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https://www.readbyqxmd.com/read/28208672/assessing-human-activity-in-elderly-people-using-non-intrusive-load-monitoring
#1
José M Alcalá, Jesús Ureña, Álvaro Hernández, David Gualda
The ageing of the population, and their increasing wish of living independently, are motivating the development of welfare and healthcare models. Existing approaches based on the direct heath-monitoring using body sensor networks (BSN) are precise and accurate. Nonetheless, their intrusiveness causes non-acceptance. New approaches seek the indirect monitoring through monitoring activities of daily living (ADLs), which proves to be a suitable solution. ADL monitoring systems use many heterogeneous sensors, are less intrusive, and are less expensive than BSN, however, the deployment and maintenance of wireless sensor networks (WSN) prevent them from a widespread acceptance...
February 11, 2017: Sensors
https://www.readbyqxmd.com/read/28202383/a-randomized-controlled-trial-of-screening-risk-modification-and-physical-therapy-to-prevent-falls-among-the-elderly-recently-discharged-from-the-emergency-department-to-the-community-the-steps-to-avoid-falls-in-the-elderly-study
#2
David B Matchar, Pamela W Duncan, Christopher T C Lien, Marcus Eng Hock Ong, Mina Lee, Fei Gao, Rita Sim, Kirsten Eom
OBJECTIVE: To evaluate the effectiveness of a multifactorial, tailored program of physical therapy to reduce the occurrence of falls among a heterogeneous group of high-risk elderly Singaporeans recently discharged from the Emergency Department (ED). DESIGN: Randomized controlled trial. SETTING: Communities in Central and East regions in Singapore. PARTICIPANTS: 354 adults aged at least 65 years who were seen at ED for a fall or fall-related injuries and discharged home...
February 12, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28198563/frequency-and-predictors-of-analgesic-prescribing-in-u-s-nursing-home-residents-with-persistent-pain
#3
Kevin M Fain, G Caleb Alexander, David D Dore, Jodi B Segal, Andrew R Zullo, Carlos Castillo-Salgado
OBJECTIVES: To quantify prescription analgesic use of elderly nursing home (NH) residents with persistent noncancer pain and to identify individual and facility traits associated with no treatment. DESIGN: Cross-sectional study. SETTING: Linked Minimum Data Set (MDS) assessments; Online Survey, Certification and Reporting (OSCAR) records; and Medicare Part D claims. PARTICIPANTS: Individuals aged 65 and older with persistent noncancer pain were identified from a cross-section of all long-stay U...
February 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28185601/identifying-community-healthcare-supports-for-the-elderly-and-the-factors-affecting-their-aging-care-model-preference-evidence-from-three-districts-of-beijing
#4
Tianyang Liu, Xiaoning Hao, Zhenzhong Zhang
BACKGROUND: The Chinese tradition of filial piety, which prioritized family-based care for the elderly, is transitioning and elders can no longer necessarily rely on their children. The purpose of this study was to identify community support for the elderly, and analyze the factors that affect which model of old-age care elderly people dwelling in communities prefer. METHODS: We used the database "Health and Social Support of Elderly Population in Community". Questionnaires were issued in 2013, covering 3 districts in Beijing...
November 15, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/28182536/prevalence-of-skin-tears-in-the-extremities-among-elderly-residents-at-a-nursing-home-in-denmark
#5
J Skiveren, B Wahlers, S Bermark
OBJECTIVE: The aim of the study was to determine the prevalence of skin tears in the extremities and explore factors in relation to skin tears in elderly residents at a Danish nursing home. METHOD: The study was designed as a point prevalence survey and conducted at a nursing home with 140 residents >65 years of age. The residents were assessed for presence, number and location of skin tears. Data were collected using a data collection sheet developed for this study...
February 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28181201/management-of-hypertension-in-the-elderly-and-frail-elderly
#6
REVIEW
Claudio Ferri, Livia Ferri, Giovambattista Desideri
An elevated systolic but not diastolic blood pressure level represents a common finding in elderly patients and is associated with an increased risk for developing coronary artery disease, cerebrovascular disease, peripheral artery disease, progressive cognitive decline and renal failure. Although less frequently, elderly patients manifest not only with systolic but also diastolic hypertension. Also in this case, the elderly patient will present an increased risk for developing hypertension-related abnormalities...
