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https://www.readbyqxmd.com/read/28226049/predictors-for-the-functional-incapacity-of-the-elderly-in-primary-health-care
#1
Lívia Carvalho Pereira, Maria do Livramento Fortes Figueiredo, Cinara Maria Feitosa Beleza, Elaine Maria Leite Rangel Andrade, Maria Josefina da Silva, Antonio Francisco Machado Pereira
Objectives: to assess the predictors for the functional incapacity of the elderly in primary health care. Method: cross-sectional study, of which 388 older people participated, conducted in three Primary health care Units, using the Katz index and Lawton's scale. The research project was approved by the Research Ethics Committee. Results: regarding the degree of dependency for Basic Activities, 90.2% were less independent for dressing themselves; and for Instrumental Activities, 77...
January 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28223787/comparing-the-predictive-accuracy-of-frailty-comorbidity-and-disability-for-mortality-a-1-year-follow-up-in-patients-hospitalized-in-geriatric-wards
#2
Martin Ritt, Julia Isabel Ritt, Cornel Christian Sieber, Karl-Günter Gaßmann
BACKGROUND: Studies evaluating and comparing the power of frailty, comorbidity, and disability instruments, together and in parallel, for predicting mortality are limited. OBJECTIVE: This study aimed to evaluate and compare the measures of frailty, comorbidity, and disability in predicting 1-year mortality in geriatric inpatients. DESIGN: Prospective cohort study. PATIENTS AND SETTING: A total of 307 inpatients aged ≥65 years in geriatric wards of a general hospital participated in the study...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28214668/diabetes-and-disability-in-older-australians-the-australian-diabetes-obesity-and-lifestyle-ausdiab-study
#3
Digsu N Koye, Jonathan E Shaw, Dianna J Magliano
AIMS: To examine the association between diabetes and disability in older Australians and to identify factors that explain this association. METHODS: We analysed data from a subsample of the Australian Diabetes, Obesity and Lifestyle study (AusDiab) cohort. Disability was measured using the Katz questionnaire in those aged 60years or over and was defined as some difficulty in any of the Katz activities of daily living (ADL) questions. RESULTS: Among 2373 study participants aged 60years or above who had a disability assessment at the third wave of follow-up (2011-12), 255 (11%) reported at least some disability...
February 7, 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/28209495/maternal-obesity-and-major-intraoperative-complications-during-cesarean-delivery
#4
Marcela C Smid, Catherine J Vladutiu, Sarah K Dotters-Katz, Kim A Boggess, Tracy A Manuck, David M Stamilio
BACKGROUND: Multiple studies have demonstrated an association between maternal obesity and postoperative complications, but there is a dearth of information about the impact of obesity on intraoperative complications. OBJECTIVE: To estimate the association between maternal obesity at delivery and major intraoperative complications during cesarean delivery (CD). METHODS: This is a secondary analysis of the de-identified MFMU Cesarean Registry of women with singleton pregnancies...
February 13, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28159513/functional-status-decline-in-older-patients-with-breast-and-colorectal-cancer-after-cancer-treatment-a-prospective-cohort-study
#5
Doris van Abbema, Arnée van Vuuren, Franchette van den Berkmortel, Marjan van den Akker, Laura Deckx, Frank Buntinx, Roel van Kampen, Els Lambooij, Maaike de Boer, Judith de Vos-Geelen, Vivianne C Tjan-Heijnen
OBJECTIVES: The aim of the present study was to disentangle the impact of age and that of cancer diagnosis and treatment on functional status (FS) decline in older patients with cancer. MATERIALS AND METHODS: Patients with breast and colorectal cancer aged 50-69years and aged ≥70years who had undergone surgery, and older patients without cancer aged ≥70years were included. FS was assessed at baseline and after 12months follow-up, using the Katz index for activities of daily living (ADL) and the Lawton scale for instrumental activities of daily living (IADL)...
