Latest & greatest articles for elderly

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Top results for elderly

141. The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing. Full Text available with Trip Pro

The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing. To explore associations between different frequencies of arts engagement and mortality over a 14 year follow-up period.Prospective cohort study.English Longitudinal Study of Ageing cohort of 6710 community dwelling adults aged 50 years and older (53.6% women, average age 65.9 years, standard deviation 9.4) who provided baseline data in 2004-05 (...) a protective association with longevity in older adults. This association might be partly explained by differences in cognition, mental health, and physical activity among those who do and do not engage in the arts, but remains even when the model is adjusted for these factors.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

2019 BMJ

142. [Efficacy of a reconciliation intervention by a specialized pharmacist to resolve medication-related problems of elderly patients admitted to an emergency department short-stay unit: a randomized clinical trial]. (Abstract)

[Efficacy of a reconciliation intervention by a specialized pharmacist to resolve medication-related problems of elderly patients admitted to an emergency department short-stay unit: a randomized clinical trial]. To determine the effect on medication-related problems (MRPs) of a process of medication reconciliation carried out by a specialized pharmacist for patients aged 65 years or older admitted to an emergency department short-stay unit (SSU).Randomized clinical trial of 17 months (February (...) 2013-June 2014) in the SSU of a hospital emergency department. Patients were aged 65 years or older at high risk of MRPs. A total of 130 patients were randomized to a control group (n = 65) or the intervention group (n = 65). The reconciliation process (intervention) was carried out by a specialized pharmacist. The main outcome was the number of MRPs resolved in each group.A total of 3081 medications for 130 patients were reviewed. The patients' mean (SD) age was 79 (7.6) years and 66 (50.8%) were

2019 Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias Controlled trial quality: uncertain

143. Older Adults' Functional Performance and Health Knowledge After a Combination Exercise, Health Education, and Bingo Game. Full Text available with Trip Pro

Older Adults' Functional Performance and Health Knowledge After a Combination Exercise, Health Education, and Bingo Game. Combining exercise, health education, and the game of bingo may help older adults remain independent. The objective was to determine whether a 10-week health promotion program (Bingocize®) improves functional performance and health knowledge in older adults. Participants were assigned to experimental (n = 13) or control (n = 14) groups. The intervention was administered (...) twice per week at two independent living facilities. Pre and postfunctional performance and health knowledge were measured. Mixed between-within subject ANOVA was used to detect differences between groups (p < .05). Improvements were found in all dependent variables except lower body flexibility, systolic blood pressure, and health knowledge. Adherence was 97.31% ± 2.59%. Bingocize® has the potential to help older adults remain independent by improving functional performance. Statistical

2019 Gerontology & geriatric medicine Controlled trial quality: uncertain

144. Promotion of Behavioral Change and the Impact on Quality of Life in Elderly Patients with Advanced Cancer: A Physical Activity Intervention of the Multimodal Nutrition and Exercise Treatment for Advanced Cancer Program. Full Text available with Trip Pro

Treatment for Advanced Cancer (NEXTAC) and the impact on QOL in elderly patients with advanced cancer.We recruited 30 patients aged ≥70 years who were scheduled to receive the first-line chemotherapy for newly diagnosed advanced pancreatic or non-small-cell lung cancer. The QOL was assessed using the European Organization for Research and Treatment of Cancer QOL Questionnaire version 3.0, while the PA was measured using a pedometer/accelerometer. Instructors counseled patients to increase daily activity (...) Promotion of Behavioral Change and the Impact on Quality of Life in Elderly Patients with Advanced Cancer: A Physical Activity Intervention of the Multimodal Nutrition and Exercise Treatment for Advanced Cancer Program. Physical activity (PA) may improve the quality of life (QOL) of cancer survivors. However, the impact on patients with advanced cancer with high cachectic potential is unknown. We analyzed the feasibility of PA intervention using the multimodal program Nutrition and Exercise

