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https://www.readbyqxmd.com/read/28910830/consensus-guidelines-for-therapeutic-drug-monitoring-in-neuropsychopharmacology-update-2017
#1
C Hiemke, N Bergemann, H W Clement, A Conca, J Deckert, K Domschke, G Eckermann, K Egberts, M Gerlach, C Greiner, G Gründer, E Haen, U Havemann-Reinecke, G Hefner, R Helmer, G Janssen, E Jaquenoud, G Laux, T Messer, R Mössner, M J Müller, M Paulzen, B Pfuhlmann, P Riederer, A Saria, B Schoppek, G Schoretsanitis, M Schwarz, M Silva Gracia, B Stegmann, W Steimer, J C Stingl, M Uhr, S Ulrich, S Unterecker, R Waschgler, G Zernig, G Zurek, P Baumann
Therapeutic drug monitoring (TDM) is the quantification and interpretation of drug concentrations in blood to optimize pharmacotherapy. It considers the interindividual variability of pharmacokinetics and thus enables personalized pharmacotherapy. In psychiatry and neurology, patient populations that may particularly benefit from TDM are children and adolescents, pregnant women, elderly patients, individuals with intellectual disabilities, patients with substance abuse disorders, forensic psychiatric patients or patients with known or suspected pharmacokinetic abnormalities...
September 14, 2017: Pharmacopsychiatry
https://www.readbyqxmd.com/read/28910206/a-framework-for-polyvictimization-in-later-life
#2
Pamela B Teaster
This article provides a context and overview for what is known about polyvictimization in later life. Drawing from previous literature, the article includes a definition of the phenomenon, as well as theoretical constructs by which it may be understood. We place other forms of polyvictimization within the context of elder abuse, recognize frameworks for conceptualizing polyvictimization in later life, and distinguish between polyvictimization at younger ages and polyvictimization in later life. The paper concludes with implications of the framework for research, practice, and policy...
September 14, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28898387/prevalence-and-correlates-of-elder-abuse-in-s%C3%A3-o-paulo-and-rio-de-janeiro
#3
Sergio L Blay, Jerson Laks, Valeska Marinho, Ivan Figueira, Deborah Maia, Evandro S F Coutinho, Ines M Quintana, Marcelo F Mello, Rodrigo A Bressan, Jair J Mari, Sergio B Andreoli
OBJECTIVES: To assess the prevalence of elder abuse and to investigate potential sociodemographic, health behavior, and medical correlates. DESIGN: Cross-sectional data were collected in face-to-face assessments. SETTING: São Paulo and Rio de Janeiro, Brazil. PARTICIPANTS: Individuals aged 60 to 75. MEASUREMENTS: Information on elder abuse was obtained using the Brazil-adapted, nine-item Hwalek-Sengstock Elder Abuse Screening Test...
September 12, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28895800/perpetrators-of-late-life-polyvictimization
#4
Karen A Roberto
Most available data about perpetrators of elder abuse is included as part of the description of abuse experienced by older adults. Embedded within this literature is some evidence that perpetrators of elder abuse are involved in polyvictimization. Drawing upon prior empirical research of apparent cases of polyvictimization, this article focuses on what is known about the personal characteristics of perpetrators of polyvictimization, highlights the context of the relationship between perpetrators of polyvictimization and their older adult victims, addresses the potential consequences for perpetrators of polyvictimization, and provides recommendations for future research and practice...
September 12, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28886494/the-elder-physical-abuse-reflected-in-judicial-authorities-in-eskisehir
#5
Kenan Karbeyaz, Adnan Çelikel
AIM: Elder abuse is a health and human rights problem that may occur among every race and ethnic group all around the world. This study aims at describing all cases of physical abuse of elderly which have been reported to, and investigated by Eskisehir - a western city of Turkey. METHODS: Physical abuse incidents above 65 years of age which were evaluated by the Eskisehir Council of Forensic Medicine for expert witness opinion during 5year period between 01.01.2010 and 12...
