MedWorm: Geriatrics

Alzheimer's Society and Bupa unite to improve lives of people with dementia

Alzheimers Society — Fri, 20 Nov 2009 14:19:15 +0100

Bupa and Alzheimer's Society have today officially marked their joint commitment to the shared goal of improving the quality of care for people living with dementia. Their partnership was marked by signing a memorandum of understanding (Source: Alzheimers Society)

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Report on the prescribing of anti-psychotic drugs to people...

Older People's NSF Newsfeed — Fri, 20 Nov 2009 14:18:11 +0100

An independent review undertaken by the Minister for State... (Source: Older People's NSF Newsfeed)

Surgery Not Linked To Memory Problems In Older Patients

Alzheimer's / Dementia News From Medical News Today — Fri, 20 Nov 2009 09:00:00 +0100

For years, it has been widely assumed that older adults may experience memory loss and other cognitive problems following surgery. But a new study from researchers at Washington University School of Medicine in St. Louis questions those assumptions. In fact, the researchers were not able to detect any long-term cognitive declines attributable to surgery in a group of 575 patients they studied. (Source: Alzheimer's / Dementia News From Medical News Today)

Saliva Proteins Change As Women Age

Seniors / Aging News From Medical News Today — Fri, 20 Nov 2009 08:00:00 +0100

In a step toward using human saliva to tell whether those stiff joints, memory lapses, and other telltale signs of aging are normal or red flags for disease, scientists are describing how the protein content of women's saliva change with advancing age. The discovery could lead to a simple, noninvasive test for better diagnosing and treating certain age-related diseases in women, they suggest in a report in ACS' Journal of Proteome Research, a monthly publication. (Source: Seniors / Aging News From Medical News Today)

Residential Design For Persons With Neurological Disability

Seniors / Aging News From Medical News Today — Fri, 20 Nov 2009 08:00:00 +0100

IOS Press announces the November 2009 publication of a special issue of NeuroRehabilitation: An International Journal devoted to residential design for persons with neurodisability. (Source: Seniors / Aging News From Medical News Today)

FDA Panel Rejects Cell Culture Flu Vaccine, Wants More Safety Data

MedPage Today Geriatrics — Thu, 19 Nov 2009 23:26:51 +0100

BETHESDA, Md. (MedPage Today) -- With members citing unanswered safety questions, an FDA advisory panel today narrowly rejected approval of the nation's first cell-based influenza vaccine -- an alternative to vaccines produced by the traditional, time-consuming method of growing the virus in eggs. (Source: MedPage Today Geriatrics)

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Is hyperkyphosis associated with increased mortality in the elderly population?

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:09:47 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 727-728. (Source: Future Medicine: Aging Health)

Optic disc image in advanced age-related macular degeneration

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:04:16 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 733-741. (Source: Future Medicine: Aging Health)

Effects of aging on the adaptive immune response to respiratory virus infections

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:04:11 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 775-787. (Source: Future Medicine: Aging Health)

Wound healing in older adults

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:04:06 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 851-866. (Source: Future Medicine: Aging Health)

Acknowledgements

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:04:03 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 873-873. (Source: Future Medicine: Aging Health)

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Bulletin Board

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:03:56 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 729-731. (Source: Future Medicine: Aging Health)

Lung transplantation in the older adult

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:03:52 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 789-798. (Source: Future Medicine: Aging Health)

Evaluation and management of osteoporosis and fragility fractures in the elderly

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:03:44 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 833-850. (Source: Future Medicine: Aging Health)

Stem cell therapy for age-related retinal disease

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:03:39 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 799-811. (Source: Future Medicine: Aging Health)

Community-acquired pneumonia in elderly patients

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:03:33 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 763-774. (Source: Future Medicine: Aging Health)

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Management of visual impairment in older people: what can the nurse do?

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:03:03 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 821-832. (Source: Future Medicine: Aging Health)

Bacteremia in the elderly

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:02:51 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 743-751. (Source: Future Medicine: Aging Health)

Age-related vision loss: cataract

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:01:37 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 813-819. (Source: Future Medicine: Aging Health)

Treatment of Clostridium difficile infection in older adults

Future Medicine: Aging Health — Thu, 19 Nov 2009 17:00:21 +0100

Aging Health , December 2009, Vol. 5, No. 6, Pages 753-761. (Source: Future Medicine: Aging Health)

FDA Panel Considers New Cell-Based Flu Vaccine

MedPage Today Geriatrics — Thu, 19 Nov 2009 15:58:44 +0100

BETHESDA, Md. (MedPage Today) -- A Food and Drug Administration (FDA) panel is considering approval of the nation's first cell-based influenza vaccine -- an alternative to vaccines produced by the traditional, time-consuming method of growing the virus in eggs. (Source: MedPage Today Geriatrics)

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Seniors Struggle With Drug Costs While Congress Debates Medicare 'Doughnut Hole"

Seniors / Aging News From Medical News Today — Thu, 19 Nov 2009 14:00:00 +0100

Minnesota Public Radio reports: "Since 2006, senior citizens have been able to choose plans for Medicare prescription drug coverage, but that coverage contains a gap known as the 'doughnut hole,' a gap that health care reform plans being debated in Congress would address." "Under the House health care bill, Medicare would eliminate the gap within a decade. (Source: Seniors / Aging News From Medical News Today)

Epiphany Announces Positive Results From Its Phase 2b Trial In Shingles

Seniors / Aging News From Medical News Today — Thu, 19 Nov 2009 11:00:00 +0100

Epiphany Biosciences announced results from its Phase 2b dose-ranging study of EPB-348 (valomaciclovir) in patients with shingles (herpes zoster) infection. The study's primary endpoint was non-inferiority of once-daily valomaciclovir compared to thrice-daily valacyclovir in terms of time to complete crusting of the shingles rash. (Source: Seniors / Aging News From Medical News Today)

Scientists Find Molecular Trigger That Helps Prevent Aging And Disease

Seniors / Aging News From Medical News Today — Thu, 19 Nov 2009 10:00:00 +0100

Researchers at Mount Sinai School of Medicine set out to address a question that has been challenging scientists for years: How do dietary restriction-and the reverse, overconsumption-produce protective effects against aging and disease? An answer lies in a two-part study led by Charles (Source: Seniors / Aging News From Medical News Today)

New Nursing Education Standards Address The Care Of People With Dementia

Alzheimer's / Dementia News From Medical News Today — Thu, 19 Nov 2009 09:00:00 +0100

The NMC has been addressing many of the issues raised in the Alzheimer's society report Counting the Cost: caring for people with dementia on hospital wards as part of our review of pre-registration nursing education. Our review, which recently highlighted the need for future nurses to be educated to degree level, will help to prepare them for the challenges of caring for people with dementia. (Source: Alzheimer's / Dementia News From Medical News Today)

Free Personal Care For Older People In Their Own Home, UK

Alzheimer's / Dementia News From Medical News Today — Thu, 19 Nov 2009 09:00:00 +0100

Alzheimer's Society has today welcomed the recognition of people with dementia in the Queen's speech and called for dementia to be a priority for all political parties. Responding to proposals to give people with the highest needs free personal care, Alzheimer's Society called for more detail and warned that both money and improved quality of home care was needed to make proposals a success. (Source: Alzheimer's / Dementia News From Medical News Today)

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Collaboration With University Of Washington Aims To Prevent Dementia, Including Alzheimer's

Alzheimer's / Dementia News From Medical News Today — Thu, 19 Nov 2009 09:00:00 +0100

Every two years, 2,000 senior Group Health patients check in with the Adult Changes in Thought (ACT) study. The joint project between Group Health Research Institute and the University of Washington (UW) focuses on finding ways to delay or prevent dementia, including Alzheimer's disease, and declines in memory and thinking. It aims to deepen understanding of how the body - especially the brain - ages. (Source: Alzheimer's / Dementia News From Medical News Today)

