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Geriatrics - Science topic

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Hi, I'm a student at Fielding Graduate University pursuing a PhD in clinical psychology. My dissertation is about cognitive and emotional changes in the geriatric population. I can really use some help finding an external examiner to join my dissertation committee. It shouldn't be a big commitment, just reviewing before data collection and oral defense.
Any help or suggestions greatly appreciated.
Thanks!
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Thank you!
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I would like to use the Geriatric Depression Scale to investigate the efficacy of a therapy treatment on depressive symptoms in people with dementia. I am aware of the cut-off and score range of the GDS-30 (cut-off 9/30, mild depression 10–19, severe depression 20–30), but what is the level of change that needs to be observed in order to say that the pre-post score difference is clinically meaningful?
The sample will consist of individuals with mild depression.
Many thanks for any help.
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In clinical studies evaluating antidepressants, response is often defined by a 50% decrease in the initial score, and remission by a score below the threshold defining the depressive state, i.e. 10/30 for the GDS
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I would like to discuss some content for questionnaires and interviews planned for centenarians here.
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Today I’m admiring the life of Kane Tanaka, who was the world’s oldest person. She was born in 1903 and died last week, aged 119. She spent her last years playing the strategy board game Othello and studying mathematics. When she became the world’s oldest person, Tanaka was asked about her happiest moment. Her answer was “now”...
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Dear Researchers,
Greetings! Very recently, one of our research articles have published in BMS Geriatrics where we discussed about the malnutrition and other geriatric depression risk factors. Here, we used 600 (300 depressed as cases and 300 non-depressed) older adult, residents (aged ≥60 years) of three rural communities of Bangladesh (see attachment).
Findings:
The study found no significant difference in gender (male Vs. female) between depressed (44.0% Vs. 56.0%) and non-depressed (46.0% Vs. 54.0%) older individuals. The study revealed that malnutrition was significantly (p < 0.01) higher in depressed (56.0%) than in non-depressed (18.0%) rural older adults. The malnourished older adults had around three times (AOR = 3.155; 95% CI: 1.53–6.49, p = 0.002) more risk of having depression than the well-nourished older individuals. Older adults who were unemployed (AOR = 4.964; 95% CI: 2.361–10.440; p = 0.0001) and from lower and middle class (AOR = 3.654; 95% CI: 2.266–7.767; p = 0.001) were more likely to experience depression. Older adults having a ‘poor diet’ were more likely to experience depression (AOR = 3.384; 95% CI: 1.764–6.703; p = 0.0001). The rural older adults who were single (AOR = 2.368; 95% CI: 1.762–6.524; p = 0.001) and tobacco users (AOR = 2.332; 95% CI: 1.663–5.623; p = 0.003) were found more likely to experience depression.
Geriatric Health research in Bangladesh is not in a good position. There is still so many lacks in this sectors. It's time to take some national level investigation and proper health policy for this age group.
Dear Researchers,
You can also add more policy recommendation for this age group.
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I think it would be interesting to include the topic of frailty in the discussion, caused among other things by a sedentary lifestyle. Low functional capacity is an important factor related to cognition and depression...
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I need standardized tool to measure:
a) Mental agility
b) geriatric depression (other than geriatric depression scale).
Please suggest any. 
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For mental agility the MMSE I agree with the previous posts’ answers that this is a very standarized tool. For geriatric depression, there’s also Beck’s depression inventory and Hamilton depression rating scale.
You can see some of how this is used in research below:
Yang, H. L., Chan, P. T., Chang, P. C., Chiu, H. L., Hsiao, S. T. S., Chu, H., & Chou, K. R. (2018). Memory-focused interventions for people with cognitive disorders: a systematic review and meta-analysis of randomized controlled studies. International journal of nursing studies, 78, 44-51. https://pubmed.ncbi.nlm.nih.gov/29110906/
Chu, H., Yang, C. Y., Lin, Y., Ou, K. L., Lee, T. Y., O’Brien, A. P., & Chou, K. R. (2014). The impact of group music therapy on depression and cognition in elderly persons with dementia: a randomized controlled study. Biological research for Nursing, 16(2), 209-217.
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I want to assess the health status of elderly people using a questionnaire, should I do home visit (in their own homes), or I can get them from primary health cares (or geriatric homes) during their visit. Which one is more accurate?
