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Journal of the American Medical Directors Association

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https://www.readbyqxmd.com/read/28526586/dysphagia-a-new-geriatric-syndrome
#1
EDITORIAL
Michelle A Payne, John E Morley
No abstract text is available yet for this article.
May 16, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28526585/impaired-response-selection-during-stepping-predicts-falls-in-older-people-a-cohort-study
#2
Daniel Schoene, Kim Delbaere, Stephen R Lord
BACKGROUND: Response inhibition, an important executive function, has been identified as a risk factor for falls in older people. This study investigated whether step tests that include different levels of response inhibition differ in their ability to predict falls and whether such associations are mediated by measures of attention, speed, and/or balance. METHODS: A cohort study with a 12-month follow-up was conducted in community-dwelling older people without major cognitive and mobility impairments...
May 16, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28526584/a-simple-algorithm-to-predict-falls-in-primary-care-patients-aged-65-to-74%C3%A2-years-the-international-mobility-in-aging-study
#3
Fernando Gomez, Yan Yan Wu, Mohammad Auais, Afshin Vafaei, Maria-Victoria Zunzunegui
OBJECTIVE: Primary care practitioners need simple algorithms to identify older adults at higher risks of falling. Classification and regression tree (CaRT) analyses are useful tools for identification of clinical predictors of falls. DESIGN: Prospective cohort. SETTING: Community-dwelling older adults at 5 diverse sites: Tirana (Albania), Natal (Brazil), Manizales (Colombia), Kingston (Ontario, Canada), and Saint-Hyacinthe (Quebec, Canada)...
May 16, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28501417/prevalence-of-frailty-assessed-by-fried-and-kihon-checklist-indexes-in-a-prospective-cohort-study-design-and-demographics-of-the-kyoto-kameoka-longitudinal-study
#4
Yosuke Yamada, Hinako Nanri, Yuya Watanabe, Tsukasa Yoshida, Keiichi Yokoyama, Aya Itoi, Heiwa Date, Miwa Yamaguchi, Motoko Miyake, Emi Yamagata, Hajime Tamiya, Miho Nishimura, Mami Fujibayashi, Naoyuki Ebine, Mitsuyoshi Yoshida, Takeshi Kikutani, Eiichi Yoshimura, Kazuko Ishikawa-Takata, Minoru Yamada, Tomoki Nakaya, Yasuko Yoshinaka, Yoshinori Fujiwara, Hidenori Arai, Misaka Kimura
OBJECTIVE: The Kyoto-Kameoka Study was launched in 2011-2012 to identify the associations among food intake, nutritional status, physical activity, oral function, quality of life or social capital, the use of long-term care insurance (LTCI) system, and healthy lifespan in community-dwelling older people as a part of the World Health Organization Safe Community program. DESIGN: A prospective cohort study, reporting baseline demographics (cross-sectional data). SETTING AND PARTICIPANTS: We conducted 2 mailed self-administered questionnaire surveys; one is a complete population survey with a comprehensive survey of needs in the sphere of daily life (NSDL) that included 2 different frailty indexes, the Kihon Checklist (KCL) and the Fried phenotype, socioeconomic status, general and psychological health, and social relationships; followed by the more detailed Health and Nutrition Survey...
May 11, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28501416/digoxin-and-30-day-all-cause-readmission-in-long-term-care-residents-hospitalized-for-heart-failure
#5
Helen M Sheriff, Manik R Thogaripally, Gurusher Panjrath, Cherinne Arundel, Qing Zeng, Gregg C Fonarow, Javed Butler, Ross D Fletcher, Charity Morgan, Marc R Blackman, Prakash Deedwania, Thomas E Love, Wilbert S Aronow, Stefan D Anker, Richard M Allman, Ali Ahmed
BACKGROUND: Digoxin use has been shown to be associated with a lower risk of 30-day all-cause hospital readmissions in older patients with heart failure (HF). In the current study, we examined this association among long-term care (LTC) residents hospitalized for HF. METHODS: Of the 8049 Medicare beneficiaries discharged alive after hospitalization for HF from 106 Alabama hospitals, 545 (7%) were LTC residents, of which 227 (42%) received discharge prescriptions for digoxin...