New Neuroimaging Analysis Technique Identifies Impact Of Alzheimer's Disease Gene In Healthy Brains

Alzheimer's / Dementia News From Medical News Today — Thu, 19 Nov 2009 08:00:00 +0100

Brain imaging can offer a window into risk for diseases such as Alzheimer's disease (AD). A study conducted at the University of Kansas School of Medicine demonstrated that genetic risk is expressed in the brains of even those who are healthy, but carry some risk for AD. The results of this study are published in the November 2009 issue of the Journal of Alzheimer's Disease. (Source: Alzheimer's / Dementia News From Medical News Today)

NC State Researchers Advance Understanding Of Stem Cells

Alzheimer's / Dementia News From Medical News Today — Thu, 19 Nov 2009 08:00:00 +0100

Researchers from North Carolina State University have identified a gene that tells embryonic stem cells in the brain when to stop producing nerve cells called neurons. The research is a significant advance in understanding the development of the nervous system, which is essential to addressing conditions such as Parkinson's disease, Alzheimer's disease and other neurological disorders. (Source: Alzheimer's / Dementia News From Medical News Today)

Parental Monitoring Can Curb Teen Marijuana Use

MedicineNet Senior Health General — Thu, 19 Nov 2009 07:00:00 +0100

Title: Parental Monitoring Can Curb Teen Marijuana UseCategory: Health NewsCreated: 11/19/2009 8:10:00 AMLast Editorial Review: 11/19/2009 (Source: MedicineNet Senior Health General)

Health Tip: When Infants Get Diarrhea

MedicineNet Senior Health General — Thu, 19 Nov 2009 07:00:00 +0100

Title: Health Tip: When Infants Get DiarrheaCategory: Health NewsCreated: 11/19/2009 8:10:00 AMLast Editorial Review: 11/19/2009 (Source: MedicineNet Senior Health General)

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Lifelong Exercise Keeps Seniors Young at Heart

MedicineNet Senior Health General — Thu, 19 Nov 2009 07:00:00 +0100

Title: Lifelong Exercise Keeps Seniors Young at HeartCategory: Health NewsCreated: 11/18/2009 4:10:00 PMLast Editorial Review: 11/19/2009 (Source: MedicineNet Senior Health General)

Diuretics Still Best Treatment for High Blood Pressure

MedicineNet Senior Health General — Thu, 19 Nov 2009 07:00:00 +0100

Title: Diuretics Still Best Treatment for High Blood PressureCategory: Health NewsCreated: 11/18/2009 2:10:00 PMLast Editorial Review: 11/19/2009 (Source: MedicineNet Senior Health General)

Newer Blood Thinners May Outperform Old Standbys

MedicineNet Senior Health General — Thu, 19 Nov 2009 07:00:00 +0100

Title: Newer Blood Thinners May Outperform Old StandbysCategory: Health NewsCreated: 11/18/2009 2:10:00 PMLast Editorial Review: 11/19/2009 (Source: MedicineNet Senior Health General)

Morphine May Help Tumors Spread in Cancer Patients

MedicineNet Senior Health General — Thu, 19 Nov 2009 07:00:00 +0100

Title: Morphine May Help Tumors Spread in Cancer PatientsCategory: Health NewsCreated: 11/18/2009 12:10:00 PMLast Editorial Review: 11/19/2009 (Source: MedicineNet Senior Health General)

Study Shows Hospital Report Cards Unlikely to Spur Improvement

MedicineNet Senior Health General — Thu, 19 Nov 2009 07:00:00 +0100

Title: Study Shows Hospital Report Cards Unlikely to Spur ImprovementCategory: Health NewsCreated: 11/18/2009 12:10:00 PMLast Editorial Review: 11/19/2009 (Source: MedicineNet Senior Health General)

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Alcohol May Reduce Men's Heart Risk

MedicineNet Senior Health General — Thu, 19 Nov 2009 07:00:00 +0100

Title: Alcohol May Reduce Men's Heart RiskCategory: Health NewsCreated: 11/19/2009 10:28:00 AMLast Editorial Review: 11/19/2009 10:28:47 AM (Source: MedicineNet Senior Health General)

No Increased Pregnancy Risk for MS Patients

MedicineNet Senior Health General — Thu, 19 Nov 2009 07:00:00 +0100

Title: No Increased Pregnancy Risk for MS PatientsCategory: Health NewsCreated: 11/19/2009 10:42:00 AMLast Editorial Review: 11/19/2009 10:42:22 AM (Source: MedicineNet Senior Health General)

Dual Heart Tests Best for Young Athletes

MedicineNet Senior Health General — Thu, 19 Nov 2009 07:00:00 +0100

Title: Dual Heart Tests Best for Young AthletesCategory: Health NewsCreated: 11/19/2009 10:47:00 AMLast Editorial Review: 11/19/2009 10:47:49 AM (Source: MedicineNet Senior Health General)

Am J Geriatr Psychiatry; +18 new citations

Am J Geriatr Psychia... — Thu, 19 Nov 2009 04:18:02 +0100

18 new pubmed citations were retrieved for your search. Click on the search hyperlink below to display the complete search results: Am J Geriatr Psychiatry These pubmed results were generated on 2009/11/18PubMed, a service of the National Library of Medicine, includes over 15 million citations for biomedical articles back to the 1950's. These citations are from MEDLINE and additional life science journals. PubMed includes links to many sites providing full text articles and other related resources. (Source: Am J Geriatr Psychia...)

News Briefs

American Journal of Alzheimer's Disease and Other Dementias — Thu, 19 Nov 2009 01:03:27 +0100

(Source: American Journal of Alzheimer's Disease and Other Dementias)

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Hospice Access for Individuals With Dementia

American Journal of Alzheimer's Disease and Other Dementias — Thu, 19 Nov 2009 01:03:27 +0100

Involvement in a hospice program is important because it may allow individuals with dementia to delay or prevent institutionalization as well as provide psychosocial support for their families. Once used mostly by patients with a terminal cancer, now more than one half of the hospice patients have diagnoses other than cancer. Yet hospice is still underused for individuals dying with advanced dementia. We conducted a pilot study of hospice agencies to determine barriers and characteristics of dementia hospice enrollment. Using a mailed questionnaire and interview, we looked at demographics, accessibility, training, referral sources, and marketing. Our analysis divided the agencies based on dementia census and availability to non-Medicare eligible individuals. Results showed hospices having ...

The Role of Caregiver Prosody in Conversations With Persons Who Have Alzheimer's Disease

American Journal of Alzheimer's Disease and Other Dementias — Thu, 19 Nov 2009 01:03:27 +0100

This study investigated whether aspects of family caregivers’ prosody (pitch and loudness) would be associated with successful or unsuccessful conversations with spouses who have Alzheimer’s disease (AD). Secondary analysis was conducted of 12 caregivers’ speech when interacting with spouses who have AD. Acoustic analyses were conducted to calculate the fundamental frequency (pitch) and intensity (loudness) of caregivers’ speech. The results showed no significant overall differences between the caregivers’ pitch or loudness in either successful or unsuccessful conversations. However, for 1 subgroup of caregivers, an increase in pitch variation and loudness was associated with unsuccessful communication, whereas for another subgroup the opposite pattern was obs...