2019 Asia-Pacific journal of oncology nursing Controlled trial quality: uncertain

145. Impact of Moderate Aerobic Training on Physical Capacities of Hypertensive Obese Elderly. Full Text available with Trip Pro

Impact of Moderate Aerobic Training on Physical Capacities of Hypertensive Obese Elderly. The association of old age and chronic conditions, such as hypertension and obesity, can lead to larger decreases in the physical capacities of elderly, compared with their healthy counterparts. Physical exercise has been demonstrated to be efficient in postponing this phenomenon, mainly strength training. However, little is known about the effect of aerobic training on this condition. The aim of this work (...) was to investigate the impact of 12 weeks of moderate-intensity aerobic training on the physical capacities of hypertensive obese older women. Aerobic power, lower limb muscle power, upper limb muscle strength, endurance, and flexibility of 19 hypertensive obese elders were evaluated. Afterward, patients were blindly randomized into control group (CG) and exercise group (EG). EG underwent three sessions/week of 60 min of moderate-intensity aerobic training, during 12 weeks. EG showed increases in VO2max compared

2019 Gerontology & geriatric medicine Controlled trial quality: uncertain

146. Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol. Full Text available with Trip Pro

Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol. Stroke is a major life-altering event and the leading cause of death and disability in Canada. Most older adults who have suffered a stroke will return home and require ongoing rehabilitation in the community. Transitioning from hospital to home is reportedly very stressful and challenging, particularly if stroke survivors have (...) multiple chronic conditions. New interventions are needed to improve the quality of transitions from hospital to home for this vulnerable population.The primary objective of this study is to examine the feasibility of implementing a new 6-month transitional care intervention supported by a web-based app. The secondary objective is to explore its preliminary effects.A single arm, pre/post, pragmatic feasibility study of 20-40 participants in Ontario, Canada. Participants will be community-dwelling older

2019 Journal of comorbidity Controlled trial quality: uncertain

147. Impact of Feed the Future initiative on nutrition in children aged less than 5 years in sub-Saharan Africa: difference-in-differences analysis. Full Text available with Trip Pro

Impact of Feed the Future initiative on nutrition in children aged less than 5 years in sub-Saharan Africa: difference-in-differences analysis. To evaluate the impact of the US government's Feed the Future initiative on nutrition outcomes in children younger than 5 years in sub-Saharan Africa.Difference-in-differences quasi-experimental approach.Households in 33 low and lower middle income countries in sub-Saharan Africa.883 309 children aged less than 5 years with weight, height, and age (...) . The primary outcome was stunting (height for age >2 standard deviations below a reference median), a key indicator of undernutrition in children. Secondary outcomes were wasting (low weight for height) and underweight (low weight for age).Across all years and countries, 38.3% of children in the study sample were stunted, 8.9% showed wasting, and 21.3% were underweight. In the first six years of Feed the Future's implementation, children in 12 countries with the initiative exhibited a 3.9 percentage point

2019 BMJ

148. Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older

Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older - GOV.UK GOV.UK uses cookies which are essential for the site to work. We also use non-essential cookies to help us improve government digital services. Any data collected is anonymised. By continuing to use this site, you agree to our use of cookies. Accept cookies You’ve (...) accepted all cookies. You can at any time. Hide Search Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older The Commission on Human Medicines has issued a series of recommendations to strengthen measures to minimise risk with the yellow fever vaccine (Stamaril) following very rare fatal reactions. Key recommendations include new and updated contraindications and strengthened precautions to protect those with a weakened immune systems (including

2019 MHRA Drug Safety Update

149. Elexacaftor/ivacaftor/tezacaftor (Trikafta) - To treat patients 12 years of age and older with the most common gene mutation that causes cystic fibrosis