May 11, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28479274/validity-of-total-kihon-checklist-score-for-predicting-the-incidence-of-3-year-dependency-and-mortality-in-a-community-dwelling-older-population
#6
Shosuke Satake, Hiroshi Shimokata, Kazuyoshi Senda, Izumi Kondo, Kenji Toba
OBJECTIVES: To validate the ability of the total Kihon checklist (t-KCL) score to predict the incidence of dependency or death within 3 years in a community-dwelling older population. DESIGN: Population-based longitudinal observational study. SETTING: Town of Higashi-ura, Japan. PARTICIPANTS: A total of 5542 independent seniors who were residents in the town of Higashi-ura. MEASUREMENTS: The KCL questionnaire was sent to independent older residents...
May 4, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28479273/improving-advanced-dementia-care-an-interprofessional-palliare-learning-framework
#7
EDITORIAL
Debbie Tolson, Iva Holmerova, Rhoda Macrae, Anna Waugh, Simona Hvalič-Touzery, Wilson de Abreu, Manuel Lillo Crespo, Anne Merta, Elizabeth Hanson
No abstract text is available yet for this article.
May 4, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28479272/using-primary-care-payment-models-as-a-catalyst-for-improvement
#8
EDITORIAL
Steven L Phillips, Jeremy V Phillips
No abstract text is available yet for this article.
May 4, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28479271/-healthy-aging-concepts-and-measures
#9
EDITORIAL
Jean-Pierre Michel, Ritu Sadana
No abstract text is available yet for this article.
May 4, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28465129/reference-values-of-grip-strength-prevalence-of-low-grip-strength-and-factors-affecting-grip-strength-values-in-chinese-adults
#10
Ruby Yu, Sherlin Ong, Osbert Cheung, Jason Leung, Jean Woo
OBJECTIVES: The objectives of this study were to update the reference values of grip strength, to estimate the prevalence of low grip strength, and to examine the impact of different aspects of measurement protocol on grip strength values in Chinese adults. DESIGN, SETTING, AND PARTICIPANTS: A cross-sectional survey of Chinese men (n = 714) and women (n = 4014) aged 18-102 years was undertaken in different community settings in Hong Kong. MEASUREMENTS: Grip strength was measured with a digital dynamometer (TKK 5401 Grip-D; Takei, Niigata, Japan)...
April 29, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28465128/nursing-home-physicians-assessments-of-barriers-and-strategies-for-end-of-life-care-in-norway-and-the-netherlands
#11
Anette Fosse, Sytse Zuidema, Froukje Boersma, Kirsti Malterud, Margrethe Aase Schaufel, Sabine Ruths
OBJECTIVES: Working conditions in nursing homes (NHs) may hamper teamwork in providing quality end-of-life (EOL) care, especially the participation of NH physicians. Dutch NH physicians are specialists or trainees in elderly care medicine with NHs as the main workplace, whereas in Norway, family physicians usually work part time in NHs. Thus, we aimed at assessing and comparing NH physicians' perspectives on barriers and strategies for providing EOL care in NHs in Norway and in The Netherlands...
April 29, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28465127/implementing-a-pilot-trial-of-an-infection-control-program-in-nursing-homes-results-of-a-matched-cluster-randomized-trial
#12
Kevin W McConeghy, Rosa Baier, Kevin P McGrath, Christof J Baer, Vincent Mor
BACKGROUND: Hand hygiene is the single-most important nursing home (NH) infection control measure. We piloted a multifaceted hand-washing/surface cleaning intervention in 5 NHs. Our aims were to assess the feasibility of implementing this intervention by assessing staff participation, satisfaction, hand-washing compliance, and whether the intervention was associated with reductions in infection rates, new antimicrobial orders, or overall hospitalization rates. METHODS: We conducted a randomized, pair-matched pilot intervention in 10 Colorado NHs to reduce infections for all NH residents from October 1, 2015 through May 31, 2016...
April 29, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28442228/debating-the-role-of-arousal-in-delirium-diagnosis-should-delirium-diagnosis-be-inclusive-or-restrictive
#13
Mark A Oldham, Joseph H Flaherty, James L Rudolph
Delirium is common in acute, postacute, and long-term care settings, and it can be difficult to recognize, especially without deliberate mental status evaluation. Because delirium typically presents with altered arousal and arousal can be assessed within a matter of seconds, routine assessment of arousal offers an efficient means of delirium screening. Nevertheless, impaired arousal often precludes formal assessment of attention and awareness, the cardinal features of delirium per the current Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition...
