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Briony Murphy, Lyndal Bugeja, Jennifer Pilgrim, Joseph E Ibrahim
OBJECTIVES: To describe the frequency and nature of deaths from resident-to-resident aggression (RRA) in nursing homes in Australia. DESIGN: National population-based retrospective cohort study. SETTING: Accredited nursing homes in Australia. PARTICIPANTS: Residents whose deaths resulted from RRA and were reported to the coroner between July 1, 2000, and December 31, 2013. MEASUREMENTS: Cases were identified using the National Coronial Information System, and data on individual, interpersonal, organizational, and societal factors were collected through review of the paper-based coroners' files...
November 13, 2017: Journal of the American Geriatrics Society
Benjamin Margolis, Craig Blinderman, Alexandre Buckley de Meritens, Sudeshna Chatterjee-Paer, Rini B Ratan, Holly G Prigerson, June Y Hou, William M Burke, Jason D Wright, Ana I Tergas
BACKGROUND: Obstetrics and gynecology (OB/GYN) residents receive little formal training in conducting code status discussions (CSDs). OBJECTIVE: We piloted an educational intervention to improve resident confidence and competence at conducting CSDs. DESIGN: The OB/GYN residents at a single institution participated in a 3-part educational program. First, participants reviewed a journal article and completed an online module. Second, they received a didactic lecture followed by a resident-to-resident mock CSD...
January 1, 2017: American Journal of Hospice & Palliative Care
Eilon Caspi
Resident-to-resident aggression (RRA) in nursing homes is a prevalent and concerning public health problem. A rapid growth in the number of research studies has led to advancements in understanding and awareness of these incidents. However, no state survey deficiency citation (F-Tag) currently exists to capture RRA in a structured way in the Centers for Medicare & Medicaid Services' (CMS) nursing homes F-Tags Coding System. This omission represents a major barrier to State Survey Agencies, CMS, consumers, and care advocacy organizations' efforts to keep vulnerable and frail residents safe and free from psychological harm...
August 2017: Journal of Elder Abuse & Neglect
Felicia J Andresen, Jeffrey A Buchanan
Resident-to-resident bullying has attracted attention in the media, but little empirical literature exists related to the topic of senior bullying. The aim of the current study was to better understand resident-to-resident bullying from the perspective of staff who work with older adults. Forty-five long-term care staff members were interviewed regarding their observations of bullying. Results indicate that most staff members have observed bullying. Verbal bullying was the most observed type of bullying, but social bullying was also prevalent...
July 1, 2017: Journal of Gerontological Nursing
Erin L Abner, Pamela B Teaster, Marta S Mendiondo, Holly Ramsey-Klawsnik, Jennifer L Marcum, Tim N Crawford, Tenzin Wangmo
The purpose of this study was to identify characteristics of investigations of sexual abuse concerning vulnerable adults residing in facility settings that were associated with case substantiation. Data on 410 reports of sexual abuse were collected prospectively from Adult Protective Services (APS) and state licensure agency staff in New Hampshire, Oregon, Tennessee, Texas, and Wisconsin over a six-month period. Specifically, we examined differences between reports that were substantiated and those that were not by comparing characteristics of alleged victims, alleged perpetrators, and aspects of investigation using logistic regression...
October 17, 2016: Journal of Interpersonal Violence
Andrew Ahrendt, Eric Sprankle, Alex Kuka, Keagan McPherson
The current study assesses ageism and heterosexism relating to older adult sexual activity within long-term care facilities. To assess caregiver reactions, 153 residential care facility staff members read one of three vignettes. Each vignette described a scenario in which a staff member walks in on two residents (male/female, male/male, or female/female) engaging in sexual activity. Although no main effects were discovered for vignette type, exploratory analyses revealed that the facility where participants were employed was significantly related to their ratings of approval...
2017: Journal of Homosexuality
Philip R A Baker, Daniel P Francis, Noran N Hairi, Sajaratulnisah Othman, Wan Yuen Choo
BACKGROUND: Maltreatment of older people (elder abuse) includes psychological, physical, sexual abuse, neglect and financial exploitation. Evidence suggests that 10% of older adults experience some form of abuse, and only a fraction of cases are actually reported or referred to social services agencies. Elder abuse is associated with significant morbidity and premature mortality. Numerous interventions have been implemented to address the issue of elder maltreatment. It is, however, unclear which interventions best serve to prevent or reduce elder abuse...
