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Mental Status Changes

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https://www.readbyqxmd.com/read/29340317/intradialytic-cognitive-and-exercise-training-may-preserve-cognitive-function
#1
Mara A McAdams-DeMarco, Jonathan Konel, Fatima Warsame, Hao Ying, Marlís González Fernández, Michelle C Carlson, Derek M Fine, Lawrence J Appel, Dorry L Segev
Introduction: Cognitive decline is common and increases mortality risk in hemodialysis patients. Intradialytic interventions like cognitive training (CT) and exercise training (ET) may preserve cognitive function. Methods: We conducted a pilot randomized controlled trial of 20 hemodialysis patients to study the impact of 3 months of intradialytic CT (tablet-based brain games) (n = 7), ET (foot peddlers) (n = 6), or standard of care (SC) (n = 7) on cognitive function...
January 2018: KI Reports
https://www.readbyqxmd.com/read/29338743/the-prospective-and-concurrent-effect-of-exercise-on-health-related-quality-of-life-in-older-adults-over-a-3%C3%A2-year-period
#2
Helen-Maria Vasiliadis, Mathieu F Bélanger
BACKGROUND: It is not clear whether socioeconomic status influences health outcomes among older adults through its effect on physical activity. The aim of this study was to assess the effect of sex and neighborhood socio-economic status on the change in health related quality of life (HR-QOL) as a function of physical activity over a three-year period. METHODS: This cohort study included French-speaking community-dwelling older adults recruited in primary care practices in the province of Quebec and participating in the 'Étude sur la Santé des Ainés' (ESA)-Services study on the health of the elderly...
January 16, 2018: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/29338731/effective-nationwide-school-based-participatory-extramural-program-on-adolescent-body-mass-index-health-knowledge-and-behaviors
#3
Moonseong Heo, Camille C Jimenez, Jean Lim, Carmen R Isasi, Arthur E Blank, David W Lounsbury, Lynn Fredericks, Michelle Bouchard, Myles S Faith, Judith Wylie
BACKGROUND: Adolescent obesity is a major public health concern. Open to all high school students regardless of weight status, HealthCorps is a nationwide program offering a comprehensive high school-based participatory educational program to indirectly address obesity. We tested a hypothesis that the HealthCorps program would decrease BMI z-scores among overweight or obese students, and reduce obesity rates, and evaluated its effects on health knowledge and behaviors. METHODS: HealthCorps aimed to improve student knowledge and behaviors regarding nutrition quality, physical activity, sleep, breakfast intake, and mental resilience...
January 16, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29336276/streamlining-the-medication-review-process-by-use-of-a-new-review-tool-chart
#4
Quincy Ostrem, Stephen Carlson, Brady Hamilton
OBJECTIVE: The Carlson-Hamilton Adult Medication Review Tool (CHART) represents an effort to improve the approach to geriatric care by streamlining the medication review process and identifying potential medication issues that may be relevant to patient's cognitive presentation and impact clinical decision making. SETTING: CHART was created at a behavioral health facility. The most common primary diagnoses on this unit include new onset psychosis and recent mental status changes...
January 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29334514/monitoring-depression-rates-in-an-urban-community-use-of-electronic-health-records
#5
Arthur J Davidson, Stanley Xu, Carlos Irwin A Oronce, M Josh Durfee, Emily V McCormick, John F Steiner, Edward Havranek, Arne Beck
OBJECTIVES: Depression is the most common mental health disorder and mediates outcomes for many chronic diseases. Ability to accurately identify and monitor this condition, at the local level, is often limited to estimates from national surveys. This study sought to compare and validate electronic health record (EHR)-based depression surveillance with multiple data sources for more granular demographic subgroup and subcounty measurements. DESIGN/SETTING: A survey compared data sources for the ability to provide subcounty (eg, census tract [CT]) depression prevalence estimates...