September 1, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28864485/the-prevalence-and-correlates-of-elder-abuse-and-neglect-in-a-rural-community-of-negeri-sembilan-state-baseline-findings-from-the-malaysian-elder-mistreatment-project-maestro-a-population-based-survey
#6
Rajini Sooryanarayana, Wan Yuen Choo, Noran N Hairi, Karuthan Chinna, Farizah Hairi, Zainudin Mohamad Ali, Sharifah Nor Ahmad, Inayah Abdul Razak, Suriyati Abdul Aziz, Rohaya Ramli, Rosmala Mohamad, Zaiton Lal Mohammad, Devi Peramalah, Noor Ani Ahmad, Tahir Aris, Awang Bulgiba
BACKGROUND: As Malaysia is fast becoming an ageing nation, the health, safety and welfare of elders are major societal concerns. Elder abuse is a phenomenon recognised abroad but less so locally. This paper presents the baseline findings from the Malaysian Elder Mistreatment Project (MAESTRO) study, the first community-based study on elder abuse in Malaysia. DESIGN: Cross-sectional study, analysing baseline findings of a cohort of older adults. SETTING: Kuala Pilah district, Negeri Sembilan state, Malaysia...
September 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/28845853/-resistant-hypertension-in-the-elderly
#7
Paolo Cicconetti, Alessandra Di Berardino, Maria Tortorelli D'Ambrosio, Mauro Cacciafesta
Actually, in literature there are no epidemiologic studies on the prevalence of resistant hypertension in the elderly; however the National Health and Nutrition Examination Survey observed in the adult population prevalence of 12.8% to clinical measurement. But, especially in elderly, it's necessary exclude pseudoresistance forms due to white coat hypertension, arterial stiffness, poor patient compliance to therapy, excessive salt intake, abuse of non-steroidal ant-inflammatory drugs and the forms of secondary hypertension...
July 2017: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/28837418/the-national-elder-mistreatment-study-an-eight-year-longitudinal-study-of-outcomes
#8
Ron Acierno, Melba A Hernandez-Tejada, Georgia J Anetzberger, Daniel Loew, Wendy Muzzy
OBJECTIVES: To conduct an 8-year follow-up of the National Elder Mistreatment Study (NEMS) and specify risk ratios for negative outcomes of elder abuse, including DSM-5 defined depression, generalized anxiety disorder (GAD), posttraumatic stress disorder (PTSD), and poor self-reported health. METHODS: Attempts were made to re-contact, via Computer Assisted Telephone Interview, all 752 NEMS participants who reported mistreatment since age 60 at Wave I, as well as a randomly selected sample of non-mistreated NEMS participants Results: 183 NEMS Wave I elder abuse victims and 591 non-victims provided data...
August 24, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28827940/assessment-of-private-homes-as-spaces-for-the-dying-elderly
#9
Tulika Bhattacharyya, Suhita Chopra Chatterjee, Dipannita Chand, Debolina Chatterjee, Jaydeep Sengupta
AIM: This study makes an assessment of end-of-life care of the elderly in private homes in Kolkata, West Bengal, India. PARTICIPANTS AND METHODS: Primary data were collected from private homes which supported elder care through observation and semi-structured interviews with primary family caregivers of the elderly. RESULTS: The study finds that the major factors preventing private homes from providing adequate care to the elderly were architecturally inadequate housing conditions, paucity of financial support, and scarcity of skilled caregivers...
July 2017: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/28816617/the-norwegian-police-and-victims-of-elder-abuse-in-close-and-familial-relationships
#10
Geir Aas
Over recent decades, domestic violence or family violence, violence against women and child abuse has received much attention in the media, in political discourse and in social research. However, abuse of older adults arouses limited interest. In government action against domestic violence and in police guidance manuals, the elderly receive little attention. The aim of this article is primarily to demonstrate how the police attempt to prevent elder abuse in close relationships, especially in parent-child relationships...