Longitudinal Verbal Fluency in Normal Aging, Preclinical, and Prevalent Alzheimer's Disease

American Journal of Alzheimer's Disease and Other Dementias — Thu, 19 Nov 2009 01:03:27 +0100

Conclusion: Greater longitudinal declines in category compared to letter fluency are consistent with cross-sectional studies. Steeper declines on both fluency measures distinguish preclinical AD from cognitively unimpaired individuals. (Source: American Journal of Alzheimer's Disease and Other Dementias)

Progranulin and {beta}-Amyloid Distribution: A Case Report of the Brain From Preclinical PS-1 Mutation Carrier

American Journal of Alzheimer's Disease and Other Dementias — Thu, 19 Nov 2009 01:03:27 +0100

Conclusions: This case report illustrates PGRN accumulation and Aβ aggregation in preclinical PS-1 AD case and raises the question whether this phenomenon coincides with or precedes Aβ aggregation. (Source: American Journal of Alzheimer's Disease and Other Dementias)

The Effect of Multisensory Stimulation on Persons Residing in an Extended Care Facility

American Journal of Alzheimer's Disease and Other Dementias — Thu, 19 Nov 2009 01:03:27 +0100

Conclusion: The use of MSSE, as a non-pharmacological intervention, demonstrates the ability to decrease the number of incidences of disruptive or problematic behavior. The use of these interventions, where feasible, should be considered prior to the use of pharmacological methods. (Source: American Journal of Alzheimer's Disease and Other Dementias)

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Review: Obesity and Alzheimer's Disease: A Link Between Body Weight and Cognitive Function in Old Age

American Journal of Alzheimer's Disease and Other Dementias — Thu, 19 Nov 2009 01:03:27 +0100

Obesity is now a global health hazard. It not only predisposes to an array of risk factors leading to increased morbidity and mortality amongst adults but it also has a major negative impact on children’s health. The deleterious effects of obesity on cardiovascular system have now been well acknowledged. It causes insulin resistance that in turn leads to diabetes, hypertension and cardiovascular abnormalities. The vascular effects of obesity may have a role in the development of a rapidly growing disease of late life, Alzheimer’s disease. The precise mechanisms of the association between adiposity and impairment of cognitive performance remain to be elucidated. However, negative impact of obesity on cognitive function may be, at least in part, due to vascular defects, impaired ...

Review of Issue: Barriers to Hospice in Patients With Alzheimer

American Journal of Alzheimer's Disease and Other Dementias — Thu, 19 Nov 2009 01:03:27 +0100

(Source: American Journal of Alzheimer's Disease and Other Dementias)

Inverse association between insulin resistance and gait speed in nondiabetic older men: Results from the U.S. National Health and Nutrition Examination Survey (NHANES) 1999-2002

BMC Geriatrics — Thu, 19 Nov 2009 00:00:00 +0100

Conclusions: IR is inversely associated with HGS among older men without diabetes. The results suggest that IR, an important indicator of gait function among men, could be further investigated as an intervenable target to prevent walking limitation. (Source: BMC Geriatrics)

FDA Panel Votes in Favor of New Strep Pneumoniae Vaccine

MedPage Today Geriatrics — Wed, 18 Nov 2009 21:39:08 +0100

BETHESDA, Md. (MedPage Today) -- A Food and Drug Administration (FDA) advisory panel has voted to recommend approval of an updated version of the Streptococcus pneumoniae vaccine Prevnar. (Source: MedPage Today Geriatrics)

From Cure to Care: Assessing the Ethical and Professional Learning Needs of Medical Learners in a Care-Based Facility

Gerentology and Geriatrics Educations — Wed, 18 Nov 2009 14:22:01 +0100

(Source: Gerentology and Geriatrics Educations)

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The Glass is Half Full: Geriatric Precepting Encounters in Family Medicine

Gerentology and Geriatrics Educations — Wed, 18 Nov 2009 14:22:01 +0100

(Source: Gerentology and Geriatrics Educations)

Geriatrician Training in the Care of Elders With Intellectual and Other Developmental Disabilities

Gerentology and Geriatrics Educations — Wed, 18 Nov 2009 14:22:01 +0100

(Source: Gerentology and Geriatrics Educations)

California Geriatric Education Center Logic Model: An Evaluation and Communication Tool

Gerentology and Geriatrics Educations — Wed, 18 Nov 2009 14:22:01 +0100

(Source: Gerentology and Geriatrics Educations)

Learning From Internships in Gerontology and Geriatrics: Assessment and Program Evaluation

Gerentology and Geriatrics Educations — Wed, 18 Nov 2009 14:22:01 +0100

(Source: Gerentology and Geriatrics Educations)

Free personal care for older people in their own home

Alzheimers Society — Wed, 18 Nov 2009 14:21:58 +0100

Alzheimer’s Society has today welcomed the recognition of people with dementia in the Queen’s speech and called for dementia to be a priority for all political parties. (Source: Alzheimers Society)

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Wisconsin Town Has Highest Rate Of Living Wills, Lowest Cost Of Care

Seniors / Aging News From Medical News Today — Wed, 18 Nov 2009 13:00:00 +0100

NPR reports on a town in Wisconsin with the highest rates of living wills in the country. "[N]early all adults who die in La Crosse, 96 percent of them, die with a completed advance directive. â€¦ But it's expensive to spend time with patients filling out living wills. Medicare doesn't reimburse for the time the hospital's nurses, chaplains and social workers do this. (Source: Seniors / Aging News From Medical News Today)

Technology To Help Elderly People Stay Healthy At Home

Seniors / Aging News From Medical News Today — Wed, 18 Nov 2009 13:00:00 +0100

In a collaboration between Kaiser Health News and (Source: Seniors / Aging News From Medical News Today)

Minister Brady Opens The Bealtaine Festival 2010 Network Day, Ireland

Seniors / Aging News From Medical News Today — Wed, 18 Nov 2009 12:00:00 +0100

Aine Brady, T.D., Minister for Older People and Health Promotion, yesterday (17 November 2009) officially opened the Bealtaine Festival 2010 Network Day organised by Age and Opportunity. The purpose of the event was to review and plan next years Festival, by giving organisers a chance to network and to learn from each other. The Bealtaine Festival is an Irish success story. (Source: Seniors / Aging News From Medical News Today)

New Technology Drives Therapies For Older Patients, Those With Alzheimer's

Alzheimer's / Dementia News From Medical News Today — Wed, 18 Nov 2009 12:00:00 +0100

Technology advances are making life better for the elderly and those with Alzheimer's disease by allowing the older to stay in their homes and giving the ill a way to interact with society again. Kaiser Health News, in collaboration with (Source: Alzheimer's / Dementia News From Medical News Today)

Analyzing Structural Brain Changes In Alzheimer's Disease

Alzheimer's / Dementia News From Medical News Today — Wed, 18 Nov 2009 09:00:00 +0100

In a study that promises to improve diagnosis and monitoring of Alzheimer's disease, scientists at the University of California, San Diego have developed a fast and accurate method for quantifying subtle, sub-regional brain volume loss using magnetic resonance imaging (MRI). The study is published the week of November 16 in the Proceedings of the National Academy of Sciences (PNAS). (Source: Alzheimer's / Dementia News From Medical News Today)

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New Heart Attack Treatment Guidelines Stress Coordination

MedicineNet Senior Health General — Wed, 18 Nov 2009 07:00:00 +0100

Title: New Heart Attack Treatment Guidelines Stress CoordinationCategory: Health NewsCreated: 11/18/2009 8:10:00 AMLast Editorial Review: 11/18/2009 (Source: MedicineNet Senior Health General)

Heart Failure Drug May Help More in Higher Doses

MedicineNet Senior Health General — Wed, 18 Nov 2009 07:00:00 +0100

Title: Heart Failure Drug May Help More in Higher DosesCategory: Health NewsCreated: 11/17/2009 6:10:00 PMLast Editorial Review: 11/18/2009 (Source: MedicineNet Senior Health General)

Obesity Rolling Back Gains in Heart Health

MedicineNet Senior Health General — Wed, 18 Nov 2009 07:00:00 +0100

Title: Obesity Rolling Back Gains in Heart HealthCategory: Health NewsCreated: 11/17/2009 4:10:00 PMLast Editorial Review: 11/18/2009 (Source: MedicineNet Senior Health General)

Heartburn Drugs Can Thwart Popular Blood Thinner

MedicineNet Senior Health General — Wed, 18 Nov 2009 07:00:00 +0100

Title: Heartburn Drugs Can Thwart Popular Blood ThinnerCategory: Health NewsCreated: 11/17/2009 4:10:00 PMLast Editorial Review: 11/18/2009 (Source: MedicineNet Senior Health General)

Incidence of High Cholesterol Drops in U.S.

