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elderly at home for age

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https://www.readbyqxmd.com/read/29226282/feasibility-of-conducting-a-6-month-long-home-based-exercise-program-with-protein-supplementation-in-elderly-community-dwelling-individuals-with-heart-failure
#1
Masil George, Gohar Azhar, Amanda Pangle, Eric Peeler, Amanda Dawson, Robert Coker, Kellie S Coleman, Amy Schrader, Jeanne Wei
Objective: Cardiac cachexia is a condition associated with heart failure, particularly in the elderly, and is characterized by loss of muscle mass with or without the loss of fat mass. Approximately 15% of elderly heart failure patients will eventually develop cardiac cachexia; such a diagnosis is closely associated with high morbidity and increased mortality. While the mechanism(s) involved in the progression of cardiac cachexia is incompletely established, certain factors appear to be contributory...
2017: Journal of Physiotherapy & Physical Rehabilitation
https://www.readbyqxmd.com/read/29226119/substitution-of-formal-and-informal-home-care-service-use-and-nursing-home-service-use-health-outcomes-decision-making-preferences-and-implications-for-a-public-health-policy
#2
Chia-Ching Chen, Tetsuji Yamada, Taeko Nakashima, I-Ming Chiu
Objectives: The purposes of this study are: (1) to empirically identify decision-making preferences of long-term health-care use, especially informal and formal home care (FHC) service use; (2) to evaluate outcomes vs. costs based on substitutability of informal and FHC service use; and (3) to investigate health outcome disparity based on substitutability. Methodology and data: The methods of ordinary least squares, a logit model, and a bivariate probit model are used by controlling for socioeconomic, demographic, and physical/mental health factors to investigate outcomes and costs based substitutability of informal and formal health-care use...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/29211234/comparison-of-the-cognitive-performance-of-elderly-caregivers-with-and-without-chronic-pain
#3
Marielli Terassi, Estefani Serafim Rossetti, Karina Gramani-Say, Tiago da Silva Alexandre, Priscilla Hortense, Sofia Cristina Iost Pavarini
OBJECTIVE Understanding and characterizing chronic pain in elderly caregivers, verifying the cognitive performance of the elderly of the sample and verifying whether there is difference in the cognitive performance of elderly caregivers with and without chronic pain. METHOD Participants were people aged 60 years or older who lived with another elderly person in the same household and who were registered in Family Health Units. Data collection took place at participants' homes. Pain was assessed by the EMADOR and cognition was assessed by ACE-R...
2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/29197830/association-of-accelerometry-measured-physical-activity-and-cardiovascular-events-in-mobility-limited-older-adults-the-life-lifestyle-interventions-and-independence-for-elders-study
#4
Shannon K Cochrane, Shyh-Huei Chen, Jodi D Fitzgerald, John A Dodson, Roger A Fielding, Abby C King, Mary M McDermott, Todd M Manini, Anthony P Marsh, Anne B Newman, Marco Pahor, Catrine Tudor-Locke, Walter T Ambrosius, Thomas W Buford
BACKGROUND: Data are sparse regarding the value of physical activity (PA) surveillance among older adults-particularly among those with mobility limitations. The objective of this study was to examine longitudinal associations between objectively measured daily PA and the incidence of cardiovascular events among older adults in the LIFE (Lifestyle Interventions and Independence for Elders) study. METHODS AND RESULTS: Cardiovascular events were adjudicated based on medical records review, and cardiovascular risk factors were controlled for in the analysis...
December 2, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29194270/trend-and-demographic-characteristics-of-maxillofacial-fractures-in-level-i-trauma-center
#5
Omri Emodi, Amir Wolff, Hanna Srouji, Hany Bahouth, Dani Noy, Imad Abu El Naaj, Adi Rachmiel
AIM: The aim of this study was to analyze the pattern and treatment of craniomaxillofacial injuries in the northern part of Israel, within a Jewish majority and large Arab minority population. PATIENTS AND METHODS: A 5-year retrospective study evaluated patients treated for craniomaxillofacial fractures. Fracture cause, type, site, and patient demographics were evaluated. RESULTS: Patient age ranged from 1 to 94 years with an average age of 36...
