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evidence based problems with the elderly

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https://www.readbyqxmd.com/read/30039434/healthier-diet-quality-and-dietary-patterns-are-associated-with-lower-risk-of-mobility-limitation-in-older-men
#1
Tessa J Parsons, Efstathios Papachristou, Janice L Atkins, Olia Papacosta, Sarah Ash, Lucy T Lennon, Peter H Whincup, Sheena E Ramsay, S Goya Wannamethee
PURPOSE: To investigate associations between diet quality, dietary patterns and mobility limitation 15 years later in a population-based sample of older British men. METHODS: We used longitudinal data from 1234 men from the British Regional Heart Study, mean age 66 years at baseline. Mobility limitation was defined as difficulty going up- or downstairs or walking 400 yards as a result of a long-term health problem. Dietary intake was measured using a food frequency questionnaire data from which the Healthy Diet Indicator (HDI), the Elderly Dietary Index (EDI), and three a posteriori dietary patterns were derived...
July 23, 2018: European Journal of Nutrition
https://www.readbyqxmd.com/read/29982276/orthostatic-hypotension-in-the-hypertensive-patient
#2
Italo Biaggioni
Orthostatic hypotension (OH) is an important and common medical problem, particularly in the frail elderly with multiple comorbidities and polypharmacy. OH is an independent risk factor for falls and overall mortality. Hypertension is among the most common comorbidities associated with OH, and its presence complicates the management of these patients because treatment of one can worsen the other. However, there is evidence that uncontrolled hypertension worsens OH so that both should be managed. The limited data available suggest that angiotensin receptor blockers and calcium channel blockers are preferable antihypertensives for these patients...
July 2, 2018: American Journal of Hypertension
https://www.readbyqxmd.com/read/29913873/postherpetic-neuralgia-new-hopes-in-prevention-with-adult-vaccination-and-in-treatment-with-a-concentrated-capsaicin-patch
#3
Ewa Gawecka, Oddbjørn Viken
Background and purpose Postherpetic neuralgia (PHN) is a complication of acute herpes zoster (HZ). The evidence base for management of PHN has increased by recent publications. Therefore, we reviewed incidence of HZ, prevalence, risk factors, and mechanism of PHN pain, prevention and treatment of PHN with special interest in studies on adult vaccination and topical application of lidocaine and concentrated capsaicin patch. Methods We searched databases with an English language restriction: MEDLINE 1944-2011, EMBASE 1988-2011, PubMed, and the Cochrane Controlled Trial Register and Cochrane Library (2011)...
October 1, 2012: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29869573/recent-advances-in-models-for-screening-potential-osteoporosis-drugs
#4
D Merlotti, M Materozzi, T Picchioni, S Bianciardi, M Alessandri, R Nuti, L Gennari
Osteoporosis is a growing health and health-economic problem due to the increased proportion of elderly people in the population. Basic and clinical advances in research over the past two decades have led to the development of different compounds with antiresorptive or anabolic activity on bone that improved substantially the management of patients with osteoporosis over calcitonin or estrogen replacement. New compounds are in preclinical and clinical development. Areas covered: In this review, the authors review the approaches for the preclinical and clinical development of antiresorptive and anabolic agents for osteoporosis, particularly focusing on the recent advances in technology and in the understanding of skeletal biology, together with their implications on novel osteoporosis drug discovery...
June 5, 2018: Expert Opinion on Drug Discovery
https://www.readbyqxmd.com/read/29866384/focus-groups-to-increase-the-cultural-acceptability-of-a-contingency-management-intervention-for-american-indian-and-alaska-native-communities
#5
Katherine A Hirchak, Emily Leickly, Jalene Herron, Jennifer Shaw, Jordan Skalisky, Lisa G Dirks, Jaedon P Avey, Sterling McPherson, Jenny Nepom, Dennis Donovan, Dedra Buchwald, Michael G McDonell
INTRODUCTION: Many American Indian and Alaska Native (AI/AN) people seek evidence-based, cost-effective, and culturally acceptable solutions for treating alcohol use disorders. Contingency management (CM) is a feasible, low-cost approach to treating alcohol use disorders that uses "reinforcers" to promote and support alcohol abstinence. CM has not been evaluated among AI/AN communities. This study explored the cultural acceptability of CM and adapted it for use in diverse AI/AN communities...
