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https://www.readbyqxmd.com/read/29124741/veterans-experiencing-elder-abuse-improving-care-of-a-high-risk-population-about-which-little-is-known
#1
Lena K Makaroun, Laura Taylor, Tony Rosen
At least 10% of older adults experience abuse, neglect, or exploitation annually in the United States, and this problem is expected to grow as our population ages. Little is known about the prevalence and characteristics of elder abuse of veterans, but it is likely that this population is at high risk based on established elder abuse risk factors. Veterans who receive their care through the Veterans Health Administration (VHA) have a higher prevalence of poor psychological health, poor physical health, functional impairment, cognitive impairment, and social isolation than the general population...
November 10, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29103404/the-cerad-neuropsychological-assessment-battery-is-sensitive-to-alcohol-related-cognitive-deficiencies-in-elderly-patients-a-retrospective-matched-case-control-study
#2
Liane Kaufmann, Stefan Huber, Daniel Mayer, Korbinian Moeller, Josef Marksteiner
OBJECTIVES: Adverse effects of heavy drinking on cognition have frequently been reported. In the present study, we systematically examined for the first time whether clinical neuropsychological assessments may be sensitive to alcohol abuse in elderly patients with suspected minor neurocognitive disorder. METHODS: A total of 144 elderly with and without alcohol abuse (each group n=72; mean age 66.7 years) were selected from a patient pool of n=738 by applying propensity score matching (a statistical method allowing to match participants in experimental and control group by balancing various covariates to reduce selection bias)...
November 6, 2017: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/29100833/isolated-orbital-fractures-are-severe-among-geriatric-patients
#3
Miika Toivari, Anna Liisa Suominen, Satu Apajalahti, Christian Lindqvist, Johanna Snäll, Hanna Thorén
PURPOSE: The purpose of the present study was to clarify the reasons for, types of, and degree of involvement of the orbital wall and the severity of orbital fractures in geriatric patients and to compare the differences between geriatric and younger adult patients. MATERIALS AND METHODS: A retrospective case-control study of geriatric patients aged at least 65 years (n = 72) and younger controls aged 20 to 50 years (n = 58) with a diagnosis of a unilateral isolated orbital fracture was designed and implemented...
October 9, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29095948/correction-association-between-elder-abuse-and-poor-sleep-a-cross-sectional-study-among-rural-older-malaysians
#4
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 Bulgiba
[This corrects the article DOI: 10.1371/journal.pone.0180222.].
2017: PloS One
https://www.readbyqxmd.com/read/29090032/the-psychological-abuse-of-the-elderly-a-silent-factor-of-cardiac-decompensation
#5
Adina Carmen Ilie, Anca Iuliana Pîslaru, Ioana Dana Alexa, Adriana Pancu, Ovidiu Gavrilovici, Aliona Dronic
Abuse of the elderly is a major issue debated worldwide. The most commonly identified form of abuse is the physical abuse. It is also the most frequently studied in the medical literature. However, at least six types of elder abuse are identified, and physical abuse is found in a small proportion of the cases. The consequences of abuse are frequent and, by prolonging hospitalizations, they will be associated with high costs of medical services, and patient's lack of self-confidence which, in time, may lead to social isolation, somatization, anxiety, depression, and suicide attempts...
June 2017: Mædica
https://www.readbyqxmd.com/read/29076415/antiepileptic-drugs-for-preventing-seizures-in-patients-with-chronic-subdural-hematoma
#6
Pedro Moura Branco, Bernardo Oliveira Ratilal, João Costa, Cristina Sampaio
Chronic subdural hematoma (CSH) is an accumulation of blood within the intracranial subdural space. It is associated with minor traumatic events and affects mostly the elderly. CSH can be effectively treated surgically with good outcomes, although the recurrence rate is high. Epileptic seizures are one of the major complications associated with CSH, either in the pre or postoperative period. The incidence rate of new onset seizures after CSH diagnosis ranges between 3% and 23%. However, the benefit of using prophylactic antiepileptic drugs in these patients is controversial with significant variations in clinical practice...
October 24, 2017: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/29061615/elder-abuse-as-a-risk-factor-for-psychological-distress-among-older-adults-in-india-a-cross-sectional-study
#7
Maria Evandrou, Jane C Falkingham, Min Qin, Athina Vlachantoni
OBJECTIVES: This study examines the association between elder abuse and psychological distress among older adults in India and explores whether this association varies by the level of psychosocial and material resources. DESIGN: The study uses a cross-sectional survey design. SETTING: The data are drawn from a representative sample of 9589 adults aged 60 and above in seven Indian states-Himachal Pradesh, Punjab, West Bengal, Odisha, Maharashtra, Kerala and Tamil Nadu-in 2011...