Elexacaftor/ivacaftor/tezacaftor (Trikafta) - To treat patients 12 years of age and older with the most common gene mutation that causes cystic fibrosis Drug Approval Package: TRIKAFTA TRIKAFTA " /> U.S. Department of Health and Human Services Search FDA Submit search Drug Approval Package: TRIKAFTA Company: Vertex Pharmaceuticals Inc. Application Number: 212273 Approval Date: 10/18/2019 Persons with disabilities having problems accessing the PDF files below may call (301) 796-3634 (...) for assistance. FDA Approval Letter and Labeling (PDF) (PDF) FDA Application Review Files (PDF) (PDF) (PDF) (PDF) (PDF) (PDF) (PDF) Date created: November 25, 2019 Vision impaired people having problems accessing certain pages of a PDF file may call (301) 796-3634 for assistance. Note: Documents in PDF format require the . Note: If you need help accessing information in different file formats, see . Language Assistance Available: | | | | | | | | | | | | | | | FDA Popular Content Product Areas

2019 FDA - Drug Approval Package

150. Palliative Care for Geriatric Trauma Patients, Trauma Center Care and Routine Processes for Care - Evidence-Based Review

to in- crease somewhere between the ages 55 and 65 years, 6 and the American College of Surgeons Committee on Trauma recom- mends consideration for triage to TCs for patients 55 years or older.However,muchofthefocusedgeriatrictraumaliterature usesage65yearsorevenolderwhenexamininginterventions. For this reason, we chose to focus on interventions targeting adults 65 years or older. OBJECTIVES Thepurposeofthisreviewwastoprovideasystematicre- viewof 2 key issues in care of the geriatric trauma patient: TC (...) in the definition of elderly, which hampers studyinclusiondefinitions;ouruseoftheage65yearswasmost common,butthismayhaveimpactedourfindings.However,de- spite these limitations, most studies supported similar conclu- sions with at least a modest effect size, allowing us to make somerecommendations for clinicalpractice. UsingTheseGuidelinesinClinicalPractice As our older adult population increases, injured geriatric patientswillcontinuetoposechallengesforcare,suchascomor

2019 Eastern Association for the Surgery of Trauma

151. Recommendations for (Discontinuation of) Statin Treatment in Older Adults: Review of Guidelines Full Text available with Trip Pro

Recommendations for (Discontinuation of) Statin Treatment in Older Adults: Review of Guidelines As a person's age increases and his/her health status declines, new challenges arise that may lead physicians to consider deprescribing statins. We aimed to provide insight into recommendations available in international cardiovascular disease prevention guidelines regarding discontinuation of statin treatment applicable to older adults.We systematically searched PubMed, EMBASE, EMCARE (...) , and the websites of guideline development organizations and online guideline repositories for cardiovascular disease prevention guidelines aimed at the general population. We selected all guidelines with recommendations (instructions and suggestions) on discontinuation of statin treatment applicable to older adults, published between January 2009 and April 2019. In addition, we performed a synthesis of information from all other recommendations for older adults regarding statin treatment. Methodological

2019 EvidenceUpdates

152. Effect of alirocumab on cardiovascular outcomes after acute coronary syndromes according to age: an ODYSSEY OUTCOMES trial analysis Full Text available with Trip Pro

Effect of alirocumab on cardiovascular outcomes after acute coronary syndromes according to age: an ODYSSEY OUTCOMES trial analysis Lowering low-density lipoprotein cholesterol (LDL-C) reduces cardiovascular risk irrespective of age, but the evidence is less strong for older patients.This prespecified analysis from ODYSSEY OUTCOMES compared the effect of alirocumab vs. placebo in 18 924 patients with recent acute coronary syndrome (ACS) according to age. We examined the effect of assigned (...) frequent in older patients, there were no differences between alirocumab and placebo.In patients with recent ACS, alirocumab improves outcomes irrespective of age. Increasing absolute benefit but not harm with advancing age suggests that LDL-C lowering is an important preventive intervention for older patients after ACS.© The Author(s) 2019. Published by Oxford University Press on behalf of the European Society of Cardiology.