July 2018: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/29861378/the-bidirectional-relationship-between-sleep-duration-and-depression-in-community-dwelling-middle-aged-and-elderly-individuals-evidence-from-a-longitudinal-study
#6
Yankun Sun, Le Shi, Yanping Bao, Yan Sun, Jie Shi, Lin Lu
BACKGROUND: There are several studies that have focused on the relationship between sleep duration and depression, however, only a few prospective studies have centered on the bidirectional relationship between them. This four-year longitudinal study aimed to identify the association between sleep duration and depression in community-dwelling mid-age and elderly individuals. METHODS: 10,704 participants from the China Health and Retirement Longitudinal Study (CHARLS) were included for baseline and four-year follow up...
March 31, 2018: Sleep Medicine
https://www.readbyqxmd.com/read/29782209/practical-assessment-and-management-of-vulnerabilities-in-older-patients-receiving-chemotherapy-asco-guideline-for-geriatric-oncology
#7
Supriya G Mohile, William Dale, Mark R Somerfield, Mara A Schonberg, Cynthia M Boyd, Peggy S Burhenn, Beverly Canin, Harvey Jay Cohen, Holly M Holmes, Judith O Hopkins, Michelle C Janelsins, Alok A Khorana, Heidi D Klepin, Stuart M Lichtman, Karen M Mustian, William P Tew, Arti Hurria
Purpose To provide guidance regarding the practical assessment and management of vulnerabilities in older patients undergoing chemotherapy. Methods An Expert Panel was convened to develop clinical practice guideline recommendations based on a systematic review of the medical literature. Results A total of 68 studies met eligibility criteria and form the evidentiary basis for the recommendations. Recommendations In patients ≥ 65 years receiving chemotherapy, geriatric assessment (GA) should be used to identify vulnerabilities that are not routinely captured in oncology assessments...
May 21, 2018: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/29744950/the-idemcare-study-improving-dementia-care-in-black-african-and-caribbean-groups-a-feasibility-cluster-randomised-controlled-trial
#8
Moïse Roche, Naaheed Mukadam, Simon Adelman, Gill Livingston
OBJECTIVE: We evaluated the feasibility and acceptability of a tailored evidence-based intervention, consisting of a leaflet and a letter, to encourage timely help-seeking for dementia in Black elders. METHODS: Participating GP surgeries were randomised to send either the intervention or a control leaflet about ageing well to Black patients aged ≥50 years old without known dementia. We interviewed patients 2 weeks later about the intervention's acceptability using closed and open-ended questions, and they completed a Theory-of-Planned-behaviour questionnaire about what they would do if they developed memory problems, which they also completed 4 months later...
August 2018: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29723286/is-the-relationship-between-parental-abuse-and-mobile-phone-dependency-mpd-contingent-across-neighborhood-characteristics-a-multilevel-analysis-of-korean-children-and-youth-panel-survey
#9
COMPARATIVE STUDY
Harris Hyun-Soo Kim, JongSerl Chun
Research indicates that mobile phone dependency (MPD) is associated with various behavioral and internalizing problems. While a significant amount of findings points to its negative outcomes, there is a dearth of evidence concerning the determinants of MPD. This study focuses on this critical, yet understudied, subject by analyzing the associations between abusive parenting style, neighborhood characteristics, and MPD among youths in South Korea, a country with one of the highest mobile broadband penetration rates in the world...
2018: PloS One
https://www.readbyqxmd.com/read/29719317/impact-of-the-national-population-register-in-improving-the-health-information-system-of-malignant-diseases-in-kosova
#10
Merita Berisha, Florie Miftari-Basholli, Naser Ramadani, Sanije Gashi, Rina Hoxha, Dardan Kocinaj
Introduction: Malignant diseases are serious socio-medical problem, being that they cause grave problems in terms of health, social and economic perspective to an individual, in particular, and society in general. A proper reporting and monitoring system enables adequate calculation of indicators and evidence based decision making. Aim: The study aims to examine the appearance of malignancies diagnosed and reported in Kosovo for a three years period: 2012, 2013, and 2014 by its modalities such as by the years of appearance, gender, age, and most frequent types of malignancies...
