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Journal of the American Medical Directors Association

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https://www.readbyqxmd.com/read/28082034/enhanced-oral-care-and-health-outcomes-among-nursing-facility-residents-analysis-using-the-national-long-term-care-database-in-japan
#1
Sachiko Ono, Miho Ishimaru, Hayato Yamana, Kojiro Morita, Yosuke Ono, Hiroki Matsui, Hideo Yasunaga
BACKGROUND AND OBJECTIVE: Although oral care may have salutary effects among frail elderly people, access to dental care is often limited in long-term care facilities. In 2009, the Japanese long-term care insurance system introduced an additional reimbursement scheme for enhanced oral care supervised by dentists in nursing facilities. The aim of this study was to examine whether enhanced oral care provided by trained nursing facility staff members is sufficient to improve health outcomes among nursing facility residents...
January 9, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28057424/sundown-syndrome-sleep-quality-and-walking-among-community-dwelling-people-with-alzheimer-disease
#2
Yen-Hua Shih, Ming-Chyi Pai, Ying-Che Huang, Jing-Jy Wang
PURPOSES: Sundown syndrome and sleep disturbances cause people with Alzheimer disease (PAD) and caregivers suffering. Studies have indicated that physical exercise could have a positive impact on sundown syndrome, yet no research has ever explored the relationship between walking and sundown syndrome. The aims of this study were to examine the relationship between sundown syndrome and sleep quality, and determine whether the severity of dementia, sleep quality, and weekly duration of walking influenced sundown syndrome, and to assess differences in sundown syndrome and sleep quality in relation to the accompanying walker and weekly duration of walking among people with Alzheimer disease living in the community...
January 2, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28049616/three-decades-of-comprehensive-geriatric-assessment-evidence-coming-from-different-healthcare-settings-and-specific-clinical-conditions
#3
REVIEW
Alberto Pilotto, Alberto Cella, Andrea Pilotto, Julia Daragjati, Nicola Veronese, Clarissa Musacchio, Anna Maria Mello, Giancarlo Logroscino, Alessandro Padovani, Camilla Prete, Francesco Panza
Comprehensive geriatric assessment (CGA) is a multidisciplinary diagnostic and treatment process that identifies medical, psychosocial, and functional capabilities of older adults to develop a coordinated plan to maximize overall health with aging. Specific criteria used by CGA programs to evaluate patients include age, medical comorbidities, psychosocial problems, previous or predicted high healthcare utilization, change in living situation, and specific geriatric conditions. However, no universal criteria have been agreed upon to readily identify patients who are likely to benefit from CGA...
December 31, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28049615/gait-performance-trajectories-and-incident-disabling-dementia-among-community-dwelling-older-japanese
#4
Yu Taniguchi, Akihiko Kitamura, Satoshi Seino, Hiroshi Murayama, Hidenori Amano, Yu Nofuji, Mariko Nishi, Yuri Yokoyama, Tomohiro Shinozaki, Isao Yokota, Yutaka Matsuyama, Yoshinori Fujiwara, Shoji Shinkai
OBJECTIVES: Initial gait speed is a good predictor of dementia in later life. This prospective study used repeated measures analysis to identify potential gait performance trajectory patterns and to determine whether gait performance trajectory patterns were associated with incident disabling dementia among community-dwelling older Japanese. DESIGN: A prospective, observational, population-based follow-up study. SETTING: Japan, 2002 to 2014...
December 31, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28043806/cochrane-dementia-group-turns-21-older-and-slightly-wiser
#5
EDITORIAL
Terence J Quinn, Jenny McCleery, Anna H Noel-Storr, Sue Marcus, Leon Flicker
No abstract text is available yet for this article.
December 31, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28043805/utility-of-sarc-f-for-assessing-physical-function-in-elderly-patients-with-cardiovascular-disease
#6
Shinya Tanaka, Kentaro Kamiya, Nobuaki Hamazaki, Ryota Matsuzawa, Kohei Nozaki, Emi Maekawa, Chiharu Noda, Minako Yamaoka-Tojo, Atsuhiko Matsunaga, Takashi Masuda, Junya Ako
OBJECTIVES: A simple and inexpensive tool for screening of sarcopenia would be helpful for clinicians. The present study was performed to determine whether the SARC-F questionnaire is useful in screening of patients with cardiovascular disease (CVD) for impaired physical function. DESIGN: Cross-sectional study. SETTING: Single university hospital. PARTICIPANTS: A total of 235 Japanese patients ≥65 years old admitted to our hospital for CVD...
