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. Wed, 08 Feb 2012 16:54:30 +0100 http://www.medworm.com/index.php?rid=5626612&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%3D22270892%26dopt%3DAbstract CONCLUSION: The implementation of fall and fracture prevention measures based on the National Expert Standard led to additional costs. Cost figures can be used by decision-makers with respect to decisions on resource allocation for different prevention programs (e.g., different National Expert Standards), to determine the main cost components, and finally for model-based cost-effectiveness analyses of fall-prevention programs in nursing homes. PMID: 22270892 [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=5626612 Wed, 25 Jan 2012 05:00:00 +0100 5626612 http://www.medworm.com/index.php?rid=5626611&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%3D22270893%26dopt%3DAbstract CONCLUSION: Hitherto BGA is not an established tool in German primary care practices. The question, which single instruments are most suitable for older general practice patients, still needs clarification. PMID: 22270893 [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=5626611 Wed, 25 Jan 2012 05:00:00 +0100 5626611 http://www.medworm.com/index.php?rid=5626610&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%3D22270894%26dopt%3DAbstract [Resource management: ICF-oriented exercise programs for patients with diabetes mellitus type 2 : Chronic illnesses and biopsychosocial status.] Z Gerontol Geriatr. 2012 Jan 25; Authors: Pfeifer K, Huber G, Baldus A, Pöthig D, Schüle K Abstract Common health problems are increasing due to the combination of decreased physical activity demands in everyday life and demographic changes; thus, the importance of exercise therapy is increasing. The incidence and prevalence of today's predominant chronic diseases are directly related to physical activity. However, daily clinical routine does not stay abreast with these changes. The education of physicians, and thus their scope of action, is dominated by biomedical therapy concepts, predominantly drug therapy concepts. Differenti... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5626610 Wed, 25 Jan 2012 05:00:00 +0100 5626610 http://www.medworm.com/index.php?rid=5626613&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%3D22262415%26dopt%3DAbstract Authors: Eckers A, Altschmied J, Haendeler J Abstract Reactive oxygen species (ROS) are important signaling molecules in human cells. At physiological concentrations, they can for instance protect against apoptosis and act as secondary messengers in many different signaling pathways. Disturbance of redox homeostasis, i.e., the physiological balance between ROS generation and degradation, leads to not only increased ROS levels, so-called oxidative stress, but also results in damage to macromolecules and promotes the development of diseases and accelerates the aging process. The organism has various enzyme systems at hand to eliminate excess ROS. Their inactivation or degradation under conditions of oxidative stress is tightly linked to endothelial dysfunction due to endothelial cell... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5626613 Sat, 21 Jan 2012 05:00:00 +0100 5626613 http://www.medworm.com/index.php?rid=5516288&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%3D22159828%26dopt%3DAbstract Authors: Gosch M, Pils K PMID: 22159828 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5516288 Thu, 01 Dec 2011 05:00:00 +0100 5516288 http://www.medworm.com/index.php?rid=5516287&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%3D22159829%26dopt%3DAbstract CONCLUSION: A coordinated, multidisciplinary model for the treatment of fragility fractures has the potential to improve the quality of patient care. Several international studies report superior outcome and our own findings are promising as well. We could show that our major goals, e.g., reduction of complications, shortening the length of stay, and restoration of the prefracture residency, can be improved by implementing such a model. PMID: 22159829 [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=5516287 Thu, 01 Dec 2011 05:00:00 +0100 5516287 http://www.medworm.com/index.php?rid=5516286&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%3D22159830%26dopt%3DAbstract "N-active": a new comanaged, orthogeriatric ward : Observations and prospects. Z Gerontol Geriatr. 2011 Dec;44(6):368-374 Authors: Singler K, Biber R, Wicklein S, Heppner HJ, Sieber CC, Bail HJ Abstract The incidence of hip fractures increases with increasing age. Besides the actual trauma, it is mainly the comorbidities and an increased postoperative complication rate in old patients that lead to increased mortality in this patient population. Around 25% of patients who had previously been living independently continue to need long-term care after a hip fracture. Given this situation, the comanaged orthogeriatric unit "N-active" was opened at the Nuremberg Hospital in December 2010. The following article describes implementation of the ward and preliminary data. These show... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5516286 Thu, 01 Dec 2011 05:00:00 +0100 5516286 http://www.medworm.com/index.php?rid=5516285&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%3D22159831%26dopt%3DAbstract CONCLUSION: Patients are at high risk for falls after hip fracture, with age itself being one of the most dominant risk factors. In addition to previously identified gait and mobility disorders, the physical limitations of arthritis of the "healthy" hip seem to be responsible for the functional decline. Therefore, it would be of interest to include the examination of the hips into a falls risk assessment battery. PMID: 22159831 [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=5516285 Thu, 01 Dec 2011 05:00:00 +0100 5516285 http://www.medworm.com/index.php?rid=5516284&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%3D22159832%26dopt%3DAbstract CONCLUSION: Our results show that the management of osteoporosis in postmenopausal hip fracture patients has significantly improved over the last decade. From our point of view, the main impact on this development is due to the implementation of a GFC with corresponding guidelines and treatment steps. In addition to structural changes, the improved evidence for osteoporosis treatment, especially of geriatric patients, has a positive influence on osteoporosis therapy. PMID: 22159832 [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=5516284 Thu, 01 Dec 2011 05:00:00 +0100 5516284 http://www.medworm.com/index.php?rid=5516283&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%3D22159833%26dopt%3DAbstract CONCLUSION: This pilot study highlights the possible implementation of robotic-assisted rehabilitation after proximal humeral fractures in geriatric rehabilitation. The measurement and training protocol was suitable to document progress in rehabilitation. PMID: 22159833 [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=5516283 Thu, 01 Dec 2011 05:00:00 +0100 5516283 http://www.medworm.com/index.php?rid=5516282&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%3D22159834%26dopt%3DAbstract Authors: Tabert I, Lekkos K, Dettmer-Flügge A, Schmidt D, Gogol M Abstract The case of a geriatric patient with total hip arthroplasty for coxarthrosis and an inpatient fall 12 days after the first operation is reported. Six weeks after the first operation, the patient reported new pain in the area of both hips and thighs. X-ray and scintigraphy confirmed the diagnosis of bilateral heterotopic ossification. NSAID therapy was started, and rapid improvement was observed. At discharge, the patient was able to walk with aids in- and outside. At the 12-month follow-up, x-ray control showed Brooker state 3 for the right and 4 for the left hip. Walking ability did not change during follow-up. PMID: 22159834 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontologie u... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5516282 Thu, 01 Dec 2011 05:00:00 +0100 5516282 http://www.medworm.com/index.php?rid=5516281&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%3D22159835%26dopt%3DAbstract [Recommendation of an assessment protocol to describe geriatric inpatient rehabilitation of lower limb mobility based on ICF : An interdisciplinary consensus process]. Z Gerontol Geriatr. 