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Geriatrics gerontology

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https://www.readbyqxmd.com/read/29355063/using-traditional-or-flipped-classrooms-to-teach-geriatrics-and-gerontology-investigating-the-impact-of-active-learning-on-medical-students-competences
#1
Alessandra Lamas Granero Lucchetti, Oscarina da Silva Ezequiel, Isabella Noceli de Oliveira, Alexander Moreira-Almeida, Giancarlo Lucchetti
BACKGROUND: The present study aims to investigate the effect of two educational strategies to teach geriatrics (flipped classroom-FL and traditional lectures-TR) in relation to a control group (no intervention) on students' competences. METHOD: An intervention study was conducted during the third year of medicine. Two different educational strategies (flipped classroom and traditional lectures) were incorporated into a theoretical-practical discipline of geriatrics...
January 21, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29335140/-the-sexualisation-of-the-care-relationship-by-the-patient-in-gerontology
#2
REVIEW
Flavie Gouraud, Franck Rexand-Galais, Benoit Maillard, Hélène Delrieu
The expression of the sexuality of the ageing patient in the care setting, particularly when it concerns the genital area and involves the caregiver without he or she being aware, constitutes a critical situation for the geriatric teams. A psychodynamic reading of these situations is important for the caregiving teams in order to optimise the somatic treatment and to prevent the risk of an unsuitable reactive treatment. This article presents a clinical case as an example.
January 2018: Soins. Gérontologie
https://www.readbyqxmd.com/read/29300424/association-between-insulin-like-growth-factor-1-and-frailty-among-older-adults
#3
T Doi, H Makizako, K Tsutsumimoto, R Hotta, S Nakakubo, K Makino, T Suzuki, H Shimada
OBJECTIVES: Frailty is a course experienced in advanced aging. Identification of a biological factor associated with frailty is required. Although serum insulin-like growth factor-1 (IGF-1) is a potential factor related with frailty, consensus has not been reached regarding this relationship. This study aimed to investigate the association between IGF-1 and frailty in older adults. DESIGN: Cross-sectional study. SETTING: Cohort study that was part of the "National Center for Geriatrics and Gerontology - Study of Geriatric Syndromes...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29298218/community-level-sports-group-participation-and-older-individuals-depressive-symptoms
#4
Taishi Tsuji, Yasuhiro Miyaguni, Satoru Kanamori, Masamichi Hanazato, Katsunori Kondo
PURPOSE: Community-level group participation is a structural aspect of social capital that may have a contextual influence on an individual's health. Herein, we sought to investigate a contextual relationship between community-level prevalence of sports group participation and depressive symptoms in older individuals. METHODS: We used data from the 2010 Japan Gerontological Evaluation Study (JAGES), a population-based, cross-sectional study of individuals aged ≥65 years without long-term care needs in Japan...
January 3, 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29287728/-towards-a-national-strategy-on-the-diagnosis-of-neurocognitive-disorders-a-shared-approach-among-the-french-national-college-of-general-practitioners-and-specialists-of-neurocognitive-disorders
#5
Pierre Krolak-Salmon, Laurent Letrilliart, Mathieu Ceccaldi, Sandrine Andrieu, Olivier Guérin, Bruno Dubois, Bruno Brochet, Pierre Vandel, Claude Jeandel, Armelle Leperre-Desplanques, Michel Clanet, Pierre-Louis Druais
Neurocognitive disorders leading to progressive cognitive, functional and behavioural impairment are often undiagnosed or diagnosed lately. But tailored care and therapeutics help in implementing secondary and tertiary prevention dynamics aiming at preserving quality of life and delaying, anticipating or preventing behavioural crisis and severe stages of dementia. Moreover, the diagnosis of numerous diseases induces specific care and therapeutics, as well access to research and clinical trials. For the first time, the representatives of the National College of General Practitioners, the French Federation of Memory Centres, the French Federation of Gerontology and Geriatrics, the French Federation of Neurology, the French Society of Psychogeriatrics and the national plan on neurodegenerative diseases propose a graduated and tailored diagnosis strategy involving primary care and specialists of neurocognitive disorders...
December 26, 2017: La Presse Médicale
https://www.readbyqxmd.com/read/29284997/the-frequency-of-multifactorial-syndromes-in-geriatrics-of-tuzla-canton-population
#6
Enisa Ramic, Senada Selmanovic, Esad Alibasic, Dzevad Dzananovic, Fejzo Dzafic, Irma Ramic
Introduction: There are four main multifactorial syndromes in geriatrics the so-called "4N", which specifically occur at elderly patients. Listed syndromes often occur related, and they can be the cause and the result of many other syndromes at geriatric patients. Objective: determine the difference in the assessment of the level of immobility, instability, dependence, urinary incontinence ("4N") in elderly groups. Materials and methods: The research included total 200 elderly respondents experimental group made of elderly persons (>65 years) living alone...
