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 'Zeitschrift fur Gerontologie und Geriatrie' source. Sun, 21 Mar 2010 15:09:54 +0100 http://www.medworm.com/index.php?rid=3383559&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20237932%26dopt%3DAbstract Authors: Lankers D, Kissler S, Hötte SD, Freyberger HJ, Schröder SG Many studies have shown that the number of new dementia diagnoses in Germany is increasing yearly. Thus, two social tasks are important: the adequate support and care of dementia patients, now and in the future, as well as covering the costs thereof. The survival period of dementia patients has a central meaning - especially for health policy planning. Therefore, the question of our 8-year follow-up study was whether living conditions affect the survival period of dementia patients? A total of 173 dementia outpatients (ICD-10 numbers F00 and F01) were screened for survival time and living conditions. For deceased patients, a close reference person was interviewed, and the exact date of death was recorded. For... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3383559 Thu, 18 Mar 2010 00:00:00 +0100 3383559 http://www.medworm.com/index.php?rid=3358878&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20221612%26dopt%3DAbstract Authors: Büscher A, Holle B, Emmert S, Fringer A Beneficiaries from the German long-term care insurance living at home have the option between cash payments and care-in-kind services. For those who opt for cash payments, there is an obligation to receive expert advice and 'counseling visits' by a professional nursing service at least twice a year. Although more than 2 million of these 'counseling visits' are conducted each year in Germany, hardly anything is known about these visits and whether they are useful for care recipients and their family caregivers. The purpose of this project was to gain insight into the 'counseling visits' in order to develop a useful approach for the performance of these visits. Data collection took place in two regions of Nordrhein-Westfalen (North Rh... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3358878 Thu, 11 Mar 2010 00:00:00 +0100 3358878 http://www.medworm.com/index.php?rid=3358877&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20221613%26dopt%3DAbstract Authors: Dienel HL, von Blanckenburg C Demographic changes in the former East Germany are starting earlier and are more dramatic, and the serious financial difficulties of former East German municipalities are forcing a radical modernization of institutions for public services in the direction of a civil community. Municipalities profit, if citizen initiatives can partially make up for the decline of standards in public services. This saves community resources. An especially important group supporting community engagement is the group of"young old." Community engagement needs publically supported structures. A municipality that would like to activate the young old to support public services, which means to improve the quality of life in the community, cannot simply shift the services p... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3358877 Thu, 11 Mar 2010 00:00:00 +0100 3358877 http://www.medworm.com/index.php?rid=3338825&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20204383%26dopt%3DAbstract Authors: Braun M, Scholz U, Hornung R, Martin M Despite the large number of studies dealing with dementia caregivers in Europe, a valid German version of the most widely used measurement of caregiver burden, the Zarit Burden Interview, has not been published. The purpose of this study was to evaluate the psychometric properties of the German Zarit Burden Interview (G-ZBI). A sample of community-dwelling older couples (n=37) with the husband suffering from dementia and the wife being the primary caregiver participated in this study. The G-ZBI and related constructs were assessed in order to test for reliability and construct validity. The G-ZBI revealed psychometric properties comparable with those of the original instrument and empirically validated translations. Results indicate high ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3338825 Fri, 05 Mar 2010 00:00:00 +0100 3338825 http://www.medworm.com/index.php?rid=3332061&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20198376%26dopt%3DAbstract CONCLUSION: The DiNA proved to be a valuable instrument to assess the specific priorities of elderly patients suffering from dizziness. Regarding the limited therapy options for dizziness in old age, a doctor-guided shift of patients' attention from causes to symptom-related implications could be a promising approach. PMID: 20198376 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3332061 Thu, 04 Mar 2010 00:00:00 +0100 3332061 http://www.medworm.com/index.php?rid=3298842&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20174811%26dopt%3DAbstract Authors: Piorkowsky MB In order to evaluate the perceived living conditions, i.e., satisfaction with the scope and quality of municipal infrastructure, from a senior citizen's perspective, a questionnaire, differentiating six areas and 39 sub-areas and the corresponding testing scales for satisfaction with the quality of life, was developed analogous to the grading system used in the German school system. This questionnaire is suitable for evaluative city walks and comparative analyses of the municipal infrastructure to gain indications of the quality and to identify or shape future infrastructure actions. In 2007/2008, the questionnaire was used by the local senior citizen's representatives in the federal states of Germany. The data obtained were condensed into indices of citizen sati... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3298842 Sun, 21 Feb 2010 00:00:00 +0100 3298842 http://www.medworm.com/index.php?rid=3259330&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20143202%26dopt%3DAbstract CONCLUSION: Our results indicate the efficacy of this specific therapeutic intervention for older depressed patients. PMID: 20143202 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3259330 Mon, 01 Feb 2010 00:00:00 +0100 3259330 http://www.medworm.com/index.php?rid=3259329&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20143203%26dopt%3DAbstract Authors: Singler K, Gianelli S, Lang PO, Cankurtaran M, Sieber C PMID: 20143203 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3259329 Mon, 01 Feb 2010 00:00:00 +0100 3259329 http://www.medworm.com/index.php?rid=3259328&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20143204%26dopt%3DAbstract Authors: PMID: 20143204 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3259328 Mon, 01 Feb 2010 00:00:00 +0100 3259328 http://www.medworm.com/index.php?rid=3259327&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20143205%26dopt%3DAbstract Authors: PMID: 20143205 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3259327 Mon, 01 Feb 2010 00:00:00 +0100 3259327 http://www.medworm.com/index.php?rid=3198247&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20087598%26dopt%3DAbstract Authors: Hirsch RD, Ruch W PMID: 20087598 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3198247 Thu, 21 Jan 2010 00:00:00 +0100 3198247 http://www.medworm.com/index.php?rid=3174530&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20069303%26dopt%3DAbstract CONCLUSION: The majority of clinical trials investigating contracture as outcome parameter do not provide a clear definition. However, the success of contracture prevention and treatment in clinical trials and practice can only be judged in the presence of a clear definition. Thus, it appears especially difficult to use contracture as a quality indicator for nursing homes. PMID: 20069303 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3174530 Thu, 14 Jan 2010 00:00:00 +0100 3174530 http://www.medworm.com/index.php?rid=3120994&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20033815%26dopt%3DAbstract Authors: Falkenberg I Humor and laughter are fundamental elements of human communication throughout the lifespan. The understanding of humor, humor production (e. g. joking) and functionality of humor (e. g. as a coping strategy) evolve in the course of a lifetime and are essentially determined by cognitive, verbal and social abilities. This review outlines the landmarks in the development of humor and laughter from early childhood to older age. In all stages of life, humor fulfils important functions; in the elderly, however, the function of humor as a coping mechanism gains in importance. Yet, humor processing, such as understanding of humor, humor production and emotional reactions to humor in the elderly, is an underresearched area. PMID: 20033815 [PubMed - as supplied by publi... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3120994 Fri, 25 Dec 2009 00:00:00 +0100 3120994 http://www.medworm.com/index.php?rid=3120993&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20033816%26dopt%3DAbstract This article presents the field of activity of a clown doctor in geriatric settings as well as an overview of current scientific research on the topic and the effects on persons with dementia and nursing staff. It will be become clear that the clown doctor is a supporting therapeutic intervention. Through the clown representation, it is possible to obtain access to and interact with a person with dementia, thus, maintaining social contact of the patient with his/her environment. This effect leads to an increase of well-being and contributes to a reduction of problematic behavior. In addition to reduced workload and relief for the nursing staff, it has a positive effect on the working atmosphere. PMID: 20033816 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie un... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3120993 Fri, 25 Dec 2009 00:00:00 +0100 3120993 http://www.medworm.com/index.php?rid=3101365&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20013341%26dopt%3DAbstract Authors: Platt T, Ruch W, Proyer RT This paper reviews recent literature on gelotophobia (i.e., the fear of being laughed at) with an emphasis on age-specific aspects. Research with two instruments, the GELOPH and PhoPhiKat questionnaires, is presented with special attention being given to sociodemographic correlates and differences in intelligence, character strengths, personality, emotion, and humor. Quite consistently gelotophobes tend to misread positively motivated smiling and laughter (e.g. in social interactions, photographs or auditorily presented) and have lower values in many, but not all, components of humor. They have a low propensity to joy and a disposition to experience shame and fear. More generally they tend to describe themselves as being introverted and neurotic, and... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3101365 Thu, 17 Dec 2009 00:00:00 +0100 3101365 http://www.medworm.com/index.php?rid=3101369&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20012063%26dopt%3DAbstract CONCLUSION: The study contributes to the understanding of humor across the lifespan and underlines the importance of studies among the elderly within a framework of positive psychology. PMID: 20012063 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3101369 Fri, 11 Dec 2009 00:00:00 +0100 3101369 http://www.medworm.com/index.php?rid=3101368&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20012064%26dopt%3DAbstract This article provides an overview on the structures involved and findings concerning the neuropsychological faculties necessary for joke comprehension, e.g., working memory and mental flexibility. On the other hand, there are also many aspects of humor, like joke production, that are not neuropsychologically well studied; an overview of current knowledge will be given. In addition, there is little research on the effect of aging on the different aspects of cerebral humor processing. PMID: 20012064 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3101368 Fri, 11 Dec 2009 00:00:00 +0100 3101368 http://www.medworm.com/index.php?rid=3101367&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20012065%26dopt%3DAbstract Sinn für Humor bei Alteren : Untersuchungen mit einer deutschen Fassung der Sense-of-Humor-Scale. Z Gerontol Geriatr. 