MedicineNet Senior Health General — Wed, 18 Nov 2009 07:00:00 +0100

Title: Incidence of High Cholesterol Drops in U.S.Category: Health NewsCreated: 11/17/2009 4:10:00 PMLast Editorial Review: 11/18/2009 (Source: MedicineNet Senior Health General)

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Viagra Helpful for Children With Heart Defect

MedicineNet Senior Health General — Wed, 18 Nov 2009 07:00:00 +0100

Title: Viagra Helpful for Children With Heart DefectCategory: Health NewsCreated: 11/17/2009 4:10:00 PMLast Editorial Review: 11/18/2009 (Source: MedicineNet Senior Health General)

Single-Sex Cardiac Rehab Helps Depressed Women

MedicineNet Senior Health General — Wed, 18 Nov 2009 07:00:00 +0100

Title: Single-Sex Cardiac Rehab Helps Depressed WomenCategory: Health NewsCreated: 11/17/2009 4:10:00 PMLast Editorial Review: 11/18/2009 (Source: MedicineNet Senior Health General)

Weight Loss Surgery Helps Teen's Hearts

MedicineNet Senior Health General — Wed, 18 Nov 2009 07:00:00 +0100

Title: Weight Loss Surgery Helps Teen's HeartsCategory: Health NewsCreated: 11/18/2009 9:55:00 AMLast Editorial Review: 11/18/2009 9:55:16 AM (Source: MedicineNet Senior Health General)

Tween: Child Development

MedicineNet Senior Health General — Wed, 18 Nov 2009 07:00:00 +0100

Title: Tween: Child DevelopmentCategory: Health and LivingCreated: 11/18/2009 10:41:00 AMLast Editorial Review: 11/18/2009 10:41:12 AM (Source: MedicineNet Senior Health General)

Top Ten List of Long-Term Care Facility Preparations for the Upcoming Influenza Season

Journal of the American Geriatrics Society — Wed, 18 Nov 2009 00:00:00 +0100

A novel influenza A partly of virus of swine origin (2009 H1N1) emerged this spring, resulting in an influenza pandemic. This pandemic is anticipated to continue into the next influenza season. Given that the 2009 H1N1 and seasonal influenza A appear to be somewhat different in the human populations affected and that two influenza vaccines will be recommended this fall, those who manage long-term care facilities and treat patients in them will be faced with many uncertainties as they approach the 2009/10 influenza season. Ten specific suggestions are offered to those responsible for the care of patients in long-term care facilities regarding the upcoming influenza season. These practical suggestions are the clinical opinions of the authors and do not represent official recommendations of t...

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The rationale and design of the antihypertensives and vascular, endothelial, and cognitive function (AVEC) trial in elderly hypertensives with early cognitive impairment: Role of the renin angiotensin system inhibition.

BMC Geriatrics — Wed, 18 Nov 2009 00:00:00 +0100

Background: Prior evidence suggests that the renin angiotensin system and antihypertensives that inhibit this system play a role in cognitive, central vascular, and endothelial function. Our objective is to conduct a double-blind randomized controlled clinical trial, the antihypertensives and vascular, endothelial, and cognitive function (AVEC), to compare 1 year treatment of 3 antihypertensives (lisinopril, candesartan, or hydrochlorothiazide) in their effect on memory and executive function, cerebral blood flow, and central endothelial function of seniors with hypertension and early objective evidence of executive or memory impairments. Methods: The overall experimental design of the AVEC trial is a 3-arm double blind randomized controlled clinical trial. A total of 100 community eligibl...

Senators Blame HHS for Mishandling H1N1 Vaccination Effort

MedPage Today Geriatrics — Tue, 17 Nov 2009 23:25:20 +0100

WASHINGTON (MedPage Today) -- Senators on the Homeland Security Committee scolded Health and Human Services Secretary Kathleen Sebelius Tuesday for overly optimistic estimates of pandemic H1N1 flu vaccine supplies. (Source: MedPage Today Geriatrics)

FDA Panel to Vote on Updated Strep pneumoniae Vaccine

MedPage Today Geriatrics — Tue, 17 Nov 2009 17:11:56 +0100

WASHINGTON (MedPage Today) -- A Food and Drug Administration (FDA) advisory panel will decide Wednesday whether to recommend approval of a new version of the popular Streptococcus pneumoniae children's vaccine Prevnar. (Source: MedPage Today Geriatrics)

Poor dementia care in hospitals costing lives and hundreds of millions

Alzheimers Society — Tue, 17 Nov 2009 14:18:14 +0100

People with dementia - who occupy a quarter of all hospital beds - are staying far longer in hospital than people without the condition who go in for the same treatment. (Source: Alzheimers Society)

Cell-Phone Use -- But Not Music -- Reduces Pedestrian Safety

Seniors / Aging News From Medical News Today — Tue, 17 Nov 2009 14:00:00 +0100

Two new studies of pedestrian safety found that using a cell phone while hoofing it can endanger one's health. Older pedestrians, in particular, are impaired when crossing a busy (simulated) street while speaking on a mobile phone, the researchers found. The studies, in which participants crossed a virtual street while talking on the phone or listening to music, found that the music-listeners were able to navigate traffic as well as the average unencumbered pedestrian. (Source: Seniors / Aging News From Medical News Today)

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KHN Column: Will There Be A Market For Gov't Long-Term Care Insurance?

Seniors / Aging News From Medical News Today — Tue, 17 Nov 2009 12:00:00 +0100

In his latest Kaiser Health News column, Howard Gleckman writes about long-term care: "The CLASS Act - the far-reaching proposal to create a national long-term care insurance program - is in the House health reform bill, and is still in the mix as Senate leaders struggle to design their own version of reform. (Source: Seniors / Aging News From Medical News Today)

CMS Report: House Bill Will Raise Health Care Costs, Affect Seniors' Benefits

Seniors / Aging News From Medical News Today — Tue, 17 Nov 2009 11:00:00 +0100

A new report from the Centers for Medicare and Medicaid Services finds that the health overhaul bill passed by the House will raise health costs by approximately $289 billion in the next ten years. The report was requested by House Republicans and compiled by CMS' chief actuary, Richard Foster. The (Source: Seniors / Aging News From Medical News Today)

Researchers To Test First Gene Therapy For Alzheimer's Patients

Alzheimer's / Dementia News From Medical News Today — Tue, 17 Nov 2009 09:00:00 +0100

Mount Sinai School of Medicine is one of 12 sites nationwide participating in the first Phase 2 clinical trial to test gene therapy treatment for Alzheimer's disease. The study is the first multicenter neurosurgical intervention in Alzheimer's research in the U.S. The experimental treatment utilizes a viral-based gene transfer system, CERE-110, that makes Nerve Growth Factor (NGF), a naturally occurring protein that helps maintain nerve cell survival in the brain. (Source: Alzheimer's / Dementia News From Medical News Today)

New Study Identifies Sources For Surgical Complications In Older Patients

Seniors / Aging News From Medical News Today — Tue, 17 Nov 2009 08:00:00 +0100

The elderly are more vulnerable to problems after a major surgical procedure than younger patients, but a team of investigators using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) suggest that one way to improve surgical results in this age group is to have hospitals expand their quality control guidelines to include more types of surgery-related complications. (Source: Seniors / Aging News From Medical News Today)

Poor Dementia Care In Hospitals Costing Lives And Hundreds Of Millions, UK

Alzheimer's / Dementia News From Medical News Today — Tue, 17 Nov 2009 08:00:00 +0100

