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https://www.readbyqxmd.com/read/29148336/predictors-of-medication-adherence-in-the-elderly-the-role-of-mental-health
#1
Jo E Rodgers, Emily M Thudium, Hadi Beyhaghi, Carla A Sueta, Khalid A Alburikan, Anna M Kucharska-Newton, Patricia P Chang, Sally C Stearns
The aging population routinely has comorbid conditions requiring complicated medication regimens, yet nonadherence can preclude optimal outcomes. This study explored the association of adherence in the elderly with demographic, socioeconomic, and disease burden measures. Data were from the fifth visit (2011-2013) for 6,538 participants in the Atherosclerosis Risk in Communities Study, conducted in four communities. The Morisky-Green-Levine Scale measured self-reported adherence. Forty percent of respondents indicated some nonadherence, primarily due to poor memory...
March 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/29147763/frailty-in-end-stage-hip-or-knee-osteoarthritis-validation-of-the-groningen-frailty-indicator-gfi-questionnaire
#2
Jennifer M T A Meessen, Claudia S Leichtenberg, Claire Tilbury, Bart L Kaptein, Lennard A Koster, P Eline Slagboom, Suzan H M Verdegaal, Ron Onstenk, Henrike M J van der Linden-van der Zwaag, Herman Kaptijn, Stephan B W Vehmeijer, Willem-Jan C Marijnissen, Pieter-Jan Damen, Rob G H H Nelissen, Thea P M Vliet Vlieland
Frailty is highly prevalent in the elderly, increasing the risk of poor health outcomes. The Groningen Frailty Indicator (GFI) is a 15-item validated questionnaire for the elderly. Its value in patients with end-stage hip or knee osteoarthritis (OA) has not yet been determined. This study assesses the validity of the GFI in this patient group. End-stage hip or knee OA patients completed the GFI (range 0-15, ≥ 4 = frail) before arthroplasty surgery. Convergent validity was determined by Spearman-rank correlation between the SF-12 physical (PCS) and mental (MCS) component scores and the physical and mental GFI-domains, respectively...
November 17, 2017: Rheumatology International
https://www.readbyqxmd.com/read/29143531/the-population-mean-mood-predicts-the-prevalence-of-depression-in-an-australian-context
#3
Aaron D Sia, Lana J Williams, Julie A Pasco, Felice N Jacka, Sharon L Brennan-Olsen, J Lennert Veerman
BACKGROUND: The mean population mood has been demonstrated to strongly correlate with the prevalence of depression in European populations. Mean population mood has, therefore, been proposed as both a metric to measure the impact of population-level interventions to prevent depression and a target for public health policy. AIM: To demonstrate the relationship between mean population mood and the prevalence of depression using Australian data in order to broaden the applicability of this finding to the Australian population...
November 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/29140737/older-americans-were-sicker-and-faced-more-financial-barriers-to-health-care-than-counterparts-in-other-countries
#4
Robin Osborn, Michelle M Doty, Donald Moulds, Dana O Sarnak, Arnav Shah
High-income countries are grappling with the challenge of caring for aging populations, many of whose members have chronic illnesses and declining capacity to manage activities of daily living. The 2017 Commonwealth Fund International Health Policy Survey of Older Adults in eleven countries showed that US seniors were sicker than their counterparts in other countries and, despite universal coverage under Medicare, faced more financial barriers to health care. The survey's findings also highlight economic hardship and mental health problems that may affect older adults' health, use of care, and outcomes...
November 15, 2017: Health Affairs
https://www.readbyqxmd.com/read/29133323/characteristics-and-healthcare-utilisation-patterns-of-high-cost-beneficiaries-in-the-netherlands-a-cross-sectional-claims-database-study
#5
Joost Johan Godert Wammes, Marit Tanke, Wilma Jonkers, Gert P Westert, Philip Van der Wees, Patrick Pt Jeurissen
OBJECTIVE: To determine medical needs, demographic characteristics and healthcare utilisation patterns of the top 1% and top 2%-5% high-cost beneficiaries in the Netherlands. DESIGN: Cross-sectional study using 1 year claims data. We broke down high-cost beneficiaries by demographics, the most cost-incurring condition per beneficiary and expensive treatment use. SETTING: Dutch curative health system, a health system with universal coverage...