August 16, 2016: Cochrane Database of Systematic Reviews
Margaret MacAndrew, Elaine Fielding, Ann Kolanowski, Maria O'Reilly, Elizabeth Beattie
OBJECTIVES: Wandering-related boundary transgression (BT) in long term care (LTC) frequently manifests as intrusion into another resident's bedroom and is associated with adverse outcomes (loss of privacy, resident-to-resident altercations, and becoming lost). This observational study is the first to empirically describe the characteristics of wandering-related BT in LTC residents with severe dementia. METHOD: Using real-time observation, seven independently ambulant residents with severe dementia and a positive history of wandering and BT were observed for a minimum of twelve 30 minute periods randomized over two non-consecutive days (n=92 observation periods)...
November 2017: Aging & Mental Health
Mark S Lachs, Jeanne A Teresi, Mildred Ramirez, Kimberly van Haitsma, Stephanie Silver, Joseph P Eimicke, Gabriel Boratgis, Gail Sukha, Jian Kong, Alexandra M Besas, Maria Reyes Luna, Karl A Pillemer
BACKGROUND: Resident-to-resident elder mistreatment (R-REM) in nursing homes can cause physical and psychological injury and death, yet its prevalence remains unknown. OBJECTIVE: To estimate the prevalence of physical, verbal, and sexual R-REM in nursing home residents and subgroups. DESIGN: 1-month observational prevalence study. SETTING: 5 urban and 5 suburban New York state nursing homes. PARTICIPANTS: 2011 residents in 10 facilities randomly selected on the basis of size and location; 83% of facilities and 84% of eligible residents participated...
August 16, 2016: Annals of Internal Medicine
O Colin Stine, Shana Burrowes, Sophia David, J Kristie Johnson, Mary-Claire Roghmann
OBJECTIVE To define how often methicillin-resistant Staphylococcus aureus (MRSA) is spread from resident to resident in long-term care facilities using whole-genome sequencing DESIGN Prospective cohort study SETTING A long-term care facility PARTICIPANTS Elderly residents in a long-term care facility METHODS Cultures for MRSA were obtained weekly from multiple body sites from residents with known MRSA colonization over 12-week study periods. Simultaneously, cultures to detect MRSA acquisition were obtained weekly from 2 body sites in residents without known MRSA colonization...
June 2016: Infection Control and Hospital Epidemiology
Claire Rondeau, Guillaume Chevet, Dominique S Blanc, Houssein Gbaguidi-Haore, Marie Decalonne, Sandra Dos Santos, Roland Quentin, Nathalie van der Mee-Marquet
OBJECTIVE: In 2015, we conducted at 44 healthcare facilities (HCFs) and 21 nursing homes (NHs) a 3-month bloodstream infection (BSI) survey, and a 1-day prevalence study to determine the rate of carriage of methicillin-resistant Staphylococcus aureus (MRSA) in 891 patients and 470 residents. We investigated the molecular characteristics of the BSI-associated and colonizing MRSA isolates, and assessed cross-transmission using double-locus sequence typing and pulsed-field gel electrophoresis protocol...
2016: Frontiers in Microbiology
Eilon Caspi
No abstract text is available yet for this article.
January 2016: Journal of the American Medical Directors Association
Sandra P Hirst
No abstract text is available yet for this article.
December 2015: Journal of Gerontological Nursing
Aruna Kumari Maloth, Shyam Prasad Reddy Dorankula, Ajay Prakash Pasupula, Madhusudan Rao Thokala, Keerthi Muddana, Ravinder Ramavath
BACKGROUND: Langerhans cells (LCs) are immunocompetent cells resident within oral mucosa which, together with intraepithelial lymphocytes, play a role in mucosal defence. LCs play a role in the pathogenesis of Oral lichen planus (OLP), a chronic mucocutaneous disorder thought to result from cell-mediated immune damage. In oral squamous cell carcinoma (OSCC), LCs are thought to present tumour antigens to the lymphocytes. AIM: To assess and compare LCs immuno-histochemically in normal mucosa, oral lichen planus and oral squamous cell carcinoma using anti S100 antibody and to know whether LCs play any role in local immune response to these diseases...