December 31, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28043804/risk-factors-for-mild-cognitive-impairment-dementia-and-mortality-the-sydney-memory-and-ageing-study
#7
Darren M Lipnicki, John Crawford, Nicole A Kochan, Julian N Trollor, Brian Draper, Simone Reppermund, Kate Maston, Karen A Mather, Henry Brodaty, Perminder S Sachdev
BACKGROUND: The nature and commonality of late-life risk factors for mild cognitive impairment (MCI), dementia, and mortality remain unclear. Our aim was to investigate potential risk factors, simultaneously in a single cohort including many individuals initially with normal cognition and followed for 6 years. METHODS: We classified 873 community-dwelling individuals (70-90 years old and without dementia at baseline) from the Sydney Memory and Ageing Study as cognitively normal (CN), having MCI or dementia, or deceased 6 years after baseline...
December 31, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28043803/palliative-care-in-dementia-1986-2016-progress-and-remaining-challenges
#8
LETTER
Jenny T van der Steen, Shelley Sternberg, Ladislav Volicer
No abstract text is available yet for this article.
December 31, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28043802/adverse-drug-reactions-associated-with-cholinesterase-inhibitors-sequence-symmetry-analyses-using-prescription-claims-data
#9
LETTER
Ossi Venäläinen, J Simon Bell, Carl M Kirkpatrick, Prasad S Nishtala, Danny Liew, Jenni Ilomäki
No abstract text is available yet for this article.
December 31, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28043801/health-care-associated-infections-in-the-home-care-setting-is-it-time-for-a-surveillance-system
#10
LETTER
Maria Serena Gallone, Vittoria Infantino, Silvio Tafuri
No abstract text is available yet for this article.
December 31, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27956074/aide-acute-illness-and-depression-in-elderly-patients-cognitive-behavioral-group-psychotherapy-in-geriatric-patients-with-comorbid-depression-a-randomized-controlled-trial
#11
Jana Hummel, Cecilia Weisbrod, Leila Boesch, Katharina Himpler, Klaus Hauer, Martin Hautzinger, Andrea Gaebel, Tania Zieschang, Andrea Fickelscherer, Slawomira Diener, Ilona Dutzi, Bertram Krumm, Peter Oster, Daniel Kopf
BACKGROUND: Comorbid depression is highly prevalent in geriatric patients and associated with functional loss, frequent hospital re-admissions, and a higher mortality rate. Cognitive behavioral psychotherapy (CBT) has shown to be effective in older depressive patients living in the community. To date, CBT has not been applied to older patients with acute physical illness and comorbid depression. OBJECTIVES: To evaluate the effectiveness of CBT in depressed geriatric patients, hospitalized for acute somatic illness...
December 9, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27956073/an-unintended-consequence-of-culture-change-in-va-community-living-centers
#12
Jill Harrison, Denise A Tyler, Renée R Shield, Whitney L Mills, Kristen E Morgan, Maxwell E Cutty, Danielle L Coté, Susan M Allen
OBJECTIVE: Although a growing body of evidence suggests that culture change and its corollary, person-centered care improves resident outcomes in the nursing home setting, little is known about the effect of culture change in a postacute setting in which patients receive skilled nursing and rehabilitation services for a relatively short period of time before returning home. DESIGN: Data for this study were collected as part of a larger project to understand the impact of Veterans Health Administration (VHA) policies to shift the mission of VHA Community Living Centers (CLCs) from long-stay custodial care to short-stay skilled nursing and rehabilitative care...
December 9, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27956072/older-citizens-opinions-on-long-term-care-options-a-vignette-survey
#13
Brigitte Santos-Eggimann, Lionel Meylan
BACKGROUND: Older citizens are directly concerned, as potential beneficiaries and informal caregivers, by access to long-term care (LTC) services matching their expectations. The aim of this research was to collect their opinions regarding LTC arrangements for a diversity of disability profiles. DESIGN/SETTING/PARTICIPANTS: Mailed vignette survey in a representative population-based sample of 3133 community-dwelling persons 68 years or older residing in a Swiss region...
December 9, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27939318/successful-geriatric-rehabilitation-effects-on-patients-outcome-of-a-national-program-to-improve-quality-of-care-the-singer-study
#14
Marije S Holstege, Monique A A Caljouw, Ineke G Zekveld, Romke van Balen, Aafke J de Groot, Jolanda C M van Haastregt, Jos M G A Schols, Cees M P M Hertogh, Jacobijn Gussekloo, Wilco P Achterberg
OBJECTIVE: To determine whether the implementation of a national program to improve quality of care in geriatric rehabilitation (GR) in the Netherlands improves successful GR in terms of independence in activities of daily living (ADL), discharge destination, and length of stay. DESIGN: Prospective longitudinal study, comparing 2 consecutive cohorts: at the start of implementation (n = 386) and at 1 year after implementation (n = 357) of this program. SETTING/PARTICIPANTS: Included were 16 skilled nursing facilities, 743 patients (median age 80 years, interquartile range 72-85; 64...