2018: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/29718815/prevalence-of-skin-tears-in-elderly-patients-a-retrospective-chart-review-of-incidence-reports-in-6-long-term-care-facilities
#11
Joyce Hawk, Mary Shannon
The incidence and prevalence of skin tears in long-term care (LTC) facilities has not been well established. To ascertain the point prevalence of reported skin tears, a retrospective review of incident reports was performed in 6 LTC facilities in western Pennsylvania from November 1, 2016 through December 31, 2016. Report data, including resident age; gender; mobility limitations; skin tear location, number, and cause (if known); occurrence time (7 am to 3 pm, 3 pm to 11 pm, or 11 pm to 7 am nursing shift); and history of previous skin tears, were abstracted...
April 2018: Ostomy/wound Management
https://www.readbyqxmd.com/read/29628113/-seasonal-flu-vaccination-for-older-people-evaluation-of-the-adjuvanted-vaccine-positioning-report
#12
Rosa López Mongil, José Antonio López Trigo, Alberto Mariano Lázaro, Gloria Mato Chaín, Primitivo Ramos Cordero, Luis Salleras Sanmartí
Flu is a major public health problem, particularly for older people, and creates an important clinical and economic burden. A high mortality rate was reported in Spain during the period 2015 to 2016; 3,101 serious cases were hospitalised with a confirmed diagnosis of flu, of which 11% died (352 cases). Furthermore, financial and health costs are greatly increased by the complications of flu; people aged over 65 years represent approximately 64% of the total costs. Seasonal flu vaccination is the fundamental strategy, as demonstrated by cost-benefit and cost-effectiveness studies...
November 2017: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/29564752/te-wh%C3%A4-nau-pou-toru-a-randomized-controlled-trial-rct-of-a-culturally-adapted-low-intensity-variant-of-the-triple-p-positive-parenting-program-for-indigenous-m%C3%A4-ori-families-in-new-zealand
#13
Louise J Keown, Matthew R Sanders, Nike Franke, Matthew Shepherd
Evidence-based parenting support programs (EBPS) based on social learning and cognitive behavioral principles are effective in reducing conduct-related problems in a diverse range of cultural contexts. However, much less is known about their effects with indigenous families. A Collaborative Participation Adaptation Model (CPAM) was used to culturally adapt a low-intensity, two-session group variant of the Triple P-Positive Parenting Program for Māori parents of young children in New Zealand. CPAM involved collaborating closely with Māori tribal elders, practitioners as end-users, and parents as consumers through a participatory process to identify content and delivery process used in Triple P that would ensure that traditional Māori cultural values were incorporated...
March 22, 2018: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/29335863/integrative-medicine-on-optimizing-clopidogrel-and-aspirin-therapy
#14
REVIEW
Hui Chen
This article reviews the available published data on optimizing clopidogrel and aspirin therapy using translational and integrative medicine. Translational and evidence-based medical studies show that the CYP2C19 gene mutation (CYP2C19*2 and CYP2C19*3) could affect > 50% of the Chinese population, and that this mutation is closely associated with clopidogrel resistance and an increased risk of major adverse cardiovascular events, particularly stent thrombosis in patients following percutaneous coronary intervention (PCI)...
January 15, 2018: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/29037619/evidence-based-effects-of-yoga-practice-on-various-health-related-problems-of-elderly-people-a-review
#15
REVIEW
A Mooventhan, L Nivethitha
More than 50% of the elderly above 60 years of age suffer from chronic medical conditions, the prevalence of which increases with age. Though Yoga has been reported as an effective modality in improving various physical and psychological aspects of elderly populations, a comprehensive review of Yoga and its effects on various health related problems of elderly populations has not yet been reported. Hence, we performed PubMed/Medline search to review relevant articles, using keyword "yoga and elderly"...