2019 EvidenceUpdates

153. Serial Ottawa 3DY assessments to detect delirium in older emergency department community dwellers Full Text available with Trip Pro

prospective observational multicenter cohort study.four Quebec EDs.independent or semi-independent older patients (age ≥ 65 years) with an ED stay of at least 8 hours that required hospitalisation.eligible patients were evaluated using serial O3DY assessments at least 6 hours apart. The primary outcome was delirium after at least 8 hours in the ED. The reference standard for delirium assessment was the confusion assessment method (CAM). The sensitivity and specificity of the serial O3DY to detect delirium (...) delirium among older adult patients with prolonged ED lengths of stay. Emergency physicians should consider the use of the serial O3DY over clinician gestalt to improve delirium detection.© The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

2019 EvidenceUpdates

154. Willems Is a Relatively Accurate Method of Dental Age Estimation as Compared to Demirjian

in males was not significant (95% CI= -0.50 to 0.41, p=0.125). In females, the dental age and chronological age was not significant for females at 0.06 years (95% CI = -0.23 to 0.36, p=0.685). Overestimation of age was found in all age cohorts except 8-year old and 13- to 15-year old children. #5) Esan/2017 Demirjian method: 14109 subjects (6581 males and 7528 females) aged 4 to 18 years. Willems method: 10,832 children (5,176 males and 5,656 females) aged 3 to 18 years. Meta-Analysis Key results (...) Willems Is a Relatively Accurate Method of Dental Age Estimation as Compared to Demirjian UTCAT3391, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Willems Is a Relatively Accurate Method of Dental Age Estimation as Compared to Demirjian Clinical Question Is the Willems method of dental age estimation accurate than the Demirjian method in estimating the chronological of children and adolescents? Clinical Bottom Line

2019 UTHSCSA Dental School CAT Library

155. Canadian guidelines on opioid use disorder among older adults

of Contents4 Canadian Guidelines on Opioid Use Disorder Among Older Adults Scope T he Canadian Coalition for Seniors Mental Health (CCSMH) received a grant from the Substance Use and Addictions Program (SUAP) of Health Canada to create a set of guidelines on the prevention, assessment, and management of substance use disorders among older adults . This guideline on opioid use disorder (OUD) in older adults (age = 65) is one in a series of four that also includes alcohol, cannabis, and benzodiazepines (...) now grown to epidemic proportions, with the unchecked distribution of potent illicit opioids (Volkow et al ., 2019) . Globally, according to the World Health Organization people over the age of 50 accounted for 27% of deaths from drug use disorders in 2000, a figure that rose to 39% by 2015 . Of those deaths in older adults (age = 65), approximately 75% were linked to the use of opioids (Degenhardt & Hall, 2012; UNODC, 2018) . Despite these numbers, there is a paucity of data about the many ways

2019 CPG Infobase

156. Older Adults in the Cardiac Intensive Care Unit: Factoring Geriatric Syndromes in the Management, Prognosis, and Process of Care: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

Circulation. ;0:CIR.0000000000000741 Abstract Longevity is increasing, and more adults are living to the stage of life when age-related biological factors determine a higher likelihood of cardiovascular disease in a distinctive context of concurrent geriatric conditions. Older adults with cardiovascular disease are frequently admitted to cardiac intensive care units (CICUs), where care is commensurate with high age-related cardiovascular disease risks but where the associated geriatric conditions (...) Older Adults in the Cardiac Intensive Care Unit: Factoring Geriatric Syndromes in the Management, Prognosis, and Process of Care: A Scientific Statement From the American Heart Association Older Adults in the Cardiac Intensive Care Unit: Factoring Geriatric Syndromes in the Management, Prognosis, and Process of Care: A Scientific Statement From the American Heart Association | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search December 2019 November

2019 American Heart Association

157. Practice Advisory: Management of Pregnant and Reproductive-Aged Women during a Measles Outbreak

Practice Advisory: Management of Pregnant and Reproductive-Aged Women during a Measles Outbreak Practice Advisory: Management of Pregnant and Reproductive-Aged Women during a Measles Outbreak - ACOG Menu ▼ Practice Advisory: Management of Pregnant and Reproductive-Aged Women during a Measles Outbreak Page Navigation ▼ Practice Advisory: Management of Pregnant and Reproductive-Aged Women during a Measles Outbreak Background The United States is currently experiencing the greatest number (...) are currently experiencing. Measles is highly contagious. An estimated 92-95% of individuals in a community must be immune to prevent ongoing transmission. Measles can cause serious illness and infects approximately nine out of every ten susceptible individuals exposed in close-contact settings 2 . Anyone who is unvaccinated or is undervaccinated is at risk. Certain individuals, including unvaccinated and undervaccinated pregnant women, infants 12 months of age or younger, and severely immunocompromised