November 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29128297/role-of-geriatric-oncologists-in-optimizing-care-of-urological-oncology-patients
#6
REVIEW
Jean-Pierre Droz, Helen Boyle, Gilles Albrand, Nicolas Mottet, Martine Puts
CONTEXT: Urological cancers are common. Since the median age of diagnosis is 60-70 yr, many patients require geriatric as well as urological evaluation if treatment is to be tailored to individual health status including comorbidities and frailty. OBJECTIVE: To review the most important features of geriatric assessment and its expected benefits. We also consider ways in which collaboration between urologists and geriatricians and geriatric teams can benefit patient well-being...
November 8, 2017: European Urology Focus
https://www.readbyqxmd.com/read/29126638/mental-disease-related-emergency-admissions-attributable-to-hot-temperatures
#7
Suji Lee, Hwanhee Lee, Woojae Myung, E Jin Kim, Ho Kim
OBJECTIVE: The association between high temperature and mental disease has been the focus of several studies worldwide. However, no studies have focused on the mental disease burden attributable to hot temperature. Here, we aim to quantify the risk attributed to hot temperatures based on the exposure-lag-response relationship between temperature and mental diseases. METHOD: From data on daily temperature and emergency admissions (EA) for mental diseases collected from 6 major cities (Seoul, Incheon, Daejeon, Daegu, Busan, and Gwangju in South Korea) over a period of 11years (2003-2013), we estimated temperature-disease associations using a distributed lag non-linear model, and we pooled the data by city through multivariate meta-analysis...
November 7, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/29125199/evaluation-of-message-communication-strategy-combined-with-group-reminiscence-therapy-on-elders-with-mild-cognitive-impairment-in-long-term-care-facilities
#8
Huan-Huan Zhang, Peng-Cheng Liu, Jie Ying, Ying Shi, Shou-Qi Wang, Mei-Ling Zhang, Jiao Sun
OBJECTIVE: This study aims to evaluate combined effects of MESSAGE communication strategy and group reminiscence therapy (GRT) on elders with mild cognitive impairment (MCI) in long-term care facilities in Changchun, China. METHODS: This study is a nonrandomized controlled trial. Subjects included 60 elders with MCI. Participants were divided into intervention (MESSAGE communication strategy combined with GRT) and control groups (without any intervention). Primary outcomes comprised cognitive function and quality of life of elderly people, as measured by the Beijing version of the Montreal Cognitive Assessment and the Chinese (mainland) version of Short-Form 36 Health Survey assessment...
November 10, 2017: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29122047/antipsychotic-polypharmacy-in-older-australians
#9
Lisa M Kalisch Ellett, Nicole L Pratt, Mhairi Kerr, Elizabeth E Roughead
BACKGROUND: Antipsychotics are commonly used, and the rate of use is highest, among those aged 65 years or over, where the risk of adverse events is also high. Up to 20% of younger adults use more than one antipsychotic concurrently; however there are few studies on the prevalence of antipsychotic polypharmacy in older people. We aimed to analyze antipsychotic use in elderly Australians, focusing on the prevalence of antipsychotic polypharmacy and the use of medicines to manage adverse events associated with antipsychotics...
November 10, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29113548/cognitive-functions-and-health-related-quality-of-life-in-men-with-benign-prostatic-hyperplasia-and-symptoms-of-overactive-bladder-when-treated-with-a-combination-of-tamsulosin-and-solifenacin-in-a-higher-dosage
#10
Kirill Kosilov, Irina Kuzina, Vladimir Kuznetsov, Yuliya Gainullina, Liliya Kosilova, Alexandra Prokofyeva, Sergey Loparev
AIM: To study the cognitive functions and health-related quality of life (HRQoL) in individuals taking a combination of tamsulosin and solifenacin in a higher dosage. METHODS: All patients (n = 262) were assigned to group A (N = 93, tamsulosin 0.4 mg + solifenacin 10 mg per day), group B (N = 83, tamsulosin 0.4 mg + solifenacin 20 mg), and control group C (N = 86; tamsulosin 0.4 mg + placebo). The lower urinary tract (LUT) condition was assessed on the scales International Prostate Symptom Score, Over Active Bladder Awareness Tool and uroflowmetry...