2011 Dec;44(6):429-36 Authors: Jamour M, Becker C, Bachmann S, de Bruin ED, Grüneberg C, Heckmann J, Marburger C, Nicolai SE, Schwenk M, Lindemann U Abstract Because of the growing demand of geriatric rehabilitation, objective and clear indication decisions are needed with respect to limited financial resources. The aim of an interdisciplinary consensus group was to critically evaluate the most commonly used tests of functional performance of the lower limbs and to recommend useful tests to document progress of inpatient rehabilitation. Assessment of standing, walking, walking with a dual... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5516281 Thu, 01 Dec 2011 05:00:00 +0100 5516281 http://www.medworm.com/index.php?rid=5516280&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%3D22159836%26dopt%3DAbstract Authors: PMID: 22159836 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5516280 Thu, 01 Dec 2011 05:00:00 +0100 5516280 http://www.medworm.com/index.php?rid=5302082&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%3D21976177%26dopt%3DAbstract [Most desirable is to take care of oneself as long as possible : Transitions into old age with respect to habitation.] Z Gerontol Geriatr. 2011 Oct 6; Authors: Hochheim E, Otto U Abstract In the past, retiring from work life was considered the central threshold for the transition into the life phase of old age. In the meantime, however, the de-standardization of the life course calls for a redefinition of this transition: it has to be assumed that the exit from work life cannot be considered the only indicator for the transition into old age anymore. The results presented here address transitions into old age with respect to habitation. Adopting a qualitative empirical approach, older peoples' attitudes towards housing arrangements in late adulthood and at the end of life w... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5302082 Thu, 06 Oct 2011 04:00:00 +0100 5302082 http://www.medworm.com/index.php?rid=5302081&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%3D21976178%26dopt%3DAbstract CONCLUSION: The data demonstrate that the German DRG system does not sufficiently consider the difficult management caused by patients without the ability to give consent to treatment and without a valid power of attorney. The time required until a professional legal guardian is appointed is too long for patients in a hospital. The necessity of a power of attorney has to be promoted more intensely to the public. Currently, the only two ways to minimize the problem is to identify the patients without, but needing a power of attorney as quickly as possible and to remain in close contact with the legal authorities. PMID: 21976178 [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=5302081 Thu, 06 Oct 2011 04:00:00 +0100 5302081 http://www.medworm.com/index.php?rid=5284198&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%3D21960359%26dopt%3DAbstract Authors: Dichter M, Bartholomeyczik S, Nordheim J, Achterberg W, Halek M Abstract The present study investigates the validity, reliability, and applicability of the German version of the QUALIDEM, which is used to measure the quality of life of people with dementia in nursing homes. The sample consists of data from 203 people (average age 84 ± 9 years, 74% female) with mild to moderate dementia and 283 persons (average age 86 ± 8 years, 79% female) with severe to very severe dementia. These are baseline data from two lighthouse projects on dementia (STI-D and InDemA). The investigation of the feasibility is based on four expert interviews. The construct validity of the 37-item version of the QUALIDEM shown by the factors satisfied behavior, unapproachable and unsatisfie... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5284198 Sat, 01 Oct 2011 04:00:00 +0100 5284198 http://www.medworm.com/index.php?rid=5284197&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%3D21960360%26dopt%3DAbstract [Assessment of balance in community dwelling older adults : Reliability and validity of the German version of the Fullerton Advanced Balance Scale.] Z Gerontol Geriatr. 2011 Oct 1; Authors: Schott N Abstract The purpose of this study was to validate the German translation of the originally English Fullerton Advanced Balance Scale (FAB-D). The 10-item test battery is a performance-based measure that addresses the multiple dimensions of balance. The German FAB-D using a forward-backward procedure was examined by a sample of n = 96 community dwelling older adults (71,6 ± 7,5 years of age) who had reported no history of a fall in the previous 6 months (non-fallers) and 66 older adults (age 75,3 ± 7,3 years of age) who reported falling one or more times (recurre... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5284197 Sat, 01 Oct 2011 04:00:00 +0100 5284197 http://www.medworm.com/index.php?rid=5221602&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%3D21909775%26dopt%3DAbstract Authors: Philipp-Metzen HE Abstract Dementia often has a serious impact on family life in household care giving situations. The qualitative study in applied gerontology presented here focuses on the subjective experiences of grandchildren and the intergenerational relationships of the family members. It includes 15 in-depth retrospective interviews with young adults (11 female, 4 male). The theoretical background is a sociological life-world-oriented approach by Alfred Schütz. The grandchildren reported a wide range of experiences with positive and enriching incidents prevailing, e.g., individual and familial competence in care giving, increased contact between family members, i.e., so-called"family cohesion", improvements in the grandchildren's social responsibility, and their... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5221602 Sun, 11 Sep 2011 04:00:00 +0100 5221602 http://www.medworm.com/index.php?rid=5221601&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%3D21909776%26dopt%3DAbstract CONCLUSIONS: The results presented here revise the common assumption that childlessness negatively affects the social integration and life satisfaction of middle- and older-aged persons. PMID: 21909776 [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=5221601 Sun, 11 Sep 2011 04:00:00 +0100 5221601 http://www.medworm.com/index.php?rid=5221600&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%3D21909777%26dopt%3DAbstract Authors: Graefe S, van Dyk S, Lessenich S Abstract Our contribution focuses on the question of how aging subjects experience and interpret biographic transitions into old age - specifically against the background of the current sociodiscursive revaluation of the so-called young old. The results of our qualitative interviews with elderly men and women in Germany indicate that the self-description "young elderly" does not play a role in identity-building in higher age, although norms of "active" or "productive aging" are widely accepted by the elderly. On the other hand, notions of "very old age" in need of care appear as something that can barely be integrated into the self-concepts and life plans of the interviewees. The transition from adulthood into the "third" (i.e., old age) st... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5221600 Sun, 11 Sep 2011 04:00:00 +0100 5221600 http://www.medworm.com/index.php?rid=5221603&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%3D21901529%26dopt%3DAbstract Authors: Kornadt AE, Rothermund K Abstract Attitudes about older people and being old develop in the early and middle phases of life and influence the subsequent aging process. Because aging processes vary across different domains of life and functioning, one cannot assume unanimously negative or positive attitudes towards old age and aging. Thus, in the psychological part of the project Zones of Transition ("Zonen des Übergangs"), age stereotypes and views of the self in old age were assessed in different life domains and for different age groups, and their relation to well-being and the self-concept was investigated. The project also focused on the analysis of attitudes towards one's personal way of living in old age. A questionnaire was developed that assesses those attitudes o... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5221603 Thu, 08 Sep 2011 04:00:00 +0100 5221603 http://www.medworm.com/index.php?rid=5221605&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%3D21892673%26dopt%3DAbstract Authors: Leppert K, Strauß B Abstract Personality traits, e.g., resilience, which is defined as emotional strength, have a strong impact on lifespan development. In this paper, a cross-sectional study examining the protective character of resilience in aging is presented. In a sample of persons ranging in age from 30-80 years, a significant negative association between resilience and depression was observed for the oldest group of our sample (age > 70 years). Thus, resilience might serve as a "safe-guard" against depression over the life course that, however, was found to disappear when people are faced with a transition into dependency and being in need of care. PMID: 21892673 [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=5221605 Sun, 04 Sep 2011 04:00:00 +0100 5221605 http://www.medworm.com/index.php?rid=5221604&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%3D21892674%26dopt%3DAbstract Authors: Lessenich S, Rothermund K PMID: 21892674 [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=5221604 Sun, 04 Sep 2011 04:00:00 +0100 5221604 http://www.medworm.com/index.php?rid=5160360&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%3D21845525%26dopt%3DAbstract Authors: PMID: 21845525 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5160360 Sun, 31 Jul 2011 23:00:00 +0100 5160360 http://www.medworm.com/index.php?rid=5142790&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%3D21833708%26dopt%3DAbstract Authors: Welte T Abstract Community-acquired pneumonia is a disease with high morbidity and mortality and, therefore, has an enormous impact on health care costs. Pneumonia is mainly a disease of the elderly. Therefore, due to the dramatic change in demography of the general population, the importance of pneumonia will increase rapidly. The development of modern antibiotic therapy has improved the prognosis of pneumonia patients; however, there are also new challenges and problems, e.g., increased numbers of comorbid patients and the appearance of antibiotic resistance. In regard to antibiotic treatment of the elderly, evidence from randomized controlled clinical studies is missing. Nevertheless, the improvement in diagnosis and the introduction of risk stratification approaches ha... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5142790 Sun, 31 Jul 2011 23:00:00 +0100 5142790 http://www.medworm.com/index.php?rid=5142789&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%3D21842350%26dopt%3DAbstract Authors: Gogol M, Hofmann W, Pils K PMID: 21842350 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5142789 Sun, 31 Jul 2011 23:00:00 +0100 5142789 http://www.medworm.com/index.php?rid=5142788&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%3D21842351%26dopt%3DAbstract Authors: Gogol M, Heppner HJ PMID: 21842351 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5142788 Sun, 31 Jul 2011 23:00:00 +0100 5142788 http://www.medworm.com/index.php?rid=5142787&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%3D21842352%26dopt%3DAbstract CONCLUSION: The results will provide instruments to screen for preclinical signs of functional decline and concrete recommendations to sustain independence and prevent adverse outcomes in older age in daily practice. PMID: 21842352 [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=5142787 Sun, 31 Jul 2011 23:00:00 +0100 5142787 http://www.medworm.com/index.php?rid=5142786&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%3D21842353%26dopt%3DAbstract Authors: Mayring P PMID: 21842353 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5142786 Sun, 31 Jul 2011 23:00:00 +0100 5142786 http://www.medworm.com/index.php?rid=5142785&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%3D21842354%26dopt%3DAbstract Authors: PMID: 21842354 [PubMed - in process] (Source: Zeitschrift fur Gerontologie und Geriatrie) Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5142785 Sun, 31 Jul 2011 23:00:00 +0100 5142785 http://www.medworm.com/index.php?rid=5112017&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%3D21805189%26dopt%3DAbstract Authors: Kottner J PMID: 21805189 [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=5112017 Sat, 30 Jul 2011 23:00:00 +0100 5112017 http://www.medworm.com/index.php?rid=5112014&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%3D21805190%26dopt%3DAbstract Authors: Frese T, Franke M, Keyser M, Rurik I, Sandholzer H A structured geriatric assessment (GA) improves the quality of health care; however, the quality of GA guidelines has hardly been investigated. Eight guidelines were identified by systematically searching guideline databases, web sites of guideline developers, and PubMed. The methodological quality was assessed by two appraisers using the German Guideline Evaluation Instrument (DELBI). Guideline content was extracted; organizational and medical recommendations were compared. The methodological appraisal revealed a broad range of quality. The domains "Scope and purpose" and "Clarity and presentation" showed good results. The domains "Applicability" and "Editorial independence" had results that were not as good. Medical recommen... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5112014 Sat, 30 Jul 2011 23:00:00 +0100 5112014 http://www.medworm.com/index.php?rid=5112032&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%3D21789705%26dopt%3DAbstract Authors: Gogol M PMID: 21789705 [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=5112032 Tue, 26 Jul 2011 23:00:00 +0100 5112032 http://www.medworm.com/index.php?rid=5112034&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%3D21769515%26dopt%3DAbstract CONCLUSIONS: In geriatric patients hospitalized with aspiration pneumonia, CURB-65 and PSI have no prognostic value. PMID: 21769515 [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=5112034 Tue, 19 Jul 2011 23:00:00 +0100 5112034 http://www.medworm.com/index.php?rid=5112044&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%3D21769510%26dopt%3DAbstract CONCLUSION: Dementia is a frequent finding in older in-hospital patients with obstructive airway disease. The majority of subjects with dementia were not able to perform lung function testing. Furthermore, the risk of undertreatment for chronic obstructive airway disease increased. Future guidelines for management of obstructive airway disease must also take into account the special needs and skills of older subjects with dementia. PMID: 21769510 [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=5112044 Sat, 16 Jul 2011 23:00:00 +0100 5112044 http://www.medworm.com/index.php?rid=5112042&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%3D21769511%26dopt%3DAbstract CONCLUSION: A threshold value of 10 kg for manual strength enables the inspiratory flow achievable by elderly patients to be predicted satisfactorily. This is the only parameter which correlates sufficiently with inspiratory flow. Manual strength should be measured in all geriatric patients with COPD and should be taken into account when deciding whether or not to initiate differential treatment. PMID: 21769511 [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=5112042 Sat, 16 Jul 2011 23:00:00 +0100 5112042 http://www.medworm.com/index.php?rid=5112040&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%3D21769512%26dopt%3DAbstract Authors: Stolle C, Wolter A, Roth G, Rothgang H Deficits in quality, a lack of professional process management and, most importantly, neglect of outcome quality are criticized in long-term care. A cluster randomized, controlled trial was conducted to assess whether the Resident Assessment Instrument (RAI) can help to improve or stabilize functional abilities (ADL, IADL) and cognitive skills (MMST), improve quality of life (EQ-5D), and reduce institutionalization, thereby, increasing outcome quality. A total of 69 home care services throughout Germany were included and randomized. The treatment group (n=36) received training in RAI and was supported by the research team during the study (13 months). Comparison of mean differences between the treatment and control groups (n=33) showed ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5112040 Sat, 16 Jul 2011 23:00:00 +0100 5112040 http://www.medworm.com/index.php?rid=5112038&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%3D21769513%26dopt%3DAbstract