January 31, 2017: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/28143509/a-protective-personal-factor-against-disability-and-dependence-in-the-elderly-an-ordinal-regression-analysis-with-nine-geographically-defined-samples-from-spain
#6
Javier Virues-Ortega, Saturio Vega, Manuel Seijo-Martinez, Pedro Saz, Fernanda Rodriguez, Angel Rodriguez-Laso, Susana Perez de Las Heras, Raimundo Mateos, Pablo Martinez-Martin, Ignacio Mahillo-Fernandez, Josep Garre-Olmo, Jordi Gascon, Francisco Jose Garcia-Garcia, Manuel Fernandez-Martinez, Felix Bermejo-Pareja, Alberto Bergareche, Julian Benito-Leon, Jesus de Pedro-Cuesta
BACKGROUND: Sense of Coherence (SOC) is defined as a tendency to perceive life experiences as comprehensible, manageable and meaningful. The construct is split in three major domains: Comprehensibility, Manageability, and Meaningfulness. SOC has been associated with successful coping strategies in the face of illness and traumatic events and is a predictor of self-reported and objective health in a variety of contexts. In the present study we aim to evaluate the association of SOC with disability and dependence in Spanish elders...
January 31, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28124275/influence-of-preoperative-therapy-on-short-and-long-term-outcomes-of-patients-with-adenocarcinoma-of-the-ampulla-of-vater
#7
Jordan M Cloyd, Huamin Wang, Michael Overman, Jun Zhao, Jason Denbo, Laura Prakash, Michael P Kim, Rachna Shroff, Milind Javle, Gauri R Varadhachary, David Fogelman, Robert A Wolff, Eugene J Koay, Prajnan Das, Anirban Maitra, Thomas A Aloia, Jean-Nicolas Vauthey, Jason B Fleming, Jeffrey E Lee, Matthew H G Katz
INTRODUCTION: Although preoperative therapy is increasingly administered to patients with pancreatic adenocarcinoma, the role of preoperative therapy for patients with adenocarcinoma of the ampulla of Vater is undefined. METHODS: All patients with ampullary cancer who were evaluated between 1999 and 2014 were retrospectively reviewed. Differences in clinicopathologic characteristics, perioperative complications, and overall survival were compared between patients who underwent surgery de novo and those who received preoperative therapy before pancreatoduodenectomy...
January 25, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28116570/frailty-and-reduced-physical-function-go-hand-in-hand-in-adults-with-rheumatoid-arthritis-a-us-observational-cohort-study
#8
James S Andrews, Laura Trupin, Edward H Yelin, Catherine L Hough, Kenneth E Covinsky, Patricia P Katz
Reduced physical function and health-related quality of life are common in rheumatoid arthritis (RA), and further studies are needed that examine novel determinates of reduced physical function in RA. This study examines whether frailty, a state of increased vulnerability to stressors, is associated with differences in self-reported physical function among adults with RA. Adults from a longitudinal RA cohort (n = 124) participated in the study. Using an established definition of frailty, individuals with three or more of the following physical deficits were classified as frail: (1) body mass index ≤18...
January 23, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/28112821/a-pilot-study-on-the-correlation-between-fat-fraction-values-and-glucose-uptake-values-in-supraclavicular-fat-by-simultaneous-pet-mri
#9
Andrew McCallister, Le Zhang, Alex Burant, Laurence Katz, Rosa Tamara Branca
PURPOSE: To assess the spatial correlation between MRI and 18F-fludeoxyglucose positron emission tomography (FDG-PET) maps of human brown adipose tissue (BAT) and to measure differences in fat fraction (FF) between glucose avid and non-avid regions of the supraclavicular fat depot using a hybrid FDG-PET/MR scanner. METHODS: In 16 healthy volunteers, mean age of 30 and body mass index of 26, FF, R2*, and FDG uptake maps were acquired simultaneously using a hybrid PET/MR system while employing an individualized cooling protocol to maximally stimulate BAT...