February 8, 2017: High Blood Pressure & Cardiovascular Prevention: the Official Journal of the Italian Society of Hypertension
https://www.readbyqxmd.com/read/28178143/healthy-lifestyle-and-normal-waist-circumference-are-associated-with-a-lower-5-year-risk-of-type-2-diabetes-in-middle-aged-and-elderly-individuals-results-from-the-healthy-aging-longitudinal-study-in-taiwan-halst
#7
Chu-Chih Chen, Kiang Liu, Chih-Chen Hsu, Hsing-Yi Chang, Hsiao-Chun Chung, Jih-Shin Liu, Yo-Hann Liu, Tsung-Lung Tsai, Wen-Jin Liaw, I-Ching Lin, Hsi-Wen Wu, Chung-Chou Juan, Hou-Chang Chiu, Marion M Lee, Chao A Hsiung
Type 2 diabetes mellitus (DM) is known to be closely associated with lifestyle and obesity and has a prevalence that increases with age. This study aimed to assess the short-term composite effect of diet, physical activity, psychosocial health, and waist circumference (WC) on the incidence of DM in the elderly and to provide a lifestyle-based predictive index.We used baseline measurements (2009-2013) of 5349 community-dwelling participants (aged 55 years and older, 52% female) of the Healthy Aging Longitudinal Study in Taiwan (HALST) for fasting plasma glucose, HbA1C, serum cholesterol, triglycerides, blood pressures, WC, and outcomes of home-visit questionnaire...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28174596/screening-for-methicillin-resistant-staphylococcus-aureus-in-a-residence-home-for-elderly-in-germany
#8
Jürgen Becker, Roland Diel
BACKGROUND: Since many hospitals report high MRSA colonization rates among elderly patients, and because it has been shown that S. aureus colonization increases with advancing age, there are concerns about the introduction of MRSA into nursing homes by MRSA positive patients discharged from hospital. So far, admission screening and subsequent longitudinal screening in residence homes or screening at time of hospital discharge is not established on a regular base. On the other hand, MRSA is acquired frequently during hospital stay...
2017: Journal of Occupational Medicine and Toxicology
https://www.readbyqxmd.com/read/28171836/content-of-advance-care-planning-among-japanese-elderly-people-living-at-home-a-qualitative-study
#9
Yoshihisa Hirakawa, Chifa Chiang, Esayas Haregot Hilawe, Atsuko Aoyama
PURPOSE OF STUDY: Elderly peoples' values and preferences for end-of-life care have not yet known in details. The aim of the present study was to investigate the end-of-life wishes and decision making among Japanese elderly people who required home care services. The study was designed to qualitative research strategies, using face to face interview data recorded in nursing care records, with a focus on advance care planning. DESIGN AND METHODS: A total of 102 elderly people (47 males, 55 females) of 6 home care support offices in Hyogo prefecture participated...
January 31, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28156246/present-epidemiology-of-chronic-subdural-hematoma-in-japan-analysis-of-63-358-cases-recorded-in-a-national-administrative-database
#10
Hiroyuki Toi, Keita Kinoshita, Satoshi Hirai, Hiroki Takai, Keijiro Hara, Nobuhisa Matsushita, Shunji Matsubara, Makoto Otani, Keiji Muramatsu, Shinya Matsuda, Kiyohide Fushimi, Masaaki Uno
OBJECTIVE Aging of the population may lead to epidemiological changes with respect to chronic subdural hematoma (CSDH). The objectives of this study were to elucidate the current epidemiology and changing trends of CSDH in Japan. The authors analyzed patient information based on reports using a Japanese administrative database associated with the diagnosis procedure combination (DPC) system. METHODS This study included patients with newly diagnosed CSDH who were treated in hospitals participating in the DPC system...
