, 22 Mar 2016 15:34:16 +0100

Conclusions: Clinicians can utilize the BESTest and its short versions to evaluate balance problems in community-dwelling older cancer survivors and apply the established MDC to assess the intervention outcomes. (Source: Journal of Geriatric Physical Therapy)



The Mini-Balance Evaluation Systems Test (Mini-BESTest) Demonstrates Higher Accuracy in Identifying Older Adult Participants With History of Falls Than Do the BESTest, Berg Balance Scale, or Timed Up and Go Test

Tue, 22 Mar 2016 15:34:16 +0100

Conclusion: The Mini-BESTest is the most accurate tool for identifying older adult with history of falls compared with the BESTest, BBS, and TUG. (Source: Journal of Geriatric Physical Therapy)



Physical Activity, Central Adiposity, and Functional Limitations in Community-Dwelling Older Adults

Tue, 22 Mar 2016 15:34:16 +0100

Conclusions: Physical activity is associated with significantly lower odds of physical and functional limitations in obese older adults regardless of how obesity is classified. Additional research is needed to determine whether physical activity moderates long-term physical and functional limitations. (Source: Journal of Geriatric Physical Therapy)

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The Impact of a Portable Metabolic Measurement Device on Gait Characteristics of Older Adults With Mobility Limitations

Tue, 22 Mar 2016 15:34:16 +0100

Conclusion: Our findings begin to fill in the gaps in the literature regarding the impact of added carriage loads on more vulnerable populations and lend support for the use of similar weighted metabolic devices as a component of gait assessment in older adults with confidence that the additional carriage-load will not significantly impact concurrent measures of gait. (Source: Journal of Geriatric Physical Therapy)



Pedometers Affect Changes in Lower-Extremity Physical Function During a Square-Stepping Exercise Program in Older Japanese Adults

Tue, 22 Mar 2016 15:34:16 +0100

Conclusions: This study suggests that providing a pedometer during an exercise intervention is an effective addition to an exercise program to improve LEPF. (Source: Journal of Geriatric Physical Therapy)



Relationships Between Performance on Assessments of Executive Function and Fall Risk Screening Measures in Community-Dwelling Older Adults

Tue, 22 Mar 2016 15:34:16 +0100

Conclusions: Screening tools that require cognitive resources such as gait speed appear to have significant relationships with performance of EF for those who screen positive for MCI. This information could be used clinically to identify older adults with cognitive limitations, which could put them at higher risk for falling. (Source: Journal of Geriatric Physical Therapy)



Development and Validation of a Falls-Grading Scale: Erratum

Tue, 22 Mar 2016 15:34:16 +0100

No abstract available (Source: Journal of Geriatric Physical Therapy)



Editor's Message: Journal Status and Thanks 2015

Tue, 22 Mar 2016 15:34:15 +0100

No abstract available (Source: Journal of Geriatric Physical Therapy)

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