January 23, 2017: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/28112771/minimal-important-change-and-minimal-detectable-change-in-activities-of-daily-living-in-community-living-older-people
#10
J J Suijker, M van Rijn, G Ter Riet, E P Moll van Charante, S E de Rooij, B M Buurman
OBJECTIVE: To estimate the minimal important change (MIC) and the minimal detectable change (MDC) of the Katz-activities of daily living (ADL) index score and the Lawton instrumental activities of daily living (IADL) scale. DESIGN: Data from a cluster-randomized clinical trial and a cohort study. SETTING: General practices in the Netherlands. PARTICIPANTS: 3184 trial participants and 51 participants of the cohort study with a mean age of 80...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28104446/factors-associated-with-fear-of-falling-in-community-dwelling-older-adults-with-and-without-diabetes-mellitus-findings-from-the-frailty-in-brazilian-older-people-study-fibra-br
#11
Bruno de Souza Moreira, Rosana Ferreira Sampaio, Juliano Bergamaschine Mata Diz, Alessandra de Carvalho Bastone, Eduardo Ferriolli, Anita Liberalesso Neri, Roberto Alves Lourenço, Rosângela Corrêa Dias, Renata Noce Kirkwood
PURPOSE: This study aimed to investigate the associated factors with fear of falling in community-dwelling older adults with and without diabetes mellitus. METHODS: Data from the Frailty in Brazilian Older People Study (FIBRA-BR), involving 4449 individuals aged 65years or older (19.2% with diabetes), were analyzed. The potential factors associated with fear of falling included sociodemographic data, chronic diseases, health-related variables and functional capacity measures...
January 16, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28099559/pain-induced-depression-is-related-to-overestimation-of-sleep-quality-in-a-very-elderly-population-with-pain
#12
Ricardo Humberto Felix, Carla Bezerra Lopes Almeida, Renata Carvalho Cremaschi, Fernando Morgadinho Coelho, Fânia Cristina Santos
Objective: To study the quality of sleep in very elderly people with chronic pain. Methods: We investigated 51 very elderly people without dementia and with chronic pain according to the Geriatric Pain Measure. Katz and Lawton questionnaires were used to evaluate functionality. The Geriatric Depression Scale and Geriatric Psychosocial Assessment of Pain-induced Depression were also used. Self-perceptions of sleep and quality of sleep were checked using the Pittsburgh Sleep Quality Index...
January 2017: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/28095969/body-fat-distribution-ratios-and-obstructive-sleep-apnea-severity-in-youth-with-obesity
#13
Amy Glicksman, Stasia Hadjiyannakis, Nicholas Barrowman, Scott Walker, Lynda Hoey, Sherri Lynne Katz
STUDY OBJECTIVES: Obesity and regional fat distribution, measured by neck fat mass percentage using dual-energy X-ray absorptiometry (DXA), correlate with obstructive sleep apnea (OSA) severity in adults. In obese children, neck-to-waist-circumference ratio predicts OSA. This study examined associations between body fat percentage and distribution and sleep-disordered breathing (SDB) severity in obese youth, measured with DXA. METHODS: Cross-sectional retrospective study conducted at a tertiary children's hospital...
January 11, 2017: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/28093543/intestinal-parasite-infections-and-accuracy-of-direct-thin-and-thick-smear-formol-ether-sedimentation-centrifugal-flotation-and-mini-flotac-techniques-among-patients-with-gastrointestinal-tract-disorders-from-the-greater-cairo-region-egypt
#14
Atef H Hussein, Samia M Rashed, Ibrahim A El-Hayawan, Nagwa S Ali, Eman A Abou Ouf, Amira T Ali
The aim of the present study was to assess the frequency of intestinal parasitic infection among patients with gastrointestinal tract disorders from the Greater Cairo region, Egypt. In addition, a comparison was made of the accuracy of direct thin and thick smear, formol-ether sedimentation (FEC), centrifugal flotation (CF), and mini-FLOTAC techniques in the diagnosis of infection. Out of 100 patients, the overall prevalence of parasitic infection was 51%. Only 6% had dual infection. Giardia lamblia was the most common parasite (26%), followed by Hymenolepis nana (20%), Entamoeba coli (8%), and Enterobius vermicularis (3%)...
January 16, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28091402/geriatric-assessment-to-predict-survival-and-risk-of-serious-adverse-events-in-elderly-newly-diagnosed-multiple-myeloma-patients-a-multicenter-study-in-china
#15
Yu-Ping Zhong, Yi-Zhuo Zhang, Ai-Jun Liao, Su-Xia Li, Chen Tian, Jin Lu
BACKGROUND: Elderly multiple myeloma (MM) patients often tend to suffer a variety of diseases, so the treatment of choice is very difficult for the elderly myeloma patients. The overall survival (OS) time and side effects with elderly patients are unclear in China. The study tried to find out the role of geriatric assessment in the Chinese elderly MM. METHODS: We retrospectively analyzed the data of 628 newly diagnosed patients from six hospitals from June 2011 to June 2013...