January 12, 2018: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/29334442/a-rare-initial-presentation-of-primary-diffuse-leptomeningeal-pnet-in-a-10-year-old-male
#6
Peter Paul Lim, Jagadeesh Ramdas, Michal Ann Miller, Conrad Schuerch, George Wu
Primary leptomeningeal primitive neuroectodermal tumors (PNETs) are extremely rare childhood central nervous system malignancies harboring a very poor prognosis. There is no consensus treatment for these tumors to date. We report a case of a 10-year-old male who presented with mental status change, hydrocephalus, intracranial and spinal diffuse leptomeningeal enhancement without a primary mass upon cranial imaging and a negative initial biopsy until five months into his presentation. He responded significantly well to initial chemotherapy and radiotherapy...
December 2017: South Dakota Medicine: the Journal of the South Dakota State Medical Association
https://www.readbyqxmd.com/read/29332504/changes-in-distress-measured-by-the-distress-thermometer-as-reported-by-patients-in-home-palliative-care-in-germany
#7
Stefanie Ohnhäuser, Johannes Wüller, Ann Christina Foldenauer, Tania Pastrana
AIM: To identify changes in distress as reported by patients in a home palliative care program over a 2-week period. METHODS: Prospective study in West Germany with consecutive patients cared for at home by a palliative care specialty team. Exclusion criteria were patients under 18 years of age, mentally or physically not able to complete the assessment questionnaires, or unable to comprehend German language. Distress was measured using the distress thermometer (DT); sociodemographic and medical data were collected from the patients' records...
January 1, 2018: Journal of Palliative Care
https://www.readbyqxmd.com/read/29330465/insulin-resistance-is-associated-with-cognitive-decline-among-older-koreans-with-normal-baseline-cognitive-function-a-prospective-community-based-cohort-study
#8
Sung Hye Kong, Young Joo Park, Jun-Young Lee, Nam H Cho, Min Kyong Moon
We evaluated whether metabolic factors were associated with cognitive decline, compared to baseline cognitive function, among geriatric population. The present study evaluated data from an ongoing prospective community-based Korean cohort study. Among 1,387 participants who were >65 years old, 422 participants were evaluated using the Korean mini-mental status examination (K-MMSE) at the baseline and follow-up examinations. The mean age at the baseline was 69.3 ± 2.9 years, and 222 participants (52...
January 12, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29324903/korean-survey-data-reveals-an-association-of-chronic-laryngitis-with-tinnitus-in-men
#9
Myung Jin Ban, Won Shik Kim, Ki Nam Park, Jae Wook Kim, Seung Won Lee, Kyungdo Han, Jae Won Chang, Hyung Kwon Byeon, Yoon Woo Koh, Jae Hong Park
The association between chronic laryngitis and tinnitus is not a well-studied topic, unlike the association of these two conditions with many other disorders. Cross-sectional data of 11,347 adults (males: 4,934; females: 6,413), who completed the Korea National Health and Nutrition Examination Survey (KNHANES) from 2010 to 2012 were used to investigate this association. Lifestyle patterns, including smoking and alcohol habits, regular exercise, physical and mental health status, socioeconomic status, nutritional status, and other chronic diseases, were analyzed...
2018: PloS One
https://www.readbyqxmd.com/read/29318004/poly-de-prescribing-to-treat-polypharmacy-efficacy-and-safety
#10
Doron Garfinkel
Background: The aim of this study was to evaluate efficacy and safety of poly-de-prescribing (PDP) based on the Garfinkel method in older people with polypharmacy. Methods: A longitudinal, prospective, nonrandomized study in Israel was carried out between 2009 and 2016. Comprehensive geriatric assessments were performed at home in people age ⩾66 years consuming ⩾6 prescription drugs. Exclusion criteria were life expectancy <6 months and a seeming unwillingness to cooperate (poor compliance)...