November 20, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29188859/cognitive-performance-does-not-limit-physical-activity-participation-in-the-lifestyle-interventions-and-independence-for-elders-pilot-study-life-p
#6
K F Reid, M P Walkup, J A Katula, K M Sink, S Anton, R Axtell, D R Kerwin, A C King, F Kramer, M E Miller, V Myers, C Rosano, S A Studenski, O L Lopez, J Verghese, R A Fielding, J Williamson
OBJECTIVES: We examined whether multiple domains of baseline cognitive performance were associated with prospective physical activity (PA) adherence in the Lifestyle Interventions and Independence for Elders Pilot study (LIFE-P). DESIGN, SETTING, PARTICIPANTS: The LIFE-P study was a single-blind, multicenter, randomized controlled trial of a PA intervention compared to a successful aging educational intervention in sedentary, mobility-limited older adults. INTERVENTION: A 12-month structured, moderate-intensity, multi-modal PA program that included walking, resistance training, and flexibility exercises...
2017: Journal of Prevention of Alzheimer's Disease
https://www.readbyqxmd.com/read/29188855/ginkgo-biloba-extract-consumption-and-long-term-occurrence-of-death-and-dementia
#7
J F Dartigues, L Grasset, C Helmer, C Féart, L Letenneur, H Jacqmin-Gadda, P Joly, H Amieva
OBJECTIVES: To study the benefit of Ginkgo Biloba Extract (GBe) consumption on the long term risk of dementia and death in elderly people. DESIGN: The Paquid study is a population-based cohort with regular follow-up screenings up to twenty-two years and systematic detection of incident cases of dementia. Statistical analysis was conducted with an illness-death model dealing with interval censoring of dementia and competing risk of death. SETTING: The sample was randomly selected from electoral rolls in two administrative areas of southwestern France in 1988-1989...
2017: Journal of Prevention of Alzheimer's Disease
https://www.readbyqxmd.com/read/29187327/endoscopic-retrograde-cholangiopancreatography-in-the-elderly-over-75-years-old-a-survey
#8
Coralie Labarias, Cédric Leguillou, Jean-François Bourgaux
Whilst endoscopic retrograde cholangiopancreatography (ERCP) is being practiced on increasingly older patients, its benefits have not been well studied. This study assessed the clinical benefit of ERCP for subjects aged 75 and over, including follow-up at 3 months of geriatric functional parameters and lifestyle. This is a prospective mono-centric, cohort study. All patients aged 75 and over receiving ERCP were enrolled and monitored for a period of 3 months. We recorded 53 inclusions between November 1st 2014 to 31 May 2015...
December 1, 2017: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/29183037/efficacy-of-a-new-post-mouthwash-intervention-wiping-plus-oral-nutritional-supplements-for-preventing-aspiration-pneumonia-in-elderly-people-a-multicenter-randomized-comparative-trial
#9
Takashi Higashiguchi, Hiroshi Ohara, Yayoi Kamakura, Takeshi Kikutani, Masafumi Kuzuya, Hiromi Enoki, Hiromi Sanada, Masami Matsuzaki, Michio Maruyama
BACKGROUND/AIMS: Aspiration pneumonia is a common cause of death among the elderly (≥90-year-old) in nursing homes. Studies suggest that its incidence could be reduced by oral care interventions. We aimed to evaluate the efficacy of a new oral care intervention: wiping plus oral nutritional supplements (ONS). METHODS: This prospective observational study was conducted in 252 patients (age 88.0 ± 6.5 years) in 75 nursing homes, rehabilitation hospitals, and other care facilities...
