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BMC geriatrics

Sharon A Levine, Serena H Chao, Lisa B Caruso, Angela H Jackson, Matthew L Russell, Megan E Young, Belle Brett
PURPOSE: Nongeriatricians must acquire skills and knowledge in geriatric medicine to ensure coordinated care of older adults' complex conditions by interspecialty and interprofessional teams. Chief residents (CRs) are an ideal target for an educational intervention. This study examined whether the Boston Medical Center (BMC) Chief Resident Immersion Training (CRIT) in the Care of Older Adults was replicable at diverse medical institutions. METHOD: Between 2008 and 2010, 12 institutions in 11 states received funding, technical support, and a common program model...
June 5, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Debbie Laliberte Rudman, Mary Y Egan, Colleen E McGrath, Dorothy Kessler, Paula Gardner, Judy King, Christine Ceci
PURPOSE: Given the centrality of risk in geriatric rehabilitation, it is critically important to attend to how conceptualizations of risk shape research, policies, and rehabilitation practices. This paper presents a critical interpretive synthesis (CIS) of literature addressing risk and low vision rehabilitation for older adults with age-related vision loss (ARVL) to identify key guiding assumptions regarding risk and discuss implications for what gets attended to, and not attended to, within research and rehabilitation...
June 2016: Gerontologist
Yoko Ishigami, Gail A Eskes, Amanda V Tyndall, R Stewart Longman, Lauren L Drogos, Marc J Poulin
The Attention Network Test (ANT) is a frequently used computer-based tool for measuring the three attention networks (alerting, orienting, and executive control). We examined the psychometric properties of performance on a variant of the ANT, the Attention Network Test-Interaction (ANT-I) in healthy older adults (N = 173; mean age = 65.4, SD = 6.5; obtained from the Brain in Motion Study, Tyndall et al. BMC Geriatr 13:21, 2013. doi: 10.1186/1471-2318-13-21) to evaluate its usefulness as a measurement tool in both aging and clinical research...
March 2016: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
A J B M de Vos, K J E Asmus-Szepesi, T J E M Bakker, P L de Vreede, J D H van Wijngaarden, E W Steyerberg, J P Mackenbach, A P Nieboer
BACKGROUND: Hospital related functional decline in older patients is an underestimated problem. Thirty-five procent of 70-year old patients experience functional decline during hospital admission in comparison with pre-illness baseline. This percentage increases considerably with age. METHODS/DESIGN: To address this issue, the Vlietland Ziekenhuis in The Netherlands has implemented the Prevention and Reactivation Care Programme (PReCaP), an innovative program aimed at reducing hospital related functional decline among elderly patients by offering interventions that are multidisciplinary, integrated and goal-oriented at the physical, social, and psychological domains of functional decline...
February 2015: Tijdschrift Voor Gerontologie en Geriatrie
Heidrun Gattinger, Minna Stolt, Virpi Hantikainen, Sascha Köpke, Beate Senn, Helena Leino-Kilpi
AIMS AND OBJECTIVES: The aim of this study was to identify and describe the existing observation instruments that are used to assess nurses' skills in patient mobilisation and to evaluate the psychometric properties of the included instruments. BACKGROUND: Structured knowledge about instruments for assessing nurses' skills in patient mobilisation is limited. DESIGN: Systematic review. METHODS: Studies were identified via electronic database searches and reference lists and were included based on the eligibility criteria...
March 2015: Journal of Clinical Nursing
Juan Rodríguez-Mansilla, María Jiménez-Palomares, María Victoria González-López-Arza
The purpose of this study was to determine which scales are being used to evaluate pain in old people suffering from dementia. A search strategy was developed to retrieve all articles (randomized controlled trials and clinical trials without randomization) published in MEDLINE, Cochrane Library Plus, PEDro and Dialnet and BMC Geriatrics from January 2000 to January 2012. Exclusion criteria were articles that did not use scales for evaluating pain in elderly patients suffering from dementia, and other type of articles (case studies, reviews...
January 2014: Revista Española de Geriatría y Gerontología
Karla Diazordaz, Anne-Marie Slowther, Rachel Potter, Sandra Eldridge
OBJECTIVE: To assess the quality of reported consent processes of cluster-randomised trials conducted in residential facilities for older people and to explore whether the focus on improving the general conduct and reporting of cluster-randomised trials influenced the quality of conduct and reporting of ethical processes in these trials. DESIGN: Systematic review of cluster-randomised trials reports, published up to the end of 2010. DATA SOURCES: National Library of Medicine (Medline) via PubMed, hand-searches of BMJ, Journal of the American Medical Association, BMC Health Services Research, Age and Ageing and Journal of the American Geriatrics Society, reference search in Web of Knowledge and consultation with experts...