August 17, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28800808/legal-and-ethical-challenges-part-1-general-population
#11
REVIEW
Britta Ostermeyer, Anim N Shoaib, Swapna Deshpande
Several federal and state laws and regulations, as well as ethical medical principles, govern the emergency clinician's practice of care. Although some common legal-medical and ethical principles are shared with other medical specialties, emergency medicine and emergency psychiatry have unique legal and ethical challenges. This article presents and discusses these challenges, including the physician-patient relationship, malpractice, confidentiality and privilege, duty to report, decision-making capacity and vicarious decision-making, the Emergency Medical Treatment and Labor Act, right to treatment, hospital admissions, involuntary commitment, forced medication administration, and child and elder abuse...
September 2017: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28792992/-trends-in-alcohol-abuse-in-brazilian-state-capitals-from-2006-to-2013-an-analysis-of-data-from-the-vigitel-survey
#12
Tiago N Munhoz, Iná S Santos, Bruno P Nunes, Christian Loret de Mola, Inácio Crochemore Mohnsam da Silva, Alicia Matijasevich
The aim of this study was to evaluate the trend in alcohol abuse in Brazil from 2006 to 2013 according to demographic, socioeconomic, and regional characteristics. This was an analysis of cross-sectional studies (VIGITEL, the Risk and Protective Factors Surveillance for Chronic Non-Communicable Diseases through Telephone Interview) that evaluated the Brazilian adult population (≥ 18 years) in the country's state capitals. Sampling was two-stage probabilistic (telephone line and adult resident). Alcohol abuse was defined as ≥ 5 drinks for men and ≥ 4 drinks for women on a single occasion, at least once in the 30 days prior to the interview...
August 7, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28734502/-validation-of-a-prevention-and-detection-procedure-for-physical-and-economic-abuse-of-the-elderly
#13
Marije Goikoetxea Iturregui, Alvaro Moro Inchartieta, Natxo Martínez Rueda
INTRODUCTION: The study carried out for the «Physical and economic abuse sign detection procedure for the elderly in the Basque Country» Pilotage and Validation is described. There barely exist appropriate and validated tools to assist the issue, and the existing ones are hardly adequate for people with cognitive deterioration; therefore, the issue's both visibility in our society and professional intervention are strained. The proposed procedure is a composed by screening tool that determines a likelihood of abuse and an evaluation of signs for determining the abuse practice...
July 19, 2017: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/28712685/emergency-medical-services-perspectives-on-identifying-and-reporting-victims-of-elder-abuse-neglect-and-self-neglect
#14
Tony Rosen, Cynthia Lien, Michael E Stern, Elizabeth M Bloemen, Regina Mysliwiec, Thomas J McCarthy, Sunday Clark, Mary R Mulcare, Daniel S Ribaudo, Mark S Lachs, Karl Pillemer, Neal E Flomenbaum
BACKGROUND: Emergency Medical Services (EMS) providers, who perform initial assessments of ill and injured patients, often in a patient's home, are uniquely positioned to identify potential victims of elder abuse, neglect, or self-neglect. Despite this, few organized programs exist to ensure that EMS concerns are communicated to or further investigated by other health care providers, social workers, or the authorities. OBJECTIVE: To explore attitudes and self-reported practices of EMS providers surrounding identification and reporting of elder mistreatment...
July 13, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28704009/-benzodiazepines-in-elderly-patients-the-dark-side-of-a-magic-pill
#15
Rosaria Del Giorno, Alessandro Ceschi, Luca Gabutti
Clinical studies show that prescription of benzodiazepines increases with age, and well outside of recognized indications. It often is inappropriate and abusive. Its consequences can be very serious and considerably increase patients' morbidity and mortality. Strategies exist to stop these medications through a multidisciplinary approach. Widespread campaigns are necessary to correct what has become a significant public health problem.
January 25, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28700284/prevalence-of-financial-fraud-and-scams-among-older-adults-in-the-united-states-a-systematic-review-and-meta-analysis
#16
REVIEW
David Burnes, Charles R Henderson, Christine Sheppard, Rebecca Zhao, Karl Pillemer, Mark S Lachs
BACKGROUND: The financial exploitation of older adults was recently recognized by the Centers for Disease Control and Prevention as a serious public health problem. Knowledge of the prevalence of elder financial exploitation is mostly limited to the category of financial abuse, which occurs in relationships involving an expectation of trust. Little is known about the other major category of elder financial exploitation-elder financial fraud and scams, which is perpetrated by strangers...
