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https://www.readbyqxmd.com/read/28658883/artificial-neural-network-ann-model-to-predict-depression-among-geriatric-population-at-a-slum-in-kolkata-india
#1
Arkaprabha Sau, Ishita Bhakta
INTRODUCTION: Depression is one of the most important causes of mortality and morbidity among the geriatric population. Although, the aging brain is more vulnerable to depression, it cannot be considered as physiological and an inevitable part of ageing. Various sociodemographic and morbidity factors are responsible for the depression among them. Using Artificial Neural Network (ANN) model depression can be predicted from various sociodemographic variables and co morbid conditions even at community level by the grass root level health care workers...
May 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28639299/understanding-suicide-across-the-lifespan-a-united-states-perspective-of-suicide-risk-factors-assessment-management
#2
Ian H Steele, Natasha Thrower, Paul Noroian, Fabian M Saleh
Suicide is a troubling, preventable phenomenon. Prior to attempts, individuals often seek help, prompting practitioners to perform risk assessments that ideally use evidence-based risk management strategies. A literature review was performed using Harvard Countway Library of Medicine, Google Scholar, PubMed. Key words used were "Forensic Science," "Suicide Risk Management," "Pediatric Suicide Risk Factors," "Adult Suicide Risk Factors," "Geriatric Suicide Risk Factors," "Suicide Risk Assessment." Parameters limited articles to studies/reviews completed in the past twenty years in the United States...
June 21, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28567302/prevalence-of-substance-abuse-and-socio-economic-differences-in-substance-abuse-in-an-australian-community-dwelling-elderly-sample
#3
Wendy Li, Nerina Caltabiano
A sample of 324 55-90-year-old Australian adults participated in a survey on elderly substance abuse using the Clinical Assessment Scales for the Elderly. Overall, males had a higher prevalence rate of substance abuse than females. Significant differences in substance abuse mean scores were found for gender, age, income, community involvement, and retirement. The findings also reveal that being a female, involved in community groups, being a retiree, and being a non-baby boomer are protective factors of substance abuse...
January 2017: Health Psychology Open
https://www.readbyqxmd.com/read/28550953/perinatal-risk-and-protective-factors-for-pediatric-abusive-head-trauma-a-multicenter-case-control-study
#4
Patrick Kelly, John M D Thompson, Jean Koh, Shanthi Ameratunga, Timothy Jelleyman, Teuila M Percival, Hinemoa Elder, Edwin A Mitchell
OBJECTIVE: To estimate associations between factors recorded in pregnancy and the first week of life and subsequent abusive head trauma. STUDY DESIGN: Multicenter, retrospective case-control study of perinatal records from 142 cases of abusive head trauma and 550 controls, matched by date and hospital of birth from 1991 to 2010. Multiple logistic regression assessed the relationship between perinatal exposures and abusive head trauma. RESULTS: The risk of abusive head trauma decreased with increasing maternal age (OR, 0...
May 24, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28534281/elder-mistreatment-perpetrators-with-substance-abuse-and-or-mental-health-conditions-results-from-the-national-elder-mistreatment-study
#5
Travis Labrum, Phyllis L Solomon
A large portion of persons who commit elder mistreatment have long been known to have indicators of substance abuse and/or mental health conditions (SAMHC). However, few studies have specifically examined elder mistreatment by persons with SAMHC, preventing the development of specialized intervention strategies. Using results from the National Elder Mistreatment Study, the current article examines victim, perpetrator, and interaction characteristics between cases of emotional and physical elder mistreatment in which the perpetrator is reported to have vs...
May 23, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28476551/emergency-department-visits-involving-benzodiazepines-and-non-benzodiazepine-receptor-agonists
#6
Christopher N Kaufmann, Adam P Spira, G Caleb Alexander, Lainie Rutkow, Ramin Mojtabai
OBJECTIVE: Sedative-hypnotic medications (e.g., Benzodiazepines [BZDs] and non-benzodiazepine receptor agonists [nBZRAs]) are associated with adverse events, especially in the elderly, that may require emergency department (ED) treatment. This study assessed outcomes from ED visits attributed to BZDs and/or nBZRAs, and variations in these associations by age group. METHODS: Data came from the 2004-2011 waves of the Drug Abuse Warning Network (DAWN). Visits were categorized as involving: (1) BZDs-only, (2) nBZRAs-only, (3) combination of BZDs and nBZRAs, or (4) any other sedative-hypnotic medication...
April 14, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28410002/comparing-behavioral-health-models-for-reducing-risky-drinking-among-older-male-veterans
#7
Nikki R Wooten, Abbas S Tavakoli, Marlene B Al-Barwani, Naomi A Thomas, Hrishikesh Chakraborty, Anna M Scheyett, Kelly M Kaminski, Alyssia C Woods, Sue E Levkoff
BACKGROUND: Screening older veterans in Veterans Affairs Medical Center (VAMC) primary care clinics for risky drinking facilitates early identification and referral to treatment. OBJECTIVE: This study compared two behavioral health models, integrated care (a standardized brief alcohol intervention co-located in primary care clinics) and enhanced referral care (referral to specialty mental health or substance abuse clinics), for reducing risky drinking among older male VAMC primary care patients...