December 6, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27914851/dynapenia-and-metabolic-health-in-obese-and-nonobese-adults-aged-70%C3%A2-years-and-older-the-life-study
#15
Mylène Aubertin-Leheudre, Stephen Anton, Daniel P Beavers, Todd M Manini, Roger Fielding, Ann Newman, Tim Church, Stephen B Kritchevsky, David Conroy, Mary M McDermott, Anda Botoseneanu, Mary E Hauser, Marco Pahor
OBJECTIVE: The purpose of this study was to examine the relationship between dynapenia and metabolic risk factors in obese and nonobese older adults. METHODS: A total of 1453 men and women (age ≥70 years) from the Lifestyle Interventions and Independence for Elders (LIFE) Study were categorized as (1) nondynapenic/nonobese (NDYN-NO), (2) dynapenic/nonobese (DYN-NO), (3) nondynapenic/obese (NDYN-O), or (4) dynapenic/obese (DYN-O), based on muscle strength (Foundation for the National Institute of Health criteria) and body mass index...
November 30, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27914848/falls-cognitive-impairment-and-gait-performance-results-from-the-good-initiative
#16
Gilles Allali, Cyrille P Launay, Helena M Blumen, Michele L Callisaya, Anne-Marie De Cock, Reto W Kressig, Velandai Srikanth, Jean-Paul Steinmetz, Joe Verghese, Olivier Beauchet
OBJECTIVES: Falls are highly prevalent in individuals with cognitive decline. The complex relationship between falls and cognitive decline (including both subtype and severity of dementia) and the influence of gait disorders have not been studied. This study aimed to examine the association between the subtype (Alzheimer disease [AD] versus non-AD) and the severity (from preclinical to moderate dementia) of cognitive impairment and falls, and to establish an association between falls and gait parameters during the course of dementia...
November 30, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27887891/high-intake-of-nonmilk-extrinsic-sugars-is-associated-with-protein-and-micronutrient-dilution-in-home-dwelling-and-institutionalized-older-people
#17
Satu K Jyväkorpi, Kaisu H Pitkälä, Taija M Puranen, Mikko P Björkman, Hannu Kautiainen, Timo E Strandberg, Helena Soini, Merja H Suominen
BACKGROUND: High dietary sugar intake may compromise protein and micronutrient intakes in people with low energy intakes. The results of micronutrient dilution studies in older people have been few and conflicting. We examined the nutritional status and nutrient intakes associated with nonmilk extrinsic sugars (NMES) intakes in older people representing a broad spectrum of both healthy and vulnerable older populations. DESIGN AND PARTICIPANTS: This cross-sectional study combined five Finnish data sets covering home-dwelling (n = 526) and institutionalized (n = 374) older people...
November 22, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27876478/physical-exercise-helped-to-maintain-and-restore-functioning-in-chinese-older-adults-with-mild-cognitive-impairment-a-5-year-prospective-study-of-the-hong-kong-memory-and-ageing-prospective-study-hk-maps
#18
Duan Yang Ma, Candy H Y Wong, Grace T Y Leung, Ada W T Fung, Wai Chi Chan, Linda C W Lam
OBJECTIVE: This study investigated the potential of physical exercise habit as a lifestyle modification against cognitive and functional decline at the community level. METHODS: A total of 454 community-dwelling Chinese older adults without dementia participated in the Hong Kong Memory and Ageing Prospective Study at baseline and follow-up at 5 years. Their cognitive and functional performances were assessed by the Cantonese version of the Mini-Mental State Examination (CMMSE) and the Chinese version of Disability Assessment in Dementia (DAD)...
November 18, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27876477/current-prescribing-practices-for-skin-and-soft-tissue-infections-in-nursing-homes
#19
Diana Feldstein, Philip D Sloane, David Weber, Kimberly Ward, David Reed, Sheryl Zimmerman
OBJECTIVES: Antibiotic stewardship has been called for across all sites of health care, including nursing homes (NHs). Skin and soft tissue infections (SSTIs) are the third most common indication for antibiotics in the NH, and so should be a focus of stewardship. This study audited medical records to identify signs and symptoms of SSTIs treated with antibiotics in relation to the McGeer criteria for surveillance, the Loeb minimum criteria for antibiotic initiation, and prescribing recommendations of the Infectious Disease Society of America...
November 18, 2016: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/27847264/dietary-patterns-and-12-year-risk-of-frailty-results-from-the-three-city-bordeaux-study
#20
Sophie Pilleron, Soufiane Ajana, Marthe-Aline Jutand, Catherine Helmer, Jean-François Dartigues, Cécilia Samieri, Catherine Féart
OBJECTIVE: To analyze the association between dietary patterns and the 12-year risk of frailty and its components in community-dwelling elderly French adults. DESIGN: A prospective cohort study. SETTING: The Bordeaux sample of the Three-City Study. PARTICIPANTS: A total of 972 initially nonfrail nondemented participants (336 men and 636 women) aged 73 years on average, re-examined at least once over 12 years. MEASUREMENTS: Five sex-specific dietary clusters were previously derived at baseline...
November 12, 2016: Journal of the American Medical Directors Association
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