January 2018: Therapeutic Advances in Drug Safety
https://www.readbyqxmd.com/read/29317379/effect-of-a-gender-tailored-ehealth-weight-loss-program-on-the-depressive-symptoms-of-overweight-and-obese-men-pre-post-study
#11
Myles D Young, Philip J Morgan
BACKGROUND: Obesity and depression are of two of the largest contributors to the global burden of disease in men. Although lifestyle behavior change programs can improve participants' weight and depressive symptoms, the evidence is limited by a lack of male participants and a reliance on face-to-face treatment approaches, which are not accessible or appealing for many men. OBJECTIVE: This study examined the effect of a gender-tailored electronic health (eHealth) program on the depressive symptoms of a community sample of overweight and obese men with or without depression...
January 9, 2018: JMIR Mental Health
https://www.readbyqxmd.com/read/29311436/legionnaires-disease-as-an-occupational-risk-related-to-decontamination-work-after-the-fukushima-nuclear-disaster-a-case-report
#12
Toyoaki Sawano, Masaharu Tsubokura, Akihiko Ozaki, Claire Leppold, Shigeaki Kato, Toshiyuki Kambe
OBJECTIVES: Legionnaires' disease (LD), which is atypical pneumonia with a broad variety of clinical symptoms, can lead to death despite its low incidence. There are multiple risk factors for LD, yet little information is available concerning what kind of environmental factors are linked to higher risk of LD development. We have experienced a fatal case of LD, which occurred in a decontamination worker after the Fukushima nuclear disaster. CASE: A 53-year-old Japanese male visited our hospital with symptoms of fever, vomiting, diarrhea, and altered mental status, but not with respiratory manifestations...
December 28, 2017: Journal of Occupational Health
https://www.readbyqxmd.com/read/29310724/effect-of-long-term-nutraceutical-and-dietary-supplement-use-on-cognition-in-the-elderly-a-10-year-systematic-review-of-randomised-controlled-trials
#13
Nathan M D'Cunha, Ekavi N Georgousopoulou, Lakshika Dadigamuwage, Jane Kellett, Demosthenes B Panagiotakos, Jackson Thomas, Andrew J McKune, Duane D Mellor, Nenad Naumovski
Nutraceuticals have generated interest as a way to mitigate the cognitive decline in older adults. The aim of this systematic review was to determine the evidence for these claims from the scientific literature in randomised, double-blinded, controlled trials (duration: ≥1 year; participants: n≥100; age(mean): ≥65 years). Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched four electronic databases (PubMed, Scopus, CINAHL and Web of Science) and identified twenty-five studies published between the 15·June·2006 and 14·June·2016...
January 9, 2018: British Journal of Nutrition
https://www.readbyqxmd.com/read/29304845/testing-decision-making-competency-of-schizophrenia-participants-in-clinical-trials-a-meta-analysis-and-meta-regression
#14
Sorin Hostiuc, Mugurel Constantin Rusu, Ionut Negoi, Eduard Drima
BACKGROUND: The process of assessing the decision-making capacity of potential subjects before their inclusion in clinical trials is a legal requirement and a moral obligation, as it is essential for respecting their autonomy. This issue is especially important in psychiatry patients (such as those diagnosed with schizophrenia). The primary purpose of this article was to evaluate the degree of impairment in each dimension of decision-making capacity in schizophrenia patients compared to non-mentally-ill controls, as quantified by the (MacCAT-CR) instrument...
January 5, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29298304/the-vienna-psychosocial-assessment-procedure-for-bionic-reconstruction-in-patients-with-global-brachial-plexus-injuries
#15
Laura Antonia Hruby, Anna Pittermann, Agnes Sturma, Oskar Christian Aszmann
BACKGROUND: Global brachial plexopathies cause major sensory and motor deficits in the affected arm and hand. Many patients report of psychosocial consequences including chronic pain, decreased self-sufficiency, and poor body image. Bionic reconstruction, which includes the amputation and prosthetic replacement of the functionless limb, has been shown to restore hand function in patients where classic reconstructions have failed. Patient selection and psychological evaluation before such a life-changing procedure are crucial for optimal functional outcomes...
