MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'BMC Geriatrics' source. Wed, 08 Feb 2012 16:54:22 +0100 http://www.medworm.com/index.php?rid=5660547&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F12%2F3 Specific questions in an informant-rated questionnaire designed to detect Alzheimers Disease are also able to discriminate between normal memory loss and amnesic mild cognitive impairment, allowing earlier identification of those at higher risk of developing Alzheimers Disease. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5660547 Fri, 03 Feb 2012 05:00:00 +0100 5660547 http://www.medworm.com/index.php?rid=5583281&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F12%2F2 DiscussionWe hypothesise that training family carers to deliver personalised activities to their relatives in a residential setting will make visits more satisfying and may consequently improve the quality of life for carers and their relatives. These beneficial effects might also reduce nursing staff burden and thus impact positively on residential facilities.Trial RegistrationAustralian New Zealand Clinical Trials Registry - ACTRN12611000998943 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5583281 Thu, 12 Jan 2012 05:00:00 +0100 5583281 http://www.medworm.com/index.php?rid=5561128&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F12%2F1 DiscussionA novelty of dementia-care mapping is that it offers an integral person-centred approach to dementia care in nursing homes. The major strengths of the study design are the large sample size, the cluster-randomisation, and the one-year follow-up. The generalisability of the implementation strategies may be questionable because the motivation for person-centred care in both the intervention and control nursing homes is above average. The results of this study may be useful in improving the quality of care and are relevant for policymakers.Trial registrationThe trial is registered in the Netherlands National Trial Register: NTR2314. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5561128 Tue, 03 Jan 2012 05:00:00 +0100 5561128 http://www.medworm.com/index.php?rid=5552981&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F90 DiscussionThis trial is the first of its kind to provide individual nutritional intervention combined with follow-up by general practitioner as an intervention to reduce risk of re-admission after discharge among geriatric medical patients. The results will hopefully help to guide the development of more effective rehabilitation programs following hospital admissions, which may ultimately lead to reduced health care costs, and improvement in mobility, independence and quality of life for geriatric patients at nutritional risk.Trial Registration:ClinicalTrials.gov 2010 NCT01249716 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5552981 Wed, 28 Dec 2011 05:00:00 +0100 5552981 http://www.medworm.com/index.php?rid=5552980&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F91 Conclusions: Elderly ABM patients accounted for 34.8% of the overall ABM cases, and this relatively high incidence rate may signify the future burden of ABM in the elderly population in Taiwan. The relative frequency of implicated pathogens of elderly ABM is similar to that of non-elderly ABM. Compared with non-elderly patients, the elderly ABM patients have a significantly lower incidence of peripheral blood leukocytosis. The mortality rate of elderly ABM remains high, and the presence of shock and seizures are important prognostic factors. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5552980 Wed, 28 Dec 2011 05:00:00 +0100 5552980 http://www.medworm.com/index.php?rid=5538589&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F88 Background: Several research studies have reported the poor quality of life of family caregivers of persons with Alzheimer's disease (AD). However, factors that influence their quality of life have not been clearly defined. The purpose of this study wa to examine factors associated with the quality of life of these caregivers such as demographic variables, their transition experience, and hope. A secondary aim was to explore the transition experience of family caregivers of persons with AD. Methods: A cross-sectional triangulation data transformation model mixed method design (QUANT +Qual) was utilized to address the purpose of the study. Eighty family caregivers of persons with AD completed a survey with quantitative measures [demographic variables, Herth Hope Index (HHI-hope), World Hea... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5538589 Thu, 22 Dec 2011 05:00:00 +0100 5538589 http://www.medworm.com/index.php?rid=5538588&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F89 This study will help to clarify whether WBV training improves body balance, gait mobility and muscle strength in frail older persons living in nursing homes. As far as we know, this will be the first study to evaluate the efficacy of WBV for the prevention of falls.Trial registration: http://clinicaltrials.gov/: NCT01375790. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5538588 Thu, 22 Dec 2011 05:00:00 +0100 5538588 http://www.medworm.com/index.php?rid=5526127&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F87 Conclusions Gender differences should be incorporated in future basic research and epidemiological studies of longevity. Informed policies on ageing and wellbeing programs should also take into account gender issues to increase efficacy by targeting health locus of control. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5526127 Wed, 21 Dec 2011 05:00:00 +0100 5526127 http://www.medworm.com/index.php?rid=5526129&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F85 Conclusions: Greater variability in sustained attention is strongly correlated with retrospective falls and to a lesser degree with reduced falls efficacy. This cognitive measure may provide a novel and valuable biomarker for falls in older adults, potentially allowing for early detection and the implementation of preventative intervention strategies. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5526129 Mon, 19 Dec 2011 05:00:00 +0100 5526129 http://www.medworm.com/index.php?rid=5526128&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F86 Conclusions: Both unmet need and psychological distress were independent predictors of ED visits. Future investigations of unmet need and health services utilization should include psychological distress to control for confounding and improve the internal validity of statistical models. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5526128 Mon, 19 Dec 2011 05:00:00 +0100 5526128 http://www.medworm.com/index.php?rid=5515981&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F84 DiscussionThere are several compelling reasons for this study: the widespread prevalence of limited mobility in this population; the rapid decline in mobility after admission to a long-term care facility; the importance of mobility to quality of life; the increased time (and therefore cost) required to care for residents with limited mobility; and, the increased risk of injury for health workers caring for residents who are unable to stand. The importance of these issues is magnified when considering the increasing number of people living in long-term care facilities and an aging population.Trial Registration: This clinical trial is registered with ClinicalTrials.gov (trial registration number: NCT01474616). (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5515981 Fri, 16 Dec 2011 05:00:00 +0100 5515981 http://www.medworm.com/index.php?rid=5506007&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F83 Conclusions: A history of exposure to GA is not associated with an increased risk of AD although there are few high-quality studies in this area. Prospective cohort studies with long-term follow-up or randomized controlled trials are required to further understand the association between GA and AD. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5506007 Wed, 14 Dec 2011 05:00:00 +0100 5506007 http://www.medworm.com/index.php?rid=5487823&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F82 Background: Older people in long-term residential care are at increased risk of medication prescribing and administration errors. The main aim of this study was to measure the incidence of medication administration errors in nursing and residential homes using a barcode medication administration (BCMA) system. Methods: A prospective study was conducted in 13 care homes (9 residential and 4 nursing). Data on all medication administrations for a cohort of 345 older residents were recorded in real-time using a disguised observation technique. Every attempt by social care and nursing staff to administer medication over a 3-month observation period was analysed using BCMA records to determine the incidence and types of potential medication administration errors (MAEs) and whether errors were av... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5487823 Wed, 07 Dec 2011 05:00:00 +0100 5487823 http://www.medworm.com/index.php?rid=5469739&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F80 DiscussionTo our best knowledge, the B-PROOF study is the first intervention study in which the effect of vitamin B12 and folic acid supplementation on osteoporotic fractures is studied in a general elderly population. We expect the first longitudinal results of the B-PROOF intervention in the second semester of 2013. The results of this intervention will provide evidence on the efficacy of vitamin B12 and folate supplementation in the prevention of osteoporotic fractures.Trial RegistrationThe B-PROOF study is registered with the Netherlands Trial (NTR 1333) and with ClinicalTrials.gov (NCT00696514). (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5469739 Fri, 02 Dec 2011 05:00:00 +0100 5469739 http://www.medworm.com/index.php?rid=5469738&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F81 Conclusions: Although majority of older people who needed help received enough support in daily care, the need of care is more demanded in disadvantaged groups. Future community-based, long-term elderly care should focus on instrumental and intellectual ADLs among the general population of older people, and on basic ADLs among those with chronic illnesses. Socioeconomic determinants of care needs should be addressed in future interventions. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5469738 Fri, 02 Dec 2011 05:00:00 +0100 5469738 http://www.medworm.com/index.php?rid=5458790&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F79 Conclusions: The results show that the prevalence of IMU among community-dwelling elderly is high and depends partly on the method used to evaluate improper use. Besides the diversity of methods, other factors, such as patient sex, age and number of drugs used concurrently, appear to have influenced the estimates of IMU. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5458790 Wed, 30 Nov 2011 05:00:00 +0100 5458790 http://www.medworm.com/index.php?rid=5442040&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F78 Conclusions: Even though elderly childless individuals have social networks of less support potential than those who are parents there are no differences in certain psychological wellbeing indicators between the two groups. Apparently, childless elderly individuals find ways to cope with whatever negative effects of childlessness they may have experienced. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5442040 Wed, 23 Nov 2011 05:00:00 +0100 5442040 http://www.medworm.com/index.php?rid=5442041&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F77 Conclusions: Based on the organizing framework, we make three key recommendations to guide interventions and inform research and policy. First, all intervention studies should assess quality and/or quantity of caregiving activities to help understand to what extent and how well the intervention worked. Second, intervention studies should assess a broad range of caregiver and care recipient outcomes, including considering whether expanding to economic status and health care use of the caregiver can be accommodated, to ease subsequent economic evaluations of caregiving. Third, intervention studies should measure a common set of outcomes to facilitate cross-time and cross-study comparisons of effectiveness. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5442041 Tue, 22 Nov 2011 05:00:00 +0100 5442041 http://www.medworm.com/index.php?rid=5423093&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F76 Conclusions: Treatment of constipation in nursing homes was unsatisfactory. Nearly all patients with normal stool frequency and consistence had some persistent complaints. Improved nutrition and individualization of the treatment could improve the outcome. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5423093 Thu, 17 Nov 2011 05:00:00 +0100 5423093 http://www.medworm.com/index.php?rid=5409525&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F75 Conclusions: Primary care professionals could be more proactive in enquiry, repeated over time, about toileting and incontinence problems and in giving advice and information to reduce crisis and problems. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5409525 Mon, 14 Nov 2011 05:00:00 +0100 5409525 http://www.medworm.com/index.php?rid=5388589&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F74 Conclusions: Lower scores on executive function tests are a risk factor for falls in participants with minimal balance impairment. However, this effect is attenuated in individuals with poor balance where physical or more direct motor systems factors may play a greater role in fall risk. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5388589 Wed, 09 Nov 2011 05:00:00 +0100 5388589 http://www.medworm.com/index.php?rid=5388590&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F73 Conclusions: The presence of depression in women aged 60 years and older with recent low-energy fractures is an important risk factor for future falls. We propose that clinicians treating patients with recent low-energy fractures should anticipate not only on skeletal-related risk factors for fractures, but also on fall-related risk factors including depression. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5388590 Mon, 07 Nov 2011 05:00:00 +0100 5388590 http://www.medworm.com/index.php?rid=5388591&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F72 Conclusions: The 15 studies reviewed were of moderate methodological quality. In summary, SS-WBV seems to have a beneficial effect on dynamic balance in elderly individuals. However, the current results should be interpreted with caution because of the observed heterogeneity of training parameters and statistical methods. Future studies are warranted to evaluate the effects of WBV on postural control in an elderly population (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5388591 Thu, 03 Nov 2011 04:00:00 +0100 5388591 http://www.medworm.com/index.php?rid=5388592&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F71 Conclusion: The demonstration of diastolic dysfunction showed only a poor association with the symptom dyspnea in a cohort of elderly women with otherwise normal systolic function. Additional structural or hemodynamic changes are necessary to "explain" the symptom dyspnea. It is unclear whether these additional factors are secondary to a more advanced stage of diastolic dysfunction, or are related to cardiovascular co-morbidities, or both. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5388592 Wed, 02 Nov 2011 04:00:00 +0100 5388592 http://www.medworm.com/index.php?rid=5362507&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F69 Conclusions: The agents frequently prescribed to prevent UTIs in Norwegian nursing homes lack documented efficacy including methenamine and vitamin C. Recommended agents like trimethoprim, nitrofurantoin and vaginal estrogens are infrequently used. We conclude that prescribing of prophylactic agents for UTIs in nursing homes is not evidence-based. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5362507 Tue, 01 Nov 2011 04:00:00 +0100 5362507 http://www.medworm.com/index.php?rid=5362506&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F70 Conclusions: Of all the CNS medications analyzed in this study, the use of Ops may have the greatest effect on cognitive functioning in the ageing population. Due to small sample sizes these findings cannot be generalized to the unselected ageing population. More studies are needed concerning the long-term use of CNS medications, especially their concomitant use, and their potential cognitive effects. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5362506 Tue, 01 Nov 2011 04:00:00 +0100 5362506 http://www.medworm.com/index.php?rid=5362508&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F68 Conclusions: The findings of the present study will be value to those who are developing new form of specialised housing for older people with functional limitations and, in particular, guiding investments in technological aids. The results of the present study also indicate that the home is an essential site for developing residential technologies.KeywordsHome-Based Technology, Older People, Assistive Technology, Quality of Life, Well-Being, and Extra Care Housing. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5362508 Mon, 31 Oct 2011 04:00:00 +0100 5362508 http://www.medworm.com/index.php?rid=5348894&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F67 Background: The PRISMA Model is an innovative coordination-type integrated-service-delivery (ISD) network designed to manage and better match resources to the complex and evolving needs of elders. The goal of this study was to examine the impact of this ISD network on unmet needs among disabled older persons living in the community. Methods: Using data from the PRISMA study, we compared unmet needs of elders living in the community in areas with or without an ISD network. Disabilities and unmet needs were assessed with the Functional Autonomy Measurement System (SMAF). We used growth-curve analysis to examine changes in unmet needs over time and the variables associated with initial status and change. Sociodemographic characteristics, level of disability, self-perceived health status, cogn... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348894 Wed, 26 Oct 2011 04:00:00 +0100 5348894 http://www.medworm.com/index.php?rid=5348895&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F66 Background: Weight loss and under-nutrition are relatively common in older people, and are associated with poor outcomes including increased rates of hospital admissions and death. In a pilot study of 49 undernourished older, community dwelling people we found that daily treatment for one year with a combination of testosterone tablets and a nutritional supplement produced a significant reduction in hospitalizations. We propose a larger, multicentre study to explore and hopefully confirm this exciting, potentially important finding (NHMRC project grant number 627178). Methods: One year randomized control trial where subjects are allocated to either oral testosterone undecanoate and high calorie oral nutritional supplement or placebo medication and low calorie oral nutritional supplementati... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5348895 Mon, 24 Oct 2011 04:00:00 +0100 5348895 http://www.medworm.com/index.php?rid=5337160&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F65 Conclusions: We distinguished three large, readily identifiable groups of older adults which figure prominently in the use of EDs across the United States. Our results suggest that one group affects the general capacity of the ED to provide care as they persistently present with severe episodes requiring urgent staff attention and greater resource allocation. Another group persistently presents with non-severe episodes and creates a considerable share of the excess demand for ED care. Future research should determine how chronic disease management programs and varied co-payment obligations might impact the use of the ED by these two large and distinct groups of older adults with consistent ED use patterns. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5337160 Fri, 21 Oct 2011 04:00:00 +0100 5337160 http://www.medworm.com/index.php?rid=5337162&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F63 Conclusions: The Swaymeter is a reliable tool for assessing postural sway and discriminates between performance of young and older people across multiple sensory conditions. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5337162 Thu, 20 Oct 2011 04:00:00 +0100 5337162 http://www.medworm.com/index.php?rid=5337161&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F64 Conclusions: The usefulness of the Wii Fit as a therapy tool with hospitalised older people is limited not only by the small proportion of older people who are able to use it, but by older people's preferences for traditional approaches to therapy. Mainstream media portrayals of the popularity of the Wii Fit with older people may not reflect the true acceptability in the older hospitalised population. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5337161 Thu, 20 Oct 2011 04:00:00 +0100 5337161 http://www.medworm.com/index.php?rid=5324585&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F62 Conclusions R-coded diagnoses accounted for 1/5 of emergency admission episodes, higher than anticipated from total English hospital admissions, but comparable with rates reported in similar settings in other countries. Unexpectedly, age did not predict R-coded diagnosis at discharge. Lower mortality and length of stay support the view that these are avoidable admissions, but readmission rates particularly for further R-coded admissions indicate on-going health care needs. Patient characteristics did not predict R-coding, but organisational features, particularly admission via the ED, out of normal GP hours and via general internal medicine, were important and may offer opportunity for admission reduction strategies. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5324585 Tue, 18 Oct 2011 04:00:00 +0100 5324585 http://www.medworm.com/index.php?rid=5324586&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F61 DiscussionBy demonstrating the costs of BPSD to individuals with dementia and the health service this study will provide important evidence to drive improvements in care. We can then develop effective training for acute hospital staff and alternative treatment strategies for BPSD in this setting. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5324586 Mon, 17 Oct 2011 04:00:00 +0100 5324586 http://www.medworm.com/index.php?rid=5297600&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F60 Conclusions: The findings of these two studies highlight the potential for our new tool to provide a valid measure of older women's social quality of life, yet they require duplication in longitudinal research. Interested clinicians should consider using the OWSQLI in their assessment battery to identify older women's areas of lower versus higher social quality of life, and should establish the maximization of patients' social quality of life as an important therapeutic goal, as this variable is significantly related to both physical and mental health. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5297600 Sat, 08 Oct 2011 04:00:00 +0100 5297600 http://www.medworm.com/index.php?rid=5286538&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F58 The objective of this study was to compare current drug use related to co-morbidity between individuals with a recent diagnosis of AD and a cognitively healthy control group in a population based clinical trial in Northern Norway. Methods: Setting: Nine rural municipalities with 70 000 inhabitants in Northern Norway.Participants: Participants with and without AD recruited in general practice and by population based screening.187 participants with a recent diagnosis of AD were recruited among community dwellers. Of 791 respondents without cognitive symptoms, 500 were randomly selected and invited to further clinical and cognitive testing. The final control group consisted of 200 cognitively healthy individuals from the same municipalities. Demographic characteristics, data on medical histor... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5286538 Tue, 04 Oct 2011 04:00:00 +0100 5286538 http://www.medworm.com/index.php?rid=5286537&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F59 Conclusions: SMMSE seems to be an efficient short screening test for dementia among community-dwelling older adults with a memory complaint. Further research is needed to confirm its predictive values among unselected primary care older patients. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5286537 Tue, 04 Oct 2011 04:00:00 +0100 5286537 http://www.medworm.com/index.php?rid=5286539&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F57 Background: Systolic blood pressure (SBP) decline has been reported in octogenarians. The aim was to study if it could be observed while measuring SBP with two methods: Korotkoff (K-BP) and Strain-Gauge-Finger-Pletysmography (SG-BP), and which of them were more reliable in expressing vascular burden. Methods: A cohort of 703 men from a population of Malmo, Sweden, were included in "Men born in 1914-study" and followed-up at ages: 68 and 81 years. 176 survivors were examined with K-BP and SG-BP at both ages, and 104 of them with Ambulatory Blood Pressure at age 81/82. Ankle Brachial Index (ABI) was measured on both occasions, and Carotid Ultrasound at age 81. Results: From age 68 to 81, mean K-BP decreased in the cohort with mean 8.3 mmHg, while SG-BP increased with 13.4 mmHg. K-BP decrease... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5286539 Mon, 03 Oct 2011 04:00:00 +0100 5286539 http://www.medworm.com/index.php?rid=5274712&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F56 Conclusions: Sedative load scores were similar throughout the study period for residents with dementia in each of the care homes. Scores were lower than previously reported in studies conducted in long-term care wards which have on site clinical support. Nevertheless, strategies to optimise drug therapy for care home residents with dementia which rely on clinicians external to the care home for support and medication review are required. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5274712 Fri, 30 Sep 2011 04:00:00 +0100 5274712 http://www.medworm.com/index.php?rid=5251453&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F55 Conclusions: Previous conclusions of a lack of efficacy for cognitive training in MCI may have been influenced by not clearly defining the intervention. Our systematic review found that cognitive exercises can produce moderate-to-large beneficial effects on memory-related outcomes. However, the number of high quality RCTs remains low, and so further trials must be a priority. Several suggestions for the better design of cognitive training trials are provided. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5251453 Sun, 25 Sep 2011 04:00:00 +0100 5251453 http://www.medworm.com/index.php?rid=5227079&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F54 Conclusion: In absolute terms, we found a very high rate of utilization of ambulatory medical care by the elderly in Germany, when multimorbidity and especially nursing dependency were present. The extent of utilization by the elderly was related both to the number of chronic conditions and to the individual multimorbidity patterns, but not to gender and almost not to age. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5227079 Tue, 13 Sep 2011 04:00:00 +0100 5227079 http://www.medworm.com/index.php?rid=5210012&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F53 Background: Emerging data from younger and middle-aged persons suggest that cognitive ability is negatively associated with risk aversion, but this association has not been studied among older persons who are at high risk of experiencing loss of cognitive function. Methods: Using data from 369 community-dwelling older persons without dementia from the Rush Memory and Aging Project, an ongoing longitudinal epidemiologic study of aging, we examined the correlates of risk aversion and tested the hypothesis that cognition is negatively associated with risk aversion. Global cognition and five specific cognitive abilities were measured via detailed cognitive testing, and risk aversion was measured using standard behavioral economics questions in which participants were asked to choose between a ... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5210012 Sun, 11 Sep 2011 04:00:00 +0100 5210012 http://www.medworm.com/index.php?rid=5184835&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F52 DiscussionLittle research has focused on long term consequences after ICU admission in older critically ill patients. The present study is specifically focussing on long term consequences of stress factors experienced during ICU admission.Trial registration: ISRCTN52754370. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5184835 Thu, 01 Sep 2011 23:00:00 +0100 5184835 http://www.medworm.com/index.php?rid=5163263&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F51 Conclusions: Adherence to a multifaceted podiatry intervention in this trial ranged from 54 to 72%. People with better physical health, less fear of falling and a younger age exhibited greater adherence, suggesting that strategies need to be developed to enhance adherence in frailer older people who are most at risk of falling.Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12608000065392. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5163263 Thu, 25 Aug 2011 23:00:00 +0100 5163263 http://www.medworm.com/index.php?rid=5163264&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F50 The objective of this study is to evaluate the feasibility, acceptability and effectiveness of a 6-month nurse-led, interprofessional mental health promotion intervention aimed at older home care clients with depressive symptoms using personal support services. Methods: This one-group pre-test post-test study aims to recruit a total of 250 long-stay (> 60 days) home care clients, 70 years or older, with depressive symptoms who are receiving personal support services through a home care program in Ontario, Canada. The nurse-led intervention is a multi-faceted 6-month program led by a Registered Nurse that involves regular home visits, monthly case conferences, and evidence-based assessment and management of depression using an interprofessional approach. The primary outcome is the change in... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5163264 Wed, 24 Aug 2011 23:00:00 +0100 5163264 http://www.medworm.com/index.php?rid=5163265&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F49 Conclusions: Practically, when navigating in more challenging environments, such as in low-level ambient illumination, the addition of perceptual cues that define the horizontal walking plane can potentially reduce falls risks in older adults. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5163265 Tue, 23 Aug 2011 23:00:00 +0100 5163265 http://www.medworm.com/index.php?rid=5163266&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F48 DiscussionThe successful completion of this trial will provide evidence on the effectiveness of withdrawal of fall-risk increasing drugs in older patients as a method for falls reduction.Trial registration: Netherlands Trial Register (NTR1593) (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5163266 Sat, 20 Aug 2011 23:00:00 +0100 5163266 http://www.medworm.com/index.php?rid=5144762&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F44 DiscussionThe trial results will inform us to improve guidelines for instructing individuals with memory impairments. A user-friendly practice guideline will allow an efficient implementation of structured relearning techniques for a wide range of service providers in dementia care.Trial registrationDRKS00003117 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5144762 Wed, 17 Aug 2011 23:00:00 +0100 5144762 http://www.medworm.com/index.php?rid=5144761&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F45 Conclusions: The consequences of comorbidity clustering in terms of falls and/or injury outcomes of hospitalised patients should be investigated by future studies. Our findings have particular relevance for falls prevention strategies, clinical practice and planning of follow-up services for these patients. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5144761 Wed, 17 Aug 2011 23:00:00 +0100 5144761 http://www.medworm.com/index.php?rid=5144760&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F46 Conclusions: Physicians are not fully responsive to patient preferences regarding either the degree of communication or the patient's participation in decision making. Barriers to participation can be a problem, and should be taken into account more often when dealing with hospitalised elderly people. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5144760 Wed, 17 Aug 2011 23:00:00 +0100 5144760 http://www.medworm.com/index.php?rid=5144759&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F47 Conclusions: Multiple chronic disease is increasingly prevalent among older U.S. adults, whereas the prevalence of impairment and disability, while substantial, remain stable. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5144759 Wed, 17 Aug 2011 23:00:00 +0100 5144759 http://www.medworm.com/index.php?rid=5132903&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F42 ${item.shortDescription} (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132903 Mon, 15 Aug 2011 23:00:00 +0100 5132903 http://www.medworm.com/index.php?rid=5132902&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F43 ${item.shortDescription} (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5132902 Mon, 15 Aug 2011 23:00:00 +0100 5132902 http://www.medworm.com/index.php?rid=5126835&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F41 ${item.shortDescription} (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5126835 Fri, 12 Aug 2011 23:00:00 +0100 5126835 http://www.medworm.com/index.php?rid=5120390&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F40 ${item.shortDescription} (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5120390 Thu, 11 Aug 2011 23:00:00 +0100 5120390 http://www.medworm.com/index.php?rid=5120391&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F39 ${item.shortDescription} (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5120391 Wed, 10 Aug 2011 23:00:00 +0100 5120391 http://www.medworm.com/index.php?rid=5110500&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F38 ${item.shortDescription} (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5110500 Mon, 08 Aug 2011 23:00:00 +0100 5110500 http://www.medworm.com/index.php?rid=5098650&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F37 ${item.shortDescription} (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5098650 Thu, 04 Aug 2011 23:00:00 +0100 5098650 http://www.medworm.com/index.php?rid=5089113&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F36 ${item.shortDescription} (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5089113 Tue, 02 Aug 2011 23:00:00 +0100 5089113 http://www.medworm.com/index.php?rid=5031224&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F35 Conclusions: Providers perceive multiple barriers to prescribing opioids to older adults with chronic pain, and use these medications cautiously. Establishing the long-term safety and efficacy of these medications, generating improved prescribing methods, and implementing provider and patient educational interventions could help to improve the management of chronic pain in later life. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=5031224 Wed, 13 Jul 2011 23:00:00 +0100 5031224 http://www.medworm.com/index.php?rid=4999981&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F34 DiscussionThe proposed study will contribute to our knowledge because studies on the prophylactic treatment of delirium with long term follow up remain scarce. The results may lead to a prophylactic treatment for frail older persons at high risk for delirium that is safe, effective, and easily implementable in daily practice.Trial registration: Dutch Clinical Trial Registry: NTR1576. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4999981 Mon, 04 Jul 2011 23:00:00 +0100 4999981 http://www.medworm.com/index.php?rid=4986891&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F33 Conclusions: This review shows that physical frailty indicators can predict ADL disability in community-dwelling elderly people. Slow gait speed and low physical activity/exercise seem to be the most powerful predictors followed by weight loss, lower extremity function, balance, muscle strength, and other indicators. These findings should be interpreted with caution because the data of the different studies could not be pooled due to large variations in operationalization of the indicators and ADL disability across the included studies. Nevertheless, our study suggests that monitoring physical frailty indicators in community-dwelling elderly people might be useful to identify elderly people who could benefit from disability prevention programs. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4986891 Thu, 30 Jun 2011 23:00:00 +0100 4986891 http://www.medworm.com/index.php?rid=4923856&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F32 Conclusion: It is feasible to perform a randomised trial in a hospital and community setting to test the effect of an oral high energy high protein supplement for older people. Due to the limited number of participants and incomplete adherence with use of the supplements no conclusion can be drawn about the efficacy or effectiveness of this intervention. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4923856 Thu, 09 Jun 2011 23:00:00 +0100 4923856 http://www.medworm.com/index.php?rid=4914547&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F30 Background: Fall-related hip fractures result in significant personal and societal consequences; importantly, up to half of older adults with hip fracture never regain their previous level of mobility. Strategies of follow-up care for older adults after fracture have improved investigation for osteoporosis; but managing bone health alone is not enough. Prevention of fractures requires management of both bone health and falls risk factors (including the contributing role of cognition, balance and continence) to improve outcomes. Methods: This is a parallel group, pragmatic randomized controlled trial to test the effectiveness of a post-fracture clinic compared with usual care on mobility for older adults following their hospitalization for hip fracture. Participants randomized to the interv... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914547 Wed, 08 Jun 2011 23:00:00 +0100 4914547 http://www.medworm.com/index.php?rid=4914546&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F31 Conclusions: Most of the barriers described by participants are relevant to other interventions to improve end of life care in care homes. There is a need to investigate the impact of quality improvement programmes in care homes, such as the GSFCH, on a wider range of outcomes for residents and their families, and to monitor the sustainability of any resulting improvements. It is also important to explore the impact of the different components of these complex interventions. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914546 Wed, 08 Jun 2011 23:00:00 +0100 4914546 http://www.medworm.com/index.php?rid=4914548&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F29 Conclusions: The current evidence on the effectiveness of cognitive or motor-cognitive interventions to improve physical functioning in older adults or people with neurological impairments is limited. The heterogeneity of the studies published so far does not allow defining the training methodology with the greatest effectiveness. This review nevertheless provides important foundational information in order to encourage further development of novel cognitive or cognitive-motor interventions, preferably with a randomized control design. Future research that aims to examine the relation between improvements in cognitive skills and the translation to better performance on selected physical tasks should explicitly take the relation between the cognitive and physical skills into account. (Sourc... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4914548 Tue, 07 Jun 2011 23:00:00 +0100 4914548 http://www.medworm.com/index.php?rid=4896288&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F28 Conclusions: This research supports the mounting evidence that the concept of wandering, in its formal sense, and missing incidents are two distinct concepts. It will be important to further develop the concept of missing incidents by identifying the differences and similarities from wandering. This will allow a more targeted assessment and intervention strategy for each problem. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4896288 Sat, 04 Jun 2011 23:00:00 +0100 4896288 http://www.medworm.com/index.php?rid=4865039&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F27 Background: The efficacy of non-pharmacological intervention approaches such as physical activity, strength, and cognitive training for improving brain health has not been established. Before definitive trials are mounted, important design questions on participation/adherence, training and interventions effects must be answered to more fully inform a full-scale trial. Methods: SHARP-P was a single-blinded randomized controlled pilot trial of a 4-month physical activity training intervention (PA) and/or cognitive training intervention (CT) in a 2 X 2 factorial design with a health education control condition in 73 community-dwelling persons, aged 70-85 years, who were at risk for cognitive decline but did not have mild cognitive impairment. Results: Intervention attendance rates were higher... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4865039 Wed, 25 May 2011 23:00:00 +0100 4865039 http://www.medworm.com/index.php?rid=4843393&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F26 Conclusion: Our findings indicate that the recently developed EBPI brochure on fall prevention in old age was generally well accepted by seniors, but some statistical descriptions were difficult for them to understand. The brochure has to be updated. However, not all issues raised by the participants will be taken into account since some of them are contrary to the principles of EBPI. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4843393 Thu, 19 May 2011 23:00:00 +0100 4843393 http://www.medworm.com/index.php?rid=4832615&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F25 This study should allow better diagnosis of delirium and strengthen the collaboration between surgical and mobile geriatric teams. Should the program have a substantial impact on the prevention of postoperative delirium in elderly, it could be extended to other facilities.Trial registrationCurrent Controlled Trials NCT01316965 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4832615 Tue, 17 May 2011 23:00:00 +0100 4832615 http://www.medworm.com/index.php?rid=4822695&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F24 This study is expected to show positive effects on frail elderly peoples' health care consumption, functional abilities and satisfaction with health and social care.Trial registration: ClinicalTrials.gov, NCT01260493 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4822695 Fri, 13 May 2011 23:00:00 +0100 4822695 http://www.medworm.com/index.php?rid=4822696&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F23 Conclusions: Application of the CHS criteria for frailty was problematic and only marginally improved the prediction of select adverse outcomes in AL residents. Development and validation of alternative approaches for detecting frailty in this population, including consideration of female/male differences, is warranted. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4822696 Thu, 12 May 2011 23:00:00 +0100 4822696 http://www.medworm.com/index.php?rid=4806842&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F22 Conclusion: As prior disability status predicts future disability status, interventive strategies should be aimed at preventing disability in the first place. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4806842 Mon, 09 May 2011 23:00:00 +0100 4806842 http://www.medworm.com/index.php?rid=4783308&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F21 Conclusions: This analysis highlights the diversity of capability and levels of dependency in this cohort. A remarkably high proportion remain independent, particularly men. However a significant proportion of this population require 24-hour care at home or in care homes. Projections for the next 20 years suggest substantial increases in the number requiring 24-hour care due to population ageing and a proportionate increase in demand for care-home places unless innovative health and social care interventions are found. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4783308 Tue, 03 May 2011 23:00:00 +0100 4783308 http://www.medworm.com/index.php?rid=4776521&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F20 DiscussionThe results of this study will provide an insight into the determinants of quality of life for people with dementia living in traditional and small-scale long-term care settings in Belgium and the Netherlands. Possible relevant strengths and weaknesses of the study are discussed in this article.Trial registration: Current Controlled Trials ISRCTN23772945 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4776521 Mon, 02 May 2011 23:00:00 +0100 4776521 http://www.medworm.com/index.php?rid=4736754&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F18 DiscussionWe believe that the design of the study, the randomisation procedure and outcome measurements will be of sufficient strength and quality to evaluate the impact of comprehensive geriatric assessment on mobility and other relevant outcomes in hip fracture patients.Trials registration: ClinicalTrials.gov, NCT00667914 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4736754 Wed, 20 Apr 2011 23:00:00 +0100 4736754 http://www.medworm.com/index.php?rid=4736753&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F19 Conclusion: SMART will provide a novel evaluation of the immediate and long term benefits of CT, PRT, and combined CT and PRT on global cognitive function and brain morphology, as well as potential underlying mechanisms of adaptation in older adults at risk of further cognitive decline.Trial Registration: ANZCTR Reference No. 83075 and ACTN registry no. Protocol No: X08-0064 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4736753 Wed, 20 Apr 2011 23:00:00 +0100 4736753 http://www.medworm.com/index.php?rid=4736755&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F17 This study analyzed data from the Beijing Longitudinal Study of Aging, to evaluate the relationship between age and deficit accumulation in men and women and to evaluate the impact of frailty on mortality. Community dwelling people aged 55+ years at baseline (n=3275) were followed every two to three years between 1992 and 2000, during which time 36% died. A Frailty Index was constructed using 35 deficits, drawn from a range of health problems, including symptoms, disabilities, disease, and psychological difficulties. Results: Most deficits increased the risk of eight-year death and were more lethal in men than in women, although women had a higher level of frailty (mean=0.11 for men, mean=0.14 for women). The Frailty Index increased exponentially with age, with a similar rate in men and wo... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4736755 Tue, 19 Apr 2011 23:00:00 +0100 4736755 http://www.medworm.com/index.php?rid=4726498&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F16 Conclusions: Interventions using educational outreach, on-site education given alone or as part of an intervention package and pharmacist medication review may under certain circumstances reduce inappropriate drug use, but the evidence is of low quality. Due to poor quality of the evidence, no conclusions may be drawn about the effect of the other three interventions on drug use, or of either intervention on health-related outcomes. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4726498 Sat, 16 Apr 2011 23:00:00 +0100 4726498 http://www.medworm.com/index.php?rid=4687176&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F15 Conclusion: Labor force participation in their advanced years is not uncommon among the Thai elderly. The results suggest that improving the health status of the elderly is necessary in order to encourage their employment. By doing so, the country can fulfill the labor shortage and further improve the economic condition of the nation. The results of this study also suggest that for policies encouraging employment among older persons to succeed, special focus on the rural elderly is necessary. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4687176 Thu, 07 Apr 2011 23:00:00 +0100 4687176 http://www.medworm.com/index.php?rid=4687177&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F14 Conclusions: Old people with dementia used long-term care to a much greater extent and hospital and home care to a lesser extent than those without dementia. This difference persisted even when controlling for age, gender and comorbidity. It is important that greater attention is paid to ensuring that old people with dementia have equitable access to care. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4687177 Tue, 05 Apr 2011 23:00:00 +0100 4687177 http://www.medworm.com/index.php?rid=4654717&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F13 This study does not only evaluate the effects of the CI-strategy on professionals, but also the effects of professionals' degree of implementation on client and caregiver outcomes.Clinical trials registration: NCT01117285 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4654717 Tue, 29 Mar 2011 23:00:00 +0100 4654717 http://www.medworm.com/index.php?rid=4601994&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F10 Conclusions: Home has become so integral to life itself and such an intimate part of the older adult's being that when older adults lose their home, they also loose the place closest to their heart, the place where they are at home and can maintain their identity, integrity and way of living. Additional effort needs to be made to understand the older adult's experience of home within home health care in order to minimize intrusion and maximize care. There is a need to more fully explore the older adult's experience with health care providers in the home and its impact on the older adult's sense of "being at home" and their health and overall well-being. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4601994 Thu, 17 Mar 2011 00:00:00 +0100 4601994 http://www.medworm.com/index.php?rid=4601993&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F11 DiscussionResults of this study are important for policymakers, directors and staff of living arrangements providing nursing home care to people with dementia and essential for the development of methods to improve quality of care, residents' and staff well-being. Data collection will be repeated every two years, to generate knowledge on the results of changing policies in this field. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4601993 Thu, 17 Mar 2011 00:00:00 +0100 4601993 http://www.medworm.com/index.php?rid=4533240&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F9 Conclusions: On the basis of these findings we recommend that acute patients, patients with severe neurological dysfunction and immobility should be strongly encouraged to adhere to a thickened fluid or modified solid consistency diet. We recommend that subacute patients with relatively good mobility should have choice after being well-informed of the relative risk.Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12608000107325 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4533240 Tue, 01 Mar 2011 00:00:00 +0100 4533240 http://www.medworm.com/index.php?rid=4503183&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F8 Conclusions: Pravastatin does not prevent VTE in elderly people at risk of vascular disease. Blood markers of haemostasis and inflammation are not strongly predictive of VTE in older age however BMI, country and lower systolic blood pressure are independently associated with VTE risk. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4503183 Tue, 22 Feb 2011 00:00:00 +0100 4503183 http://www.medworm.com/index.php?rid=4491017&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F7 DiscussionReducing falls in the elderly remains a major challenge. We believe that with its strong focus on a both systematic and realistic fall prevention strategy adapted to primary care setting PreFalls will be a valuable addition to the scientific literature in the field.Trial registration: NCT01032252 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4491017 Thu, 17 Feb 2011 00:00:00 +0100 4491017 http://www.medworm.com/index.php?rid=4415767&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F6 Conclusions: A multi-faceted change strategy was associated with an improvement in allied health in ED prioritizing the review of ED fallers as well as subsequent referral for comprehensive geriatric care. The processes of multi-disciplinary care also improved, indicating improved care received by the patient. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4415767 Mon, 31 Jan 2011 00:00:00 +0100 4415767 http://www.medworm.com/index.php?rid=4395469&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F3 Conclusions: The results are in agreement with an emerging understanding that, while midlife risk factors for ATH increase the risk for the later development of AD, once dementia begins, both risk factors and manifest disease diminish, possibly due to progressive weight loss with increasing dementia as well as disease involvement of the brain's vasomotor centers. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4395469 Tue, 25 Jan 2011 00:00:00 +0100 4395469 http://www.medworm.com/index.php?rid=4395468&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F4 Conclusion: In our study one fifth of healthy older individuals without any gastrointestinal disorder, surgery or diabetes mellitus suffer from pancreatic exocrine insufficiency and might benefit from enzyme supplementation therapy. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4395468 Tue, 25 Jan 2011 00:00:00 +0100 4395468 http://www.medworm.com/index.php?rid=4346015&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F2 Background: Escitalopram has shown efficacy and tolerability in the prevention of relapse in elderly patients with major depressive disorder (MDD). This post-hoc analysis compared time to relapse for young-old patients (n=197) to that for old-old patients (n=108).MethodRelapse prevention: after 12-weeks open-label treatment, remitters (MADRS 12) were randomised to double-blind treatment with escitalopram or placebo and followed over 24-weeks. Patients were outpatients with MDD from 46 European centers aged [greater than or equal to] 75 years (old-old) or 65-74 years of age (young-old), treated with escitalopram 10-20mg/day. Efficacy was assessed using the Montgomery Asberg Depression Rating Scale (MADRS). Results: After open-label escitalopram treatment, a similar proportion of young-old p... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4346015 Fri, 14 Jan 2011 00:00:00 +0100 4346015 http://www.medworm.com/index.php?rid=4332782&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F11%2F1 Background: Renal function decreases with age. Dosage adjustment according to renal function is indicated for many drugs, in order to avoid adverse reactions of medications and/or aggravation of renal impairment. There are several ways to assess renal function in the elderly, but no way is ideal. The aim of the study was to explore renal function in elderly subjects in nursing homes and the use of pharmaceuticals that may be harmful to patients with renal impairment. Methods: 243 elderly subjects living in nursing homes were included. S-creatinine and s-cystatin c were analysed. Renal function was estimated using Cockcroft-Gault formula, Modification of Diet in Renal Disease (MDRD) and cystatin C-estimated glomerular filtration rate (GFR). Concomitant medication was registered and four gro... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4332782 Tue, 11 Jan 2011 00:00:00 +0100 4332782 http://www.medworm.com/index.php?rid=4267956&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F89 Conclusions: Increased medical co-morbidity is significantly associated with impaired cognitive performance but not with subjective memory complaints in an Inner City Memory Clinic sample. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4267956 Fri, 17 Dec 2010 00:00:00 +0100 4267956 http://www.medworm.com/index.php?rid=4254619&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F88 Conclusions: The SDAT appears to be a clinically acceptable instrument to assess spiritual distress in elderly hospitalised persons. Studies are ongoing to investigate the psychometric properties of the instrument and to assess its potential to serve as a basis for integrating the spiritual dimension in the patient's plan of care. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4254619 Mon, 13 Dec 2010 00:00:00 +0100 4254619 http://www.medworm.com/index.php?rid=4215623&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F87 Conclusions: Our results highlight that behavioural and psychological symptoms are prevalent in the cognitively impaired older population, and partly explain the variation observed in previous cohorts of individuals with MCI. Behavioural and psychological symptoms offer a target for intervention and so are an important consideration in the assessment of cognitively impaired older people. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4215623 Tue, 30 Nov 2010 00:00:00 +0100 4215623 http://www.medworm.com/index.php?rid=4192715&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F86 Conclusions: An improved design of adult-type briefs can create an acidic pH on the surface and breathable side panels avoid over-hydration of the stratum corneum and occlusion. This may support the epidermal barrier function and may help to reduce the occurrence of IAD. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4192715 Mon, 22 Nov 2010 00:00:00 +0100 4192715 http://www.medworm.com/index.php?rid=4156333&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F85 Conclusions: In this convenience sample of well-functioning nonagenarians NT-proBNP was related to a wide variety of functional and structural echocardiographic abnormalities. Moreover, NT-proBNP could be used to exclude echocardiographic abnormalities in well-functioning nonagenarians and might be used to indicate who needs to be referred for further cardiovascular examination. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4156333 Thu, 11 Nov 2010 00:00:00 +0100 4156333 http://www.medworm.com/index.php?rid=4135960&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F84 Conclusions: Data support the measurement properties of MISS as a possible insomnia screening instrument among elderly persons.This study make evident that the MISS is useful for identifying elderly people with insomnia-like sleep problems. Further studies are needed to assess its usefulness in identifying clinically defined insomnia. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4135960 Fri, 05 Nov 2010 00:00:00 +0100 4135960 http://www.medworm.com/index.php?rid=4135961&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F83 Conclusions: Medical consultations and medicines are the health services most frequently accessed by Australian veteran centenarians and near centenarians. For most health services, the proportion of very old people who access them is similar to or less than younger elderly. Our results support the findings of other studies which suggest that longevity is not necessarily associated with excessive health service use. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4135961 Thu, 04 Nov 2010 00:00:00 +0100 4135961 http://www.medworm.com/index.php?rid=4127908&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F82 Conclusions: The GDH rehabilitation program is effective in improving patients' physical performance. Although no single measure was found to be sufficiently predictive to help target candidates appropriately, the 6MWT showed a trend to significance. Further research will be done to elucidate the utility of a composite 'rehab appropriateness index' and the role of International Classification of Function concepts for targeting frail elderly to GDH rehabilitation services. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4127908 Wed, 03 Nov 2010 00:00:00 +0100 4127908 http://www.medworm.com/index.php?rid=4127910&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F80 Conclusions: Preferences change in the process of ageing and growing health problems. GPs and their coworkers should be also aware of the changing needs of the elderly regarding non-medical attributes of GP care. Meeting their needs regarding non-medical attributes of primary health care is important to improve the quality of care. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4127910 Tue, 02 Nov 2010 00:00:00 +0100 4127910 http://www.medworm.com/index.php?rid=4127909&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F81 Conclusion: Our analysis suggests that participation in social activities has a stronger association with CV risk factors than marital status, social ties or emotional support. Different forms of social engagement may therefore have different implications for the biological risk factors involved. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4127909 Tue, 02 Nov 2010 00:00:00 +0100 4127909 http://www.medworm.com/index.php?rid=4127911&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F79 Conclusion: In elderly persons practicing regular physical activity, it was observed that the studied variables were maintained over the course of a year, and there was no association with the history of smoking, except for HR and VO2. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4127911 Mon, 01 Nov 2010 00:00:00 +0100 4127911 http://www.medworm.com/index.php?rid=4101921&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F78 This study aimed at investigating the validity and reliability of FES and SAFFE in people with PD. Methods: Seventy-nine people with PD (mean age; 64 years, SD 7.2) completed the Swedish version of FES(S), SAFFE and the physical functioning (PF) scale of the 36-Item Short-Form Health Survey (SF-36). FES(S) and SAFFE were administered twice, with an 8.8 (SD 2.3) days interval. Assumptions for summing item scores into total scores were examined and score reliability (Cronbach's alpha and test-retest reliability) were calculated. Construct validity was assessed by examining the pattern of Spearman correlations (rs) between the FES(S)/SAFFE and other variables, and by examining differences in FES(S)/SAFFE scores between fallers and non-fallers, genders, and between those reporting FOF and unst... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4101921 Sun, 24 Oct 2010 23:00:00 +0100 4101921 http://www.medworm.com/index.php?rid=4090481&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F76 DiscussionThe ATLANTIC trial is the first of its kind to provide fish oil combined with individualized nutrition therapy as an intervention to address the inflammatory response experienced post proximal femoral fracture surgery amongst elderly patients. The final outcomes of this trial will assist clinicians in the development of effective and alternative treatment methods post proximal femoral fracture surgery which may ultimately result in a reduction in systemic inflammation, loss of weight and lean muscle and improvements in nutritional status, mobility, independence and quality of life among elderly patients.Trial Registration: ACTRN12609000241235 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4090481 Thu, 21 Oct 2010 23:00:00 +0100 4090481 http://www.medworm.com/index.php?rid=4090480&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F77 Conclusions: : Among community-dwelling older persons, both feeling alone and being alone are associated with more rapid motor decline, underscoring the importance of psychosocial factors and motor decline in old age. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4090480 Thu, 21 Oct 2010 23:00:00 +0100 4090480 http://www.medworm.com/index.php?rid=4078854&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F75 Conclusions: Individualized nutritional support to older stroke patients in hospital was beneficial for maintaining an adequate body mass and body composition the first week and seemed to have a preventive effect on fat loss among women, but not among men after three months. Measurement of MUAC may be used in the assessment of nutritional status when BMI cannot be obtained.Trial registration: This trial is registered with ClinicalTrials.gov, number NCT00163007. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4078854 Sun, 17 Oct 2010 23:00:00 +0100 4078854 http://www.medworm.com/index.php?rid=4069096&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F74 Conclusions: Our results suggest that WBV may improve muscle strength and contraction velocity in some muscle groups in older adults. However, hypothesised differential adaptation to standing posture (FK>LK) was observed only for upper body contraction velocity, making recommendations regarding this prescriptive element inconclusive. The efficacy, mechanism of action and long term feasibility of WBV for musculoskeletal health in older adults warrants continued investigation in robustly designed, sufficiently powered future studies.Trial RegistrationACTRN12609000353291. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4069096 Thu, 14 Oct 2010 23:00:00 +0100 4069096 http://www.medworm.com/index.php?rid=4041915&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F73 Conclusion: Bisphosphonates are quite effective in increasing the bone mineral density of LTC patients, and may reduce fracture rates, but it is only effective if properly administered. Only 52% of the nurses and 8.7% of PSWs surveyed were administering the drug properly, which is quite alarming. In summary, although the education of health providers has improved since the mid-1990's, this area still requires further attention and the subject of future quality assurance research. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4041915 Thu, 07 Oct 2010 23:00:00 +0100 4041915 http://www.medworm.com/index.php?rid=4014938&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F72 Conclusion: This study has validated the DEMMI in two independent samples of older acute medical patients. Estimates of its responsiveness and MCID have also been established. This study confirms that the DEMMI overcomes the limitations of the BI and HABAM and provides an advanced method for objectively assessing mobility for older acute medical patients. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4014938 Wed, 29 Sep 2010 23:00:00 +0100 4014938 http://www.medworm.com/index.php?rid=4006023&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F71 Conclusions: It is not clear whether there is an association between LDA and anemia in the absence of overt bleeding, but there may be an association between LDA and fall in Hb in (a subset of) older patients. The available evidence has significant limitations, which are discussed; studies including more older patients, and publication of individual patient data, would help clarify this important matter. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4006023 Tue, 28 Sep 2010 23:00:00 +0100 4006023 http://www.medworm.com/index.php?rid=4006024&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F70 This study was conducted in a Level III intensive care unit with a case mix of medical and surgical patients excluding cardiac and neurosurgical patients.We performed a retrospective review of all septic patients admitted to our ICU between July 2004 and May 2007. In addition to demographics and co-morbidities, physiological and laboratory variables were analysed to identify early predictors of mortality in elderly patients with sepsis. Results: Of 175 patients admitted with sepsis, 108 were older than 65 years. Elderly patients differed from younger patients with regard to sex, temperature (37.2 C VS 37.8 C p (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=4006024 Sun, 26 Sep 2010 23:00:00 +0100 4006024 http://www.medworm.com/index.php?rid=3995601&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F69 Conclusions: The D-SAFE was developed as a more comprehensive tool specifically designed for GAU inpatients. Additional research to validate its acceptability and practical impact on the continuity of care is needed before it can be recommended for use on a broader scale. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3995601 Wed, 22 Sep 2010 23:00:00 +0100 3995601 http://www.medworm.com/index.php?rid=3984792&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F66 Conclusions: The curriculum was successfully implemented following the Kern approach for medical curricula. The process is documented in this paper. The information given may support curriculum developers in their search for learning goals and objectives. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3984792 Sun, 19 Sep 2010 23:00:00 +0100 3984792 http://www.medworm.com/index.php?rid=3984791&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F67 Conclusions: interRAI PURS differentiates risk of developing pressure ulcers among facility-based residents and home care recipients. As an output from an MDS assessment, it eliminates duplicated effort required for separate pressure ulcer risk scoring. Moreover, it can be done manually at the bedside during critical early days in an admission when the full MDS has yet to be completed. It can be calculated with established MDS instruments as well as with the newer interRAI suite instruments designed to follow persons across various care settings (interRAI Long-Term Care Facilities, interRAI Home Care, interRAI Palliative Care). (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3984791 Sun, 19 Sep 2010 23:00:00 +0100 3984791 http://www.medworm.com/index.php?rid=3984790&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F68 Conclusion: The first use of the model revealed interesting data that add to our understanding of important aspects linked to potential and effective mobility as well as modulators. The feasibility of measuring all variables in the model in a residential context was demonstrated. A study with a large number of participants is now warranted to rigorously characterize mobility levels of lower-limb amputees with vascular origin. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3984790 Sun, 19 Sep 2010 23:00:00 +0100 3984790 http://www.medworm.com/index.php?rid=3981548&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F65 Background: Norway, and particularly Oslo, has the highest reported incidence of hip fractures in the world. It is increasingly common to care for older hip fracture patients in orthogeriatric units where orthopaedic care is combined with interdisciplinary geriatric care. The characteristics and needs of older hip fracture patients are poorly described. The aim of this paper is to describe the characteristics of these patients in order to better understand their need for care and rehabilitation. Methods: This is an observational study based on a quality register for all patients 65+ years in an orthogeriatric unit who are operated for a hip fracture. The unit covers 250,000 inhabitants in Oslo. Patient data were collected in the aim of quality control. The quality database includes demogra... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3981548 Fri, 17 Sep 2010 23:00:00 +0100 3981548 http://www.medworm.com/index.php?rid=3978481&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F64 Conclusion: Our recruitment rates were good and compared favourably with other similar UK and international longitudinal studies of the oldest old. The challenges of and successful strategies for involving, recruiting and retaining the oldest old in research, including those in institutions, are described to facilitate adequate representation of this growing population in future research into ageing. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3978481 Thu, 16 Sep 2010 23:00:00 +0100 3978481 http://www.medworm.com/index.php?rid=3974455&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F63 Conclusions: Older adults with CHF undergoing THR or TKR and with COPD undergoing TKR are at increased risk of VTE. If confirmed in other datasets, these older adults may benefit from higher potency prophylaxis. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3974455 Thu, 16 Sep 2010 23:00:00 +0100 3974455 http://www.medworm.com/index.php?rid=3970545&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F62 Conclusions: These results do not give strong support to the hypothesis that leukocyte telomere length is associated with either levels of cognitive performance or age-related cognitive change. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3970545 Wed, 15 Sep 2010 23:00:00 +0100 3970545 http://www.medworm.com/index.php?rid=3913784&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F61 Conclusions: Our finding suggests that there may be a survival "penalty" for older Japanese women who are cared for by their daughters-in-law. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3913784 Sat, 28 Aug 2010 23:00:00 +0100 3913784 http://www.medworm.com/index.php?rid=3909259&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F60 Conclusions: A multi-faceted community-based intervention improved management of osteoporosis in high risk patients compared with usual care.Trial Registration: This trial has been registered with clinicaltrials.gov (ID: NCT00465387) (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3909259 Thu, 26 Aug 2010 23:00:00 +0100 3909259 http://www.medworm.com/index.php?rid=3905075&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F59 Conclusions: Arthritis patients with concomitant anemia have a longer length of stay, undergo more procedures, and have higher hospitalization costs than nonanemic arthritis patients in public hospitals in France. In private hospitals, concomitant anemia was associated with modest increases in length of stay and number of procedures; however, this did not translate into higher costs. Such evidence of anemia-related health care utilization and costs can be considered as a proxy for the clinical significance of anemia. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3905075 Wed, 25 Aug 2010 23:00:00 +0100 3905075 http://www.medworm.com/index.php?rid=3900940&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F58 DiscussionThis synthesis of qualitative evidence will enable us to detect health needs as perceived by the receivers in their own interaction contexts. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3900940 Tue, 24 Aug 2010 23:00:00 +0100 3900940 http://www.medworm.com/index.php?rid=3893219&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F57 Conclusions: The SHARE Frailty Instrument has sufficient construct and predictive validity, and is readily and freely accessible via web calculators. To our knowledge, SHARE-FI represents the first European research effort towards a common frailty language at the community level. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3893219 Mon, 23 Aug 2010 23:00:00 +0100 3893219 http://www.medworm.com/index.php?rid=3874145&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F55 Conclusions: The multivariate model we developed characterizes a "healthy aging" phenotype based upon an integration of measures that together reflect multiple dimensions of an aging adult (65-69 years of age). Age-sensitive components of this model may be of value as biomarkers in human studies that evaluate anti-aging interventions. Our methodology could be applied to data from other longitudinal cohorts to generalize these findings, identify additional predictors of long-term survival, and to further develop the "healthy aging" concept. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3874145 Mon, 16 Aug 2010 23:00:00 +0100 3874145 http://www.medworm.com/index.php?rid=3874144&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F56 Conclusion: Taken together, the findings suggest that balance and functional task performance are impaired with fatigue. Future studies should assess whether fatigue is related to increased risk of falling and whether exercise interventions may decrease fatigue effects. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3874144 Mon, 16 Aug 2010 23:00:00 +0100 3874144 http://www.medworm.com/index.php?rid=3836355&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F54 Conclusions: We recommend that, based on the essential components and preconditions referred to above, quality criteria be developed for the provision of case management for people with dementia. Furthermore, we suggest the conduct of additional research to assess the effectiveness of case management in people with dementia. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3836355 Sun, 08 Aug 2010 23:00:00 +0100 3836355 http://www.medworm.com/index.php?rid=3829231&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F53 Conclusion: The demographic and health transitions will lead to large and rapid increases in the numbers of dependent older people particularly in middle income countries (MIC). The prevention and control of chronic neurological and neuropsychiatric diseases and the development of long-term care policies and plans should be urgent priorities. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3829231 Thu, 05 Aug 2010 23:00:00 +0100 3829231 http://www.medworm.com/index.php?rid=3810184&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F52 Conclusions: We selected a group of people with a comparable function and disability profile, consistent with the pre-clinical stage of disability, from a sample of older Australian men and women from different residential settings using the Fried pre-clinical disability screening tool. The results suggest that the screening tool can be used with greater confidence for research, clinical and population health purposes. Further research is required to examine the validity of the tool. These findings offer insight into the type of impairment factors characterising early functional loss that could be addressed through disability prevention initiatives.Trial Registration: ACTRN01206000431527 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3810184 Mon, 02 Aug 2010 23:00:00 +0100 3810184 http://www.medworm.com/index.php?rid=3792081&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F50 DiscussionThe assessment of PA using a high standard accelerometer-based device is feasible in a large population-based study. The results obtained from cross-sectional and longitudinal analyses will shed light on important associations between PA and various outcomes and may provide information for specific interventions in older people. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3792081 Mon, 26 Jul 2010 23:00:00 +0100 3792081 http://www.medworm.com/index.php?rid=3792080&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F51 Conclusion: Regarding anticoagulation therapy there are numerous reports about the spectrum of bleeding complications during therapy, however this severe complication has to our knowledge not been reported previously. Treatment consisted in immediate fasciotomy and subsequently secondary wound closure. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3792080 Mon, 26 Jul 2010 23:00:00 +0100 3792080 http://www.medworm.com/index.php?rid=3778354&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F49 DiscussionIf our results show that the use of lavender oil is effective in reducing challenging behaviours in individuals with dementia, it will potentially provide a safer intervention rather than reliance on pharmacology alone. The study's findings will translate easily to other countries and cultures.Trial Registration: Australian New Zealand Clinical Trials Registry - ACTRN 12609000569202 (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3778354 Wed, 21 Jul 2010 23:00:00 +0100 3778354 http://www.medworm.com/index.php?rid=3774040&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F48 Conclusion: The present study is the first to provide a systematic overview of everyday anthroposophic medical practice in primary care for elderly patients. Practitioners of anthroposophic medicine prescribe both conventional and complementary treatments. Our study may facilitate further CAM-research on indications of, for example, dementia or adverse drug reactions in the elderly. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3774040 Tue, 20 Jul 2010 23:00:00 +0100 3774040 http://www.medworm.com/index.php?rid=3751959&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F46 This study is based on two independent, descriptive and comparative studies in Belgium and was conducted at two time points (1993 and 2005) to explore the evolution over twelve years. Data from the subjects were extracted from the resident's file; additional information was requested from the general practitioner, nursing home physician or the head nurse in a face-to-face interview. In 1993 we examined 1332 residents from 19 institutions, and in 2005 691 residents from 7 institutions. The diseases at the time of admission were mapped by means of the International Classification of Diseases - 9th edition (ICD-9). Longitudinal changes were assessed and compared by a chi-square test. Results: The main chronic medical conditions associated with NH admission were dementia and stroke. Mental dis... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3751959 Tue, 13 Jul 2010 23:00:00 +0100 3751959 http://www.medworm.com/index.php?rid=3751958&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F47 Conclusion: In this report, we describe the conceptual model and methods of designing a longitudinal cohort to measure acute illness patterns and symptoms among nursing home residents, and describe the characteristics of our cohort at baseline. In our planned analysis, we will further estimate the effect of the use and interruption of medications on withdrawal and relapse symptoms and illness outcomes. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3751958 Tue, 13 Jul 2010 23:00:00 +0100 3751958 http://www.medworm.com/index.php?rid=3727895&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F45 Conclusion: Our study reaffirmed that the use of inhaled corticosteroids and atypical antipsychotics was both associated with an increased risk for CAP in hospitalized older adults of a rural community. No association was found between current PPI use and the risk for CAP in this patient population of our study. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3727895 Mon, 05 Jul 2010 23:00:00 +0100 3727895 http://www.medworm.com/index.php?rid=3711976&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F44 Conclusions: A wide range of factors, including demographic, co-morbidity, quality of life, social support and lifestyle were found to be associated with pneumococcal vaccination status among older adults with clinically diagnosed CAP. The findings from this study could inform future pneumococcal immunization strategies by identifying individuals who are least likely to receive the PPV. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3711976 Tue, 29 Jun 2010 23:00:00 +0100 3711976 http://www.medworm.com/index.php?rid=3708276&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F43 DiscussionThe novel approach of combining epidemiological and basic science characterisation of muscle in a well established birth cohort will allow the investigation of cellular and molecular mechanisms underlying life course influences on sarcopenia. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3708276 Mon, 28 Jun 2010 23:00:00 +0100 3708276 http://www.medworm.com/index.php?rid=3688793&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F42 Conclusions: Evidence of a positive association between a subnormal serum vitamin B12 concentration and anaemia in older people is limited and inconclusive. Further well-designed studies are needed to determine whether subnormal vitamin B12 is a risk factor for anaemia in older people. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3688793 Tue, 22 Jun 2010 23:00:00 +0100 3688793 http://www.medworm.com/index.php?rid=3685105&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F41 Conclusions: The GAU is at the cutting edge of geriatric services in hospital centres. Given the scarcity of these resources, it would be appropriate to better target the clientele that may benefit from them. Standardizing and promoting GAU's primary role in acute care must be reinforced. In order to meet the needs of the frail elderly not admitted in GAU, alternative care models centered on prevention of functional decline must be applied throughout all hospital wards. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3685105 Mon, 21 Jun 2010 23:00:00 +0100 3685105 http://www.medworm.com/index.php?rid=3673836&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F40 Conclusion: The face validity of the injurious fall typology is obvious. However, we found no relationship between the injurious fall types and severity of the consequences of the fall. Nevertheless, there appears to be a difference between the prevalence of fractures and the cause of the fall between the injurious fall types. Our data suggests that with regard to prevention of serious injuries, we should pay special attention to outdoor fallers and indoor fallers during lavatory visits. In addition, we should have special attention for causes of the fall. However, the conclusions reached in this exploratory analysis are tentative and need to be validated in a separate dataset. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3673836 Thu, 17 Jun 2010 23:00:00 +0100 3673836 http://www.medworm.com/index.php?rid=3668332&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F39 DiscussionThe BFC80+ was designed to acquire a better understanding of the epidemiology and pathophysiology of chronic diseases in the very elderly and to study the dynamic interaction between health, frailty and disability in a multi-system approach. The wide variety of dimensions investigated in the BFC80+ will enable us not only to investigate in depth the relationship between the different physiological systems but also to initiate new research questions based on this unique database of community-dwelling elderly. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3668332 Wed, 16 Jun 2010 23:00:00 +0100 3668332 http://www.medworm.com/index.php?rid=3650124&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F38 Background: Previous studies in long-term care (LTC) have demonstrated that warfarin management is suboptimal with preventable adverse events often occurring as a result of poor International Normalized Ratio (INR) control. To assist LTC teams with the challenge of maintaining residents on warfarin in the therapeutic range (INR of 2.0 to 3.0), we developed an electronic decision support system that was based on a validated algorithm for warfarin dosing. We evaluated the MEDeINR system in a pre-post implementation design by examining the impact on INR control, testing frequency, and experiences of staff in using the system. Methods: For this feasibility study, we piloted the MEDeINR system in six LTC homes in Ontario, Canada. All 128 residents (without a prosthetic valve) who were taking wa... BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3650124 Wed, 09 Jun 2010 23:00:00 +0100 3650124 http://www.medworm.com/index.php?rid=3646198&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F37 Conclusion: Prevalence of self-reported medication side effects was comparable with that reported in adults attending General Practices in a primary care setting in Australia. The prevalence and identified risk factors provide further insight and opportunity to develop strategies to address the problem of medication side effects in older people living independently in the community setting. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3646198 Wed, 09 Jun 2010 23:00:00 +0100 3646198 http://www.medworm.com/index.php?rid=3642490&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F35 This study has been registered in the UMIN-Clinical Trial Registry (CTR),ID: UMIN000001842. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3642490 Tue, 08 Jun 2010 23:00:00 +0100 3642490 http://www.medworm.com/index.php?rid=3642489&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F36 Conclusions: Japanese dementia patients appear to develop difficulty handling new information in the early stages of their disease. This finding, and our finding that there is a factor associated with disease severity, suggest that understanding the specific factors related to subtest items, which underlie the total MMSE score may be useful to clinicians in planning interventions for Japanese patients in the early stages of dementia. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3642489 Tue, 08 Jun 2010 23:00:00 +0100 3642489 http://www.medworm.com/index.php?rid=3637883&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F34 Conclusion: Men and women seem to have different opportunities and needs with respect to performing PA. These considerations do not seem to be sufficiently taken into account today and improvements could be made concerning e.g., health-promoting activities suggested to the elderly by healthcare personnel and spatial planning within society. Promoting outdoor recreational PA that has restorative effects on well-being needs to focus on activities which are attractive and affordable for the majority of both men and women. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3637883 Mon, 07 Jun 2010 23:00:00 +0100 3637883 http://www.medworm.com/index.php?rid=3634415&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F33 Conclusions: The use of reminiscence appeared to have little long-term effect on the nursing home residents. Nursing staff in the Intervention Group experienced greater satisfaction with professional roles and developed a more positive view of the residents.International Standard Randomised Controlled Trial Number Register: ISRCTN90253170. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3634415 Sat, 05 Jun 2010 23:00:00 +0100 3634415 http://www.medworm.com/index.php?rid=3623158&cid=s_28407_18_f&fid=28407&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2318%2F10%2F32 Conclusions: Findings suggest that interventions designed to increase fruit and vegetable consumption among rural seniors should consider strategies to ameliorate differential access to healthy food due to food store distance. (Source: BMC Geriatrics) BMC Geriatrics journals http://www.medworm.com/rss/comments.php?id=3623158 Tue, 01 Jun 2010 23:00:00 +0100 3623158