December 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/29275161/aging-inflammation-and-the-environment
#7
REVIEW
Arsun Bektas, Shepherd H Schurman, Ranjan Sen, Luigi Ferrucci
The aging process is driven by interrelated mechanisms that lead to the emergence of characteristic phenotypes that include changes in body composition, energy production and utilization imbalance, homeostatic dysregulation, and neurodegeneration and loss of neuroplasticity. Mainstream theories of aging all recognize that the aging phenotypes result from an imbalance between stressors and stress buffering mechanisms and a resultant loss of compensatory reserve leading to accumulation of unrepaired damage. This in turn results in increased disease susceptibility, reduced functional reserve, reduced healing capacity and stress resistance, unstable health and finally failure to thrive...
December 21, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/29119129/aging-partners-managing-chronic-illness-together-introducing-the-content-collection
#8
Alexandra C H Nowakowski, J E Sumerau
Prior literature on illness management within intimate relationships demonstrates a variety of benefits from supportive partnership. Indeed, much of the earliest research in this field engaged older adults with and without chronic conditions. However, this pioneering literature gave little consideration to relationships in which multiple partners were coping with chronic illness. By contrast, the majority of published manuscripts presented a "sick partner/well partner" model in which caregiving flowed only in one direction...
January 2017: Gerontology & Geriatric Medicine
https://www.readbyqxmd.com/read/29063645/curriculum-content-in-geriatric-dentistry-in-usa-dental-schools
#9
Ronald L Ettinger, Zachary S Goettsche, Fang Qian
OBJECTIVES: The aim of this study was to re-examine the teaching of geriatric dentistry in the USA dental schools, to identify curriculum content and compare the findings to previous reports. METHODS: All dental schools in the United States were contacted via email with a questionnaire to assess the teaching of geriatric dentistry. Non-responding schools were sent a minimum of three reminder emails to complete the survey. A statistical analysis was performed. Descriptive statistics were conducted to profile the variables of interest...
October 23, 2017: Gerodontology
https://www.readbyqxmd.com/read/29052288/implementation-of-a-gerontology-nurse-specialist-role-in-primary-health-care-health-professional-and-older-adult-perspectives
#10
A I I King, M L Boyd, L Dagley, D L Raphael
AIMS AND OBJECTIVES: To explore an innovative primary healthcare gerontology nurse specialist role from the perspectives of older people and health professionals. BACKGROUND: Primary care is struggling to meet the needs and demands of complex older people. New models which incorporate holistic assessment and care coordination are necessary. DESIGN: A qualitative descriptive general inductive design was used. METHODS: Older people at risk of health and functional decline were identified and received a comprehensive gerontology assessment and care coordination...
October 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29036823/prevalence-and-correlates-of-behavioral-disorders-in-old-age-subjects-with-cognitive-impairment-results-from-the-regal-project
#11
Virginia Boccardi, Manuela Conestabile Della Staffa, Marta Baroni, Sara Ercolani, Michele Francesco Croce, Carmelinda Ruggiero, Patrizia Mecocci
BACKGROUND: Presence of behavioral and psychological symptoms of dementia (BPSD) is very common in subjects with cognitive impairment, representing an important determinant of disease progression, institutionalization, and worse prognosis. Knowledge of the prevalence and correlates of BPSD in community-living old subjects with cognitive impairment is limited so far, but it is essential for establishing specifically tailored care and cure in such a vulnerable population. OBJECTIVE: With this study, we aimed at investigating, in a large sample of old age subjects with cognitive impairment, BPSD prevalence and correlates including the main demographic, clinical, and socio-environmental characteristics...
October 8, 2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29018069/using-comprehensive-geriatric-assessment-for-quality-improvements-in-healthcare-of-older-people-in-uk-care-homes-protocol-for-realist-review-within-proactive-healthcare-of-older-people-in-care-homes-peach-study
#12
Maria Zubair, Neil H Chadborn, John R F Gladman, Tom Dening, Adam L Gordon, Claire Goodman
INTRODUCTION: Care home residents are relatively high users of healthcare resources and may have complex needs. Comprehensive geriatric assessment (CGA) may benefit care home residents and improve efficiency of care delivery. This is an approach to care in which there is a thorough multidisciplinary assessment (physical and mental health, functioning and physical and social environments) and a care plan based on this assessment, usually delivered by a multidisciplinary team. The CGA process is known to improve outcomes for community-dwelling older people and those in receipt of hospital care, but less is known about its efficacy in care home residents...
October 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28992035/does-the-type-of-residential-housing-matter-for-depressive-symptoms-in-the-aftermath-of-a-disaster-insights-from-the-great-east-japan-earthquake-and-tsunami
#13
Yuri Sasaki, Jun Aida, Taishi Tsuji, Yasuhiro Miyaguni, Yukako Tani, Shihoko Koyama, Yusuke Matsuyama, Yukihiro Sato, Toru Tsuboya, Yuiko Nagamine, Yoshihito Kameda, Tami Saito, Kazuhiro Kakimoto, Katsunori Kondo, Ichiro Kawachi
The 2011 Great East Japan Earthquake and Tsunami resulted in widespread property destruction and over 250,000 displaced residents. We sought to examine whether the type of housing arrangement available to the affected victims was associated with a differential incidence of depressive symptoms. In this prospective cohort study comprising participants (65 years or older) from Iwanuma as a part of the Japan Gerontological Evaluation Study, we had information about the residents' mental health both pre-dating the disaster in 2010 as well as 2...