People with dementia - who occupy a quarter of all hospital beds - are staying far longer in hospital than people without the condition who go in for the same treatment at a cost of hundreds of millions of pounds to the NHS, an Alzheimer's Society report found today (Tuesday, 17 November 2009). Based on research involving 2,400 people, Counting the Cost: caring for people with dementia on hospital wards reveals large, costly variations in the quality of care for people with dementia. (Source: Alzheimer's / Dementia News From Medical News Today)

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U.S. Scores a 'D' on Preterm Birth Report Card

MedicineNet Senior Health General — Tue, 17 Nov 2009 07:00:00 +0100

Title: U.S. Scores a 'D' on Preterm Birth Report CardCategory: Health NewsCreated: 11/17/2009 8:10:00 AMLast Editorial Review: 11/17/2009 (Source: MedicineNet Senior Health General)

Moderate-Fat Diet May Be Better at Reducing Heart Risks

MedicineNet Senior Health General — Tue, 17 Nov 2009 07:00:00 +0100

Title: Moderate-Fat Diet May Be Better at Reducing Heart RisksCategory: Health NewsCreated: 11/16/2009 4:10:00 PMLast Editorial Review: 11/17/2009 (Source: MedicineNet Senior Health General)

Immunity to Swine Flu May Be Broader Than Thought

MedicineNet Senior Health General — Tue, 17 Nov 2009 07:00:00 +0100

Title: Immunity to Swine Flu May Be Broader Than ThoughtCategory: Health NewsCreated: 11/16/2009 4:10:00 PMLast Editorial Review: 11/17/2009 (Source: MedicineNet Senior Health General)

Medical Tests Hit Heart Patients With High Doses of Radiation

MedicineNet Senior Health General — Tue, 17 Nov 2009 07:00:00 +0100

Title: Medical Tests Hit Heart Patients With High Doses of RadiationCategory: Health NewsCreated: 11/16/2009 2:10:00 PMLast Editorial Review: 11/17/2009 (Source: MedicineNet Senior Health General)

Why Watching TV Sports Increases Heart Attacks

MedicineNet Senior Health General — Tue, 17 Nov 2009 07:00:00 +0100

Title: Why Watching TV Sports Increases Heart AttacksCategory: Health NewsCreated: 11/16/2009 2:10:00 PMLast Editorial Review: 11/17/2009 (Source: MedicineNet Senior Health General)

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Certain Reflux Drugs Tied to Higher Post-Angioplasty Death Rate

MedicineNet Senior Health General — Tue, 17 Nov 2009 07:00:00 +0100

Title: Certain Reflux Drugs Tied to Higher Post-Angioplasty Death RateCategory: Health NewsCreated: 11/16/2009 12:10:00 PMLast Editorial Review: 11/17/2009 (Source: MedicineNet Senior Health General)

Elderly Treated Less Aggressively for Heart Attack

MedicineNet Senior Health General — Tue, 17 Nov 2009 07:00:00 +0100

Title: Elderly Treated Less Aggressively for Heart AttackCategory: Health NewsCreated: 11/16/2009 12:10:00 PMLast Editorial Review: 11/17/2009 (Source: MedicineNet Senior Health General)

Active Video Games Count as Exercise

MedicineNet Senior Health General — Tue, 17 Nov 2009 07:00:00 +0100

Title: Active Video Games Count as ExerciseCategory: Health NewsCreated: 11/16/2009 12:10:00 PMLast Editorial Review: 11/17/2009 (Source: MedicineNet Senior Health General)

Low Vitamin D Levels May Raise Heart Risk

MedicineNet Senior Health General — Tue, 17 Nov 2009 07:00:00 +0100

Title: Low Vitamin D Levels May Raise Heart RiskCategory: Health NewsCreated: 11/17/2009 9:59:00 AMLast Editorial Review: 11/17/2009 9:59:51 AM (Source: MedicineNet Senior Health General)

Link Between Alzheimer's, Heart Failure

MedicineNet Senior Health General — Tue, 17 Nov 2009 07:00:00 +0100

Title: Link Between Alzheimer's, Heart FailureCategory: Health NewsCreated: 11/17/2009 10:06:00 AMLast Editorial Review: 11/17/2009 10:06:16 AM (Source: MedicineNet Senior Health General)

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Link Between Alzheimer's, Heart Failure

MedicineNet Alzheimer — Tue, 17 Nov 2009 07:00:00 +0100

Title: Link Between Alzheimer's, Heart FailureCategory: Health NewsCreated: 11/17/2009 10:06:00 AMLast Editorial Review: 11/17/2009 10:06:16 AM (Source: MedicineNet Alzheimer)

Defining Sarcopenia in Terms of Risk of Physical Limitations: A 5-Year Follow-Up Study of 3,153 Chinese Men and Women

Journal of the American Geriatrics Society — Tue, 17 Nov 2009 00:00:00 +0100

To examine the definition of sarcopenia in Chinese subjects by relating the value of appendicular skeletal muscle mass (ASM) divided by height squared to physical functional outcomes after 4 years. Four-year prospective study. A Chinese community in Hong Kong SAR China. Three thousand one hundred fifty-three community-living men and women aged 65 and older. Information collected by questionnaire included demographics, health limitation on activities of daily living (ADLs), self-care, physical activity level, dietary intake, and psychosocial functioning. Measurements included height, weight, grip strength, step length in a 6-minute walk, and body composition. Four-year outcomes for those with ASM in kg per height in meters squared (ASM/ht2) less than 2 standard deviations (SDs) and 2 SDs or...

Normal Body Mass Index Rather than Obesity Predicts Greater Mortality in Elderly People: The Jerusalem Longitudinal Study

Journal of the American Geriatrics Society — Tue, 17 Nov 2009 00:00:00 +0100

To examine the association between body mass index (BMI) and mortality in older people. A longitudinal cohort study of an age-homogenous, representative sample born in 1920/21. Community-based home assessments. West Jerusalem residents born in 1920/21 examined at baseline in 1990 (n=447), with additional recruitment waves in 1998 (n=870) and 2005 (n=1,086). Comprehensive assessment of health variables including BMI (m/kg2) at ages 70, 78, and 85. The primary outcome of mortality was collected from age 70 to 88 (1990[ndash]2008). Adjusted Cox proportional hazards analysis was used to calculate hazard ratios (HRs) for mortality according to unit increase in BMI. A unit increase in BMI in women resulted in HRs of 0.94, (95% confidence interval (CI)=0.89[ndash]0.99) at age 70, 0.95 (95% CI=0.9...

Should Oral Nutritional Supplementation Be Given to Undernourished Older People upon Hospital Discharge? A Controlled Trial

Journal of the American Geriatrics Society — Tue, 17 Nov 2009 00:00:00 +0100

To determine whether the oral nutritional supplementation of undernourished older people upon discharge from hospital improves muscle function and reduces disability. Randomized controlled trial. Community-based study in two centers in Scotland. Two hundred fifty-three people. Randomization to oral nutritional supplementation (600 kcal/d) or control supplement of 200 kcal/d. Primary outcome (20-point activity of daily living Barthel Index) and secondary outcomes (handgrip strength, Sit-to-Stand test, and Euroquol) were measured at baseline (after discharge from the hospital and before supplement was commenced) and 8 and 16 weeks and accelerometry-measured physical activity levels at baseline and 16 weeks. Falls were recorded prospectively. Mean age was 82. There was no significant differen...