2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/28050766/selective-perioperative-administration-of-pasireotide-is-more-cost-effective-than-routine-administration-for-pancreatic-fistula-prophylaxis
#16
Jason W Denbo, Rebecca S Slack, Morgan Bruno, Jordan M Cloyd, Laura Prakash, Jason B Fleming, Michael P Kim, Thomas A Aloia, Jean-Nicolas Vauthey, Jeffrey E Lee, Matthew H G Katz
BACKGROUND: In a randomized trial, pasireotide significantly decreased the incidence and severity of postoperative pancreatic fistula (POPF). Subsequent analyses concluded that its routine use is cost-effective. We hypothesized that selective administration of the drug to patients at high risk for POPF would be more cost-effective. STUDY DESIGN: Consecutive patients who did not receive pasireotide and underwent pancreatoduodenectomy (PD) or distal pancreatectomy (DP) between July 2011 and January 2014 were distributed into groups based on their risk of POPF using a multivariate recursive partitioning regression tree analysis (RPA) of preoperative clinical factors...
January 3, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28043939/associations-among-meniscal-damage-meniscal-symptoms-and-knee-pain-severity
#17
L A MacFarlane, H Yang, J E Collins, A Guermazi, M H Jones, E Teeple, L Xu, E Losina, J N Katz
OBJECTIVE: Meniscal tears occur frequently in patients with knee osteoarthritis (OA). The aim of our study was to determine whether meniscal damage identified on magnetic resonance imaging (MRI) is associated with the severity of knee pain or the frequency of meniscal symptoms in patients with knee OA. METHODS: We performed a cross-sectional study using data from the Meniscal Tear in Osteoarthritis Research (MeTeOR) trial. We characterized meniscal damage hierarchically as: root tear; maceration; long and short complex or horizontal tears; and simple tears...
December 30, 2016: Osteoarthritis and Cartilage
https://www.readbyqxmd.com/read/28029539/disordered-weight-management-behaviors-nonprescription-steroid-use-and-weight-perception-in-transgender-youth
#18
Carly E Guss, David N Williams, Sari L Reisner, S Bryn Austin, Sabra L Katz-Wise
PURPOSE: Disordered weight management behaviors are prevalent among youth; recent case reports suggested that these behaviors might also be common in transgender youth. We studied associations of gender identity with disordered weight management behaviors, nonprescription steroid use, and weight perception among transgender and cisgender (nontransgender) high-school students in Massachusetts. METHODS: Data were analyzed from the 2013 Massachusetts Youth Health Survey, an anonymous survey in a random sample of Massachusetts public high schools...
October 28, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/28009788/effect-of-load-carriage-on-upper-limb-performance
#19
Amir Hadid, Inbar Katz, Tal Haker, Gabi Zeilig, Ruth Defrin, Yoram Epstein, Amit Gefen
: Carrying heavy backpacks are often associated with shoulder discomfort or pain, loss of sensorimotor functions, and brachial plexus injuries that might hamper performance. Based on previous research, the cause of these symptoms could be tissue deformations of the brachial plexus and the subclavian artery caused by the shoulder straps. PURPOSE: To evaluate the changes in the upper extremity hemodynamic and neural function, and to assess how they are associated with brachial plexus tissue deformation during heavy load carriage...
December 22, 2016: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/27986621/the-association-of-pre-operative-body-pain-diagram-scores-with-pain-outcomes-following-total-knee-arthroplasty
#20
A J Dave, F Selzer, E Losina, I Usiskin, J E Collins, Y C Lee, P Band, D F Dalury, R Iorio, K Kindsfater, J N Katz
OBJECTIVE: Approximately 20% of total knee arthroplasty (TKA) recipients have suboptimal pain relief. We evaluated the association between pre-surgical widespread body pain and incomplete pain relief following TKA. METHOD: This prospective analysis included 241 patients with knee osteoarthritis (OA) undergoing unilateral TKA who completed questionnaires preoperatively and up to 12 months post-operatively. Questionnaires included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain scale and a body pain diagram...
December 14, 2016: Osteoarthritis and Cartilage
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