November 7, 2017: Aging Male: the Official Journal of the International Society for the Study of the Aging Male
https://www.readbyqxmd.com/read/29109625/postoperative-delirium-in-elderly-citizens-and-current-practice
#11
REVIEW
Siddareddygari Velayudha Reddy, Jawaharlal Narayanasa Irkal, Ananthapuram Srinivasamurthy
Postoperative delirium (POD) represents an acute brain dysfunction in the postsurgical period. Perioperative physicians caring for the older adults are familiar with the care of dysfunction of organs such as lungs, heart, liver, or kidney in the perioperative setting, but they are less familiar with management of brain dysfunction. As early detection and prompt treatment of inciting factors are utmost important to prevent or minimize the deleterious outcomes of delirium. The purpose of this review is to prepare perioperative physicians with a set of current clinical practice recommendations to provide optimal perioperative care of older adults, with a special focus on specific perioperative interventions that have been shown to prevent POD...
July 2017: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29100500/associations-between-the-structural-and-functional-aspects-of-social-relations-and-poor-mental-health-a-cross-sectional-register-study
#12
Lise Røntved Hansen, Stinna Bibi Pedersen, Charlotte Overgaard, Christian Torp-Pedersen, Line Rosenkilde Ullits
BACKGROUND: Social relations influence mental health through different pathways. To capture the complexity of social relations, it is beneficial to consider both the structural (e.g., reachability of social network and social integration) and functional (e.g., instrumental and emotional support) aspects of the concept. Both aspects are rarely investigated simultaneously. This study aimed to examine the association between the structural and functional aspects of social relations and poor mental health...
November 3, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29099470/social-support-and-health-related-quality-of-life-among-elderly-individuals-living-alone-in-south-korea-a-cross-sectional-study
#13
Jiyun Kim, Jong-Eun Lee
BACKGROUND: Health-related quality of life (HRQoL) is an important component of healthy aging. Elderly individuals living alone with health risks have rapidly increased in South Korea. Inadequate social support has been associated with poor HRQoL in elderly individuals who are currently living alone. Although studies of HRQoL in elderly subjects who live alone have been conducted, studies of the relationships between social support and HRQoL have rarely targeted the elderly individuals living alone...
November 2, 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29089221/-spouses-health-related-quality-of-life-evaluation-of-elderly-patients-with-depression
#14
Isabelle Jalenques, Marion Cleret, Barbara Richard, Fabien Rondepierre, Candy Auclair
OBJECTIVE: To assess and compare the health-related quality of life (HRQoL) of spouses living at home with a patient aged 65 years or more suffering from a major depressive disorder and that of matched controls. Secondly, to investigate whether the HRQoL of spouses was correlated with the assessment of their partner's depression, their own depression and the self-perceived level of care burden experienced by the caregiver partner. METHODS: Assessment of patients was based on the clinical diagnosis of a major depressive disorder as established by the criteria of the DSM-IV-TR, the geriatric depression scale GDS-15 and the LEIPAD questionnaire specific to subjects aged 65 or over living at home...
October 28, 2017: La Presse Médicale
https://www.readbyqxmd.com/read/29084014/nutrition-and-the-community-dwelling-older-person-a-pilot-study-in-general-practice
#15
Donna Preston, Thi N M Nguyen, Renuka Visvanathan, Anne Wilson
INTRODUCTION: Nutrition is vital for health, and undernutrition can compromise physical and mental wellbeing. The prevalence of undernutrition among older community-dwelling adults attending general practice in Australia is not readily known. OBJECTIVES: The aims of the study were to determine the prevalence of malnutrition of the elderly in Australian general practice, to assess malnutrition-related factors and to describe the older people's perception about nutrition...