November 28, 2017: Annals of Nutrition & Metabolism
https://www.readbyqxmd.com/read/29177024/epidemiology-of-fragility-fractures-and-fall-prevention-in-the-elderly-a-systematic-review-of-the-literature
#10
REVIEW
Takayuki Tsuda
Fragility fractures in the elderly is an ongoing concern for orthopaedic surgeons. A 50-year-old woman has a 40% chance of having a vertebral compression fracture in her lifetime. The incidence of vertebral fractures, reported to be more than 10 times higher than that of femoral fractures, is estimated as 1-1.5 million per year in Japan. Vertebral fractures often occur without a fall, whereas the majority of nonvertebral fractures are the consequence of falls; the site of the nonvertebral fracture appears to be dictated by the type of fall...
November 2017: Current Orthopaedic Practice
https://www.readbyqxmd.com/read/29165789/medicaid-cost-savings-of-a-preventive-home-visit-program-for-disabled-older-adults
#11
Sarah L Szanton, Y Natalia Alfonso, Bruce Leff, Jack Guralnik, Jennifer L Wolff, Ian Stockwell, Laura N Gitlin, David Bishai
BACKGROUND/OBJECTIVES: Little is known about cost savings of programs that reduce disability in older adults. The objective was to determine whether the Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program saves Medicaid more money than it costs to provide. DESIGN: Single-arm clinical trial (N = 204) with a comparison group of individuals (N = 2,013) dually eligible for Medicaid and Medicare matched on baseline geographic and demographic characteristics, chronic conditions, and healthcare use...
November 22, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29164595/frequency-of-leaving-the-house-and-mortality-from-age-70-to-95
#12
Jeremy M Jacobs, Aliza Hammerman-Rozenberg, Jochanan Stessman
OBJECTIVES: To determine the association between frequency of leaving the house and mortality. DESIGN: Prospective follow-up of an age-homogenous, representative, community-dwelling birth cohort (born 1920-21) from the Jerusalem Longitudinal Study (1990-2015). SETTING: Home. PARTICIPANTS: Individuals aged 70 (n = 593), 78 (n = 973), 85 (n = 1164), and 90 (n = 645), examined in 1990, 1998, 2005, and 2010, respectively...
November 22, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29159516/second-hip-fracture-incidence-trends-and-predictors
#13
Ramón Mazzucchelli, Elia Pérez-Fernández, Natalia Crespí, Alberto García-Vadillo, Gil Rodriguez Caravaca, Angel Gil de Miguel, Loreto Carmona
Older persons who have suffered a hip fracture (HFx) are at increased risk of subsequent hip fractures. The cumulative incidence of a second hip fracture (SHFx) has been estimated in 8.4%; however, no studies have been carried out in our country, and the information on risk markers of SHFx is limited. The aim of this study was to estimate the incidence, explore trends, and examine predictors of SHFx in a suburban population of Spain. An observational longitudinal retrospective study was performed in a universal health coverage setting (Alcorcón, 1999-2011)...
November 20, 2017: Calcified Tissue International
https://www.readbyqxmd.com/read/29154054/the-effects-of-chamomile-extract-on-sleep-quality-among-elderly-people-a-clinical-trial
#14
Mohsen Adib-Hajbaghery, Seyedeh Nesa Mousavi
BACKGROUND: The prevalence of insomnia increases with age. Chamomile is among the medicinal plants which are used as tranquilizer. Yet, there is inadequate experimental and clinical evidence regarding its hypnotic effects. This study sought to evaluate the effects of chamomile extract on sleep quality among elderly people. DESIGN: A single-blind randomized controlled trial was performed. SETTING: A convenient sample of sixty elderly people who aged sixty or more and lived in Kahrizak day care nursing home, Karaj, Iran, were randomly allocated to a control and a treatment group...
December 2017: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/29153438/effect-of%C3%A2-the-programme-plan-de-egreso-on%C3%A2-chronically-ill-patients-and-their-family-caregivers
#15
Blanca Gregoria Melo Melo, Yamile Vargas Hernández, Gloria Mabel Carrillo, Diana Katherine Alarcón Trujillo
OBJECTIVE: To determine the effect of the programme Hospitalisation discharge plan for patients with chronic diseases and family caregivers to strengthen their home care competence -CUIDAR- and reduce the caregiver burden. METHOD: Quasi-experimental study approach with intervention group. Participants were 62 patients and their caregivers who consulted with a health care institution in the city of Girardot (Colombia). The intervention was carried out for one month, during which, measurements were performed before and after the programme...