July 13, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28968022/-a-new-stage-of-development-of-gerontology-and-geriatrics-in-russia-problems-o-creation-of-a-geriatric-care-system-part-2-the-structure-of-the-system-scientific-approach
#14
V N Anisimov, V Yu Serpov, A V Finagentov, V Kh Khavinson
The publication is the second part of the analytical review on the new stage of development of gerontology and geriatrics in Russia. Components of social support system for senior citizens and the structure of social-medical care as its crucial components are presented. The problem of positioning of geriatric care within the system of social support for senior citizens, as well as its peculiarities and the algorithm providing geriatric care are discussed. The analysis of this algorithm allowed us to justify the indissoluble link and continuity of individual components of geriatric care and its cost-effectiveness...
2017: Advances in Gerontology, Uspekhi Gerontologii
https://www.readbyqxmd.com/read/28957993/an-international-perspective-on-chronic-multimorbidity-approaching-the-elephant-in-the-room
#15
Davide L Vetrano, Amaia Calderón-Larrañaga, Alessandra Marengoni, Graziano Onder, Jürgen M Bauer, Matteo Cesari, Luigi Ferrucci, Laura Fratiglioni
Multimorbidity is a common and burdensome condition that may affect quality of life, increase medical needs and make people live more years of life with disability. Negative outcomes related to multimorbidity occur beyond what we would expect from the summed effect of single conditions, as chronic diseases interact with each other, mutually enhancing their negative effects, and eventually leading to new clinical phenotypes. Moreover, multimorbidity mirrors an accelerated global susceptibility and a loss of resilience, which are both hallmarks of aging...
September 16, 2017: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/28953166/a-post-master-s-advanced-certificate-in-gerontology-for-nps
#16
Sherry A Greenberg, Allison Squires, Jennifer Adams, Lisa Altshuler, So-Young Oh, Nina L Blachman, Tara A Cortes
This article describes an innovative post-master's advanced certificate in gerontology program developed by the Hartford Institute for Geriatric Nursing at the New York University Rory Meyers College of Nursing. The program provides advanced practice registered nurses geriatric content to meet eligibility criteria for the Adult-Gerontology Primary Care NP certification exam and develops interprofessional care providers to care for complex older adults.
August 4, 2017: Nurse Practitioner
https://www.readbyqxmd.com/read/28936689/-dementia-as-interdisciplinary-topic-of-gerontology-and-geriatrics
#17
EDITORIAL
Walter Hewer, Rüdiger Thiesemann
No abstract text is available yet for this article.
October 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28923012/prevalence-of-frailty-and-its-associated-factors-in-older-hospitalised-patients-in-vietnam
#18
Huyen Thi Thanh Vu, Thanh Xuan Nguyen, Tu N Nguyen, Anh Trung Nguyen, Robert Cumming, Sarah Hilmer, Thang Pham
BACKGROUND: Frailty is an emerging issue in geriatrics and gerontology. The prevalence of frailty is increasing as the population ages. Like many developing countries, Vietnam has a rapidly ageing population. However, there have been no studies about frailty in older people in Vietnam. This study aims to investigate the prevalence of frailty and its associated factors in older hospitalised patients at the National Geriatric Hospital in Hanoi, Vietnam. METHODS: Prospective observational study in inpatients aged ≥60 years at the National Geriatric Hospital in Hanoi, Vietnam from 4/2015 to 10/2015...
September 15, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28914223/educator-readiness-to-improve-gerontological-curricula-in-health-and-social-service-education
#19
Lynn McCleary, Veronique Boscart, Peter Donahue, Kelsey Harvey
This study investigated the state of gerontology content in health and social service education programs in Ontario, and readiness indicators for change among administrators and faculty. We conducted a survey of teaching faculty (n = 100) and deans or directors (n = 56) of 89 education programs, which revealed mixed evidence on readiness for change. Most respondents thought their programs were adequate but needed enhancement. However, they were unaware of published gerontological competencies with which to evaluate their curricula...
September 15, 2017: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/28802118/associations-of-relative-deprivation-and-income-rank-with-depressive-symptoms-among-older-adults-in-japan
#20
Krisztina Gero, Katsunori Kondo, Naoki Kondo, Kokoro Shirai, Ichiro Kawachi
INTRODUCTION: Income is hypothesized to affect health not just through material pathways (i.e., the ability to purchase health-enhancing goods) but also through psychosocial pathways (e.g., social comparisons with others). Two concepts relevant to the psychosocial effects of income are: relative deprivation (for example expressed by the Yitzhaki Index, measuring the magnitude of difference in income among individuals) and Income Rank. This study examined whether higher relative deprivation and lower income rank are associated with depressive symptoms in an older population independently of absolute income...
August 3, 2017: Social Science & Medicine
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