Scenery Picture Memory Test: A new type of quick and effective screening test to detect early stage Alzheimer's disease patients

Geriatrics and Gerontology International — Tue, 17 Nov 2009 00:00:00 +0100

Conclusion: The SPMT could be useful for detection of mild and very mild AD in settings even where time is limited. (Source: Geriatrics and Gerontology International)

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Suggestions Abound For Cutting National Health Care Costs

Seniors / Aging News From Medical News Today — Mon, 16 Nov 2009 08:00:00 +0100

Two publications looked at the problem of rising health costs and ways to try to "bend the curve." In a cover story, BusinessWeek reports: "None of the health-care reform bills on the table in Washington do anything meaningful to address that wasted $700 billion. (Source: Seniors / Aging News From Medical News Today)

Hypothermia Research May Benefit Brain Injured Athletes

Alzheimer's / Dementia News From Medical News Today — Mon, 16 Nov 2009 08:00:00 +0100

NFL players and other athletes who suffer serious or multiple concussions may benefit from ground-breaking research being conducted by scientists at Barrow Neurological Institute at St. Joseph's Hospital and Medical Center. The scientists are developing a surgical technique that involves hypothermia in specific regions of the brain. Therapeutic hypothermia is a medical treatment that lowers a patient's temperature in order to help reduce the risk of injury to tissue. (Source: Alzheimer's / Dementia News From Medical News Today)

FDA OKs Menstrual Drug Lysteda

MedicineNet Senior Health General — Mon, 16 Nov 2009 07:00:00 +0100

Title: FDA OKs Menstrual Drug LystedaCategory: Health NewsCreated: 11/16/2009 11:45:00 AMLast Editorial Review: 11/16/2009 11:45:22 AM (Source: MedicineNet Senior Health General)

Tapping Into Curry's Health Benefits

MedicineNet Alzheimer — Mon, 16 Nov 2009 07:00:00 +0100

Title: Tapping Into Curry's Health BenefitsCategory: Health NewsCreated: 11/13/2009 4:10:00 PMLast Editorial Review: 11/16/2009 (Source: MedicineNet Alzheimer)

Seniors' Online Communities: A Quantitative Content Analysis.

The Gerontologist — Mon, 16 Nov 2009 00:00:00 +0100

Authors: Nimrod G PURPOSE: To examine the contents and characteristics of seniors' online communities and to explore their potential benefits to older adults. DESIGN AND METHODS: Quantitative content analysis of a full year's data from 14 leading online communities using a novel computerized system. The overall database included 686,283 messages. RESULTS: There was a constant increase in the daily activity level during the research period. Content analysis identified 13 main subjects discussed in the communities, including (in descending order) "Fun on line," "Retirement," "Family," "Health," "Work and Study," "Recreation" "Finance," "Religion and Spirituality," "Technology," "Aging," "Civic and Social," "Shopping," and "Travels." The overall tone was somewhat more positive than negati...

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Factors influencing death at home in terminally ill cancer patients

Geriatrics and Gerontology International — Mon, 16 Nov 2009 00:00:00 +0100

Conclusion: The results suggested the stronger involvement of families' preferences regarding the patients' place of death over patients' own preferences. Therefore, factors affecting families' preferences need to be clarified for the dissemination of death at home for terminally ill cancer patients. (Source: Geriatrics and Gerontology International)

Lipids' peroxidation markers in Alzheimer's disease and vascular dementia

Geriatrics and Gerontology International — Mon, 16 Nov 2009 00:00:00 +0100

Conclusion: Vascular dementia in patients is characteristic of increased levels of oxidative stress, especially lipid peroxidation markers. This finding is relevant to determining the pathophysiology of dementia, particularly in the light of the recently suggested importance of the vascular component in dementia development, in addition to aiding in the diagnosis of VaD following clinical presentation. The study will be continued to compare the character and level of decline in both groups. (Source: Geriatrics and Gerontology International)

Hypertrophic cardiomyopathy in the elderly

Geriatrics and Gerontology International — Mon, 16 Nov 2009 00:00:00 +0100

Hypertrophic cardiomyopathy (HCM) is a relatively common genetic cardiac disorder with heterogeneous morphological, functional and clinical features. Although the risk of sudden death and incapacitating symptoms in young patients has been focused upon, the disease has been found with increasing frequency in elderly patients. However, there have been few studies on clinical features of HCM in the elderly. We established a cardiomyopathy registration study in Kochi Prefecture, which is one of the most aged communities in Japan, to provide detailed descriptions of the clinical features of HCM in a community-based patient cohort. The unselected regional HCM population consisted largely of elderly patients (70% of the study cohort being [ge]60 years of age at registration), although HCM has bee...

Comparative research between Australia and Japan: A comparison of the quality of health care in nursing facilities using actigraphy

Geriatrics and Gerontology International — Mon, 16 Nov 2009 00:00:00 +0100

Conclusion: Employing actigraphs, sleep[ndash]wake assessments were conducted on aged people in three different lifestyle environments. This lifestyle difference was clear from the activity rhythm detected. Then, from a comparison of both countries, we were able to offer suggestions on life patterns of aged people brought about by the differences embodied in culture, environment and economic background. (Source: Geriatrics and Gerontology International)

Etiology and predictors of urinary incontinence and its effect on quality of life

Geriatrics and Gerontology International — Mon, 16 Nov 2009 00:00:00 +0100

Conclusion: Urinary incontinence commonly occurs in dementia subjects. Poor mobility and presence of nocturia increase the risk of urinary incontinence. Correction of the possible reversible factors may help to reduce the prevalence of urinary incontinence in patients with dementia and reduce carer stress. (Source: Geriatrics and Gerontology International)

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AHA: Novel Antiplatelet Effective in STEMI Patients (CME/CE)

MedPage Today Geriatrics — Sun, 15 Nov 2009 22:00:18 +0100

ORLANDO (MedPage Today) -- Researchers said that when the investigational platelet aggregation inhibitor ticagrelor was administered to patients with high-risk acute coronary syndromes, the outcomes appeared better than treatment with clopidogrel (Plavix) -- a finding that mirrored results on the larger, previously reported study. (Source: MedPage Today Geriatrics)

Plausible--yes. But ...

Climacteric — Sun, 15 Nov 2009 11:30:34 +0100

Authors: Fenton A, Panay N PMID: 19905898 [PubMed - in process] (Source: Climacteric)

The endometrium--from estrogens alone to TSECs.

Climacteric — Sun, 15 Nov 2009 11:30:31 +0100

This article reviews publications dating back more than a century describing investigations of the endometrium, including those examining the relationship between endometrial hyperplasia and carcinoma, the influence of estrogens on the endometrium, and strategies for protecting the endometrium from unopposed estrogen stimulation. Endometrial hyperplasia and carcinoma studies date from before 1900. The influence of endogenous estrogens on the endometrium became evident with observations of endometrial hyperplasia and/or carcinoma in women with estrogen-secreting tumors or polycystic ovarian disease. Later, observational studies and randomized, controlled trials suggested a relationship between unopposed estrogens and endometrial cancer and hyperplasia. The first, and to date only, effective...

Hormone replacement therapy after breast cancer: attitudes of women eligible in a randomized trial.

Climacteric — Sun, 15 Nov 2009 11:30:28 +0100

Conclusion A patient's decision to accept or decline participation in the Stockholm trial was influenced by her objective risk of breast cancer recurrence and reflected her attitude to risk, uncertainty and preference to be active in treatment decisions. PMID: 19905900 [PubMed - in process] (Source: Climacteric)

Association between estrogen receptor gene polymorphisms and breast density in postmenopausal women.

Climacteric — Sun, 15 Nov 2009 11:30:25 +0100

Conclusions Our data suggested that the polymorphism XbaI may be strongly related to mammographic density. PMID: 19905901 [PubMed - in process] (Source: Climacteric)

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Acid ceramidase 1 expression correlates with a better prognosis in ER-positive breast cancer.

Climacteric — Sun, 15 Nov 2009 11:30:22 +0100

CONCLUSION: ASAH1 is an estrogen-dependent member of the sphingolipid metabolism, which might provide further prognostic information in ER-positive breast cancers. PMID: 19905902 [PubMed - in process] (Source: Climacteric)

Risk of gynecological cancers in users of estradiol/dydrogesterone or other HRT preparations.