October 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29043279/the-effect-of-emotional-focused-intervention-on-spousal-emotional-abuse-and-marital-satisfaction-among-elderly-married-couples-a-randomized-controlled-trial
#8
Maryam Hazrati, Tengku Aizan Hamid, Rahimah Ibrahim, Siti Aishah Hassan, Farkhondeh Sharif, Zahra Bagheri
BACKGROUND: This study examined the impacts of an Emotional Focused Intervention on emotional abuse behaviors and marital satisfaction among the elderly married couples. METHODS: This randomized controlled trial study was carried out in Shiraz-Iran, during September 2013-2014. The elderly couples were invited to join an emotional focused intervention, following the advertisement and announcement on bulletin boards in the elderly day clinic centers and all governmental primary health care centers...
October 2017: International Journal of Community Based Nursing and Midwifery
https://www.readbyqxmd.com/read/29028458/exploring-gender-and-elder-abuse-from-the-perspective-of-professionals
#9
Lori Weeks, Suzanne Dupuis-Blanchard, Rina Arseneault, Colleen MacQuarrie, Danie Gagnon, Ginette Marie LeBlanc
We conducted an online survey of professionals working in two Canadian provinces to learn about their knowledge of elder abuse from a gender-based perspective. A total of 169 professionals (90% women) completed a survey in either French or English. Five topic areas emerged from the analysis: the influence of gender on the risk of abuse; types of abuse detected; knowledge gaps; capacity to respond to gender-based abuse; and awareness of resources. To gain further insight into these results, we conducted three focus groups with a total of 24 professionals...
October 13, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28990880/older-adults-affected-by-polyvictimization-a-review-of-early-research
#10
Holly Ramsey-Klawsnik
In contrast to work within the child abuse field, polyvictimization of older adults did not become a focus of professional attention until this decade. Despite this lack of formal identification, a search of the research and practice literature revealed that prior research investigating single forms of or other elder abuse issues contained evidence of what was variously termed "multiple," "multi-faceted," "co-occurring," or "hybrid" elder abuse. A wide range of victims (1.4% to 89.7%) identified in existing elder abuse studies was found to have experienced what constitutes "polyvictimization...
October 9, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28990878/polyvictimization-in-later-life-trauma-informed-best-practices
#11
Holly Ramsey-Klawsnik, Erin Miller
This article provides a summary of salient trauma findings and conveys the dearth of research pertaining specifically to the trauma of elder abuse. This material, in conjunction with information contained in other articles composing this special issue, lays the foundation for advancing a trauma-informed approach to assisting older adults who have experienced polyvictimization. Informed by the findings presented and their extensive clinical experience with victims of violence, the authors suggest steps for providing a trauma-informed and victim-centered response to older adults who have suffered polyvictimization...
October 9, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28976883/is-the-burnout-syndrome-associated-with-elder-mistreatment-in-nursing-homes-results-of-a-cross-sectional-study-among-nurses
#12
Marijana Neuberg, Danica Železnik, Tomislav Meštrović, Rosana Ribić, Goran Kozina
As this issue has not yet been addressed in Croatia, our aim was to explore the presence of the burnout syndrome in nurses and see how it is related to their perception of elder mistreatment in nursing homes and extended care units. The burnout syndrome was assessed in 171 nursing professionals with a standardised Maslach Burnout Inventory for Human Services Survey (MBI-HSS) for three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA). High EE was reported by 43...
September 26, 2017: Arhiv za Higijenu Rada i Toksikologiju
https://www.readbyqxmd.com/read/28972706/trauma-informed-care-survey-of-psychiatrists-and-primary-care-physicians-in-the-middle-east
#13
Ossama T Osman, Laeth Nasir, Richard F Mollica, Taoufik Zoubeidi, James Lavelle, Noor Amawi
Objective: To explore in Arab communities the prevalence, dynamics, and resources available to address the physical and psychological consequences that may arise from psychiatric disorders. Methods: An online survey of psychiatrists and primary care physicians from 17 Arab countries was conducted between September 2011 and June 2012. The survey serves as a needs assessment in a scientifically valid and culturally sensitive manner. Additionally, it focuses attention on the clinical strengths and weaknesses of Middle Eastern primary health care and mental health centers in identifying and treating trauma-related health and mental health issues...