November 16, 2017: Enfermería Clínica
https://www.readbyqxmd.com/read/29151554/social-support-and-care-needs-of-the-disabled-elderly-population-an-empirical-study-based-on-survey-data-from-beijing-china
#16
Xiaoning Hao, Juan Gu, Xiangji Ying, Tao Bo, Wei Fu
In order to describe and examine differences in social support and care needs among disabled Chinese elderly, the current study used stratified sampling to survey local residents of Beijing age 60 or over in the districts of Xicheng, Chaoyang, and Tongzhou in 2016. Structured in-person interviews were conducted with a 7-domain questionnaire. Multiple logistic regressions were used to compare social support and care needs among functioning, partially disabled, and completely disabled elderly. All statistical analyses were performed using SPSS 19...
2017: Bioscience Trends
https://www.readbyqxmd.com/read/29151044/mortality-among-referrals-to-a-community-based-intermediate-care-team
#17
Bharath Lakkappa, Sanjay Shah, Stephen Rogers, Leanne Helen Holman
OBJECTIVES: Intermediate care services have been introduced to help mitigate unnecessary hospital demand and premature placement in long-term residential care. Many patients are elderly and/or with complex comorbidities, but little consideration has been given to the palliative care needs of patients referred to intermediate care services. The objective of this study is to determine the proportion of patients referred to a community-based intermediate care team who died during care and up to 24 months after discharge and so to help inform the development of supportive and palliative care in this setting...
November 18, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/29150794/shunt-surgery-in-idiopathic-normal-pressure-hydrocephalus-is-cost-effective-a-cost-utility-analysis
#18
Mats Tullberg, Josefine Persson, Jakob Petersen, Per Hellström, Carsten Wikkelsø, Åsa Lundgren-Nilsson
BACKGROUND: The objective was to evaluate the cost-effectiveness of shunt surgery in patients with idiopathic normal pressure hydrocephalus (iNPH). METHODS: Health-related quality of life was evaluated before and 6 months after surgery using the EQ-5D-3 L (EuroQOL group five-dimensions health survey) in 30 patients (median age, 71 years; range, 65-89 years) diagnosed with iNPH. The costs associated with shunt surgery were assessed by a detailed survey with interviews and extraction of register data concerning the cost of hospital care, primary care, residential care, home-care service and informal care...
November 17, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29141681/patient-influence-in-home-based-reablement-for-older-persons-qualitative-research
#19
Aud Moe, Kari Ingstad, Hildfrid V Brataas
BACKGROUND: Reablement services are rehabilitation for older people living at home, being person-centered in information, mapping and the goal-setting conversation. The purpose of this study was to gain knowledge about conversation processes and patient influence in formulating the patients' goals. There are two research questions: How do conversation theme, structure and processes appear in interactions aiming to decide goals of home-based reablement rehabilitation for the elderly? How professionals' communication skills do influence on patients' participation in conversation about everyday life and goals of home-based reablement? METHODS: A qualitative field study explored eight cases of naturally occurring conversations between patients and healthcare professionals in a rehabilitation team...
November 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29137700/limitation-of-therapeutic-effort-in-patients-hospitalised-in-departments-of-internal-medicine
#20
R García Caballero, B Herreros, D Real de Asúa, S Gámez, G Vega, L García Olmos
INTRODUCTION: There is little information on the limitation of therapeutic effort (LTE) in patients admitted to hospital internal medicine units. OBJECTIVES: To describe the indicated LTE regimens in the departments of internal medicine and the characteristics of the patients who undergo them. PATIENTS AND METHODS: An observational, descriptive retrospective study was conducted on 4 hospitals of the Community of Madrid. The study collected demographic and comorbidity data and the LTE orders prescribed for all patients who died during a period of 6 months...
November 11, 2017: Revista Clínica Española
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