Climacteric — Sun, 15 Nov 2009 11:30:20 +0100

CONCLUSION: This study provides evidence that the risk of developing gynecological cancers with E/D use of several months to a few years is similar to the risks of developing gynecological cancer without HRT or use of other HRT. PMID: 19905903 [PubMed - in process] (Source: Climacteric)

Risk of hypoactive sexual desire disorder and associated factors in a cohort of oophorectomized women.

Climacteric — Sun, 15 Nov 2009 11:30:17 +0100

CONCLUSION: Nearly three out of four women who had undergone bilateral oophorectomy were at risk of suffering HSDD; this risk was increased when less than 5 years since surgical menopause had elapsed. The use of hormone replacement therapy was associated with lower HSDD risk. PMID: 19905904 [PubMed - in process] (Source: Climacteric)

LEI (Lack of tEstosterone Impact) survey in a clinical sample with surgical menopause.

Climacteric — Sun, 15 Nov 2009 11:30:14 +0100

CONCLUSIONS: These data suggest that women experience significant vaginal dryness and low sexual desire and report a significant distress in the relationship with their partner after surgical menopause. Sexual counseling is mandatory in order to discuss potential therapeutic strategies, including testosterone use. PMID: 19905905 [PubMed - in process] (Source: Climacteric)

Prescription pattern of traditional Chinese medicine for climacteric women in Taiwan.

Climacteric — Sun, 15 Nov 2009 11:30:11 +0100

CONCLUSIONS: Women of climacteric age in Taiwan utilized TCM more often than other age groups. To deal with multiple symptoms and/or diseases among climacteric women, new prescription patterns of combining two or more herbal formulae have evolved. Studies on safety issues and drug-herb interactions are warranted for future research. PMID: 19905906 [PubMed - in process] (Source: Climacteric)

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The menopausal experience among indigenous women of Sarawak, Malaysia.

Climacteric — Sun, 15 Nov 2009 11:30:08 +0100

CONCLUSIONS: The menopausal symptoms in this study correspond to those in other studies on Asian women but the prevalence of typical and classical menopausal symptoms was lower compared to studies on Caucasian women. The perimenopausal women had the most significant decrease in quality of life, followed by postmenopausal women and premenopausal women. Vasomotor symptoms had a predominant influence on the quality of life. PMID: 19905907 [PubMed - in process] (Source: Climacteric)

Nurses Welcome Government Action On Overuse Of Anti-psychotics, UK

Alzheimer's / Dementia News From Medical News Today — Sun, 15 Nov 2009 08:00:00 +0100

Commenting on the announcement of a Government action plan to tackle the over prescribing of antipsychotic drugs to people with dementia, Dr Peter Carter, RCN Chief Executive & General Secretary said: "It is welcome news that the Government has made a commitment to deal with the overuse of anti-psychotic drugs. We look forward to working with the new National Clinical Director for Dementia on these ambitious proposals which offer hope for patients with dementia and their families. (Source: Alzheimer's / Dementia News From Medical News Today)

The Complexity of Activities of Daily Living and Their Relationship to Attention in Alzheimer Disease: A Review of ADL Classification Systems.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 365DOI: 10.1097/TGR.0b013e3181bdd74eAuthors: Kaplan, Lillian R. MA, OTR; Foldi, Nancy S. PhD (Source: Topics in Geriatric Rehabilitation)

A Community-Based Physical Maintenance Program for Frail Older Adults: The Stay Well Program.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 355DOI: 10.1097/TGR.0b013e3181bdd70cAuthors: Cowan, David MD, MIR, BaH, FRCP(C); Radman, Heather BKin, Hon, BA; Lewis, David PhD; Turpie, Irene MSc, MB, ChB, FRCP(C), FRCP(Glas) (Source: Topics in Geriatric Rehabilitation)

Elder Abuse: Detection and Protection.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 346DOI: 10.1097/TGR.0b013e3181bdd661Authors: Kirsch, Nancy R. PT, DPT, PhD (Source: Topics in Geriatric Rehabilitation)

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The Ethics of Research With the Geriatric Population.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 333DOI: 10.1097/TGR.0b013e3181c97979Authors: Kirsch, Nancy R. PT, DPT, PhD; Haverlock, Christopher PT (Source: Topics in Geriatric Rehabilitation)

Complementary Therapies Case Discussion Considering All Treatment Options for the Older Adult.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 329DOI: 10.1097/TGR.0b013e3181bdd617Authors: Kirsch, Nancy R. PT, DPT, PhD (Source: Topics in Geriatric Rehabilitation)

Complementary Therapies and Older Adults.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 320DOI: 10.1097/TGR.0b013e3181bdd560Authors: Anderson, Ellen Zambo PT, MA, GCS (Source: Topics in Geriatric Rehabilitation)

Ethical Issues in Geriatric Rehabilitation: A Culturally Competent Approach.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 311DOI: 10.1097/TGR.0b013e3181bdd6e4Authors: Haskins, Awilda R. PT, EdD; Hinton, Cathy A. PT, PhD (Source: Topics in Geriatric Rehabilitation)

A Case of Chemical Restraint.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 307DOI: 10.1097/TGR.0b013e3181bdd6f1Authors: Gladson, Barbara PT, OTR, PhD (Source: Topics in Geriatric Rehabilitation)

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The Multidisciplinary Team: End-of-Life Ethical Decisions.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 292DOI: 10.1097/TGR.0b013e3181bdd6feAuthors: Kirsch, Nancy R. PhD, PT, DPT (Source: Topics in Geriatric Rehabilitation)

Ethical Decision Making: Application of a Problem-Solving Model.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 282DOI: 10.1097/TGR.0b013e3181bdd6d8Authors: Kirsch, Nancy R. PT, DPT, PhD (Source: Topics in Geriatric Rehabilitation)

The Nature of Healthcare Ethics.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 277DOI: 10.1097/TGR.0b013e3181bdd6afAuthors: Kirsch, Nancy R. PT, DPT, PhD (Source: Topics in Geriatric Rehabilitation)

Introduction.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 275DOI: 10.1097/TGR.0b013e3181c97967Authors: Kirsch, Nancy R. PT, DPT, PhD (Source: Topics in Geriatric Rehabilitation)

From the Editor.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 14:20:28 +0100

Page: 273DOI: 10.1097/TGR.0b013e3181c9794eAuthors: Lewis, Carole Bernstein DPT, PT, GTC, GCS, MSG, MPA, PhD, FAPTA (Source: Topics in Geriatric Rehabilitation)

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Discovery Of Potential Drug Target For Neurological Diseases

Alzheimer's / Dementia News From Medical News Today — Sat, 14 Nov 2009 11:00:00 +0100

A team of scientists at Cold Spring Harbor Laboratory (CSHL) report their success in solving the molecular structure of a key portion of a cellular receptor implicated in Alzheimer's, Parkinson's, and other serious illnesses. Assistant Professor Hiro Furukawa, Ph.D., and colleagues at CSHL, in cooperation with the National Synchrotron Light Source at Brookhaven National Laboratory, obtained crystal structures for one of several "subunits" of the NMDA receptor. (Source: Alzheimer's / Dementia News From Medical News Today)

Using Massage to Reduce Use of Sedative-Hypnotic Drugs With Older Adults A Brief Report From a Pilot Study

Journal of Applied Gerontology — Sat, 14 Nov 2009 02:34:56 +0100

Despite known adverse effects, sedative-hypnotic drugs (SHDs) are widely used in institutional settings serving the elderly. Using a 2 (Intervention, Control) x 3 (Baseline, Intervention, Withdrawal) mixed design with random assignment to the intervention (n = 15) or control (n = 13) group, the authors sought to determine if a nonpharmacological sleep intervention (massage at bedtime) could reduce "as-needed" SHD (PRN-SHD) usage. Each phase of this pilot lasted 7 days and PRN-SHD usage was monitored via chart review. Results, indicating a 13% greater reduction in requests for PRN-SHD for the intervention group when it received massage, approached statistical significance for the quadratic planned comparisons (p = .17) despite limited power (.28) for the observed effect size of .07. While p...