2009 Dec 11; Authors: Proyer RT, Ruch W, Müller L Empirical studies on humor among the elderly are lacking. Based on the model of sense of humor by Paul McGhee, different age groups are compared (n=979) in the present study. Data suggest that playfulness and sense of humor are stable across different age groups (in a cross-sectional design) but that elderly participants were highest in positive mood. However, they also indicated that they laughed less and less easily than younger participants. Among the elderly, those who frequently (more than once a week) meet with friends and colleagues yielded higher expressions in different aspects of the sense of ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3101367 Fri, 11 Dec 2009 00:00:00 +0100 3101367 http://www.medworm.com/index.php?rid=3101366&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20012066%26dopt%3DAbstract Authors: Ruch W, Proyer RT, Weber M Positive psychology is a scientific approach within psychology that focuses on research on what is best in people. Within this framework, humor is understood as a character strength. The article gives a brief overview on positive psychology and implications for aging (positive aging, successful aging) with an emphasis on the contribution of humor. Humor as a strength of character and its measurement by various approaches are discussed. It is argued that there is a lack of empirical data about humor in the elderly. Potential benefits of considering humor in research but also in practice are discussed. PMID: 20012066 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3101366 Fri, 11 Dec 2009 00:00:00 +0100 3101366 http://www.medworm.com/index.php?rid=3060016&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19957158%26dopt%3DAbstract Authors: PMID: 19957158 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3060016 Tue, 01 Dec 2009 00:00:00 +0100 3060016 http://www.medworm.com/index.php?rid=3060015&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19957159%26dopt%3DAbstract Authors: PMID: 19957159 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3060015 Tue, 01 Dec 2009 00:00:00 +0100 3060015 http://www.medworm.com/index.php?rid=2987045&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19908080%26dopt%3DAbstract Authors: Kuhlmey A This contribution refers to the 2009 Council of Experts Report on health system development and discusses the special care requirements of old people. This includes the geriatric phenomenon of multimorbidity, polypharmacy in old people with multiple diseases, and the need for care. The probability and complexity of multiple diseases increase with age. About half the German citizens who are over 65 have three or more relevant chronic diseases. Multimorbity often causes elderly people to concomitantly consume many different pharmaceuticals. Twenty percent of the insurance holders aged 70-99 who were prescribed drugs in 2005 received 13 or more pharmaceutical agents. However, multimorbidity also has a negative effect on the quality of life, subjective state of health an... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2987045 Fri, 13 Nov 2009 00:00:00 +0100 2987045 http://www.medworm.com/index.php?rid=2963808&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19885694%26dopt%3DAbstract This article presents the project and six selected guidelines which are of special importance for health promotion at the local level. PMID: 19885694 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2963808 Wed, 04 Nov 2009 00:00:00 +0100 2963808 http://www.medworm.com/index.php?rid=2939764&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19859649%26dopt%3DAbstract Authors: von dem Knesebeck O, Vonneilich N The aim of this article is to provide an overview of the current state of research concerning health inequalities among the aged. First, health inequalities are introduced as a general phenomenon. Then, the magnitude of inequalities in elderly populations is described for different health indicators. In particular, analyses of the association between education and depressive symptoms based on a European dataset are presented. Subsequently, different hypotheses on age differences in health inequalities and possible explanations for social inequalities in health in elderly populations are discussed. Finally, some consequences for health policy, which can be derived from current research, are outlined. PMID: 19859649 [PubMed - as supplied by ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2939764 Wed, 28 Oct 2009 00:00:00 +0100 2939764 http://www.medworm.com/index.php?rid=2939763&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19859650%26dopt%3DAbstract Authors: Naegele G, Schaeffer D PMID: 19859650 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2939763 Wed, 28 Oct 2009 00:00:00 +0100 2939763 http://www.medworm.com/index.php?rid=2873132&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19809780%26dopt%3DAbstract Authors: Naegele G This contribution deals with the question of how existing health care systems can be sufficiently and adequately adapted to ageing patients in general, and to patients with special needs for nursing care and assistance. Simultaneously, it advocates explicit consideration of the dimensions of social inequality and health hazards related to biographical factors. It demonstrates that health care involves much more than just adequate medical care in the event of illness. The reasons that change is needed are given and reform options for relevant segments of health care (such as medical practitioners, hospital care, health care for patients in need of nursing care, palliative care, prevention and rehabilitation) are presented. Special emphasis is placed on standards and g... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2873132 Wed, 07 Oct 2009 23:00:00 +0100 2873132 http://www.medworm.com/index.php?rid=2866533&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19806290%26dopt%3DAbstract Authors: Varma GR, Kusuma YS, Babu BV The present investigation aimed to assess the health-related QoL (HRQoL) of elderly people living in two settings: (i) rural community and (ii) homes for the elderly in a district of South India. The data are drawn from elderly (>60 years of age) sampled from both settings. The short form 36-item health survey (SF-36) was administered to all respondents. The average scores for several domains, including total physical health, total mental health and overall health (total SF-36 score) were around 50, which can be interpreted as a moderate level of health-related QoL. Residents living in a home for the elderly scored better in all domains except for role-physical and role-emotional. Though univariate analysis revealed some associations between cha... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2866533 Tue, 06 Oct 2009 23:00:00 +0100 2866533 http://www.medworm.com/index.php?rid=2866532&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19806291%26dopt%3DAbstract CONCLUSION: Underweight at the time of death is observed more often in the very old. This is associated with the need for professional nursing care and also the occurrence of pressure sores. Less than 5% of persons with tumors were included. The results underscore the need of early detection of people at risk of malnutrition when growing older. PMID: 19806291 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2866532 Tue, 06 Oct 2009 23:00:00 +0100 2866532 http://www.medworm.com/index.php?rid=2866531&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19806292%26dopt%3DAbstract Authors: Aleksandrowicz P, Fasang A, Schömann K, Staudinger UM Since the mid-1990s, many German companies have used the part-time retirement scheme (Altersteilzeit) as an opportunity to release older workers. This was often consistent with the interests of the workers themselves. This paper explores whether workers who participate in this early retirement scheme would like to continue to work. A survey of all the workers in one company who participated in the part-time retirement scheme revealed that those already retired would more often like to continue working than employees who are still awaiting retirement. To a greater extent, early retirees would also like to return to work with shorter working hours or for a time-limited project. Results are explained with the affective fo... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2866531 Tue, 06 Oct 2009 23:00:00 +0100 2866531 http://www.medworm.com/index.php?rid=2866530&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19806293%26dopt%3DAbstract Körperliches Training älterer mit Insulin behandelten Typ 2-Diabetiker : Langzeiteffekte auf die Stoffwechsellage und den BMI. Z Gerontol Geriatr. 2009 Oct 7; Authors: Biesenbach G, Bodlaj G, Sedlak M, Pieringer H, Kiesling G ZUSAMMENFASSUNG: HINTERGRUND: Körperliche Aktivität ist eine wichtige Therapie des Diabetes. Die Akzeptanz eines Trainingsprogramms und dessen Wirkung auf die Stoffwechsellage und das Körpergewicht bei mit Insulin behandelten Typ-2-Diabetikern wurde untersucht. PATIENTEN UND METHODEN: Studienteilnehmer waren 72 Diabetiker im Alter von >/=50 Jahren. Zu Beginn der Studie sowie nach 3 und 12 Monaten machten sie Angaben zu ihrer jeweiligen körperlichen Aktivität. Abhängig von der Ausgangsaktivität wurden sie in z... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2866530 Tue, 06 Oct 2009 23:00:00 +0100 2866530 http://www.medworm.com/index.php?rid=2866534&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19802515%26dopt%3DAbstract Authors: Lucke C, Westermann K, Lucke M, Schellmann WD, Wohlers C Medical arbitration boards ("Schlichtungsstellen", expert panels for extrajudicial malpractice claim resolution) try to settle claims of suspected malpractice between patients and their physicians and to avoid court trials. Numerous studies found an increasing incidence of adverse events with rising age. Injuries that occur in the hospital are frequently beyond the specialty of the treating physician. Therefore, the physician has to broaden his diagnostic view beyond the borders of his own specialty to recognize injuries in his patients and to prevent malpractice claims.In this paper, we report on adverse events in elderly patients where the geriatrician/internist was accused of negligence for not having promptly recogni... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2866534 Sat, 03 Oct 2009 23:00:00 +0100 2866534 http://www.medworm.com/index.php?rid=2857347&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795156%26dopt%3DAbstract Authors: PMID: 19795156 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2857347 Wed, 30 Sep 2009 23:00:00 +0100 2857347 http://www.medworm.com/index.php?rid=2852215&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19789832%26dopt%3DAbstract Authors: Kemmler W, V Stengel S, Mayer S, Niedermayer M, Hentschke C, Kalender WA Sarcopenia is linked to an increased risk of morbidity and mortality in the aging. Whole body vibration (WBV) exercises are currently discussed as a "gentle" alternative to conventional exercises to improve muscle mass. The present study scrutinized whether a multipurpose (exercise) training program using WBV can improve muscle mass and neuromuscular capacity, while lowering fall risk. A total of 151 postmenopausal women were randomized into three groups: exercise group (TG), exercise group with vibration (VTG), and fitness control group (CG). The TG group participated in an exercise program including leg strengthening training twice a week over 12 months, while the VTG carried out an identical program wi... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2852215 Wed, 30 Sep 2009 23:00:00 +0100 2852215 http://www.medworm.com/index.php?rid=2852216&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19787283%26dopt%3DAbstract Authors: Schaeffer D, Büscher A Using empirical evidence, this paper provides conceptual approaches to prevention and health promotion in long-term care - an area that has gained only limited attention in German discussions on prevention. First, a short analysis of long-term care in Germany is provided; existing problems but also resources with regard to prevention and health promotion in order to identify starting points for the development of interventions are presented. The existing pressure and problem accumulation in long-term care that calls for action on maintaining and promoting the health of long-term care professionals as well as long-term care users are illustrated. Considerations on programs for health promotion in long-term care focus on the users, in particular the o... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2852216 Tue, 29 Sep 2009 23:00:00 +0100 2852216 http://www.medworm.com/index.php?rid=2808183&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19760357%26dopt%3DAbstract Authors: Heidenblut S, Zank S PURPOSE: The purpose of the study was to develop and validate the depression in old age scale (DIA-S). The DIA-S is a new screening scale for depression, which is comparable to the GDS-15 in terms of practicality but which is more appropriate for the use in geriatric patients. METHODS: The DIA-S and the GDS-15 were validated among a sample of n=331 geriatric inpatients (n=151 depressed subjects and n=180 not depressed subjects), using the Montgomery and Asperg Depression Rating Scale as gold standard criterion for depression. For the comparison of the two scales, item analysis (missing values, difficulty, discriminatory power) was considered as well as test performance (internal consistency, correlation with the MADRS, ROC curves, sensitivity, specificity)... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2808183 Thu, 17 Sep 2009 23:00:00 +0100 2808183 http://www.medworm.com/index.php?rid=2808182&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19760358%26dopt%3DAbstract CONCLUSION: IBS is an effective assessment for fall prediction in osteoporosis. Especially peripheral-vestibular regulation mechanisms seem to be of great importance in the evaluated patient group. PMID: 19760358 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2808182 Thu, 17 Sep 2009 23:00:00 +0100 2808182 http://www.medworm.com/index.php?rid=2808185&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19756811%26dopt%3DAbstract Authors: Oppikofer S, Albrecht K, Martin M Social relationships are an important factor for maintaining life satisfaction in elderly people. Little is known, however, about the influence of increased social support towards the well-being of cognitively impaired people. This is why two comparative studies in Switzerland and Austria, with 84 cognitively impaired individuals (aged between 65 and 98) with in-patient treatment, used a control group design to examine whether increased social support would have a positive effect on the well-being of these individuals. To this end, interventions in the form of emotional social support through volunteer visitors for dementia patients were carried out. In both studies, a positive association between increased social support by volunteer assistan... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2808185 Sat, 12 Sep 2009 23:00:00 +0100 2808185 http://www.medworm.com/index.php?rid=2808184&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19756812%26dopt%3DAbstract Authors: Ploenes C, Görtz H, Heimig T, Meisel M, Naumann C, Sultzer R The prevalence of peripheral arterial occlusive disease (PAOD) is high in elderly patients and its clinical manifestation is often atypical. Comorbidity and morbidity as a consequence of PAOD are significant. Therefore, standardized primary diagnostics are required among geriatric patients. Drawn from a search of the literature, evidence-based recommendations are provided. Pulse palpation and the evaluation of a patient's medical history are obligatory components of primary diagnostics, even in the absence of typical symptoms. In the case of pathological and ambiguous findings, measuring Doppler ankle pressures is suggested as the next diagnostic step. Further measures depend on the following factors: the presen... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2808184 Wed, 09 Sep 2009 23:00:00 +0100 2808184 http://www.medworm.com/index.php?rid=2716632&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19688177%26dopt%3DAbstract CONCLUSION: The IBS and the Timed-Up-and-Go Test proved to be the most powerful assessment tools for fall prediction. Furthermore, the IBS is able to provide a purposeful adaption of preventive sensomotoric interventions. PMID: 19688177 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2716632 Tue, 18 Aug 2009 23:00:00 +0100 2716632 http://www.medworm.com/index.php?rid=2716633&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19685257%26dopt%3DAbstract In conclusion, the arm laboratory is an interesting option; a controlled study is warranted. PMID: 19685257 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2716633 Sat, 15 Aug 2009 23:00:00 +0100 2716633 http://www.medworm.com/index.php?rid=2704148&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19680707%26dopt%3DAbstract Authors: Brussig M For many years, Germany has been regarded in international comparisons as an example of a generous early retirement culture, resulting in a low labor market participation of older employees. Recently, however, employment rates of older employees have increased remarkably. Reasons are the demographic structure of older persons in Germany, a long-term trend of increasing female labor market participation, and reforms in labor-market policies and pension policies during the last 10 years. Despite an increasing labor market participation of older employees, traditional labor market risks for older persons partly remained, but some new risks evolved as well. Therefore, social differentiation among older employees increased.Although detailed macro descriptions exist, the c... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2704148 Fri, 31 Jul 2009 23:00:00 +0100 2704148 http://www.medworm.com/index.php?rid=2704147&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19680708%26dopt%3DAbstract Authors: Sporket M Against the background of expected changes in demography, this paper takes a deeper look at the concept of organizational age management. On the basis of the analysis of 32 organizational examples of good practice in age management, this paper seeks to make statements about the drivers, implementation strategies and effects of age management and derive requirements from this. PMID: 19680708 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2704147 Fri, 31 Jul 2009 23:00:00 +0100 2704147 http://www.medworm.com/index.php?rid=2704146&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19680709%26dopt%3DAbstract Authors: Wild-Wall N, Gajewski P, Falkenstein M The article provides a short overview on cognitive strengths and weaknesses of older workers. The older people who are under the age of 65 years already exhibit changes in performance and neurophysiological measures in laboratory tasks that test fluid intelligence. Apart from deficits, the physiological data of the older people show clear evidence for compensatory strategies. Cognitive performance on the current job is usually less impaired. This can be explained by practice, learning, and selection, which are, however, often linked with higher effort. The cognitive competence of older employees varies exorbitantly, which is due to the influence of various factors like education, lifestyle, and in particular the type of work. Thus, the co... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2704146 Fri, 31 Jul 2009 23:00:00 +0100 2704146 http://www.medworm.com/index.php?rid=2704145&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19680710%26dopt%3DAbstract Authors: Deller J, Maxin LM During recent years, a discussion on work activity of retirees has commenced also in Germany. First, this contribution presents a survey of the North American phenomenon of bridge employment and, second, complements leadoff empirical results on individual motives and favored basic conditions in Germany. Individual and structural preconditions for work activity during retirement are presented as well as possible manifestations of retirement activities. This paper quantifies the extent of work activity of retirees in Germany into their upper seventies. Potential follow-up actions for the three levels individuals, organizations, as well as politics and society are recommended. PMID: 19680710 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Ge... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2704145 Fri, 31 Jul 2009 23:00:00 +0100 2704145 http://www.medworm.com/index.php?rid=2704144&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19680711%26dopt%3DAbstract Authors: PMID: 19680711 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2704144 Fri, 31 Jul 2009 23:00:00 +0100 2704144 http://www.medworm.com/index.php?rid=2704143&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19680712%26dopt%3DAbstract Authors: PMID: 19680712 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2704143 Fri, 31 Jul 2009 23:00:00 +0100 2704143 http://www.medworm.com/index.php?rid=2654809&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19639241%26dopt%3DAbstract CONCLUSION: Six parameters proved to have excellent reliability and are recommended to be used in further investigations. Narrow stand with eyes closed should be used as the test position. The tested protocol proved to be reliable. Whether these parameters can be used to predict falls in elderly persons remains to be investigated. PMID: 19639241 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2654809 Wed, 29 Jul 2009 23:00:00 +0100 2654809 http://www.medworm.com/index.php?rid=2654808&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19639242%26dopt%3DAbstract This report presents age-, education- and gender-specific reference values for the subtests verbal fluency, word list memory, word list recall and word list recognition as well as the word list savings score of the CERAD-NP battery. The study sample consists of 2891 general practitioners' patients from Germany aged 75 years and older. The study participants had a mean age of 80.2 years (SD=3.6); thus, this report provides reliable reference values for the neuropsychological diagnosis of dementia in older age groups. PMID: 19639242 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2654808 Wed, 29 Jul 2009 23:00:00 +0100 2654808 http://www.medworm.com/index.php?rid=2654807&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19639243%26dopt%3DAbstract Authors: Marquardt G, Schmieg P Spatial disorientation is among the first manifestations of dementia and a prime reason for institutionalization. However, the autonomy of residents and their quality of live are strongly linked with their ability to reach certain places within the nursing home. Also affected is the efficiency of the institutions and the quality of care provided.The physical environment has a great potential for supporting resident's residual wayfinding abilities. Until now little systematic research has been carried out to identify supportive architectural characteristics.For this exploratory study, extensive data on resident's spatial capabilities were collected in 30 German nursing homes. The architectural structure of the buildings was also analyzed. Within the nursi... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2654807 Tue, 28 Jul 2009 23:00:00 +0100 2654807 http://www.medworm.com/index.php?rid=2654806&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19639244%26dopt%3DAbstract Authors: Klaghofer R, Buddeberg C, Schleuniger M, Herta KD In the present study, 188 first year and 120 sixth year students of the University of Zurich were questioned about their attitudes towards older people, their knowledge concerning aging specific developments, their experiences with older people and their own expectations concerning old age. Structured and standardized questionnaires were used. The data were analyzed using univariate and multivariate statistical methods. The results show a positive image of old age independent of gender and point in time of education. Their positive experiences with older people and their positive expectations concern their own aging refer, above all, to their own mental health. For the transfer of gerontological and geriatric knowledge in the e... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2654806 Tue, 28 Jul 2009 23:00:00 +0100 2654806 http://www.medworm.com/index.php?rid=2638276&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629558%26dopt%3DAbstract Z Gerontol Geriatr. 2009 Jul 25; Authors: Naegele G, Sporket M PMID: 19629558 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2638276 Fri, 24 Jul 2009 23:00:00 +0100 2638276 http://www.medworm.com/index.php?rid=2638275&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629559%26dopt%3DAbstract This study could not clarify in 10.9% (n=111) of all cases whether dementia was present in a patient at the time studied. It was mainly limited due to multiple concomitant morbidities and reduced patient communication skills.We recommend that structured diagnostic procedures and treatments should be performed at specialized centers in order to avoid missing any treatable underlying diseases. In addition, the patients should be followed up at regular intervals. PMID: 19629559 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2638275 Thu, 23 Jul 2009 23:00:00 +0100 2638275 http://www.medworm.com/index.php?rid=2622713&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19618227%26dopt%3DAbstract Authors: Leve V, Naegele G, Sporket M The new Retirement Age Adjustment Act, enacted by the Federal Government in spring 2007 to raise the statutory retirement age to 67 years in Germany, poses a challenge for the jobholders concerned as well as for the companies. Especially older female jobholders are exposed to particular risks regarding their ability to continue working due to the cumulative concurrence of age-specific but also additional gender-specific employment patterns and risks. Their employment situation is influenced by age discrimination in terms of recruitment and human resource management. Furthermore, women were and are confronted with specific obstacles in the course of their working lives, such as, the problem of reconciling work and family life and care giving, lesser... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2622713 Sat, 18 Jul 2009 23:00:00 +0100 2622713 http://www.medworm.com/index.php?rid=2622712&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19618228%26dopt%3DAbstract Authors: Pfeifer-Schaupp U In this contribution the results of a descriptive explorative study are presented, in which the significance of Pre-Therapy techniques for dementia care is examined. The approach was developed by Garry Prouty. In the project the approach was taught by the author to 111 geriatric care staff members and subsequently tried in geriatric care everyday life. The article first presents the theoretical concept of Pre-Therapy as developed from the person-centred approach (Rogers). The experience of the geriatric care staff and the results of transfer to practice are systematically described. Ten everyday examples of dementia care show the practical procedure with this method and demonstrate the possible applications. The result of the project is that Pre-Therapy techn... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2622712 Sat, 18 Jul 2009 23:00:00 +0100 2622712 http://www.medworm.com/index.php?rid=2622711&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19618229%26dopt%3DAbstract Conclusion The treatment of dysphagia in the elderly requires a multi-professional setting, differentiated assessment and functional training of oral motor skills and sensation and swallowing techniques. Compared to patients with severe dysphagia, however, patients with mild to moderate dysphagia benefit most from functional training. The results reveal the importance of precise and early diagnosis of swallowing disorders in order to introduce PEG supply early in cases of persistent dysphagia. PMID: 19618229 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2622711 Sat, 18 Jul 2009 23:00:00 +0100 2622711 http://www.medworm.com/index.php?rid=2533308&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19554253%26dopt%3DAbstract This article also presents an overview on the development of various treatments to stabilise hip fractures: closed reduction and repositioning by internal rotation of the external rotated leg, positioning of the leg on the double inclined splint, different types of extension treatment and finally early operative procedures, when asepsis was established and fractures could be imaged by x-rays. PMID: 19554253 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533308 Thu, 25 Jun 2009 23:00:00 +0100 2533308 http://www.medworm.com/index.php?rid=2533320&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19543680%26dopt%3DAbstract Authors: Wagner S, Paulsen S, Bleichner F, Knickenberg RJ, Beutel ME As part of a research project, a behavior therapy-oriented cognitive training program, designed to improve the cognitive ability of middle-aged employees (50 to 59 years), was implemented and evaluated. The goal of the training program was to analyze the cognitive, affective and behavior-related conditions of memory deficits in the workplace. The training focused on two topics: (1) development of new job tasks, (2) lack of time and deadline constraints. A total of 316 patients in the psychosomatic clinic of Bad Neustadt participated in the study. Those who showed cognitive impairments took part in the cognitive training program during the intervention phase. During the control phase, patients with cognitive impairment... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533320 Fri, 19 Jun 2009 23:00:00 +0100 2533320 http://www.medworm.com/index.php?rid=2533318&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19543681%26dopt%3DAbstract CONCLUSION: Significant differences between fallers and non-fallers among geriatric in-patients can be detected for several assessment subscores as well as parameters recorded by simple accelerometric measurements during a common mobility test. Existing geriatric assessment data may be used for falls prediction on a regular basis. Adding sensory data improves the specificity of our test markedly. PMID: 19543681 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533318 Fri, 19 Jun 2009 23:00:00 +0100 2533318 http://www.medworm.com/index.php?rid=2533316&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19543682%26dopt%3DAbstract Authors: Holzhausen M, Bornschlegel U, Fischer T Quality of life is a multidimensional construct commonly used in geriatric health care. The patient's view is increasingly incorporated in its determination. Pain and satisfaction with life are two important subjective facets of quality of life. Potentials and limits of an integration of the subjective view in seemingly heavily disadvantaged patient populations are discussed using three approaches: 1) Self-reports on pain in aphasic patients can often be obtained by means of nonverbal communication or verbal communication adapted to the disorder. 2) Even in people suffering from dementia, pain can be assessed in self-reports into the middle stages of the disease. In severe dementia, observational methods have been developed, but their si... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533316 Fri, 19 Jun 2009 23:00:00 +0100 2533316 http://www.medworm.com/index.php?rid=2533314&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19543683%26dopt%3DAbstract Conclusion Our operational results and postoperative follow-up show that laparoscopic Heller myotomy with Toupet partial fundoplication is a safe and effective treatment and can be recommended as the method of first choice for senior patients with no contraindication for laparoscopic operation. PMID: 19543683 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533314 Fri, 19 Jun 2009 23:00:00 +0100 2533314 http://www.medworm.com/index.php?rid=2533312&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19543684%26dopt%3DAbstract Authors: Zeug A, Lindner J, Julius U In higher age, various diseases are more frequently present and occur in combination, with diabetes mellitus representing the comorbidity seen most frequently. Within the framework of a retrospective study, it has been evaluated whether the degree of metabolic compensation has an influence on the activities of daily life in geriatric patients after an acute event and following rehabilitation treatment. For this purpose over a period of 27 months (01/02/2000 - 03/31/2002), diabetic patients of a Saxonian geriatric center (n = 644, mean age 77.86 years/SD 7.115, 30.3% males) were examined before, directly after, and 2 - 3 years after rehabilitation. Independent of age, rehabilitation resulted in a significant increase in activities of daily living (AD... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533312 Fri, 19 Jun 2009 23:00:00 +0100 2533312 http://www.medworm.com/index.php?rid=2533310&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19543685%26dopt%3DAbstract CONCLUSION: These findings support the notion that measurement of the corpus callosum and cortical grey matter atrophy may identify the underlying causes of cortical disconnection in AD and VD and may be helpful to differentiate between both conditions. PMID: 19543685 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533310 Fri, 19 Jun 2009 23:00:00 +0100 2533310 http://www.medworm.com/index.php?rid=2533324&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19536578%26dopt%3DAbstract CONCLUSIONS: In order to increase the rate of utilisation, family caregivers must be convinced of the relevant advantages of using care groups. PMID: 19536578 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533324 Sat, 06 Jun 2009 23:00:00 +0100 2533324 http://www.medworm.com/index.php?rid=2533322&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19536579%26dopt%3DAbstract Authors: Nehen HG, Honneth J, Haseke J, Fahnenstich H Considering the incidence of dementia, the development of procedures that allow correct differential diagnosis is gaining increasing importance. The analysis of spinal fluid from 632 patients, who were admitted with suspected dementia, diagnosed dementia or dementia of unclear etiology, showed that there was high differential diagnostic power for tau protein, but not for beta-amyloid. PMID: 19536579 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533322 Sat, 06 Jun 2009 23:00:00 +0100 2533322 http://www.medworm.com/index.php?rid=2533330&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19408068%26dopt%3DAbstract Authors: Fernandez-Ballesteros R, Frensch PA, Hofer SM, Park DC, Pinquart M, Silbereisen RK, Staudinger UM, Wahl HW, Whitfield KE PMID: 19408068 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533330 Tue, 31 Mar 2009 23:00:00 +0100 2533330 http://www.medworm.com/index.php?rid=2533328&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19408069%26dopt%3DAbstract Authors: PMID: 19408069 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533328 Tue, 31 Mar 2009 23:00:00 +0100 2533328 http://www.medworm.com/index.php?rid=2533326&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19408070%26dopt%3DAbstract Authors: PMID: 19408070 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533326 Tue, 31 Mar 2009 23:00:00 +0100 2533326 http://www.medworm.com/index.php?rid=2533336&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19365698%26dopt%3DAbstract Authors: von Renteln-Kruse W PMID: 19365698 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533336 Sun, 01 Feb 2009 00:00:00 +0100 2533336 http://www.medworm.com/index.php?rid=2533334&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19365699%26dopt%3DAbstract Authors: PMID: 19365699 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533334 Sun, 01 Feb 2009 00:00:00 +0100 2533334 http://www.medworm.com/index.php?rid=2533332&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19365700%26dopt%3DAbstract Authors: PMID: 19365700 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2533332 Sun, 01 Feb 2009 00:00:00 +0100 2533332 http://www.medworm.com/index.php?rid=2263533&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190864%26dopt%3DAbstract Authors: Gogol M, Lüttje D PMID: 19190864 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2263533 Mon, 01 Dec 2008 05:00:00 +0100 2263533 http://www.medworm.com/index.php?rid=2263527&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190865%26dopt%3DAbstract Authors: Gogol M Delirium is a common, serious medical and often life-threatening condition in elderly in-patients. Delirium can develop primarily or secondarily related to other medical conditions and lead to hospital admission. The pathogenesis is still not fully known and is usually addressed as multifactorial. Alterations in neurotransmitters have a key role in this process. The incidence varies by setting up to 90%. Delirium is associated with increased short- and long-term mortality, iatrogenic complications, functional decline, and future development of cognitive impairment or dementia. Delirium is also associated with longer hospital stays, higher hospital and total health system costs, and an increasing rate of nursing home admissions. A structured diagnostic and therapeutic p... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2263527 Mon, 01 Dec 2008 05:00:00 +0100 2263527 http://www.medworm.com/index.php?rid=2263524&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190866%26dopt%3DAbstract Authors: Rahn A All states of confusion with acute onset and alteration of thinking, perception and awareness are defined as "delirium". Delirium is a common problem in older patients admitted to the hospital. It is combined with a negative prognosis and complications (falls, infections, etc.). Diagnosis and management need special efforts. Delirium is mostly associated with an underlying disease. In the elderly patient, nearly every disease can be accompanied by delirium, and the fragile older patient is especially affected.Delirium should be evaluated using a systematic approach according to frequency and impact of possible causes. An accurate diagnosis can be challenging. Symptoms have to be distinguished from other cerebral alterations, such as preexisting dementia or depression. D... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2263524 Mon, 01 Dec 2008 05:00:00 +0100 2263524 http://www.medworm.com/index.php?rid=2263513&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190869%26dopt%3DAbstract This article presents the conceptual results of the project referring to three fields: discharge and networking, medical treatment and general ward setting. Finally, the article points out some implications of the rising number of old age patients on health politics and research. PMID: 19190869 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2263513 Mon, 01 Dec 2008 05:00:00 +0100 2263513 http://www.medworm.com/index.php?rid=2263510&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190870%26dopt%3DAbstract Authors: Kirchen-Peters S The treatment and care of individuals with dementia, who are admitted to general hospitals due to somatic diseases, often leads to crisis situations which not only compromise the therapeutic benefit, but also can be followed by avoidable institutionalization in nursing homes or psychiatric hospitals. With the model project "Gerontopsychiatric Consultation-Liaison Service" in Kaufbeuren a comprehensive solution to this problem has been developed. A multiprofessional team consisting of a medical specialist, nurses specialized in psychiatry and an occupational therapist supports the health personnel by giving assistance and advice. It also provides contact persons for patients and their families. The effectiveness analysis proved that the work of this service has... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2263510 Mon, 01 Dec 2008 05:00:00 +0100 2263510 http://www.medworm.com/index.php?rid=2163983&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190864%26dopt%3DAbstract Authors: Gogol M, Lüttje D PMID: 19190864 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163983 Mon, 01 Dec 2008 05:00:00 +0100 2163983 http://www.medworm.com/index.php?rid=2163982&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190865%26dopt%3DAbstract Authors: Gogol M Delirium is a common, serious medical and often life-threatening condition in elderly in-patients. Delirium can develop primarily or secondarily related to other medical conditions and lead to hospital admission. The pathogenesis is still not fully known and is usually addressed as multifactorial. Alterations in neurotransmitters have a key role in this process. The incidence varies by setting up to 90%. Delirium is associated with increased short- and long-term mortality, iatrogenic complications, functional decline, and future development of cognitive impairment or dementia. Delirium is also associated with longer hospital stays, higher hospital and total health system costs, and an increasing rate of nursing home admissions. A structured diagnostic and therapeutic p... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163982 Mon, 01 Dec 2008 05:00:00 +0100 2163982 http://www.medworm.com/index.php?rid=2163981&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190866%26dopt%3DAbstract Authors: Rahn A All states of confusion with acute onset and alteration of thinking, perception and awareness are defined as "delirium". Delirium is a common problem in older patients admitted to the hospital. It is combined with a negative prognosis and complications (falls, infections, etc.). Diagnosis and management need special efforts. Delirium is mostly associated with an underlying disease. In the elderly patient, nearly every disease can be accompanied by delirium, and the fragile older patient is especially affected.Delirium should be evaluated using a systematic approach according to frequency and impact of possible causes. An accurate diagnosis can be challenging. Symptoms have to be distinguished from other cerebral alterations, such as preexisting dementia or depression. D... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163981 Mon, 01 Dec 2008 05:00:00 +0100 2163981 http://www.medworm.com/index.php?rid=2163980&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190867%26dopt%3DAbstract Authors: Gurlit S, Möllmann M Due to increasing life expectancy, the number of elderly patients needing surgical care is increasing. Improvements in surgical techniques and anesthetic procedures offer the opportunity of surgical intervention even in frail patients. Delirium on admission to the hospital or in the perioperative setting is a common and often serious complication. Cognitive impairment is regarded as the main risk factor for delirium; unfortunately, under routine clinical conditions, these deficits often remain undetected. Postoperative delirium is associated with increased morbidity and mortality, as well as increased length of hospitalization, resulting in increased suffering and costs. The aim of the intervention presented here was to prevent delirium in a general h... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163980 Mon, 01 Dec 2008 05:00:00 +0100 2163980 http://www.medworm.com/index.php?rid=2163979&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190868%26dopt%3DAbstract Authors: Zieschang T, Dutzi I, Müller E, Hestermann U, Specht-Leible N, Grünendahl K, Braun A, Hüger D, Oster P This paper describes the development and management of a new model of care for hospitalized patients with challenging behaviour evoked by dementia and/or delirium. To ameliorate care for patients with dementia in a geriatric acute care hospital a segregated Special Care Unit for patients with challenging behaviour was created. Environmental features allow for safe and unrestricted ambulation within the unit and create a home-like atmosphere. Day-time activities structure the day and assure additional professional presence in the unit. An intensive training program for the staff was provided. The SCU has been well accepted by the staff and is considered to be an... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163979 Mon, 01 Dec 2008 05:00:00 +0100 2163979 http://www.medworm.com/index.php?rid=2163978&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190869%26dopt%3DAbstract This article presents the conceptual results of the project referring to three fields: discharge and networking, medical treatment and general ward setting. Finally, the article points out some implications of the rising number of old age patients on health politics and research. PMID: 19190869 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163978 Mon, 01 Dec 2008 05:00:00 +0100 2163978 http://www.medworm.com/index.php?rid=2163977&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190870%26dopt%3DAbstract Authors: Kirchen-Peters S The treatment and care of individuals with dementia, who are admitted to general hospitals due to somatic diseases, often leads to crisis situations which not only compromise the therapeutic benefit, but also can be followed by avoidable institutionalization in nursing homes or psychiatric hospitals. With the model project "Gerontopsychiatric Consultation-Liaison Service" in Kaufbeuren a comprehensive solution to this problem has been developed. A multiprofessional team consisting of a medical specialist, nurses specialized in psychiatry and an occupational therapist supports the health personnel by giving assistance and advice. It also provides contact persons for patients and their families. The effectiveness analysis proved that the work of this service has... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163977 Mon, 01 Dec 2008 05:00:00 +0100 2163977 http://www.medworm.com/index.php?rid=2163976&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190871%26dopt%3DAbstract Authors: PMID: 19190871 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163976 Mon, 01 Dec 2008 05:00:00 +0100 2163976 http://www.medworm.com/index.php?rid=2163975&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190872%26dopt%3DAbstract Authors: PMID: 19190872 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163975 Mon, 01 Dec 2008 05:00:00 +0100 2163975 http://www.medworm.com/index.php?rid=2163974&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190873%26dopt%3DAbstract Authors: PMID: 19190873 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163974 Mon, 01 Dec 2008 05:00:00 +0100 2163974 http://www.medworm.com/index.php?rid=2163973&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190874%26dopt%3DAbstract Authors: PMID: 19190874 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163973 Mon, 01 Dec 2008 05:00:00 +0100 2163973 http://www.medworm.com/index.php?rid=2163972&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190875%26dopt%3DAbstract Authors: PMID: 19190875 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163972 Mon, 01 Dec 2008 05:00:00 +0100 2163972 http://www.medworm.com/index.php?rid=2163971&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19190876%26dopt%3DAbstract Authors: PMID: 19190876 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2163971 Mon, 01 Dec 2008 05:00:00 +0100 2163971 http://www.medworm.com/index.php?rid=2047955&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19057941%26dopt%3DAbstract Authors: PMID: 19057941 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2047955 Sat, 01 Nov 2008 04:00:00 +0100 2047955 http://www.medworm.com/index.php?rid=2047954&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19057942%26dopt%3DAbstract Authors: PMID: 19057942 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2047954 Sat, 01 Nov 2008 04:00:00 +0100 2047954 http://www.medworm.com/index.php?rid=2047953&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19057943%26dopt%3DAbstract Authors: PMID: 19057943 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2047953 Sat, 01 Nov 2008 04:00:00 +0100 2047953 http://www.medworm.com/index.php?rid=2047952&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19057944%26dopt%3DAbstract Authors: PMID: 19057944 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2047952 Sat, 01 Nov 2008 04:00:00 +0100 2047952 http://www.medworm.com/index.php?rid=2047951&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19057945%26dopt%3DAbstract Authors: PMID: 19057945 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2047951 Sat, 01 Nov 2008 04:00:00 +0100 2047951 http://www.medworm.com/index.php?rid=2047950&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19057946%26dopt%3DAbstract Authors: , , PMID: 19057946 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=2047950 Sat, 01 Nov 2008 04:00:00 +0100 2047950 http://www.medworm.com/index.php?rid=1888588&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18925357%26dopt%3DAbstract Authors: Huxhold O, Schäfer S, Lindenberger U Research on crossdomain couplings between sensorimotor and cognitive functions in older adults has gained momentum during recent years. Results of most studies point to increasing interdependencies between the two functional domains with advancing adult age. The causes of this increase are complex and show dynamic interactions across adult development. This review integrates experimental, correlational, and neurophysiological evidence, with an eye on implications for maintaining an independent and mobile lifestyle in old age. PMID: 18925357 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1888588 Sun, 19 Oct 2008 12:39:40 +0100 1888588 http://www.medworm.com/index.php?rid=1816000&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18806913%26dopt%3DAbstract CONCLUSION : Nursing home residents are commonly affected by continence problems which are associated with functional dependency and relevant co-morbidity. The public and expert debate on continence problems of nursing home residents has to be promoted to achieve long-term changes. PMID: 18806913 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1816000 Fri, 19 Sep 2008 04:00:00 +0100 1816000 http://www.medworm.com/index.php?rid=1790622&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18787874%26dopt%3DAbstract [No sports = no exercise? - Sports, overweight and physical activity in the 50-70 age group in Baden-Württemberg.] Z Gerontol Geriatr. 2008 Sep 15; Authors: Becker S, Zimmermann-Stenzel M Sporting activity is proven to decline with advancing age. But do older adults replace sporting activity with physical activity like walking and cycling for transportation purposes, and are people with a history of sporting activity more likely to integrate physical activity in their day-today lives? There is a proven negative correlation between sporting activity and overweight, a major risk factor for numerous diseases. The purpose of this study was to investigate correlations between walking/cycling for transportation and sporting activity/overweight, while controlling other variables.... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1790622 Sun, 14 Sep 2008 12:40:37 +0100 1790622 http://www.medworm.com/index.php?rid=1755355&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18758682%26dopt%3DAbstract Authors: Kaduszkiewicz H, Röntgen I, Mossakowski K, van den Bussche H One of the main reasons for deficits in the care of patients with dementia is the taboo on the disease and the stigma of the people suffering from the disease, also from the side of the professional caregivers. The aim of the project was to find out whether a continuing education program for GPs and for nurses in ambulatory care was able to increase the skills of professionals to better communicate with patients and relatives on the taboo topic of dementia. The program was developed with a multi-professional team and tested with 53 GPs and 54 nurses in ambulatory care.The evaluation was performed with a 39-item questionnaire administered before and after the training. Also, to test the stability of the outcomes,... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1755355 Wed, 03 Sep 2008 12:36:32 +0100 1755355 http://www.medworm.com/index.php?rid=1747203&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18726053%26dopt%3DAbstract Authors: Kaeding TS The loss of muscle mass, muscle strength and muscle endurance-capability in the elderly is summarized under the term 'sarcopenia'. This phenomenon is widespread in the older population and is a large financial burden for the health system. As a consequence of sarcopenia, functional and metabolic consequences occur. These among other things are associated with a loss of the independent lifestyle and the appearance of various age-related chronic diseases. An intervention with whole body vibration training can increase muscle strength, especially in older people with a low level of muscle strength, similar to resistance training. A strength increase is mainly attributed to improved inter- and intramuscular coordination. A muscle hypertrophy is also possibly realizable ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1747203 Fri, 29 Aug 2008 04:00:00 +0100 1747203 http://www.medworm.com/index.php?rid=1701580&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18695975%26dopt%3DAbstract Authors: Kummer K, Dören M, Kuhlmey A Communication is a key competence for medical and nursing health care providers alike. However, there appear to be areas of "speechlessness" regarding specific medical problems, including the "taboo" disease incontinence. There is a lack of scientific data regarding incontinence in the context of communication among patients and health care professionals.The descriptive study was designed to provide insights how female and male patients alike perceive communications about incontinence with doctors and nurses, respectively. 22 structured interviews were conducted and taped with 16 elderly female and 6 male patients (age >/= 60 years, mean: 81 years, demented patients excluded, n = 19 analysable), and five interviews each with doctors and nur... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1701580 Wed, 13 Aug 2008 04:00:00 +0100 1701580 http://www.medworm.com/index.php?rid=1701579&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18695976%26dopt%3DAbstract Authors: Ahnis A, Knoll N The aim of this study was to describe the aspects of psychological and physical burden caused by incontinence. The study involved 112 women and men with urinary and/or fecal incontinence aged between 59 and 93 years. The subjective experience of burden was measured in a qualitative manner by means of a semi-structured interview. The semi-structured interviews were evaluated by applying content analysis. In the group of 59- to 93-year-old incontinent women and men, mental stress factors were predominant. Social factors and factors of the behavioural level ranked second and third, respectively. Physical and economic stress factors played only a minor role. Study results are discussed in relation to their implications for theory and practice. Findings result in r... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1701579 Wed, 13 Aug 2008 04:00:00 +0100 1701579 http://www.medworm.com/index.php?rid=1701581&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18695974%26dopt%3DAbstract CONCLUSIONS : A conservative and multidisciplinary management of UI improved the impact of UI on daily life among comorbid geriatric patients. The Catalan ICIQ-SF was successfully implemented. Outpatient geriatric incontinence units seem to be effective and should be implemented to improve detection and management of this important geriatric syndrome. PMID: 18695974 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1701581 Thu, 07 Aug 2008 04:00:00 +0100 1701581 http://www.medworm.com/index.php?rid=1692491&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18685805%26dopt%3DAbstract Authors: Coll-Planas L, Denkinger MD, Nikolaus T The role of urinary incontinence (UI) in the disablement process model has been mainly defined according to its impact on quality of life, global wellbeing, life satisfaction, institutionalization and death, which are global outcomes of disability. Recent research focused on the "active" role of UI in the main pathway of the disablement process model, i.e. actively involved in the causes of disability. The aim of this paper is to review the complex current scientific evidence on this second active role and to define the implications for further research and for clinical work in geriatrics. The relationship between UI and disability can be classified in the following five pathways:1) UI as risk factor for functional decline and reduced ph... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1692491 Thu, 07 Aug 2008 04:00:00 +0100 1692491 http://www.medworm.com/index.php?rid=1683636&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18677627%26dopt%3DAbstract CONCLUSIONS : The results show that preserving and promoting the mental and physical capacities of residents are the most important preventive and rehabilitating measures for counteracting the development of incontinence after nursing home entry. PMID: 18677627 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1683636 Mon, 04 Aug 2008 04:00:00 +0100 1683636 http://www.medworm.com/index.php?rid=1683635&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18677628%26dopt%3DAbstract Authors: Hayder D, Schnepp W Urinary incontinence can be expected to present an issue in domestic care with various conditions and ways of dealing with the situation. This pilot study investigates the kinds of coping strategies developed by family caregivers of urinary incontinent persons. Therefore, it seeks to explore how family caregivers experience and shape everyday life with an incontinent family member.Based on a qualitative design, problem-centered interviews were carried out with 10 family caregivers (4 men, 6 women) and analyzed according to Grounded Theory.The results show that family caregivers place major emphasis on maintaining continence, which is conceived as an expression of concern for the care-dependent person. The data facilitated the development of four major conce... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1683635 Mon, 04 Aug 2008 04:00:00 +0100 1683635 http://www.medworm.com/index.php?rid=1683634&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18677629%26dopt%3DAbstract Authors: Thiel A, Gomolinsky U, Huy C Stereotypes of ageing affect activity in older adults. However, no representative studies on the impact of "images of ageing" on sporting activity existed until now. In a telephone survey, 2002 over-50s were asked about sporting activity and their opinions about ageing. A factor analysis of the queried attitudes disclosed five dimensions of ageing stereotypes. A subsequent cluster analysis identified three categories of attitudes towards ageing: "fit and performance-hungry", "conventional", and "easy-going and committed". Physical activity was described as the key criterion for a healthy old age in all clusters. Analysis also revealed a significant correlation between cluster affiliation and amount of sporting activity. The percentage of nonexercis... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1683634 Mon, 04 Aug 2008 04:00:00 +0100 1683634 http://www.medworm.com/index.php?rid=1531950&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18560787%26dopt%3DAbstract Authors: Hauer K, Tremmel AD, Ramroth H, Pfisterer M, Todd C, Oster P, Schuler M We investigated the influence of repressive coping, depression, cognition, education and age on geriatric patients' reports on health-related status in 80 geriatric patients with a history of injurious falls. For patient reports, subjective statements on activity avoidance, perception of terminal decline, falls, and fear of falling were assessed. Co-morbidity and number of medications were documented based on patient charts.Repressive coping was significantly associated with underreporting in geriatric patients in all items documented and predicted most variables of patients' reports. Because of underreporting significant health problems geriatric patients with repressive coping may therefore be at risk fo... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1531950 Tue, 17 Jun 2008 04:00:00 +0100 1531950 http://www.medworm.com/index.php?rid=1500500&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18535757%26dopt%3DAbstract CONCLUSION : We analysed elevated serum Hcys levels in multimorbid elderly patients with normal plasma folate and vitamin B(12) concentration and CD. Plasma Hcys or serum folate did not appear as an important biological risk factor on CD in multimorbid elderly patients. PMID: 18535757 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1500500 Sat, 07 Jun 2008 22:21:15 +0100 1500500 http://www.medworm.com/index.php?rid=1454964&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18484197%26dopt%3DAbstract Authors: Hüger D, Zieschang T, Schwenk M, Oster P, Becker C, Hauer K The literature provides conflicting results on the effectiveness of physical training in cognitively impaired older individuals. Cognitive impairment has been shown to be a negative predictor of rehabilitation outcome in these persons. However, the evidence on which this discussion is based is scarce. The methodology used in previous studies shows substantial shortcomings.The presented study protocol documents the methodology of one of the largest intervention studies worldwide in this research field with a standardized specific training program in cognitively impaired subjects including short- and long-term follow-up examinations. The selected sensitive evaluation tools for motor, cognitive and emotional status ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1454964 Mon, 19 May 2008 04:00:00 +0100 1454964 http://www.medworm.com/index.php?rid=1433980&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18465103%26dopt%3DAbstract Authors: Denkinger MD, Weyerhäuser K, Nikolaus T, Coll-Planas L BACKGROUND : The early assessment of prevalent disability and functional decline is of increasing importance for prevention issues and for the evaluation of change in clinical studies. The assessment of common daily tasks and resulting disability is essential for a complete impression of a patient's capabilities. There are plenty of instruments that cover basic and instrumental activities of daily living by assessing the person's dependence at a specific functional task. However, the early stages of everyday life limitations and functional decline are usually not being captured. In this article we have examined psychometric properties of the German adaptation of the abbreviated "late life function and disability instr... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1433980 Sun, 11 May 2008 00:39:23 +0100 1433980 http://www.medworm.com/index.php?rid=1433979&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18465104%26dopt%3DAbstract Authors: Wolfinger M The body is more than a biological basic condition; it is provided with social meanings and used for constructing, defining and describing age(ing) in different contexts. The social significance of the body can, for example, be seen by the fact that it is a bearer of age attributes, serves as a display surface and a knowledge bearer for the "normal" and "natural" ageing process. Formal and informal chronological age limits are used to describe, divide etc. ageing, without expatiating that certain interpretations of physical attributes are the basis of this construction. In the scientific discourse and in everyday understanding, dichotomous views on the ageing body "old means ill" and "successfully old means active" prevail. After a social constructivism and phenome... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1433979 Sun, 11 May 2008 00:39:21 +0100 1433979 http://www.medworm.com/index.php?rid=1433978&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18465105%26dopt%3DAbstract Authors: Backes GM Perspectives on the ageing body as a social construct and in its function as constructing the social are hitherto less developed in (social) gerontology. Nevertheless, "age(ing) and body" contains much more than biological changes and losses. In the body as a social medium and result of actions, we can understand the classical question connecting social structures and individual subjectivity in its social-structural and individual differentiation.The interrelationship between the body and other dimensions of the life situation is more than health; it also concerns employment, social contacts and material situation. The social construction of reality can be examined through the body especially in terms of the special way of function in the modern society (e.g. as expe... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1433978 Sun, 11 May 2008 00:39:19 +0100 1433978 http://www.medworm.com/index.php?rid=1426960&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18458853%26dopt%3DAbstract This article describes the study design and the methodical approach. PMID: 18458853 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1426960 Wed, 07 May 2008 22:45:43 +0100 1426960 http://www.medworm.com/index.php?rid=1426959&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18458854%26dopt%3DAbstract Authors: Gugutzer R The article is concerned with the question to what extent does the body - the body itself as an object (Körper; body) and body that we live in and experience (Leib; self) - have an self-promoting influence on the process of aging. To solve this question, four physical categories are presented that are generally of substantial importance for the development and support of one's personal identity: physical biography, physical image, physical limiting experience and physical control. These categories are consequently discussed with their relationship to aging. Thereby, the extent and the diversity of physical alterations during the course of the life of an individual appears to make alterations with one's inner self mandatory. PMID: 18458854 [PubMed - as suppl... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1426959 Wed, 07 May 2008 22:45:40 +0100 1426959 http://www.medworm.com/index.php?rid=1426958&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18458855%26dopt%3DAbstract Authors: Abraham A According to the special view of natural sciences, ageing processes are connected with measurable changes in the body. At the same time we know little about how bodily change is experienced and the subjective acceptance of the body during ageing. Therefore a perspective with respect to the body has to be systematically embraced in gerontology. Knowledge perspectives and the view of the body are exemplified in theory and by analysing a case. The knowledge of experience and sense of body and motion in a person's life allows the creation of stimulating offers of growth development and health in age. PMID: 18458855 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1426958 Wed, 07 May 2008 22:45:38 +0100 1426958 http://www.medworm.com/index.php?rid=1413660&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18446301%26dopt%3DAbstract Authors: Blum-Lehmann S The main focus of this article is the meaning of particular experiences of the ageing body for identity and development with respect to very old age. This experience of embodiment results from a dynamic development between unpleasant experiences of physical ageing, positive bodily experiences of the pleasure of living, and reflections on this direct engagement with the ageing body. The interaction of those three dimensions requires a constant rebalancing, which, in view of the frail body, becomes increasingly demanding. Beyond one's own experiences with ageing through direct engagement with the body, established social relationships give room for an individual's physical nature and support the maintenance of identity and development. People who look after and ca... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1413660 Thu, 01 May 2008 21:36:55 +0100 1413660 http://www.medworm.com/index.php?rid=1413659&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18446302%26dopt%3DAbstract Authors: Pahmeier I Considering lifespan developmental psychology, engagement in sport can be seen as a dynamic process of phases of participation and inactivity that varies from individual to individual. Depending on the individual biography, specific categories and patterns of sport participation evolve over a lifetime. Changes of sport participation rates over the last 30 years are discussed on the basis of general social changes. Six patterns of reasons will be discussed. The focus is set on a heuristic model as a base to explain the individual changes of behavior in sports over the lifespan. This model depicts engagement in sports as a process of dynamic changes (aspect of process and time) influenced by specific determinants in the different phases of changes (aspect of determina... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1413659 Thu, 01 May 2008 21:36:52 +0100 1413659 http://www.medworm.com/index.php?rid=1413658&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18446303%26dopt%3DAbstract Authors: Schweer MK Since the 1990s, sport and ageing is increasingly in the focus of psychological research. Besides motivational aspects the main attention lies on the positive influence of sporting activity on physical and psychological health. Thus, ageing and sports is mostly considered under functional aspects. The aim to compensate deficits through sports in the elderly reflects the socially widespread pictures of age (frailness) and sport (capability, youthfulness). In this article the deficit model with the associated clichés is questioned on the background of the latest research. The author argues for a more differentiated and constructive view on sport and ageing and to take into consideration the specific needs of older people. PMID: 18446303 [PubMed - as supplied ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1413658 Thu, 01 May 2008 21:36:49 +0100 1413658 http://www.medworm.com/index.php?rid=1413657&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18446304%26dopt%3DAbstract Authors: Schlicht N Physiological and pathologic changes of various body functions have a great influence on the cognitive performance of a human being in the course of aging. Knowledge-based neuropsychological abilities do not change much during the physiological aging process. However, the decreasing capacity of the working and sensory memory lead to lesser attention and learning performance in the elderly, compared to younger population groups. Pathological mental function changes correlate with the existence of certain physical diseases, the most important of which show an increasing incidence with old age. Degenerative diseases especially Alzheimer's disease and other demential syndromes as well as vascular diseases of the central nervous system, tumors, inflammation, epilepsy, tr... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1413657 Thu, 01 May 2008 21:36:46 +0100 1413657 http://www.medworm.com/index.php?rid=1391398&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18425619%26dopt%3DAbstract Authors: Hank K, Jürges H, Schupp J, Wagner GG This paper shows that the measurement of hand grip strength provides a non-invasive and reliable objective health indicator for social science research and is easy to collect in general population surveys. Grip strength is not only a useful complement of self-reported indicators of health, but it also exhibits a considerable predictive power with regard to a number of further relevant variables for social gerontological research, such as mortality risks. New data from the 2004 Survey of Health, Ageing and Retirement in Europe (SHARE) and the 2006 wave of the German Socio-Economic Panel Study (SOEP) allow insightful methodological and very first substantive cross-sectional analyses of grip strength in Germany. The focus of the present ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1391398 Fri, 18 Apr 2008 04:00:00 +0100 1391398 http://www.medworm.com/index.php?rid=1361344&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18392735%26dopt%3DAbstract Authors: Schaeffer D, Kuhlmey A The recent reform act on long-term care insurance includes plans for the establishment of Community Care Access Centers. This paper addresses chances and challenges of these centers and proposes some important steps for program development. PMID: 18392735 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1361344 Wed, 09 Apr 2008 22:11:04 +0100 1361344 http://www.medworm.com/index.php?rid=1361346&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18392733%26dopt%3DAbstract Z Gerontol Geriatr. 2008 Apr 7; Authors: Klie T PMID: 18392733 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1361346 Mon, 07 Apr 2008 04:00:00 +0100 1361346 http://www.medworm.com/index.php?rid=1361345&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18392734%26dopt%3DAbstract Authors: Klie T, Monzer M The introduction of standardized Case Management structures to improve coordination and cooperation of all involved in care, such as cost units, service providers, voluntary organizations, families and the different occupational categories involved in nursing, is the main concern of the current reform of German long-term care insurance. In this article, demands on Case Management in care are enunciated and the basics found in expert talks, needed for efficient support of care, assembled. In doing so, the role and function of Case Management is differentiated, the different levels (case, organizational and system levels) distinguished and options and conditions needed to settle such an organization are introduced. PMID: 18392734 [PubMed - as supplied by pub... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1361345 Mon, 07 Apr 2008 04:00:00 +0100 1361345 http://www.medworm.com/index.php?rid=1341112&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18373232%26dopt%3DAbstract Authors: Pogadl S, Pohlmann R It is an indisputable fact in the political and specialist discussion concerning the reform of the German public long-term care insurance to give better advice and support for constant nursing care. In order to reach this goal "Community Care Access Centers", in which competent advisors work to assess and to coordinate the necessary assistance, are proposed. Nevertheless the draft of the new act is disputed with questions with respect to implementation and finance. The already existing "Service Centers for elderly people" in the city of Dortmund is a good example of how to set up the desirable structures. PMID: 18373232 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1341112 Tue, 01 Apr 2008 18:44:06 +0100 1341112 http://www.medworm.com/index.php?rid=1341111&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18373233%26dopt%3DAbstract Z Gerontol Geriatr. 2008 Apr 4; Authors: Igl G, Naegele G PMID: 18373233 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1341111 Tue, 01 Apr 2008 18:43:38 +0100 1341111 http://www.medworm.com/index.php?rid=1316848&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18350246%26dopt%3DAbstract Z Gerontol Geriatr. 2008 Mar 31; Authors: PMID: 18350246 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1316848 Thu, 20 Mar 2008 21:05:52 +0100 1316848 http://www.medworm.com/index.php?rid=1294959&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327687%26dopt%3DAbstract We examined 834 isolates of urinary cultures (26 fungi and 808 isolates from 28 bacteria) in an academic geriatric teaching hospital for microbial spectrum and resistance analysis. Of the bacteria, 90% were associated to ten species. Detection rate of MRSA and ESBL was 1%, detection rate for pseudomonas aeruginosa, proteus species, coagulase negative staphylococci and klebsiella species were higher than in an university clinic (p < 0.001). Resistency rates were high for the 10 most frequent bacteria: 53.3% of cross-tabulations between bacterium and antibiotic agent (sulfamethoxazol- trimethoprim, amoxicillin-clavulanate, ciprofloxacin, moxifloxacin, cefuroxim, imipenem) showed resistency rate higher than 10%. We assume that specific factors of geriatric sample taking have an impact to o... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294959 Tue, 11 Mar 2008 04:00:00 +0100 1294959 http://www.medworm.com/index.php?rid=1294958&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327688%26dopt%3DAbstract CONCLUSIONS : 1) In the clinical studies analysed external validity was taken into account only moderately, especially with respect to additional non-pharmaceutical interventions and selection of participants. 2) The evaluation according to external validity led to a different selection of studies that were used for estimation of the ginkgo efficacy without effects on the overall result. 3) Sufficient evidence of the efficacy of ginkgo biloba extracts in the treatment of dementia of vascular origin and Alzheimer disease is provided in spite of methodological limitations. Further studies should focus on effectiveness, ginkgo-sensitive subgroups, more individualised therapeutic goals and corresponding outcome measurements. PMID: 18327688 [PubMed - as supplied by publisher] (Source: Zeits... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294958 Tue, 11 Mar 2008 04:00:00 +0100 1294958 http://www.medworm.com/index.php?rid=1294957&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327689%26dopt%3DAbstract This article examines the important aspects of Turkish demographic structure and discusses the general life conditions of the elderly. All data are from a report published by the author about the life conditions of the elderly in Turkey. This report showed that, in Turkey, ageing is generally specific to female elderly. Poverty during elderly age should be considered the most serious problem both today and in the future, although this issue shows a great diversity in terms of occupational status, educational level and regions. Care for the elderly is not a major problem yet. However, Turkish society needs to prepare for future problems in elderly care by creating the necessary legal and political infrastructure. Education and research about social gerontology has not improved yet. There ne... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294957 Tue, 11 Mar 2008 04:00:00 +0100 1294957 http://www.medworm.com/index.php?rid=1294956&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327690%26dopt%3DAbstract CONCLUSION : Older adults living at home should be screened for falls in history and problems in gait and mobility in any anamnesis to identify those who are at risk for falls. PMID: 18327690 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294956 Tue, 11 Mar 2008 04:00:00 +0100 1294956 http://www.medworm.com/index.php?rid=1294955&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327691%26dopt%3DAbstract [Reality of psychotherapeutic care with regard to outpatient psychotherapy of elderly people in Münsterland (Westfalia).] Z Gerontol Geriatr. 2008 Mar 11; Authors: Imai T, Telger K, Wolter D, Heuft G The need for efficacy of geriatric psychotherapy as well specialized training in geriatric psychosomatics and psychotherapy is commonly recognized amongst professionals. Despite this, this knowledge is not reflected in everyday life. One consequence of this is that psychotherapy for elderly patients is still the exception. We conducted a study in which 478 practicing psychotherapists in Münsterland (Westfalia) were surveyed by mail questionnaire regarding the number and main diagnosis of their patients of greater than 50 years of age, as well as the elderly-specific thera... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294955 Tue, 11 Mar 2008 04:00:00 +0100 1294955 http://www.medworm.com/index.php?rid=1294954&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327692%26dopt%3DAbstract Authors: Schott N The present study investigates the psychometric properties and the factorial structure of the German adaptation of the Activities-Specific Balance Confidence (ABC) scale (Powell & Myers, 1995) for the evaluation of falls-related self-efficacy in community- dwelling older adults. The German adaptation of the ABC using a forward-backward procedure was administered to 113 older adults (age 68.9 +/- 8.5 years). The following internationally accepted instruments were used for validation: The Short Form Health Survey SF 36, the Geriatric Depression Scale (GDS), the Trail Making Test and the Letter Number Sequencing Test, and motor tests (balance, strength, mobility). The internal consistency (0.91- 0.95) as well as the test-retest reliability of the subscales was excell... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294954 Tue, 11 Mar 2008 04:00:00 +0100 1294954 http://www.medworm.com/index.php?rid=1294953&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327693%26dopt%3DAbstract Authors: Kaiser E, Schönknecht P, Hunt A, Thomann PA, Pantel J, Schröder J In recent studies, patients diagnosed with Alzheimer's disease (AD) showed significantly elevated CSF levels of tau protein. Tau protein was therefore regarded as a putative molecular marker for AD. Since early diagnosis of AD is warranted for appropriate therapeutic intervention, investigation of total tau protein levels in patients with Aging Associated Cognitive Decline (AACD) and AD are reasonable. In our study the CSF concentrations of total tau protein were measured by ELISA in 132 patients with AD, 29 patients with AACD and 24 healthy controls. CSF concentrations were compared between the subgroups of mild, moderate and severe AD, AACD and the control group and were correlated with age and sever... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294953 Tue, 11 Mar 2008 04:00:00 +0100 1294953 http://www.medworm.com/index.php?rid=1294952&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327694%26dopt%3DAbstract Authors: Steinbach S, Staudenmaier R, Hummel T, Arnold W Loss of olfaction in old age is a frequent problem, which occurs at the same frequency as diabetes or severe sensorineural hearing loss. Problems caused by loss of the sense of smell may include weight loss due to loss of appetite, intake of rotten foods, social isolation and depression. Until now the loss of olfactory function has received relatively little attention compared to diabetes or hearing loss. In this article we review the loss of the sense of smell with age. Possible therapies are discussed to improve the quality of life in older people. PMID: 18327694 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294952 Tue, 11 Mar 2008 04:00:00 +0100 1294952 http://www.medworm.com/index.php?rid=1294951&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327695%26dopt%3DAbstract CONCLUSION : The small-bowel ultrasound can be recommended as the first choice method. All complaints regarding the gastrointestinal tract should be verified. Older patients can be safely offered an elective laparoscopic surgery with acceptable morbidity and mortality. PMID: 18327695 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294951 Tue, 11 Mar 2008 04:00:00 +0100 1294951 http://www.medworm.com/index.php?rid=1294950&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327696%26dopt%3DAbstract Authors: Huy C, Schneider S Existing physical activity questionnaires have focused either on young and middle-aged adults or on the elderly. They have mainly assessed only a portion of possible physical activities or contained nation-specific sports. As there is no gold standard for a questionnaire-based assessment of physical activity in the over-50 population, recommendations for such a questionnaire relating to German-speaking countries were developed. This work included a systematic literature research, a survey of experts, and the design of a questionnaire based on validated measuring instruments. Finally, to test its reliability and application in the field, the complete questionnaire, including a retest, was applied by telephone interview (n = 57). The test-retestcorrelation was... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294950 Tue, 11 Mar 2008 04:00:00 +0100 1294950 http://www.medworm.com/index.php?rid=1294949&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327697%26dopt%3DAbstract CONCLUSION : Patients older than 65 years with ESRD have a low survival with and without type 2 diabetes. The mortality rate was only slightly higher in the diabetic group and was not statistically significant. The prevalence of vascular diseases and co-morbidities is high in both groups; however, the incidence of cardiovascular complications was significantly higher in our diabetic patients. PMID: 18327697 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294949 Tue, 11 Mar 2008 04:00:00 +0100 1294949 http://www.medworm.com/index.php?rid=1294948&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327698%26dopt%3DAbstract CONCLUSION : Screening for oral health performed by a physician was insufficient regarding the different clinical aspects. Training in the use of an oral health assessment tool improved the reliability of the screening. Because of the low number of examiners the results should be interpreted as a pilot investigation on this new topic. PMID: 18327698 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294948 Tue, 11 Mar 2008 04:00:00 +0100 1294948 http://www.medworm.com/index.php?rid=1294947&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18327699%26dopt%3DAbstract CONCLUSIONS : An instrument to assess patient opinions can easily be introduced into a geriatric hospital. Such an instrument can provide important information for the improvement of quality in different areas of geriatric care such as medical, nursing care or guest services. PMID: 18327699 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1294947 Tue, 11 Mar 2008 04:00:00 +0100 1294947 http://www.medworm.com/index.php?rid=1248104&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18286321%26dopt%3DAbstract Authors: Hirsch RD, Teising M, Wächtler C PMID: 18286321 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1248104 Fri, 01 Feb 2008 05:00:00 +0100 1248104 http://www.medworm.com/index.php?rid=1248103&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18286322%26dopt%3DAbstract Authors: Schmidtke A, Sell R, Löhr C The suicide risk in Germany increases with age. The suicide rates follow the so called "Hungarian" pattern. Especially the percentage of older females among all suicides has increased unproportionally in recent years in relation to their percentage in the population. Every second suicide of a female is today a suicide of a female older than 60 years. The main suicide method among older persons is hanging. Suicide attempts are rare among older persons; however, the rates are increasing among the oldest age groups. The suicide attempts of older persons are committed with a higher lethality and show rarely appellative components. Suicide attempt methods are often poisoning with pharmaceuticals. In total the suicide and suicide attempt rates among ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1248103 Fri, 01 Feb 2008 05:00:00 +0100 1248103 http://www.medworm.com/index.php?rid=1248102&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18286323%26dopt%3DAbstract Authors: Schaller S General theories of suicidology are insufficient to explain the overproportional rate of suicidal behaviour in the elderly. The proposed transactional model represents a bio-psycho-social foundation of suicidal behavior in the elderly. The reciprocal interactions of biological, somatic, psychological and social factors in old age which may enhance suicidal behavior as a mode of problem-solving behavior are discussed. PMID: 18286323 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1248102 Fri, 01 Feb 2008 05:00:00 +0100 1248102 http://www.medworm.com/index.php?rid=1248101&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18286324%26dopt%3DAbstract Authors: Klug A, Lindner R, Fiedler G, Altenhöfer A Sexuality and suicidality in the elderly seem to underlie a taboo in science and in therapeutic practice. It is urgent to find an understanding about both aspects of human experience and behaviour by explorative studies. In a sample (N=67), the narratives of 56 persons (suicidal=43 and non-suicidal=23) on questions concerning their sexuality were transcribed and ideal types were developed with the systematic qualitative method of forming types by understanding. Four of these types consist of clearly more suicidal persons, in two the non-suicidals predominate, the rest is more heterogeneous in this aspect. Some of these types can be interpreted unequivocally. One type was surprisingly clearly suicidal dynamic, while others were a ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1248101 Fri, 01 Feb 2008 05:00:00 +0100 1248101 http://www.medworm.com/index.php?rid=1248100&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18286325%26dopt%3DAbstract Authors: Etzersdorfer E This paper gives an overview about the most important aspects of crisis intervention, with special emphasis on crisis intervention with elderly people. First a review of the development of crisis intervention is given, including of some of the major concepts, with particular emphasis on psychoanalytic aspects of crisis intervention. Then a clinical case example of a crisis intervention with an elderly woman following a suicide attempt is given and discussed. The focus lies on the description of the transference-countertransference relationship, with attempts of pressing the therapist to comply with superficial, denying and minimizing fantasies. Peculiarities of crisis intervention with elderly people are highlighted: it is necessary to emphasize that elderly peo... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1248100 Fri, 01 Feb 2008 05:00:00 +0100 1248100 http://www.medworm.com/index.php?rid=1248099&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18286326%26dopt%3DAbstract Authors: Schelling HR, Martin M Recent studies have demonstrated that positive and negative stereotypes and attitudes toward age and aging may have substantial effects on the longterm development of cognitive and physical performance in old age. Relatively little is known to which degree attitudes toward one's own aging depend on (a) the current level of individual resources, (b) changes in the level of individual resources, or (c) the increasing age of older persons. The present study examined the relations between individual physical, mental, and cognitive resources and the attitudes toward one's own aging. The study was conducted with N=500 participants of the Interdisciplinary Longitudinal Study of Adult Development (ILSE) born between 1930 and 1932 (age: M=63.0, SD=0.9 at T1 and M... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1248099 Fri, 01 Feb 2008 05:00:00 +0100 1248099 http://www.medworm.com/index.php?rid=1248098&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18286327%26dopt%3DAbstract Authors: Kissler S, Hötte SD, Lankers D, Juckel G, Schröder SG Alzheimer's disease and vascular dementia still may be looked upon as distinct nosologic entities, representing the two main etiologic categories of senile dementia. However, rather recent findings suggest a comorbidity of neurodegenerative and ischemic pathology in a majority of dementia cases in later life. The effect of the vascular pathology on the survival time was studied in 173 dementia outpatients. For 147 patients with complete datasets, we were able to gain information concerning their survival time. As an indicator of cerebrovascular morbidity the 18-point ischemic scale of Hachinski (HIS) was correlated with the survival time. Thus, we did not use the HIS for its original purpose to differentiate betwe... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1248098 Fri, 01 Feb 2008 05:00:00 +0100 1248098 http://www.medworm.com/index.php?rid=1248097&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18286328%26dopt%3DAbstract Authors: Armi F, Guilley E, Lalive d'Epinay CJ While research focuses mainly on support provided to the elderly, this paper deals with the very old as a support provider to his family as much as a care recipient from both his family and a formal network. We hypothesize that elders with declining health will try to maintain the provision of services, even when they require and receive help.A total of 340 octogenarians from the Swiss Interdisciplinary Longitudinal Study on the Oldest Old (SWILSOO) were interviewed up to five times over five years (N=1225 interviews). A multilevel model was applied to assess the effects of health, controlled for socio-demographic and family network variables, on the frequency of services that the old persons provided to their family and received from thei... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1248097 Fri, 01 Feb 2008 05:00:00 +0100 1248097 http://www.medworm.com/index.php?rid=1248096&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18286329%26dopt%3DAbstract Authors: PMID: 18286329 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1248096 Fri, 01 Feb 2008 05:00:00 +0100 1248096 http://www.medworm.com/index.php?rid=1248095&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18286330%26dopt%3DAbstract Authors: PMID: 18286330 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1248095 Fri, 01 Feb 2008 05:00:00 +0100 1248095 http://www.medworm.com/index.php?rid=1091604&cid=s_36243_18_f&fid=36243&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18074077%26dopt%3DAbstract Authors: PMID: 18074077 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=1091604 Sat, 01 Dec 2007 05:00:00 +0100 1091604