February 3, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28146160/depression-among-the-elderly-a-population-based-study-in-southern-brazil
#11
Inês Gullich, Suele Manjourani Silva Duro, Juraci Almeida Cesar
This study assessed the prevalence of depression and associated factors among Brazilian elderly in Arroio Trinta, Southern Brazil. During home visits, a questionnaire was administered to all people aged 60 or older living in the municipality in 2013. The Geriatric Depression Scale Short Form (GDS-15) was used. The χ 2 test was performed to compare proportions and Poisson regression with robust adjustment of variance in the multivariate analysis. The effect measure applied was the prevalence ratio. The prevalence of depression among 552 (out of 568) elderly studied was 20...
October 2016: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/28133044/-an-examination-of-colon-cancer-treatment-policies-for-the-elderly
#12
Hirofumi Hasegawa, Shigeru Ueda, Tomonori Nakanoko, Tomonobu Gion, Masayuki Kitamura
Currently, the rate of aging is increasing rapidly and the number of elderly patients in hospitals is rising in Japan. Under such circumstances, we established an emergency care unit for the elderly at our hospital in July 2014 to provide acute healthcare of the community. Our unit has been active in providing treatment for acute diseases in elderly individuals in the community. We are also pursuing continuous medical care for elderly individuals in collaboration with the community comprehensive care unit at our hospital and other facilities in the community, such as care facilities for the elderly and specialist elderly nursing homes...
November 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28127636/-potential-for-informal-care-of-the-elderly-in-germany-results-of-a%C3%A2-representative-population-based-survey
#13
André Hajek, Thomas Lehnert, Annemarie Wegener, Steffi G Riedel-Heller, Hans-Helmut König
BACKGROUND: It is well known that individuals in need for care prefer to live at home as long as they can. Due to demographic changes it is predicted that the need for long-term care will considerably increase in the next decades; therefore, it is important to know the potential of informal caregivers. The aim of this study was to investigate the potential for receiving informal care perceived by older individuals and predictive factors associated with it. METHODS: Data were drawn from a population-based telephone survey of the older German population (n = 1006, average age 75...
January 26, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28122396/predictors-of-postoperative-falls-in-the-first-and-second-postoperative-years-among-elderly-hip-fracture-patients
#14
Hsiang-Fen Yeh, Jung-Hua Shao, Chia-Lin Li, Chi-Chuan Wu, Yea-Ing L Shyu
AIM AND OBJECTIVES: To explore risk factors for a single fall and multiple falls in the first and second postoperative years among older people hip fracture patients. BACKGROUND: Older people hip fracture patients have a high probability of falling again after a fall incident. Risk factors for postoperative falls among older people hip fracture patients in Taiwan remain to be confirmed. DESIGN: Secondary analysis. METHODS: Data collected from control groups of two clinical trials conducted during 2001-2004 and during 2005-2009 were selected...
January 25, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28115837/effects-of-tai-chi-qigong-on-psychosocial-well-being-among-hidden-elderly-using-elderly-neighborhood-volunteer-approach-a-pilot-randomized-controlled-trial
#15
Aileen Wk Chan, Doris Sf Yu, K C Choi
PURPOSE: To test the feasibility and preliminary effectiveness of a tai chi qigong program with the assistance of elderly neighborhood volunteers in strengthening social networks and enhancing the psychosocial well-being of hidden elderly. PATIENTS AND METHODS: "Hidden elderly" is a term used to describe older adults who are socially isolated and refuse social participation. This pilot randomized controlled trial recruited 48 older adults aged 60 or above who did not engage in any social activity...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28112772/protein-enrichment-of-familiar-foods-as-an-innovative-strategy-to-increase-protein-intake-in-institutionalized-elderly
#16
J Beelen, N M de Roos, L C P G M de Groot
OBJECTIVE: To increase the protein intake of older adults, protein enrichment of familiar foods and drinks might be an effective and attractive alternative for oral nutritional supplements (ONS). We performed a pilot study to test whether these products could help institutionalized elderly to reach a protein intake of 1.2 gram per kg body weight per day (g/kg/d). DESIGN: Intervention study with one treatment group (no control group). Dietary assessment was done before and at the end of a 10-day intervention...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28103184/using-the-centers-for-disease-control-and-prevention-s-stay-independent-checklist-to-engage-a-community-of-american-indians-and-raise-awareness-about-risk-of-falls-2016
#17
Janet Popp, Debra L Waters, Karen Leekity, Donica Ghahate, Jeanette Bobelu, Ross Tsikewa, Carla J Herman, Vallabh Shah
BACKGROUND: The unintentional death rate from falls is higher among American Indians from the US Southwest than from other regions in the country. The Zuni Pueblo is a geographically isolated, rural American Indian community located in western New Mexico. Education and screening for falls risk is lacking in this community and may be needed to reduce falls and falls-related illness and death. COMMUNITY CONTEXT: Building on a 17-year relationship with the Zuni Health Initiative, meetings were held with Zuni tribal leadership, staff from the Zuni Senior Center and Zuni Home Health Services, members of the Zuni Comprehensive Community Health Center, Indian Health Service, and Zuni community health representatives (CHRs) to discuss elder falls in the community...