July 2015: Journal of Clinical and Diagnostic Research: JCDR
Zeliha Kocak Tufan, Fatma Civelek Eser, Emre Vudali, Ayse Batirel, Bircan Kayaaslan, Aliye Tanrici Bastug, Deniz Eray, Vedat Turhan, Fazilet Duygu, Duran Tok, Serife Altun, Cemal Bulut, Mehmet A Tasyaran
OBJECTIVES: Sepsis is a severe condition with possible high mortality outcomes. A multicentre-survey to detect the knowledge of the physicians who are involved in sepsis management in daily work was conducted. MATERIALS AND METHODS: The study was held in October 2013. A questionnaire consisting of questions about sepsis bundles was prepared. Eight centers from different regions of the country were invited to join the survey. The questionnaires were introduced to physicians from infectious diseases, internal diseases, emergency (ER) and anaesthesiology departments...
July 2015: Journal of Clinical and Diagnostic Research: JCDR
Ayush Lohiya, Shashi Kant, Arti Kapil, Sanjeev Kumar Gupta, Puneet Misra, Sanjay K Rai
BACKGROUND: Despite world-wide evidence of increased antibiotic resistance, there is scarce data on antibiotic resistance in community settings. One of the reason being difficulty in collection of biological specimen (traditionally stool) in community from apparently healthy individuals. Hence, finding an alternative specimen that is easier to obtain in a community setting or in large scale surveys for the purpose, is crucial. We conducted this study to explore the feasibility of using urine samples for deriving community based estimates of antibiotic resistance and to estimate the magnitude of resistance among urinary isolates of Escherichia coli and Klebsiella pneumonia against multiple antibiotics in apparently healthy individuals residing in a rural community of Haryana, North India...
July 2015: Journal of Clinical and Diagnostic Research: JCDR
G S Boregowda, G P Soni, Kamlesh Jain, Shubhra Agrawal
INTRODUCTION: Several indicators have been used for measurement of under nutrition in the past. They are overlapping and none individually provide a comprehensive number of under nourished in the community. The effort has been to discuss the use of an alternative indicator of malnutrition - the composite index of anthropometric failure (CIAF). AIM: To study the prevalence of under nutrition of Toddlers using CIAF and compare the prevalence of under nutrition obtained by primitive indicators and CIAF...
July 2015: Journal of Clinical and Diagnostic Research: JCDR
A Ciobanu, L Domente, V Soltan, S Bivol, L Severin, V Plesca, R Van den Bergh, A M V Kumar, P de Colombani
SETTING: Tuberculosis (TB) health facilities in the Republic of Moldova, where various incentives were provided to TB patients to improve treatment outcomes. OBJECTIVE: To compare treatment outcomes among new drug-susceptible TB patients registered for treatment before (2008) and after (2011) introduction of incentives. DESIGN: Retrospective cohort study using data from the national electronic patient database and incentive registers. RESULTS: Of 2378 patients registered in 2011, 1895 (80%) received incentives (cash, food vouchers, travel reimbursement)...
October 21, 2014: Public Health Action
Douglas L Polcin, Rachael Korcha
BACKGROUND: The study of motivation in the substance abuse field has typically examined the extent to which substance users want to quit or reduce substance use. Less frequently examined is the desire to maintain sobriety after achieving abstinence. The current study examined motivation to maintain sobriety among residents of sober living houses (SLHs), a type of recovery home for individuals with alcohol and drug problems. Previous research on this population showed favorable longitudinal outcomes over 18 months...
2015: Substance Abuse and Rehabilitation
Ziad A Memish, Sanaa M Filemban, Sabirah N Kasule, Jaffar A Al-Tawfiq
OBJECTIVES: To study the knowledge, attitudes, and practices with regard to human immunodeficiency virus infection / acquired immune deficiency syndrome (HIV/AIDS) in illegal residents, in the Kingdom of Saudi Arabia (KSA). MATERIALS AND METHODS: A questionnaire study was conducted among the illegal residents from four regions in Saudi Arabia: Jeddah, Makkah, Riyadh, and Jazan. RESULTS: The survey enrolled 5,000 participants, 79%male (39.6% from Jeddah; 20% from Riyadh; and 20% from Jazan), aged between 15 and 45 years...
July 2015: Journal of Global Infectious Diseases
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