October 2017: Journal of Bodywork and Movement Therapies
https://www.readbyqxmd.com/read/28900666/-psychotherapeutic-approaches-for-treatment-of-the-elderly
#16
REVIEW
M Hautzinger, P Dykierek, A Fellgiebel, M Hüll
BACKGROUND: This article focusses on the possibilities, varieties, indications, and benefits of psychotherapy with elderly patients. OBJECTIVE: Which basic principles can be differentiated, what theoretical rationales are helpful for psychotherapy with the elderly and what kind and forms of psychotherapy are available? MATERIAL AND METHODS: Based on relevant references and research, clinically relevant and evidence-based psychotherapies are described, to understand the theoretical rationale, the goals, the procedure and main strategies...
November 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28868450/endoscopic-management-of-foreign-bodies-in-the-upper-gastrointestinal-tract-an-evidence-based-review-article
#17
REVIEW
Pedro Magalhães-Costa, Liliana Carvalho, José Pedro Rodrigues, Maria Ana Túlio, Susana Marques, Joana Carmo, Miguel Bispo, Cristina Chagas
Gastrointestinal foreign bodies (FB) are comprised of food bolus impaction and intentionally or unintentionally ingested or inserted true FB. Food bolus impaction and true FB ingestion represent a recurrent problem and a true challenge in gastrointestinal endoscopy. More than 80-90% of the ingested true FB will pass spontaneously through the gastrointestinal tract without complications. However, in 10-20% of the cases an endoscopic intervention is deemed necessary. True FB ingestion has its greatest incidence in children, psychiatric patients and prisoners...
May 2016: GE Portuguese Journal of Gastroenterology
https://www.readbyqxmd.com/read/28836493/developing-a-multidisciplinary-rehabilitation-package-following-hip-fracture-and-testing-in-a-randomised-feasibility-study-fracture-in-the-elderly-multidisciplinary-rehabilitation-femur
#18
RANDOMIZED CONTROLLED TRIAL
Nefyn H Williams, Jessica L Roberts, Nafees Ud Din, Joanna M Charles, Nicola Totton, Michelle Williams, Kevin Mawdesley, Claire A Hawkes, Val Morrison, Andrew Lemmey, Rhiannon T Edwards, Zoe Hoare, Aaron W Pritchard, Robert T Woods, Swapna Alexander, Catherine Sackley, Pip Logan, Clare Wilkinson, Jo Rycroft-Malone
BACKGROUND: Proximal femoral fracture is a major health problem in old age, with annual UK health and social care costs of £2.3B. Rehabilitation has the potential to maximise functional recovery and maintain independent living, but evidence of clinical effectiveness and cost-effectiveness is lacking. OBJECTIVES: To develop an enhanced community-based rehabilitation package following surgical treatment for proximal femoral fracture and to assess acceptability and feasibility for a future definitive randomised controlled trial (RCT) and economic evaluation...
August 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28739684/impact-of-parental-cancer-on-children
#19
REVIEW
Binay K Shah, Jeffery Armaly, Erin Swieter
BACKGROUND/AIM: The majority of cancers affect the elderly, but 22.4% of all cases occur in the ages of 21-55. This age range represents common childbearing and child-rearing years, which imply that many of these patients have minor children. Approximately 2.85 million children under 18 live with a parent affected by cancer. MATERIALS AND METHODS: The Pubmed and Google Scholar were searched to identify literature on impact of parental cancer on children and potential interventions to support parents and children...
August 2017: Anticancer Research
https://www.readbyqxmd.com/read/28609476/effective-strategies-to-motivate-nursing-home-residents-in-oral-care-and-to-prevent-or-reduce-responsive-behaviors-to-oral-care-a-systematic-review
#20
REVIEW
Matthias Hoben, Angelle Kent, Nadia Kobagi, Kha Tu Huynh, Alix Clarke, Minn N Yoon
BACKGROUND: Poor oral health has been a persistent problem in nursing home residents for decades, with severe consequences for residents and the health care system. Two major barriers to providing appropriate oral care are residents' responsive behaviors to oral care and residents' lack of ability or motivation to perform oral care on their own. OBJECTIVES: To evaluate the effectiveness of strategies that nursing home care providers can apply to either prevent/overcome residents' responsive behaviors to oral care, or enable/motivate residents to perform their own oral care...
2017: PloS One
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