CONCLUSIONS: The TICS in its modified German version appears to be of acceptable reliability for the assessment of cognitive impairment during a telephone interview. TICS values depend on age and educational level of the person tested. TICS and MMSE correlate only moderately. PMID: 21769513 [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=5112038 Sat, 16 Jul 2011 23:00:00 +0100 5112038 http://www.medworm.com/index.php?rid=5112036&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%3D21769514%26dopt%3DAbstract CONCLUSIONS: Patients in the GD were older and more functionally dependent. The distribution of the risk index CRB-65 shows that these patients were at higher risk, were more often cognitively impaired (not caused by pneumonia), and time to starting antibiotics was longer. However, none of these differences had an influence on total mortality. The results are limited by the number of patients, potential differences of the treatment groups, and the quality of data in general as a result of a quality improvement program. PMID: 21769514 [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=5112036 Sat, 16 Jul 2011 23:00:00 +0100 5112036 http://www.medworm.com/index.php?rid=5019385&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%3D21732154%26dopt%3DAbstract Authors: Ebert S, Schweiger KP, Nau R An 85-year-old man with myasthenia gravis was successfully treated with methotrexate (10 mg/week), pyridostigmine and prednisolone (0-30 mg/day) for over 10 years. Then, he developed dysphagia and lost weight. Gastroscopy revealed Candida esophagitis. The patient received nystatin for 2 weeks. Methotrexate was stopped, and immunosuppressive therapy was continued with prednisolone alone. The patient has now remained in good condition for over 1 year. Although dysphagia is a typical symptom of myasthenia gravis, swallowing disturbances should not be attributed hastily to this disease, since they may also be a complication of therapy. PMID: 21732154 [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=5019385 Wed, 06 Jul 2011 23:00:00 +0100 5019385 http://www.medworm.com/index.php?rid=5019384&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%3D21732155%26dopt%3DAbstract CONCLUSIONS: The mortality rate in the early rehabilitation course in this preliminary and observational study was relatively low and may be explained by both the exclusion of patients not surviving the first week of treatment and an effective inclusion algorithm. The high overall 6 month mortality rate may also be explained by the selection of patients focusing on those severely functionally impaired. This subpopulation of elderly inpatients in acute care units reveals a high vulnerability to critical incidents. Besides scale effects there is also a remarkable variability in the 6 month postdischarge course pointing to heterogeneity and different patterns concerning the time course of functionality. PMID: 21732155 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontolo... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=5019384 Wed, 06 Jul 2011 23:00:00 +0100 5019384 http://www.medworm.com/index.php?rid=4971722&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%3D21678131%26dopt%3DAbstract Authors: Simm A The slow procession of the primary mechanisms of aging lead, at first, to unnoticed changes in the vascular system. Endothelial dysfunction is one of the earliest markers in aging vessels, caused by oxidative stress via the reduction of the availability of NO, on the one hand, and the nitrosylation of proteins, on the other hand. At the same time, glycation of the proteins of the extracellular matrix leads to stiffening of the vessel wall. Together with the loss of elastic fibers, e.g., elastin, this leads to the age-related changes of the vessels. Knowledge of these primary mechanisms of aging may lead to the development of new drugs. PMID: 21678131 [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=4971722 Tue, 31 May 2011 23:00:00 +0100 4971722 http://www.medworm.com/index.php?rid=4971721&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%3D21678132%26dopt%3DAbstract Authors: Bahrmann A, Bahrmann P, Zeyfang A, Oster P The treatment of cardiovascular diseases in diabetic geriatric patients needs an individual risk-benefit analysis. The overtreatment of hyperglycemia in the sense of metabolic control that is too tight (HbA(1)c level <6%) may lead to increased mortality. As a rule, the target HbA(1)c level in geriatric patients with diabetes mellitus should be between 7 and 8%. PMID: 21678132 [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=4971721 Tue, 31 May 2011 23:00:00 +0100 4971721 http://www.medworm.com/index.php?rid=4971720&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%3D21678133%26dopt%3DAbstract Z Gerontol Geriatr. 2011 Jun;44(3):205-208 Authors: PMID: 21678133 [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=4971720 Tue, 31 May 2011 23:00:00 +0100 4971720 http://www.medworm.com/index.php?rid=4877195&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%3D21573696%26dopt%3DAbstract Authors: Fischer D, Dettmer-Flügge A, Thiesemann R, Gogol M The incidence of chronic heart failure rises with increasing age as does the proportion of diastolic dysfunction in comparison to heart failure with reduced systolic ejection fraction. Symptoms are less specific, such as fatigue, which makes a diagnosis more difficult but classification and diagnostic work-up are the same as in younger patients. Regarding therapy there is less data because the typical study population does not include geriatric patients with multimorbidity. Nevertheless ACE inhibitors, angiotensin receptor blockers, aldosterone antagonists, diuretics and digoxin should also be used in geriatric patients considering indications and contraindications and especially interactions with co-morbidities and other pre... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4877195 Sat, 14 May 2011 23:00:00 +0100 4877195 http://www.medworm.com/index.php?rid=4877194&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%3D21573697%26dopt%3DAbstract Authors: Gogol M, Thiesemann R PMID: 21573697 [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=4877194 Sat, 14 May 2011 23:00:00 +0100 4877194 http://www.medworm.com/index.php?rid=4877193&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%3D21573908%26dopt%3DAbstract This article provides an overview on the diagnosis of MI in elderly patients. PMID: 21573908 [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=4877193 Sat, 14 May 2011 23:00:00 +0100 4877193 http://www.medworm.com/index.php?rid=4877192&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%3D21607796%26dopt%3DAbstract Authors: Blommers E, Klimek M, Hartholt KA, van der Cammen TJ, Klein J, Noordzij PG Nearly 60% of the Dutch population undergoing surgery is aged 65 years and over. Older patients are at increased risk of developing perioperative complications (e.g., myocardial infarction, pneumonia, or delirium), which may lead to a prolonged hospital stay or death. Preoperative risk stratification calculates a patient's risk by evaluating the presence and extent of frailty, pathophysiological risk factors, type of surgery, and the results of (additional) testing. Type of anesthesia, fluid management, and pain management affect outcome of surgery. Recent developments focus on multimodal perioperative care of the older patient, using minimally invasive surgery, postoperative anesthesiology rounds, and... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4877192 Sat, 14 May 2011 23:00:00 +0100 4877192 http://www.medworm.com/index.php?rid=4877191&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%3D21607797%26dopt%3DAbstract Authors: Schmidt D, Kwetkat A, Gogol M Ageing shows a high interindividual and intraindividual variability. Subclinical and clinical cardiovascular diseases accelerate the ageing process in part and in total. This leads to the idea that ageing is a result of a chronic inflammation process and to the term "inflammageing". A variety of biomarkers (e.g. C-reactive protein, interleukin-6, tumor necrosis factor alpha, fibrinogen, albumin and serum amyloid A) are described in this context. Furthermore there is a relationship to changes in the immune system across the lifespan (immunosenescence), viral infections, the occurrence of markers of oxidative stress and genetic changes. At this point in time the role for determining ageing and its use as a prognostic tool seems to be impossible. Whe... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4877191 Sat, 14 May 2011 23:00:00 +0100 4877191 http://www.medworm.com/index.php?rid=4770495&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%3D21512854%26dopt%3DAbstract Authors: Thönnes M, Jakoby NR There is a great discrepancy in society between the number of people that prefer to die within their home and the number of cases where this wish actually becomes reality. The most frequent place of dying in Western societies is not the home but an institution, such as a hospital or nursing home. But what is the actual distribution of places of dying? Can we identify social patterns of dying related to the various places of dying? The article provides a theoretical and empirical overview of place of dying as a social phenomenon. Contemporary discourse on the institutionalization of dying is subjected to critical scrutiny in light of the state of the art of research. PMID: 21512854 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontolog... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4770495 Fri, 22 Apr 2011 23:00:00 +0100 4770495 http://www.medworm.com/index.php?rid=4770502&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%3D21505936%26dopt%3DAbstract CONCLUSION: The frequency of the clinical construct "terminal phase of life" varies in geriatric units between 9% and 30%. This clinical construct is significantly associated with increased in-hospital mortality. Therefore, this construct possesses external validity. Further studies are needed in order to assess the significance of such a clinical judgment, the associations with clinical burdens of symptoms, and the supply structure required to cover the needs of patients and their families. PMID: 21505936 [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=4770502 Wed, 20 Apr 2011 23:00:00 +0100 4770502 http://www.medworm.com/index.php?rid=4770501&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%3D21505937%26dopt%3DAbstract CONCLUSION: Compared to international figures, the prevalence of pressure ulcers in German nursing homes is very low. PMID: 21505937 [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=4770501 Wed, 20 Apr 2011 23:00:00 +0100 4770501 http://www.medworm.com/index.php?rid=4770500&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%3D21505938%26dopt%3DAbstract Authors: Pöthig D, Gerdes W, Viol M, Wagner P, Simm A The demand and requirements for valid, practicable, and reliable procedures for age diagnosis are increasing worldwide. In contrast, few studies and only a small number of procedures exist. The authors review the theoretical and methodological requirements for the development of models for age diagnostics. They describe the fundamentals for further studies, based on an analysis of current gerontological research in this area. A following publication will report the valid systems measuring vitality and biofunctional age(ing) of human beings. PMID: 21505938 [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=4770500 Wed, 20 Apr 2011 23:00:00 +0100 4770500 http://www.medworm.com/index.php?rid=4770499&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%3D21505939%26dopt%3DAbstract Authors: Merkert J, Butz S, Nieczaj R, Steinhagen-Thiessen E, Eckardt R Strokes are a leading cause of disability, immobility, and reduced ability to perform activities of daily living (ADLs) among the elderly. Balance and postural control are often affected in stroke patients. Physical therapy for the lower back to improve posture, mobility, and ADLs can be very time consuming. In this randomized, controlled study of 66 geriatric patients (mean age 74.5 years) with stroke-related paresis or hemiplegia, it was demonstrated that stroke patients may benefit more from 3 additional weeks of combined whole body vibration and balance training than from a comprehensive inpatient geriatric rehabilitation program in terms of trunk stability, postural control, and muscle tone. PMID: 21505... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4770499 Wed, 20 Apr 2011 23:00:00 +0100 4770499 http://www.medworm.com/index.php?rid=4770498&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%3D21505940%26dopt%3DAbstract CONCLUSION: The study shows that the LSSWT test is a valid measure for quantifying difficulties in transfer abilities of patients during geriatric rehabilitation. The good correlation between LSSWT test and TUG test indicates good construct validity, but also that the LSSWT test provides additional information. Interrater reliability was moderate; therefore, the training of the supervisors should be re-evaluated. Further research is needed to establish cut-off values for discharge decision and to analyze the use of the LSSWT test in different subgroups. PMID: 21505940 [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=4770498 Wed, 20 Apr 2011 23:00:00 +0100 4770498 http://www.medworm.com/index.php?rid=4770497&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%3D21505941%26dopt%3DAbstract CONCLUSION: No significant differences between short-term outcome after limited craniotomy versus large decompressive craniectomy were found for patients >65 years, and the results indicate that decompressive craniectomy can be accepted as a surgical treatment option for acute traumatic subdural hematoma even in elderly patients. PMID: 21505941 [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=4770497 Wed, 20 Apr 2011 23:00:00 +0100 4770497 http://www.medworm.com/index.php?rid=4770496&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%3D21505942%26dopt%3DAbstract Authors: Nitschke I, Bär C, Hopfenmüller W, Roggendorf H, Stark H, Sobotta B, Reiber T Oral health of long-term care (LTC) residents is often poor. From 30 random German LTC facilities, 242 random residents (Berlin n=75, Northrhine-Westfalia (NRW) n=94, Saxony n=73) (median age: 82 years, female: 78.5%) were interviewed as to their use of dental services, possession of a bonus booklet (BB), and completeness of records. Only 18.6% possessed a BB. Significant regional differences were observed (Berlin=5.3%, NRW=18.1%, Saxony=32.9%) (χ(2) test p<0.01). The number of teeth was higher (Mann-Whitney test p=0.01) and the time since last dental visit shorter (p<0.01) for all residents with a BB. Only 18.6% of people possessing a BB declared not having had a dental appointment withi... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4770496 Wed, 20 Apr 2011 23:00:00 +0100 4770496 http://www.medworm.com/index.php?rid=4770503&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%3D21503790%26dopt%3DAbstract Authors: Blankenstein FH, Peroz I Sufficient denture hygiene is very important in particular for immunocompromised and bedridden patients to reduce the risk posed by the aspiration of pathogenic microorganisms. In addition to mechanical cleansing, chemical denture cleansers are suitable for daily use at home. However, they continue to be seen as problematic because they are said to damage the denture material. These prejudices are based on studies of products with highly alkaline pH values, which in addition contain strong bleaching agents, e.g., hypochlorite. In Germany, denture cleansing tablets available over the counter belong to the group of neutral or weakly alkaline peroxides and are much less aggressive, which is why no side effects are reported from accidental ingestion. In vi... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4770503 Tue, 19 Apr 2011 23:00:00 +0100 4770503 http://www.medworm.com/index.php?rid=4720847&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%3D21494928%26dopt%3DAbstract Authors: Sieber C, V Renteln-Kruse W PMID: 21494928 [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=4720847 Thu, 31 Mar 2011 23:00:00 +0100 4720847 http://www.medworm.com/index.php?rid=4720845&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%3D21494929%26dopt%3DAbstract Authors: Weiss B The ongoing epidemiological and demographic developments lead to a greater demand for evidence-based information for the practice in health-care provision. Therefore, it was evaluated whether older patients are playing a role in German guidelines, whether there are guidelines on diseases with particular relevance in old age, whether elderly patients are particularly considered in guidelines, and whether the information available in guidelines is easily retrieved. First, an overview is given on portals for guidelines in Germany with free online access. Then, selected results from an analysis of information specifically considering elderly patients of selected registers are presented. There was a lack of information regarding older patients in all guidelines analyzed, ap... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4720845 Thu, 31 Mar 2011 23:00:00 +0100 4720845 http://www.medworm.com/index.php?rid=4720843&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%3D21494930%26dopt%3DAbstract Authors: Volkert D Nutritional problems and deficiencies are widespread in geriatric institutions. On the other hand, benefits of different interventions to improve the nutritional situation of elderly people - from amelioration of mealtime ambience to the use of artificial nutrition - have been shown in many studies. In recent years, several guidelines and standards have been developed to facilitate the transfer of this scientific knowledge into practice. These are in particular the medical Guidelines for Enteral and Parenteral Nutrition in Geriatrics (DGEM/DGG and ESPEN), the DNQP Expert Standard for qualified nurses, the DGE Quality Standards for dietetic personnel, and the interdisciplinary BUKO-QS Standard. These guidelines and standards provide recommendations for adequate nutrit... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4720843 Thu, 31 Mar 2011 23:00:00 +0100 4720843 http://www.medworm.com/index.php?rid=4720841&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%3D21494931%26dopt%3DAbstract Authors: Frilling B More than half of all patients hospitalized with cardiovascular disease today are older than 75 years. The evidence level for recommendations in cardiovascular guidelines is often low despite the large number of randomized trials. This is especially true for elderly patients who have not been represented well in cardiovascular trials. All efforts should be made to establish a database sufficient for treatment recommendations in the growing group of elderly patients with cardiovascular diseases. PMID: 21494931 [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=4720841 Thu, 31 Mar 2011 23:00:00 +0100 4720841 http://www.medworm.com/index.php?rid=4720834&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%3D21494932%26dopt%3DAbstract [Evidence-based medicine : Implications from the guideline "non-invasive ventilation" in critically ill elderly patients.] Z Gerontol Geriatr. 2011 Apr;44(2):103-108 Authors: Heppner HJ, Singler K, Sieber CC, Christ M, Heirler F, Schönhofer B The demographic shift means that there are an increasing number of elderly critically ill patients with various comorbidities. This very specific group needs particular treatment which has not been considered sufficiently in medical guidelines so far. To improve health care, it is indispensable not only to work out the current guidelines, but aspects of geriatric medicine must also be integrated into future developments. Using the example of the recent guideline "non-invasive ventilation," it is shown how the process of designing and impl... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4720834 Thu, 31 Mar 2011 23:00:00 +0100 4720834 http://www.medworm.com/index.php?rid=4720832&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%3D21494933%26dopt%3DAbstract Z Gerontol Geriatr. 2011 Apr;44(2):121-128 Authors: PMID: 21494933 [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=4720832 Thu, 31 Mar 2011 23:00:00 +0100 4720832 http://www.medworm.com/index.php?rid=4720830&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%3D21494934%26dopt%3DAbstract Authors: Gogol M PMID: 21494934 [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=4720830 Thu, 31 Mar 2011 23:00:00 +0100 4720830 http://www.medworm.com/index.php?rid=4720815&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%3D21494935%26dopt%3DAbstract Z Gerontol Geriatr. 2011 Apr;44(2):131-134 Authors: PMID: 21494935 [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=4720815 Thu, 31 Mar 2011 23:00:00 +0100 4720815 http://www.medworm.com/index.php?rid=4545294&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%3D21359630%26dopt%3DAbstract Authors: Schaeffer D PMID: 21359630 [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=4545294 Tue, 01 Feb 2011 00:00:00 +0100 4545294 http://www.medworm.com/index.php?rid=4545293&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%3D21359631%26dopt%3DAbstract This article gives an overview of the importance of biographical work in caring for people with dementia. In particular, the role and arrangement of biographical work in the DEMIAN concept are described. Within the anamnesis of the DEMIAN concept, meaningful themes are identified in conversations with different participants (person with dementia, reference persons, and care workers) and through observations. From these findings, specific interventions, aimed at supporting emotional well-being of people with dementia, are derived and integrated into everyday nursing care to promote emotional well-being. The potential of the DEMIAN nursing concept are discussed and further possibilities are highlighted. PMID: 21359631 [PubMed - as supplied by publisher] (Source: Zeitschrift fur Gerontolo... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4545293 Tue, 01 Feb 2011 00:00:00 +0100 4545293 http://www.medworm.com/index.php?rid=4545292&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%3D21359632%26dopt%3DAbstract This report describes the saba study. We used the method of storytelling as a self-help oriented intervention strategy within the group of Turkish persons in need of care and their relatives who provide care. Health mediators facilitated weekly group meetings of Turkish family caregivers. During these meetings, the family caregivers talked to each other about their experiences. By sharing their stories, they increased their knowledge and information. The intervention encourages empowerment and self-management of Turkish people in need of care and their family caregivers. The study helps Turkish persons in need of care and their family caregivers to obtain knowledge and lower the barriers for access to the German Healthcare System. PMID: 21359632 [PubMed - as supplied by publisher] (Sou... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4545292 Tue, 01 Feb 2011 00:00:00 +0100 4545292 http://www.medworm.com/index.php?rid=4545291&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%3D21359633%26dopt%3DAbstract This report describes the intervention program and gives an overview on the results of the trial and other experiences with its implementation and utilization. PMID: 21359633 [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=4545291 Tue, 01 Feb 2011 00:00:00 +0100 4545291 http://www.medworm.com/index.php?rid=4545290&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%3D21359634%26dopt%3DAbstract Authors: Gogol M PMID: 21359634 [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=4545290 Tue, 01 Feb 2011 00:00:00 +0100 4545290 http://www.medworm.com/index.php?rid=4545289&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%3D21359635%26dopt%3DAbstract Z Gerontol Geriatr. 2011 Feb;44(1):73-74 Authors: PMID: 21359635 [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=4545289 Tue, 01 Feb 2011 00:00:00 +0100 4545289 http://www.medworm.com/index.php?rid=4420111&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%3D21279371%26dopt%3DAbstract Authors: Müller-Mundt G, Schaeffer D In later stages of chronic disease and especially in older age, chronically ill people are often dependent on multiple medicines. Coming to terms with complex medication regimes in everyday life is a challenging task. To provide the support actually needed, patient-centered interventions are essential, not only taking into account the patients' needs and preferences, but also promoting their ability to self manage their disease(s) and their medication regime. This paper outlines the results of a research project aimed at developing and evaluating an intervention to integrate self-management support into primary care, based on a qualitative exploration of the patients' and professionals' views. The findings stress that home care nurses should take a... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4420111 Sun, 30 Jan 2011 00:00:00 +0100 4420111 http://www.medworm.com/index.php?rid=4420110&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%3D21279372%26dopt%3DAbstract Authors: Vollmar HC, Georgieff P, Cuhls K PMID: 21279372 [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=4420110 Sun, 30 Jan 2011 00:00:00 +0100 4420110 http://www.medworm.com/index.php?rid=4287268&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%3D21161244%26dopt%3DAbstract CONCLUSION: The results of the PRISCUS research consortium will enable an epidemiologic characterization and description of consequences of multimorbidity, while illustrating new approaches towards prevention, diagnosis, and management of multimorbid patients. With this, some prerequisites for a new health care model for patients with multimorbidity comparable to the Chronic Care Model will be fulfilled. PMID: 21161244 [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=4287268 Thu, 16 Dec 2010 00:00:00 +0100 4287268 http://www.medworm.com/index.php?rid=4287267&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%3D21161245%26dopt%3DAbstract CONCLUSION: Consultancy services for people in need of care and informal caregivers require detailed knowledge about local care services and, therefore, should be integrated into the neighborhoods of the users. PMID: 21161245 [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=4287267 Thu, 16 Dec 2010 00:00:00 +0100 4287267 http://www.medworm.com/index.php?rid=4228097&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%3D21125372%26dopt%3DAbstract CONCLUSION: Patients ≥75 years are less often referred to the ICU at the EOL as compared to patients <75 years old. However, the risk of dying in the ICU was only lower for elderly with cancer and for those admitted to the geriatric ward. PMID: 21125372 [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=4228097 Wed, 01 Dec 2010 00:00:00 +0100 4228097 http://www.medworm.com/index.php?rid=4228096&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%3D21125373%26dopt%3DAbstract Authors: Schnell MW Old age is nowadays defined as very old and people are characterized by illness, degeneration and health costs. Ethics in this case have to be healthcare ethics, which accept the challenge to lead people in old age through the healthcare point of view and demonstrate how to integrate their wisdom into culture and society. PMID: 21125373 [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=4228096 Wed, 01 Dec 2010 00:00:00 +0100 4228096 http://www.medworm.com/index.php?rid=4228095&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%3D21125374%26dopt%3DAbstract Z Gerontol Geriatr. 2010 Dec;43(6):413-414 Authors: PMID: 21125374 [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=4228095 Wed, 01 Dec 2010 00:00:00 +0100 4228095 http://www.medworm.com/index.php?rid=4205673&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%3D21103991%26dopt%3DAbstract CONCLUSION: One of the challenges for the years to come will be to develop palliative care structures adapted to the needs of the elderly in Europe, but also to improve the education of health professionals in this field. PMID: 21103991 [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=4205673 Sat, 20 Nov 2010 00:00:00 +0100 4205673 http://www.medworm.com/index.php?rid=4188097&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%3D21085974%26dopt%3DAbstract Authors: Hagg-Grün U, Lukas A, Sommer BN, Klaiber HR, Nikolaus T To integrate palliative care patients into an acute geriatric ward requires extensive and continuous education and preparation of all participating professionals. It can be a lengthy process to integrate palliative care concepts despite cooperation of the hospital administration. The group of patients to be integrated differs from the patients of regular geriatric wards because of a higher percentage of relatively young oncologic patients and they differ from a regular palliative ward because about 50% are non-oncologic patients, while the average age is much higher than in normal palliative care. It is possible to integrate specialized palliative care into a regular geriatric ward. Patients admitted without palliative i... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4188097 Fri, 19 Nov 2010 00:00:00 +0100 4188097 http://www.medworm.com/index.php?rid=4159352&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%3D21057800%26dopt%3DAbstract CONCLUSION: There are clinically relevant differences between oncologic and non-oncologic palliative geriatric inpatients regarding the constellation of symptoms, care, mortality, and the prevalence of concerns about hydration and feeding. These differences ought to be taken into account for further education, as well as further improvement of the healthcare system, to enable an appropriate standard of palliative care for geriatric patients. PMID: 21057800 [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=4159352 Sun, 07 Nov 2010 00:00:00 +0100 4159352 http://www.medworm.com/index.php?rid=4098897&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%3D20967451%26dopt%3DAbstract Authors: Nikolaus T, Pfisterer M PMID: 20967451 [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=4098897 Thu, 21 Oct 2010 23:00:00 +0100 4098897 http://www.medworm.com/index.php?rid=4098896&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%3D20967452%26dopt%3DAbstract Authors: Trampisch U, Platen P, Burghaus I, Moschny A, Wilm S, Thiem U, Hinrichs T A questionnaire (Q) to measure physical activity (PA) of persons ≥70 years for epidemiological research is lacking. The aim was to develop the PRISCUS-PAQ and test the reliability in community-dwelling people (≥70 years). Validated PA questionnaires were translated and adapted to design the PRISCUS-PAQ. Its test-retest reliability for 91 randomly selected people (36% men) aged 70-98 (76±5) years ranged from 0.47 (walking) to 0.82 (riding a bicycle). The overall activity score was 0.59 as determined by the intraclass correlation coefficient (ICC). Recording of general activities, e.g., housework (ICC=0.59), was in general less reliable than athletic activities, e.g., gymnastics (ICC=0.76). Th... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=4098896 Wed, 20 Oct 2010 23:00:00 +0100 4098896 http://www.medworm.com/index.php?rid=4082577&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%3D20957483%26dopt%3DAbstract CONCLUSION: The study showed not only the diversity of the stationary nursing homes in a large city, but also their resources and limitations. PMID: 20957483 [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=4082577 Tue, 19 Oct 2010 23:00:00 +0100 4082577 http://www.medworm.com/index.php?rid=4082581&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%3D20953752%26dopt%3DAbstract Authors: Gogol M PMID: 20953752 [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=4082581 Thu, 30 Sep 2010 23:00:00 +0100 4082581 http://www.medworm.com/index.php?rid=4082580&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%3D20953753%26dopt%3DAbstract Authors: PMID: 20953753 [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=4082580 Thu, 30 Sep 2010 23:00:00 +0100 4082580 http://www.medworm.com/index.php?rid=4082579&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%3D20953754%26dopt%3DAbstract Z Gerontol Geriatr. 2010 Oct;43(5):343-350 Authors: PMID: 20953754 [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=4082579 Thu, 30 Sep 2010 23:00:00 +0100 4082579 http://www.medworm.com/index.php?rid=3943790&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%3D20821333%26dopt%3DAbstract CONCLUSIONS: Results will be presented in a future publication. In particular it will be demonstrated whether the consultation guide can strengthen the position of older patients in the doctor-patient relationship, increase the level of information on both sides, and contribute to a shared and holistic treatment planning. PMID: 20821333 [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=3943790 Tue, 07 Sep 2010 23:00:00 +0100 3943790 http://www.medworm.com/index.php?rid=3935472&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%3D20809281%26dopt%3DAbstract Authors: Reitinger E, Pleschberger S, Schumann F Community based housing for people with dementia is gaining importance. In co-operation between the people concerned, their relatives, professionals and volunteers, person-centred care, nursing and guidance can be realised within small units. Questions regarding end of life, dying, grief and the role of palliative care form the basis of the exploratory qualitative study presented here. Coping with end of life, ethical decisions and the relevance of hospice and palliative care in the field are highlighted. The results of the study show that "shared flats for people with dementia" are good places for death and dying. Close relationships, good communication with relatives and highly motivated professionals can be regarded as powerful resour... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3935472 Wed, 01 Sep 2010 23:00:00 +0100 3935472 http://www.medworm.com/index.php?rid=3935471&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%3D20809282%26dopt%3DAbstract CONCLUSION: The prevalence of frailty is high among the cohort of elderly persons seen by a GP. Routine frailty assessment will help to direct preventive and therapeutic interventions. PMID: 20809282 [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=3935471 Wed, 01 Sep 2010 23:00:00 +0100 3935471 http://www.medworm.com/index.php?rid=3886984&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%3D20721669%26dopt%3DAbstract Authors: Sulmann D All citizens have the right to dignified and respectful social care and assistance. The state and society as a whole have the responsibility to guarantee the realization of these rights. However, the question arises what is dignified and respectful long-term care and assistance for the individual? One possible answer is given by the German Charter of Rights for people in need of long-term care and assistance. The charter summarizes existing books of law such as the German Federal Constitution or the European Social Charter and translates them into a specific context of long-term care. It is written in a language easily understood by everyone and reflects the central situation of people in need of long-term care and assistance. It sets an explicit benchmark for health... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3886984 Thu, 19 Aug 2010 23:00:00 +0100 3886984 http://www.medworm.com/index.php?rid=3696341&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%3D20571814%26dopt%3DAbstract Authors: Röhr-Sendlmeier UM, Linscheidt J, Vogelsberg S Are people beyond the age of 60 years able to learn complex linguistic structures as successfully as younger people, if their educational backgrounds are similar? Can facilitating factors for learning be identified? A sample of 321 well-educated subjects aged between 15 and 79 years were given identical fictional texts containing systematic stylistic features, subdivided into three different conditions inducing explicit, implicit or incidental learning. The oldest group of 60-79 year olds showed no differences in learning results or in the ability to verbalize the stylistic features compared to the younger groups, neither in the overall results nor under the different learning conditions. For the additional analysis of factors ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3696341 Wed, 23 Jun 2010 23:00:00 +0100 3696341 http://www.medworm.com/index.php?rid=3696340&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%3D20571815%26dopt%3DAbstract Authors: Schmitz G, Hayder D, Braumann A, Müller M, Saxer S The German expert standard "Promotion of urinary continence in nursing" was developed and implemented to support nursing practice. The group of experts involved identified the assessment of (in)continence situations and the evaluation of outcomes as a central problem for successful continence care. They, therefore, developed an assessment instrument in the German language, namely six continence profiles, to help differentiate between continence and incontinence. It also takes into account the extent to which the relevant situation can be promoted or compensated by the application of measures, on the one hand, and independently or dependent on nursing staff assistance, on the other hand. The profiles were developed based on ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3696340 Wed, 23 Jun 2010 23:00:00 +0100 3696340 http://www.medworm.com/index.php?rid=3557413&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%3D20458485%26dopt%3DAbstract Authors: Nikolaus T PMID: 20458485 [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=3557413 Tue, 11 May 2010 23:00:00 +0100 3557413 http://www.medworm.com/index.php?rid=3547082&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%3D20449596%26dopt%3DAbstract CONCLUSION: The studies conducted to date provide only little evidence for the efficacy of the approaches for dementia care considered in this review. However, only few methodologically robust studies could be identified for this review which highlights the need for more interventional studies. PMID: 20449596 [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=3547082 Fri, 07 May 2010 23:00:00 +0100 3547082 http://www.medworm.com/index.php?rid=3487571&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%3D20401505%26dopt%3DAbstract CONCLUSION: The treatment of geriatric patients with diabetes mellitus requires individual considerations and interdisciplinary care. Particularly the continuing education of geriatric nurses could contribute to improved diabetes treatment quality in nursing home residents. PMID: 20401505 [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=3487571 Sat, 17 Apr 2010 23:00:00 +0100 3487571 http://www.medworm.com/index.php?rid=3457759&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%3D20379726%26dopt%3DAbstract Authors: Ulusoy N, Gräßel E Family members caring for relatives at home are often under great stress. Numerous studies have shown that taking care of a chronically ill family member may have negative effects on physical and emotional health. Frequent symptoms observed in family caregivers are insomnia, joint pain, physical exhaustion, and depression. There are, as yet, no definitive empirical studies in Germany on the subjective burden of family caregivers in Turkish families and on their specific needs for help, although their numbers are increasing exponentially. The statement based on the low rate of use of professional care by Turkish families in Germany that there is great willingness among Turkish families to take care of family members at home - a self-evident part of ... Zeitschrift fur Gerontologie und Geriatrie journals http://www.medworm.com/rss/comments.php?id=3457759 Fri, 09 Apr 2010 23:00:00 +0100 3457759 http://www.medworm.com/index.php?rid=3454350&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%3D20372913%26dopt%3DAbstract In conclusion, psychogeriatric patients with advanced dementia are in need of a substantial amount of general medical care. PMID: 20372913 [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=3454350 Wed, 07 Apr 2010 23:00:00 +0100 3454350 http://www.medworm.com/index.php?rid=3435639&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%3D20361195%26dopt%3DAbstract CONCLUSION: Because of its influence on various physical, mental, and social aspects, physical activity can help a person to cope with mental challenges in the transition period between occupation and retirement. PMID: 20361195 [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=3435639 Fri, 02 Apr 2010 23:00:00 +0100 3435639 http://www.medworm.com/index.php?rid=3429950&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%3D20354860%26dopt%3DAbstract Authors: Honneth J, Nehen HG, Haseke J ABSTRCT: Alzheimer's disease (AD) is the most frequent form of dementia worldwide. The increasing incidence of AD is due to the dramatic rise in life expectancy. Generally, AD shows a multifactorial etiology and manifests itself only at an older age. However, a small percentage of cases have a monogenic cause, are inherited as an autosomal dominant trait, and begin much earlier. In these cases, molecular analysis and genetic consultation may make sense. PMID: 20354860 [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=3429950 Wed, 31 Mar 2010 23:00:00 +0100 3429950 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=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=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