2013: BMJ Open
Ian D Cameron, Susan Kurrle
Geriatric consultation teams are one of the models for bringing comprehensive geriatric assessment to vulnerable and frail older people in the acute care hospital setting. While ward-based comprehensive geriatric assessment has been established as effective with reference to improving functional status and other outcomes, the team-based variant remains unproven for outcomes other than mortality in the medium term, as shown in a recent study published in BMC Medicine by Deschodt and colleagues. Further research might establish the effectiveness of the team-based model but, for current clinical practice, the emphasis should be on streaming older people with complex problems needing multidisciplinary assessment and treatment to ward-based models of comprehensive geriatric assessment...
2013: BMC Medicine
Robert A Bailey, Gregory Reardon, Michael R Wasserman, R Scott McKenzie, R Steve Hord
BACKGROUND: Among long-term care (LTC) residents, we explored the association between anemia status and hemoglobin (Hb) level with Activities of Daily Living (ADL) functioning and health-related quality of life (HRQOL). METHODS: Data were derived from the AnalytiCare database, containing laboratory and Minimum Data Set (MDS) reports for 27 LTC facilities in Colorado. Study timeframe was 1/1/07-9/15/08. Patients were selected based on: residence in LTC >90 days, Hb and serum creatinine value within 90 days of the earliest non-admission (index) MDS...
2012: Health and Quality of Life Outcomes
Louise A Brown, James R Brockmole, Alan J Gow, Ian J Deary
UNLABELLED: BACKGROUND/STUDY CONTEXT: Visual working memory (VWM) has been shown to be particularly age sensitive. Determining which measures share variance with this cognitive ability in older adults may help to elucidate the key factors underlying the effects of aging. METHODS: Predictors of VWM (measured by a modified Visual Patterns Test) were investigated in a subsample (N = 44, mean age = 73) of older adults from the Lothian Birth Cohort 1936 (LBC1936; Deary et al...
2012: Experimental Aging Research
Kwok Sui Leung, Kwong Man Lee, Wing Hoi Cheung, Edmond Siu Woon Ng, Ling Qin
With the increasing number of geriatric long bone fractures, the establishment of long bone reference BMD data is desirable for the accurate diagnosis of osteoporosis, study of fracture mechanics, implant design, and indications for augmentation of fracture fixation with biomaterials. We report the normal reference bone mineral density (BMD) and bone mineral content (BMC) at three femoral sites (proximal, diaphyseal, and distal) in 106 male and 93 female Hong Kong Chinese aged 12 to 80, measured with dual-energy X-ray absorptiometry (DXA)...
2004: Journal of Clinical Densitometry
S Kirchengast, B Peterson, G Hauser, W Knogler
Reduced bone density and osteoporosis are significant health problems and contributors to disability and mortality among older women and men. Therefore the decline of bone mineral content (BMC) and bone mineral density (BMD) are aspects of ageing with great medical and social significance. In recent years a low body weight was declared to be an important risk factor for the development of osteoporosis. In the present study the impact of weight status, defined by the categories of the WHO, on BMC of the whole body and BMD of the proximal femur end, determined by dual energy x-ray absorptiometry (DEXA), were studied in 77 female and 62 male probands aged between 60 and 92 years (x = 71...
August 2001: Zeitschrift Für Gerontologie und Geriatrie
C Y Huang, R S Wang, H Q Gu, H Chen, J H Yuan
The social nutrition status was investigated among 246 subjects aged 60-90 living at three urban communities in Chengdu of Sichuan Province. The questionnaire was designed to evaluate socio-demographic background, the subjects' nutrition knowledge, and the support systems for geriatric nutrition. Fasting venous blood was collected for the analysis of biochemical parameters. Blood pressure, bone mineral contents (BMC), body weight (BW) and body height (BH) were measured at the same time. Only 49.7% of the subjects correctly answered four basic questions on nutrition...
September 1998: Biomedical and Environmental Sciences: BES
N Yoganandan, F Pintar, C R Wilson, A Sances
Compressive strength tests were conducted on fresh human geriatric female cervical vertebral bodies. Nineteen specimens were compressed to 50% of their initial height using an electrohydraulic testing device. The mechanical force-deflection response was sigmoidal with continuously changing resistance. The mean cross-sectional area and bone mineral content (BMC) of the vertebral bodies progressively increased from C3 (area: 333.8 mm2, BMC: 1.56 g) to C6 (area: 499.7 mm2, BMC: 2.18 g). The maximum compressive force increased from 1060 N at C3 to 1787 N at C6...
March 1990: Journal of Biomedical Engineering
K Sugino, Y Kure, R Shiraishi, H Iwasaki, H Sato, Y Kumamoto, A Matsumoto
Recently, mean span of life has been prolonged, and extensive operations are performed on aged patients. However, there are cases which have a difference between their chronological and actual ages. Bone mineral content (BMC) decreases with age and the decrease in BMC might suggest deterioration of immunological competence as observed in osteoporosis. Whether BMC can be an index for evaluation of geriatric patients' actual age from the aspect of immunological competence was investigated. Subjects were 54 cases aged more than 60...
August 1990: Nihon Geka Gakkai Zasshi
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