2018: PloS One
https://www.readbyqxmd.com/read/29297937/anxiety-symptoms-predicted-decline-in-episodic-memory-in-cognitively-healthy-older-adults-a-3-year-prospective-study
#16
Ada Wai Tung Fung, Joyce Sau Wa Lee, Allen Ting Chun Lee, Linda Chiu Wa Lam
OBJECTIVE: Prospective studies on late-life anxiety disorders suggested that history of anxiety symptoms may be predictive of cognitive decline in old age. However, the relationship between anxiety and cognitive decline is still inconclusive due to heterogeneity in sample and methodology. This study was to explore how baseline anxiety symptoms associated with the change of memory in older people without cognitive impairment over a 3-year period. METHODS: This was a 3-year prospective study on 91 cognitively normal older adults with anxiety symptoms...
January 3, 2018: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29294909/the-prediction-of-repeated-violence-among-individuals-with-serious-mental-disorders-situational-versus-dispositional-factors
#17
Michelle N Harris, Brent Teasdale
The question we attempt to answer in this study is why some individuals with serious mental illness engage in repeated violence, while others do not. There appear to be two perspectives that may explain repeated violence: one that emphasizes situational factors and one that emphasizes dispositional factors. Situational factors are those that are constantly changing within one's life, whereas dispositional factors are those that remain relatively stable over time. Therefore, dispositional factors would theoretically put individuals with serious mental illness at stable risk for repeated violence because these factors remain relatively stable over time...
September 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29290219/associations-of-obesity-and-weight-change-with-physical-and-mental-impairments-in-elderly-chinese-people
#18
Jingjing Zhu, Yong-Bing Xiang, Hui Cai, Honglan Li, Yu-Tang Gao, Wei Zheng, Xiao-Ou Shu
OBJECTIVE: To examine the associations between anthropometric measurements and functional impairments in a sample of urban elderly Chinese people. METHODS: In two population-based cohort studies, the Shanghai Women's Health Study (SWHS) and Shanghai Men's Health Study (SMHS), 11,505 men and 17,166 women aged 70-88 years at the time of the functional assessment were studied. Weight history was collected and anthropometric data were taken at study enrollment (from 1996 to 2000 for the SWHS, 2002-2006 for the SMHS)...
February 2018: Maturitas
https://www.readbyqxmd.com/read/29284718/cohort-profile-study-of-transition-outcomes-and-gender-strong-to-assess-health-status-of-transgender-people
#19
Virginia P Quinn, Rebecca Nash, Enid Hunkeler, Richard Contreras, Lee Cromwell, Tracy A Becerra-Culqui, Darios Getahun, Shawn Giammattei, Timothy L Lash, Andrea Millman, Brandi Robinson, Douglas Roblin, Michael J Silverberg, Jennifer Slovis, Vin Tangpricha, Dennis Tolsma, Cadence Valentine, Kevin Ward, Savannah Winter, Michael Goodman
PURPOSE: The Study of Transition, Outcomes and Gender (STRONG) was initiated to assess the health status of transgender people in general and following gender-affirming treatments at Kaiser Permanente health plans in Georgia, Northern California and Southern California. The objectives of this communication are to describe methods of cohort ascertainment and data collection and to characterise the study population. PARTICIPANTS: A stepwise methodology involving computerised searches of electronic medical records and free-text validation of eligibility and gender identity was used to identify a cohort of 6456 members with first evidence of transgender status (index date) between 2006 and 2014...
December 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/29284288/traumatic-brain-injury-among-refugees-and-asylum-seekers
#20
Jacob I McPherson
BACKGROUND: Refugees and asylum seekers face many challenges in their pursuit of a safe home. The journey for displaced individuals can be extremely dangerous and many do not survive or go missing. Survivors face significant risks of injury, abuse, and torture. Traumatic brain injury is one of the most common and disabling injuries sustained by these populations. This already complex condition can have profound implications on these groups and their families due to factors related to mental health, cultural perspectives, and their ability to navigate healthcare systems...
December 28, 2017: Disability and Rehabilitation
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