August 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28696784/the-role-of-tramadol-in-pain-management-in-latin-america-a-report-by-the-change-pain-latin-america-advisory-panel
#17
Joäo Batista Santos Garcia, Osvandré Lech, Durval Campos Kraychete, María Antonieta Rico, John Jairo Hernández-Castro, Frantz Colimon, Carlos Guerrero, Manuel Sempértegui Gallegos, Argelia Lara-Solares, José Alberto Flores Cantisani, César Amescua-Garcia, María Del Rocío Guillén Núñez, María Del Rosario Berenguel Cook, Aziza Jreige Iskandar, Patricia Bonilla Sierra
OBJECTIVE: Change Pain Latin America (CPLA) was created to enhance chronic pain understanding and develop pain management improving strategies in this region. During its seventh meeting (August 2016), the main objective was to discuss tramadol's role in treating pain in Latin America. Furthermore, potential pain management consequences were considered, if tramadol was to become more stringently controlled. METHODS: Key topics discussed were: main indications for prescribing tramadol, its pharmacological characteristics, safety and tolerability, effects of restrictions on its availability and use, and consequent impact on pain care quality...
July 21, 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/28691669/spontaneous-chronic-subdural-hematoma-in-young-adult-the-role-of-missing-coagulation-facto
#18
M Dobran, M Iacoangeli, A R Scortichini, F Mancini, R Benigni, D Nasi, M Gladi, M Scerrati
AIM: Chronic subdural hematoma (CSDH) is typically in elderly and rarely in young people. To prevent complications and re-bleeding after surgical treatment of CSDH it is important to assess the risk factors as coagulation disorders especially in young patients (below 65 years) with no history of head trauma, alcohol abuse or anticoagulant therapy. PATIENTS AND METHODS: This study consists of 16 patients (12 males, 4 females) with age ranging from 27 to 59 years (median 48,25 years) operated for CSDH...
March 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/28686603/association-between-elder-abuse-and-poor-sleep-a-cross-sectional-study-among-rural-older-malaysians
#19
Raudah Mohd Yunus, Syeda Wasfeea Wazid, Noran N Hairi, Wan Yuen Choo, Farizah M Hairi, Rajini Sooryanarayana, Sharifah N Ahmad, Inayah A Razak, Devi Peramalah, Suriyati A Aziz, Zaiton L Mohamad, Rosmala Mohamad, Zainudin M Ali, Awang B Awang Mahmud
OBJECTIVES: To examine the association between elder abuse and poor sleep using a Malay validated version of Pittsburgh Sleep Quality Index (PSQI). DESIGN: This study was divided into two phases. Phase I tested the construct validity and reliability of the Malay version of PSQI. Phase II was a population-based, cross-sectional study with a multi-stage cluster sampling method. Home-based interviews were conducted by trained personnel using a structured questionnaire, to determine exposure and outcome...
2017: PloS One
https://www.readbyqxmd.com/read/28678674/a-review-on-community-based-knowledge-transfer-and-exchange-kte-initiatives-for-promoting-well-being-in-older-adults
#20
M Anum Syed, Aynsley Moorhouse, Lynn McDonald, Sander L Hitzig
Knowledge transfer and exchange (KTE) processes can facilitate evidence-informed community-based care for seniors, but understanding effective KTE in gerontology is limited. A scoping review was conducted to evaluate the current state of KTE in the community-based sector for seniors. Twelve articles met the inclusion criteria, which addressed a broad variety of topics including caregiving, elder abuse, falls prevention, home-rehabilitation, hospice and dementia care. Studies evaluated KTE practices (n = 8), developed a KTE intervention (n = 3), or explored research uptake (n = 1)...
July 2017: Journal of Evidence-informed Social Work
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