September 2017: American Journal of Drug and Alcohol Abuse
https://www.readbyqxmd.com/read/28329841/using-latent-class-analysis-to-identify-profiles-of-elder-abuse-perpetrators
#8
Marguerite DeLiema, Jeanine Yonashiro-Cho, Zach D Gassoumis, Yongjie Yon, Ken J Conrad
Objectives: Research suggests that abuser risk factors differ across elder mistreatment types, but abuse interventions are not individualized. To move away from assumptions of perpetrator homogeneity and to inform intervention approaches, this study classifies abusers into subtypes according to their behavior profiles. Method: Data are from the Older Adult Mistreatment Assessment administered to victims by Adult Protective Service (APS) in Illinois. Latent class analysis was used to categorize abusers (N = 336) using victim and caseworker reports on abusers' harmful and supportive behaviors and characteristics...
March 8, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/28224957/-medicines-and-elderly-patients-abuse-dependency-or-attraction
#9
Pascal Menecier, Laure Menecier-Ossia
Psychotropic medicines represent, after alcohol, the second class of substances most susceptible to abuse by elderly people. It can be particularly difficult for caregivers to understand such behaviour as these are prescription-only medicines. This misuse is partly a result of older people tending to trivialise and overrate pharmaceutical drugs, ignoring the potential of non-medicinal methods and psychotherapeutic treatments. The boundaries between prescribed use, overuse, self-medication, excessive use, dependency or addiction to prescription drugs are blurred in older people...
January 2017: Soins. Gérontologie
https://www.readbyqxmd.com/read/27779448/the-conceptualization-of-mistreatment-by-older-american-indians
#10
Lori L Jervis, William Sconzert-Hall, The Shielding American Indian Elders Project Team
The problem of how to conceptualize elder mistreatment goes back several decades, and is especially important for ethnic minority populations, who may have perspectives that differ from the dominant society. This community-based participatory research study, which examined perceptions of mistreatment by family among 100 urban and rural older American Indians, permits a rare glimpse into how Native elders themselves understand this issue. Here, good treatment was conceptualized in terms of being taken care of, having one's needs met, and being respected...
January 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/27739073/narratives-of-self-neglect-patterns-of-traumatic-personal-experiences-and-maladaptive-behaviors-in-cognitively-intact-older-adults
#11
Cynthia Lien, Tony Rosen, Elizabeth M Bloemen, Robert C Abrams, Maria Pavlou, Mark S Lachs
OBJECTIVES: To identify patterns of personal experience or behavior in self-neglect by exploring narratives of cognitively intact older adults. DESIGN: Descriptive study involving semistructured interviews and unstructured narratives. SETTING: A parent study of self-neglect characteristics. PARTICIPANTS: Cognitively intact, self-neglecting older adults referred from 11 community-based senior services agencies (N = 69)...
November 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27506228/acute-precipitants-of-physical-elder-abuse-qualitative-analysis-of-legal-records-from-highly-adjudicated-cases
#12
Tony Rosen, Elizabeth M Bloemen, Veronica M LoFaso, Sunday Clark, Neal E Flomenbaum, Risa Breckman, Arlene Markarian, Catherine Riffin, Mark S Lachs, Karl Pillemer
Elder abuse is a common phenomenon with potentially devastating consequences for older adults. Although researchers have begun to identify predisposing risk factors for elder abuse victims and abusers, little is known about the acute precipitants that lead to escalation to physical violence. We analyzed legal records from highly adjudicated cases to describe these acute precipitants for physical elder abuse. In collaboration with a large, urban district attorney's office, we qualitatively evaluated legal records from 87 successfully prosecuted physical elder abuse cases from 2003 to 2015...
August 9, 2016: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/27431046/a-national-study-of-american-indian-and-alaska-native-substance-abuse-treatment-provider-and-program-characteristics
#13
Traci Rieckmann, Laurie A Moore, Calvin D Croy, Douglas K Novins, Gregory Aarons
American Indians and Alaska Natives (AIANs) experience major disparities in accessing quality care for mental health and substance use disorders. There are long-standing concerns about access to and quality of care for AIANs in rural and urban areas including the influence of staff and organizational factors, and attitudes toward evidence-based treatment for addiction. We conducted the first national survey of programs serving AIAN communities and examined workforce and programmatic differences between clinics located in urban/suburban (n=50) and rural (n=142) communities...
September 2016: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/27403635/american-indian-elders-share-personal-stories-of-alcohol-use-with-younger-tribal-members
#14
Sandra L Momper, Mary Kate Dennis, Amelia C Mueller-Williams
In this Great Lakes Indian reservation qualitative study we utilized focus groups in the form of talking circles to elicit tribal members' views of alcohol use. We report on how the elder participants utilized the talking circles to inform the youth of the deleterious effects of alcohol use and abuse. Indigenous research methods were utilized so elder tribal members were consulted about the study; an elder was hired as a research associate; youth were hired as note takers/observers; and the 2-hour groups were led by a tribal community member...