April 22, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431914/pain-trajectories-of-nursing-home-residents-nearing-death
#14
Genevieve N Thompson, Malcolm Doupe, R Colin Reid, Jennifer Baumbusch, Carole A Estabrooks
BACKGROUND/OBJECTIVES: Although examining point in time prevalence of pain among nursing home (NH) residents has value, there is a lack of evidence describing the actual changes (ie, trajectories) in pain that take place during their last 6 months of life. The main objective of this study is to describe the major pain trajectories experienced by NH residents during their last 6 months of life. DESIGN: Secondary analysis of Resident Assessment Instrument-Minimum Data Set (MDS) 2...
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431913/use-of-medications-of-questionable-benefit-during-the-last-year-of-life-of-older-adults-with-dementia
#15
Lucas Morin, Davide L Vetrano, Giulia Grande, Laura Fratiglioni, Johan Fastbom, Kristina Johnell
OBJECTIVES: To investigate the prevalence and factors associated with the use of medications of questionable benefit throughout the final year of life of older adults who died with dementia. DESIGN: Register-based, longitudinal cohort study. SETTING: Entire Sweden. PARTICIPANTS: All older adults (≥75 years) who died with dementia between 2007 and 2013 (n = 120,067). MEASUREMENTS: Exposure to medications of questionable benefit was calculated for each of the last 12 months before death, based on longitudinal data from the Swedish Prescribed Drug Register...
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431912/osteosarcopenic-obesity-prevalence-and-relation-with-frailty-and-physical-performance-in-middle-aged-and-older-women
#16
Claudia Szlejf, Lorena Parra-Rodríguez, Oscar Rosas-Carrasco
OBJECTIVES: The aims of this study were to determine the prevalence of osteosarcopenic obesity (OSO) and to investigate its association with frailty and physical performance in Mexican community-dwelling middle-aged and older women. DESIGN: Cross-sectional analysis of a prospective cohort. SETTING: The FraDySMex study, a 2-round evaluation of community-dwelling adults from 2 municipalities in Mexico City. PARTICIPANTS: Participants were 434 women aged 50 years or older, living in the designated area in Mexico City...
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431911/sensor-augmented-insulin-pump-therapy-in-older-adults-impact-on-self-rated-health-and-glycemic-control
#17
LETTER
Miguel Germán Borda, Daniela Patino-Hernandez, Elly Morros-González, Mario Ulises Pérez-Zepeda, Diego Chavarro-Carvajal, Carlos Cano-Gutiérrez, Lisseth Marín, Ana María Gómez
No abstract text is available yet for this article.
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431910/trends-in-geriatrics-related-translational-research-and-funding-in-the-big-4-medical-journals
#18
LETTER
Alan S H Ch'ng, Kenneth T W Yong, David W H Ng, Louise Heyzer, Wee Shiong Lim
No abstract text is available yet for this article.
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431909/antipsychotics-and-the-risk-of-cerebrovascular-accident-a%C3%A2-systematic-review-and-meta-analysis-of-observational-studies
#19
Wan-Ting Hsu, Amin Esmaily-Fard, Chih-Cheng Lai, Darshan Zala, Sie-Huei Lee, Shy-Shin Chang, Chien-Chang Lee
BACKGROUND: Studies investigating the association between antipsychotic use and the risk of cerebrovascular accident (CVA) showed inconsistent results. AIM: Conduct a systematic review and meta-analysis to evaluate whether use of antipsychotics is associated with increased risk of CVA. METHODS: Major electronic databases were searched from 1970 to October 2016 for observational studies investigating the risk of CVA among users of antipsychotics...
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431908/implementation-of-a-person-centered-medical-care-model-in-a-skilled-nursing-facility-a-pilot-evaluation
#20
Kathleen Abrahamson, Jaclyn Myers, Arif Nazir
OBJECTIVES: The objective of this study was to evaluate the feasibility and impact of implementing a person-centered medical care model for post-acute care residents within a skilled nursing facility (SNF). DESIGN: A mixed-method (qualitative and quantitative) pilot evaluation. SETTING: An 89-bed SNF located within a large midwestern city. PARTICIPANTS: Forty SNF post-acute patients admitted to the facility during a 6-month period were enrolled in the pilot evaluation...
April 18, 2017: Journal of the American Medical Directors Association
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