October 27, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/29079958/fukushima-triple-disaster-and-the-road-to-recovery-a-qualitative-exploration-of-resilience-in-internally-displaced-residents
#16
Claire L Mann, Christina N Gillezeau, Alessandro Massazza, Daniel J Lyons, Kanata Tanaka, Kazuma Yonekura, Hideharu Sekine, Robert Yanagisawa, Craig L Katz
Six years after the March 2011 Triple Disaster, over 35,000 Japanese individuals remain in temporary housing. Evacuated residents, many of who are elderly, face mental health challenges. This study evaluates the well being of individuals living in temporary housing within Fukushima. Reactions to relocation were explored using Photovoice, a community-based participatory research method, in which a set of research questions are examined qualitatively through photographs and interviews. Seven participants (average age = 69...
October 27, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/29077928/complexity-of-work-and-incident-cognitive-impairment-in-puerto-rican-older-adults
#17
Ross Andel, Ana Luisa Dávila-Roman, Catherine Grotz, Brent J Small, Kyriakos S Markides, Michael Crowe, Shevaun Neupert
Objective: We investigated complexity of work in main occupation in relation to incident cognitive impairment in older Puerto Ricans. Method: A population-based sample of 1,673 adults age 60+ for the Puerto Rican Elderly: Health Conditions (PREHCO) study was used. Cognition was measured at baseline and 4 years later using the Mini-Mental Cabán (MMC), with scoring 1.5 SD below the MMC score adjusted for age, education, gender, and reading ability comprising cognitive impairment...
October 25, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/29073669/prevalence-of-temporomandibular-disorders-in-rheumatoid-arthritis-and-associated-risk-factors-a-nationwide-study-in-taiwan
#18
Ching-Yueh Lin, Chi-Hsiang Chung, Heng-Yi Chu, Liang-Cheng Chen, Kuo-Hsien Tu, Chang-Huei Tsao, Yung-Tsan Wu, Wu-Chien Chien
AIMS: To investigate the association between temporomandibular disorders (TMD) and rheumatoid arthritis (RA), as well as potential risk factors for TMD and the preventive effect of medications on TMD, by using the Taiwan National Health Insurance Research Database. METHODS: In total, 17,317 patients newly diagnosed with RA and 17,317 matched controls without RA were followed up from 2000 to 2010. Cox regression was used to determine risk factors for developing TMD...
October 2017: Journal of Oral & Facial Pain and Headache
https://www.readbyqxmd.com/read/29073629/early-cognitive-impairment-after-intracerebral-hemorrhage-in-the-interact1-study
#19
Shoujiang You, Xia Wang, Richard I Lindley, Thompson Robinson, Craig S Anderson, Yongjun Cao, John Chalmers
BACKGROUND: Data on cognitive impairment after acute intracerebral hemorrhage (ICH) are limited. This study is aimed at determining the frequency and predictors of cognitive impairment among participants of the pilot phase, Intensive Blood Pressure (BP) Reduction in Acute Cerebral Hemorrhage Trial (INTERACT1). METHODS: INTERACT1 was an open randomized trial of early intensive (target systolic BP <140 mm Hg) compared with contemporaneous guideline-recommended BP lowering in 404 patients with elevated systolic BP (150-220 mm Hg) within 6 h of ICH onset...
October 26, 2017: Cerebrovascular Diseases
https://www.readbyqxmd.com/read/29072940/bridging-climate-health-and-equity-a-growing-imperative
#20
Jalonne L White-Newsome, Phyllis Meadows, Chris Kabel
Climate change and its impacts jeopardize the health and well-being of people across the country. Communities most vulnerable to climate impacts tend to be the least prepared to manage and recover from the physical, economic, mental, and social devastation climate change can cause.(1) Children, the elderly, indigenous peoples, and those with preexisting health conditions are especially vulnerable to climate disruptions such as flooding, dangerous heat, drought, and poor air quality. This is particularly true if they live in low-income communities, which often are exposed to multiple environmental hazards, yet are least likely to have resources or connections to address the cumulative impacts of environmental exposures that are worsened by climate change...
October 26, 2017: American Journal of Public Health
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