July 12, 2016: Journal of Ethnicity in Substance Abuse
https://www.readbyqxmd.com/read/27390379/provision-of-recommended-chronic-pain-assessment-and-management-in-primary-care-does-patient-centered-medical-home-pcmh-recognition-make-a-difference
#15
Nancy Elder, Michelle Penm, Harini Pallerla, Mary Beth Vonder Meulen, Amy Diane Short, Tiffiny Diers, Ryan Joseph Imhoff, Brendan Wilson, Jill Martin Boone
BACKGROUND: Chronic pain (CP) care in the patient-centered medical home (PCMH) model has not been well studied. We assessed whether PCMH recognition is associated with increased provision of key practice recommendations for CP assessment and management. METHODS: Chart reviews were completed for 12 primary care practices affiliated with one health system in the Cincinnati Area Research and Improvement Group (CARInG). Recommendations were abstracted and compared based on PCMH status: 3 practices had received prior PCMH level 3 recognition, 5 were in an ongoing process of applying, and 4 had no recognition and were not applying...
July 2016: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/27364391/gender-disparity-in-addiction-an-italian-epidemiological-sketch
#16
REVIEW
Adele Minutillo, Roberta Pacifici, Giulia Scaravelli, Roberto De Luca, Ilaria Palmi, Claudia Mortali, Luisa Mastrobattista, Paolo Berretta
INTRODUCTION: Gender disparity in different fields of addiction such as tobacco smoking, alcohol use, drugs of abuse consumption and doping practice has been investigated in Italian population. METHODS: We used the surveys and studies carried out for the above reported issues in recent years as revised by the "National Observatory on Tobacco smoke, Drugs of abuse, Alcohol and Doping" at Istituto Superiore di Sanità. RESULTS: Concerning tobacco habit, the trend of smoking women has been in constant decrease from a 19...
April 2016: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/27344237/adolescent-exposure-to-mdma-induces-dopaminergic-toxicity-in-substantia-nigra-and-potentiates-the-amyloid-plaque-deposition-in-the-striatum-of-appswe-ps1de9-mice
#17
Sonia Abad, Carla Ramon, David Pubill, Jorge Camarasa, Antonio Camins, Elena Escubedo
MDMA is one of the most used drugs by adolescents and its consumption has been associated with many psychobiological problems, among them psychomotor problems. Moreover, some authors described that early exposure to MDMA may render the dopaminergic neurons more vulnerable to the effects of future neurotoxic insults. Alzheimer disease (AD) is the main cause of dementia in the elderly and a percentage of the patients have predisposition to suffer nigrostriatal alterations, developing extrapyramidal signs. Nigrostriatal dysfunction in the brain of aged APPswe/PS1dE9 (APP/PS1), a mouse model of familiar AD (FAD), has also been described...
September 2016: Biochimica et Biophysica Acta
https://www.readbyqxmd.com/read/27296283/risk-factors-prognosis-and-secondary-prevention-of-myocardial-infarction-in-young-adults-in-poland
#18
REVIEW
Agnieszka Lisowska, Magdalena Makarewicz-Wujec, Krzysztof J Filipiak
No abstract text is available yet for this article.
2016: Kardiologia Polska
https://www.readbyqxmd.com/read/27212895/understanding-genomic-knowledge-in-rural-appalachia-the-west-virginia-genome-community-project
#19
Jennifer A Mallow, Laurie A Theeke, Patricia Crawford, Elizabeth Prendergast, Chuck Conner, Tony Richards, Barbara McKown, Donna Bush, Donald Reed, Meagan E Stabler, Jianjun Zhang, Geri Dino, Taura L Barr
PURPOSE: Rural communities have limited knowledge about genetics and genomics and are also underrepresented in genomic education initiatives. The purpose of this project was to assess genomic and epigenetic knowledge and beliefs in rural West Virginia. SAMPLE: A total of 93 participants from three communities participated in focus groups and 68 participants completed a demographic survey. The age of the respondents ranged from 21 to 81 years. Most respondents had a household income of less than $40,000, were female and most were married, completed at least a HS/GED or some college education working either part-time or full-time...
2016: Online Journal of Rural Nursing and Health Care: the Official Journal of the Rural Nurse Organization
https://www.readbyqxmd.com/read/27180498/anxiety-in-older-adults-often-goes-undiagnosed
#20
Ivan Koychev, Klaus P Ebmeier
Anxiety disorder in the elderly is twice as common as dementia and four to six times more common than major depression. Anxiety is associated with poorer quality of life, significant distress and contributes to the onset of disability. Mortality risks are also increased, through physical causes, especially cardiovascular disease, and suicide. Diagnosing anxiety disorders in older adults remains a challenge because of the significant overlap in symptoms between physical disorders (shortness of breath; abdominal and chest pain; palpitations) and depression (disturbed sleep; poor attention, concentration and memory; restlessness)...
January 2016: Practitioner
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