September 28, 2017: Primary Care Companion to CNS Disorders
https://www.readbyqxmd.com/read/28956731/detection-of-elder-abuse-exploring-the-potential-use-of-the-elder-abuse-suspicion-index%C3%A2-by-law-enforcement-in-the-field
#14
Elina Kurkurina, Brittany C L Lange, Sonam D Lama, Erin Burk-Leaver, Mark J Yaffe, Joan K Monin, Debbie Humphries
There are no known instruments to aid law enforcement officers in the assessment of elder abuse (EA), despite officers' contact with older adults. This study aimed to identify: 1) officers' perceptions and knowledge of EA, 2) barriers in detecting EA in the field, 3) characteristics officers value in a detection tool, and to explore 4) the potential for officers to use the Elder Abuse Suspicion Index (EASI)©. Data was collected from 69 Connecticut officers who confirmed that barriers to effectively detecting EA included a lack of EA detection instruments, as well as a lack of training on warning signs and risk factors...
September 28, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28954161/intimate-partner-violence-prevalence-in-the-elderly-and-associated-factors-systematic-review
#15
Deise Warmling, Sheila Rubia Lindner, Elza Berger Salema Coelho
This article aims to identify the prevalence of intimate partner violence (IPV) in the elderly and its associated factors. A systematic review of cross-sectional population-based studies was conducted in PubMed, Lilacs and PsycInfo databases, without restrictions with respect to the period and language of publication. Two independent reviewers conducted the selection, data extraction and the methodological quality analysis. Nineteen papers were selected for the analysis. There was a variation in the type of violence, gender of respondents and tools used...
September 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28951741/lone-hepatocellular-carcinoma-an-isolated-chest-wall-malignancy
#16
Joseph Allencherril, Sebastian Bruera, Ronan Allencherril, Richard J Hamill
Herein we describe the case of an elderly diabetic gentleman presenting with a two-week history of dyspnea and nonproductive cough, found to have a large left anterolateral chest wall mass. Further characterization through computed tomography (CT) of the chest revealed a soft tissue mass in the left anterior lower hemithorax found to be hepatocellular carcinoma (HCC). The liver, spleen, and pancreas were unremarkable. Diagnostic labs were unremarkable. The patient had no history of hepatitis, alcohol abuse, or illicit substance use...
2017: Case Reports in Medicine
https://www.readbyqxmd.com/read/28949320/-bunanje-xx-century-abuse-of-atropa-belladonna-halucinogenic-berries-in-continental-croatia
#17
Zdravko Lacković
BACKGROUND: Atropa belladonna (Engl. deadly nightshade, Cro. velebilje, bunika) is a plant containing pharmacologically active, potentially toxic alkaloids: atropine, hyocyamine and scopolamine. The risk of poisoning in children is important because of possible confusion of black/dark blue belladonna fruit berries with other edible berries. There are many reports in literature of accidental intoxication but no report on traditional intentional usage to achieve hallucinogenic effects. SUBJECTS AND METHODS: Here we report purposeful ingestion of Atropa belladonna berries for hallucinatory effects among adolescents in Bjelovar region in north part of Croatia...
September 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28944983/oral-prolonged-release-oxycodone-naloxone-for-managing-pain-and-opioid-induced-constipation-a-review-of-the-evidence
#18
REVIEW
Bart J Morlion, Stefan A Mueller-Lissner, Renato Vellucci, Wojciech Leppert, Benoît C Coffin, Sara L Dickerson, Tony O'Brien
BACKGROUND: Opioids provide effective relief from moderate-to-severe pain and should be prescribed as part of a multifaceted approach to pain management when other treatments have failed. Fixed-dose oxycodone/naloxone prolonged-release tablets (OXN PR) were designed to address the opioid class effect of opioid-induced constipation (OIC) by combining the analgesic efficacy of oxycodone with the opioid receptor antagonist, naloxone, which has negligible systemic availability when administered orally...
September 25, 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/28931618/predicting-major-bleeding-in-ischemic-stroke-patients-with-atrial-fibrillation
#19
RANDOMIZED CONTROLLED TRIAL
Nina A Hilkens, Ale Algra, Jacoba P Greving
BACKGROUND AND PURPOSE: Performance of risk scores for major bleeding in patients with atrial fibrillation and a previous transient ischemic attack or ischemic stroke is not well established. We aimed to validate risk scores for major bleeding in patients with atrial fibrillation treated with oral anticoagulants after cerebral ischemia and explore the net benefit of oral anticoagulants among bleeding risk categories. METHODS: We analyzed 3623 patients with a history of transient ischemic attack or stroke included in the RE-LY trial (Randomized Evaluation of Long-Term Anticoagulation Therapy)...
November 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/28910830/consensus-guidelines-for-therapeutic-drug-monitoring-in-neuropsychopharmacology-update-2017
#20
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
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