January 19, 2017: Preventing Chronic Disease
https://www.readbyqxmd.com/read/28101555/predictors-for-living-at-home-after-geriatric-inpatient-rehabilitation-a-prospective-cohort-study
#18
Jan Kool, Peter Oesch, Stefan Bachmann
OBJECTIVE: To evaluate patient characteristics predicting living at home after geriatric rehabilitation. DESIGN: Prospective cohort study. PATIENTS: A total of 210 patients aged 65 years or older receiving inpatient rehabilitation. METHODS: Candidate predictors evaluated during rehabilitation were: age, vulnerability (Vulnerable Elders Survey), multimorbidity (Cumulative Illness Rating Scale), cognition (Mini-Mental State Examination), depression (Hospital Anxiety and Depression Scale), living alone, previous independence in activities of daily living, fall risk, and mobility at discharge (Timed Up and Go test)...
January 31, 2017: Journal of Rehabilitation Medicine
https://www.readbyqxmd.com/read/28099965/pilot-test-of-a-new-personal-health-system-integrating-environmental-and-wearable-sensors-for-telemonitoring-and-care-of-elderly-people-at-home-smarta-project
#19
Lucia Pigini, Gabriele Bovi, Claudia Panzarino, Valerio Gower, Maurizio Ferratini, Giuseppe Andreoni, Roberto Sassi, Massimo W Rivolta, Maurizio Ferrarin
BACKGROUND: The increase in life expectancy is accompanied by a growing number of elderly subjects affected by chronic comorbidities, a health issue which also implies important socioeconomic consequences. Shifting from hospital or community dwelling care towards a home personalized healthcare paradigm would promote active aging with a better quality of life, along with a reduction in healthcare-related costs. OBJECTIVE: The aim of the SMARTA project was to develop and test an innovative personal health system integrating standard sensors as well as innovative wearable and environmental sensors to allow home telemonitoring of vital parameters and detection of anomalies in daily activities, thus supporting active aging through remote healthcare...
January 19, 2017: Gerontology
https://www.readbyqxmd.com/read/28068988/disability-support-and-long-term-social-care-of-an-elderly-spanish-population-2008-2009-an-epidemiologic-analysis
#20
J Almazán-Isla, M Comín-Comín, E Alcalde-Cabero, C Ruiz, E Franco, R Magallón, J Damián, J de Pedro-Cuesta, L A Larrosa-Montañes
BACKGROUND: Though poorly known, relationships between disability, need of help (dependency) and use of social services are crucial aspects of public health. The objective of this study was to describe the links between disability, officially assessed dependency, and social service use by an industrial population, and identify areas of inequity. METHODS: We took advantage of a door-to-door survey conducted in the Cinco Villas district, Spain, in 2008-2009, which provided data on disability, morbidity, and service use among 1216 residents aged ≥50 years, and officially assessed dependency under the 2006 Dependency Act (OAD)...
January 9, 2017: International Journal for Equity in Health
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