2019 American College of Obstetricians and Gynecologists

158. Child Abuse, Elder Abuse, and Intimate Partner Violence

Guideline Gap Assessment Tool 108 Appendix A-3 Intimate Partner Violence Guideline Gap Assessment Tool 111 Appendix A-4 Sex Trafficking Guideline Gap Assessment Tool 114 Appendix B-1 Mary Bridge Children’s Hospital Screening Tool for Child Abuse 116 Appendix B-2 Emergency Department: Mistreatment Assessment Tool for Social Workers (ED-MATS), Comprehensive Assessment 118 Appendix B-3 Elder Abuse Suspicion Index (EASI © ) 119 Appendix B-4 Geriatric Injury Documentation Tool 120 Appendix C-1 Screening (...) for Intimate Partner Violence or Sex Trafficking 122 Appendix C-2 Trauma Coder’s Guide to Abuse Injury Coding 123 Expert Panel 127 3INTRODUCTION Child abuse, elder abuse, and intimate partner violence are serious, preventable public health problems that affect millions of people. This guideline seeks to help the trauma practitioner identify victims of abuse that present with physical injury and to initiate treatment and reporting. While this Best Practices Guideline (BPG) is not intended to focus

2019 American College of Surgeons

159. Canadian guidelines on benzodiazepine receptor agonist use disorder among older adults

. of Psychiatry, University of Toronto Dr. David Hogan, MD, FACP , FRCPC Co-Lead Academic Lead, Brenda Strafford Centre on Aging O’Brien Centre for Public Health Professor, Department of Medicine, Cumming School of Medicine University of Calgary Lori Amdam, B.Sc.N., M.S.N. Education Consultant, Gerontology CCSMH Steering Committee Member, Canadian Coalition for Seniors’ Mental Health Dr. Keri-Leigh Cassidy, MD, FRCPC Professor of Psychiatry, Clinical Academic Director, Geriatric Psychiatry Program, Department (...) in commonly used lists of medications to avoid in older adults (Hamilton et al ., 2011; Kuhn-Thiel et al ., 2014; American Geriatrics Society, 2019) . Age-related changes in pharmacokinetics and pharmacodynamics result in a greater risk of adverse effects with BZRAs in older adults at doses lower than cited as effective (Tamblyn et al ., 2005; Vaapio et al ., 2015) . Adverse effects include falls, fractures, cognitive impairment, delirium, incontinence, respiratory depression, and unplanned

2019 CPG Infobase

160. Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts

First Street, NE, Washington, DC 20002-4242. E-mail: cpg@apa.org. APA GUIDELINE FOR THE TREATMENT OF DEPRESSION ii Abstract The American Psychological Association (APA) developed this clinical practice guideline to provide recommendations for the treatment of depressive disorders (including major depression, subsyndromal depression, and persistent depressive disorder). It addresses three developmental cohorts: children and adolescents; general adults; and older adults (ages 60 and over). Ten (...) Across Three Age Cohorts 1 Scope of the Problem 1 Children and Adolescents 2 General Adult Population 11 Older Adult Population 14 The Need for a Clinical Practice Guideline and Decisions about Scope and Goals of the Clinical Practice Guideline 18 The APA Clinical Practice Guideline for the Treatment of the Problem 19 Guideline Purpose and Scope: What the Guideline Does and Does Not Address 23 APA GUIDELINE FOR THE TREATMENT OF DEPRESSION iv Process and Method 26 Vetting and Appointment of Members

2019 American Psychological Association