Working Memory, Cues, and Wayfinding in Older Women

Journal of Applied Gerontology — Sat, 14 Nov 2009 02:34:56 +0100

This study examines how working memory ability in older women is related to wayfinding performance in the presence of salient (distinctive, prominent) or nonsalient cues. The degree of salient cue complexity is also examined, thus leading to the hypothesis that salient, complex cues are important in wayfinding and that working memory capacity is related to wayfinding performance. The virtual computer-generated arena is used to test this hypothesis in 20 healthy older women in three different environmental cue conditions varying in salience and complexity. Data analyses indicate that older women perform best in salient cue conditions. A greater working memory capacity is related to improved performance in the nonsalient cue condition. These findings offer preliminary evidence that cue salie...

How Do Charge Nurses View Their Roles in Long-Term Care?

Journal of Applied Gerontology — Sat, 14 Nov 2009 02:34:56 +0100

This article explores how registered nurses (RNs) in long-term care (LTC) understand their role as charge nurses. Data are derived from 16 charge nurses employed in 8 facilities in Ontario, Canada. Qualitative methods are used to analyze audiotapings of interviews. The findings reveal a range of dimensions and subdimensions. Charge nurses experience their work as highly complex and unpredictable. Themes that captured the following dimensions of the supervisor role in LTC include (a) against all odds, getting through the day; (b) stepping in work; and (c) leading and supporting unregulated care workers. In addition, analysis within each category reveals a complex intersection between the nurses’ perceptions of the context and their consequent work strategies. The emerging demands plac...

Reconsidering Successful Aging: A Call for Renewed and Expanded Academic Critiques and Conceptualizations

Journal of Applied Gerontology — Sat, 14 Nov 2009 02:34:56 +0100

This study fleshes out a more thorough critique of the sociopolitical contexts surrounding the successful aging paradigm so that it can help renew and expand existing critiques. The authors conclude that researchers need to be wary of adopting successful aging terminology without considering and expanding their understanding of the political motivations and results that accompanies it. New, expanded conceptualizations of successful aging are needed so that socially minded researchers and practitioners of gerontology do not contribute to ageism and discrimination against older adults. (Source: Journal of Applied Gerontology)

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A Response to Castle, McDaniel, and Svihula

Journal of Applied Gerontology — Sat, 14 Nov 2009 02:34:56 +0100

(Source: Journal of Applied Gerontology)

Gerontological Theory: A Commentary on Powell's Foucauldian Toolkit

Journal of Applied Gerontology — Sat, 14 Nov 2009 02:34:56 +0100

(Source: Journal of Applied Gerontology)

Challenging Gerontology's Empirical Molehills: A Commentary on Powell's Foucauldian Toolkit

Journal of Applied Gerontology — Sat, 14 Nov 2009 02:34:56 +0100

Gerontology and theory have long been intellectually separate, with empirical studies dominant. Marrying Foucauldian theory, as Powell proposes, with gerontology is clever, timely and potentially fruitful for policy, practice and research. Although Foucault had little to say about age, his insights on power and on bodies are profoundly relevant to the process of ageing. Powell’s proposed application of a Foucauldian toolkit to caring for older people, enables the opening of insights into both the cared for and the carers, the latter of whom are differentially disadvantaged as well by gender, ethnicity, class and often immigration status. Viewed through Foucault’s concept of power, ageing population is observed as a fiction, justifying all manner of policy panics and woes that m...

Practice Implications: A Commentary on Powell's Foucauldian Toolkit

Journal of Applied Gerontology — Sat, 14 Nov 2009 02:34:56 +0100

(Source: Journal of Applied Gerontology)

Social Theory, Aging, and Health and Welfare Professionals: A Foucauldian "Toolkit"

Journal of Applied Gerontology — Sat, 14 Nov 2009 02:34:56 +0100

Health and welfare have emerged as pivotal drivers used to position the identities that older people adopt in contemporary Western societies. Both contain continually changing technologies that function to mediate relations between older people and care professionals. However, they also represent an increase in professional control that can be exerted on lifestyles in old age, and thus, the wider social meanings associated with that part of the life course. The article presents a theoretical analysis of gerontology based on a critical reading of the work of Michel Foucault. It identifies the interrelationship between managerialism and older people in terms of a conceptual toolkit of (a) "medical power," and (b) "assessment," "surveillance," and "resistance"; the key point is that they are ...

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Theory as a Necessary Part of Applied Gerontology

Journal of Applied Gerontology — Sat, 14 Nov 2009 02:34:56 +0100

(Source: Journal of Applied Gerontology)

Erratum.

Topics in Geriatric Rehabilitation — Sat, 14 Nov 2009 01:28:40 +0100

DOI: 10.1097/TGR.0b013e3181c9792f (Source: Topics in Geriatric Rehabilitation)

Report on the prescribing of anti-psychotic drugs to people with dementia

NLH Later Life Specialist Library Newsfeed — Fri, 13 Nov 2009 15:49:26 +0100

In recognition of widespread concern about the over-prescription of anti-psychotic drugs, and as part of the priority being given to improving care for people with dementia, Professor Sube Banerjee was asked to undertake an independent clinical review of the use of anti-psychotic drugs. (Source: NLH Later Life Specialist Library Newsfeed)

Oneplanet Adventure raise £5000!

Alzheimers Society — Fri, 13 Nov 2009 14:17:53 +0100

The Directors of Oneplanet Adventure in Coed Llandegla Forest, North Wales, pedalled their way around Britain in the space of a week to raise money for Alzheimer's Society in May 2009. (Source: Alzheimers Society)

Humana CEO: No Regrets About Sending Warning Letters To Medicare Beneficiaries

Seniors / Aging News From Medical News Today — Fri, 13 Nov 2009 13:00:00 +0100

Humana's CEO says he does not regret sending Medicare customers a letter warning that health care reform could hurt their benefits. The letters caused government officials to probe whether the insurer violated federal regulations in September. (Source: Seniors / Aging News From Medical News Today)

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Land's End to John O' Groats 2009 (LEJOG)

Alzheimers Society — Fri, 13 Nov 2009 12:11:00 +0100

After more than a year of planning, training and fundraising, with 12 days of cycling from Lands End to John-O-Groats the team handed over cheques totaling £22,504. (Source: Alzheimers Society)

More Disabilities Today In 60-Year-Olds Than In Prior Generations

Seniors / Aging News From Medical News Today — Fri, 13 Nov 2009 11:00:00 +0100

In a development that could have significant ramifications for the nation's health care system, Baby Boomers may well be entering their 60s suffering far more disabilities than their counterparts did in previous generations, according to a new UCLA study. The findings, researchers say, may be due in part to changing American demographics. (Source: Seniors / Aging News From Medical News Today)

AARP Leader Provides Powerful Voice For Seniors And Health Care

Seniors / Aging News From Medical News Today — Fri, 13 Nov 2009 10:00:00 +0100

John Rother tries to dispel myths and quell fears that seniors may have about health care reform as a leader at the powerful lobby and senior group AARP. The (Source: Seniors / Aging News From Medical News Today)

Lack Of Social Engagement Is A Risk Factor For Self Neglect In Older Adults

Seniors / Aging News From Medical News Today — Fri, 13 Nov 2009 10:00:00 +0100

Seniors who neglect themselves, risking their own health and safety, tend to be individuals with limited social networks and little social engagement, according to a study by Rush University Medical Center. The study, currently appearing online in the medical journal Gerontology, is the largest epidemiological study to date examining a wide range of sociodemographic, health-related and psychosocial characteristics associated with elder self-neglect. (Source: Seniors / Aging News From Medical News Today)