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If you already have a sample population, due to covid pandemic i believe home visit is better and the chance of loosing samples due to missing the visit time is less but if haven't yet choose your sample population, the cohort sampling method is better. I used cohort method in my thesis that was related to healthy elderly and in the end statically it presented the city population
I take population from 4 routs according the population of each
1. Geriatric homes (34)
2. From retirement associations (345)
3. Advertisement (253)
4. Public health centers (only those who had no disease) (179)
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Sexuality and the Elderly:
Many people think that the elderly are just old, ill, frail and awaits their time to come. I want to say here that it is the contrary. Because sexuality seems to be a taboo-topic, older people are mostly not or if at all, poorly educated about the physiological changes that do occur with age, therefore giving room for negative effects on their relationship and sexual activity.
If the the older people are well informed that it is normal for changes in performance and tempo to occur, the psychosocial effect would be reduced and hence influence them to continue to enjoy the sexual desire till the end. It requires great professional competence and skills, especially a great communication skill to bring this into light to help reduce the psychological suffering that older people face, especially when they´re in a nursing home.
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Thanks Sharon W Stark for your contributions.
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Physical fitness is essential to allow people to carry out everyday activities. It is often particularly low in stroke survivors. It may limit their ability to perform everyday activities and also worsen any stroke-related disability. So, it is recommended that seniors do exercises in order to improve cognitive function, quality of life, and the ability to maintain physical activity. On the other hand, other researchers say that training programs increase the risk of having another stroke.
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Have a look at the following RG links.
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Greetings and have a great day.
I have sincerely some fascination for the Geriatric groups. In fact I have now had no study project in my hands to continue due to safety issues . Moreover COVID-19 pandemic condition is going on. My data collector‘s group have denied to collect data from the patients right now in pandemic era for their safety purpose as well. But I want to conduct a study and collect data from the Geriatric patients related to NCDs even in this odd situation.
Can anybody help me by sharing ideas what type of NCDs component will be more convenient to collect data right now in this pandemic condition. If you want you can share your ideas dropping in my mail ‘’gacherjya@hotmail.com’’ or here whatever you like best.
I must be thanking you in advance for sharing your kind ideas with me.
Stay safe and healthy
Best regards and Sincerely.
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I am interested in sharing with you in your upcoming projects, if you interested plz contact me mostafashaban42@gmail.com
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Greetings and have a great day.
I have sincerely some fascination for the Geriatric groups. In fact I have now had no study project in my hands to continue due to safety issues . Moreover COVID-19 pandemic condition is going on. My data collector‘s group have denied to collect data from the patients right now in pandemic era for their safety purpose as well. But I want to conduct a study and collect data from the Geriatric patients related to NCDs even in this odd situation.
Can anybody help me by sharing ideas what type of NCDs component will be more convenient to collect data right now in this pandemic condition. If you want you can share your ideas dropping in my mail ‘’gacherjya@hotmail.com’’ or here whatever you like best.
I must be thanking you in advance for sharing your kind ideas with me.
Stay safe and healthy
Best regards and Sincerely.
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Is the 15-item Geriatric Depression Scale (GDS-15) sensitive to change of depressive symptoms through time or is it only to be used as a screening tool?
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It appears this tool should be used at intervals, like the PHQ 9. (Like admission and discharge, for example, or at each patient visit...). It could measure change over time only by comparison with a previously filled out one.
Patient’s Name:
Date:
Instructions: Choose the best answer for how you felt over the past week. Note: when asking the patient to complete the form, provide the self-rated form (included on the following page).
No. Question
Answer
Score
1. Are you basically satisfied with your life?
YES / NO
2. Have you dropped many of your activities and interests?
YES / NO
3. Do you feel that your life is empty?
YES / NO
4. Do you often get bored?
YES / NO
5. Are you in good spirits most of the time?
YES / NO
6. Are you afraid that something bad is going to happen to you?
YES / NO
7. Do you feel happy most of the time?
YES / NO
8. Do you often feel helpless?
YES / NO
9. Do you prefer to stay at home, rather than going out and doing new things?
YES / NO
10. Do you feel you have more problems with memory than most people?
YES / NO
11. Do you think it is wonderful to be alive?
YES / NO
12. Do you feel pretty worthless the way you are now?
YES / NO
13. Do you feel full of energy?
YES / NO
14. Do you feel that your situation is hopeless?
YES / NO
15. Do you think that most people are better off than you are?
YES / NO
TOTAL
(Sheikh & Yesavage, 1986)
Scoring:
Answers indicating depression are in bold and italicized; score one point for each one selected. A score of 0 to 5 is normal. A score greater than 5 suggests depression.
Sources:
Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol. 1986 June;5(1/2):165-173.
Yesavage JA. Geriatric Depression Scale. Psychopharmacol Bull. 1988;24(4):709-711.
Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982-83;17(1):37-
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In our preliminary studies on geriatric patients, hemoglobin increment significantly exceeds 1 g / dL per transfused unit.
Does anyone have experience with this issue?
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We have not consistently recorded this information, but it could be interesting doing so (also on a retrospective basis). Hence, what I am saying is purely empirical. Transfusion increments are widely around 1 g/dl, sometimes the benefit is minimal, sometimes around 2 g/dl. Of course values may be subject by a host of different variables: test variables (timing of second hb determination - during transfusion - sampling error - or just after transfusion? infusion of packed RBC requires some time - maybe in older patients more - to redistribute fluids from the extravascular compartment to "dilute" the concentrated RBC transfused; type of determination - with CBC or with POCT/ABG testing?), besides patient's variables that I assume may be of some importance (body size, state of hydration and of concomitant i.v. fluid/diuretic therapy, ongoing overt/occult bleeding...)
Moreover sometimes physicians administer a pro re nata dose of i.v. diuretic (eg furosemide) in patients with congestive heart failure after the transfusion to counteract the possible haemodynamic consequence of an acute expansion of circulating volume, so it is possible that further haemoconcentration may be due to this practice.
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Does energy cost affect gait performance?
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Nice question and I sharing my view...
I not a from physics or from any modern medicine stream...
In our Ayurveda literature we consider every human being has his own unique identity and each individual is different from each other.
We called it as Prakruti (Basic constitution of each individual). And this Prakruti decides his Structural-Physical and mental abilities in future.
We consider Sahas (Extreme Courageous physical activity) is responsible for debilitating disorders including neuro-spine diseases.
So it all depends on the physical strength or we call it as Sharira Prakruti (Human body Constitution) of each individual and we may can adopt a appropriate range according to specific age group for 'energy cost and relationship with gait performance'.
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The elderly population is obviously increasing all over the world. With the COVID-19 Pandemic, the care of the people in the geriatric period has been an important problem in many countries. In some countries, people living in nursing homes were left unattended.
After the COVID-19 experience, what do you think about the caring of geriatric population especially for the future?
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Yes, it will be required.
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Hello. I working on a sleep project. Sleep is of paramount importance for resetting brain and body function. While newborns tend to sleep most of their day hours, geriatric population often suffers of lack of enough sleep. Most of the people will subjectively complain about their sleep, at least at one point in their life. While life requirements and schedule might play a major aspect in this, other sleep disorders should be ruled out. There is thus a need to use objective measures to better assess sleep quality and quantity. Can anyone please suggest the objective measures of sleep quality?
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Nice Contribution Dirk Cysarz
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I am looking to see if there is a link between professional development, i.e.: additional courses, training or certification, and patient satisfaction in the context of geriatric care.
Simply, I am looking to see if geriatric patients and their families become more satisfied about the care provided if their healthcare team receives (or received) better education / professional development in geriatrics.
I have a working paper vouching for better geriatric education amongst healthcare professionals, and want to develop it further. See it linked.
Thank you!
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Following
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I have seen various articles on adults and geriatrics for the rehabilitation of balance. But have not come across the ones for young children! Any further updates on this gap?
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sure, generally one of the advantages of this device is the ability to perform exercises in the form of home games. they can buy this equipment and then do the exercises under the supervision of the therapist. a variety of games and software are designed for this purpose. if you want more information i can send you the related articles.
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I know only this publication on the topic: Kwok BC, et al. BMC Geriatrics 2013;13:23.
Thanks in advance.
Cheers
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i do agree: indeed papers report the context they refer to
best wishes to everybody, MC
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Hello to everyone,
We are waiting for your articles on aging and long-term care. Review process takes 3 weeks
Journal of Aging and Long-Term Care
The major goal of the Journal of Aging and Long-Term Care (JALTC) is to advance the scholarly contributions that address the theoretical, clinical and practical issues related to aging and long-term care. The JALTC, while making efforts to create elderly care services at the best quality available that are more humane, that pay special attention to people’s dignity, aims from the perspective of the whole aging process- to discuss Social Care Insurance as a human right, to contribute elderly care to be transformed into an interdisciplinary field, to integrate elderly care services and gerontological concepts and to create more effective collaboration between them, to enhance the quality of elderly care services and the quality of life of caregivers from medical, psychological and sociological perspectives, to highlight the cultural factors in elderly care, to increase the potential of formal and informal care services, to provide wide and reachable gerontological education and training opportunities for caregivers, families and the elderly.
The Journal of Aging and Long-Term Care (JALTC) is being established as an open access, quarterly peer reviewed journal that accepts articles in English. Articles submitted should not have been previously published or be currently under consideration for publication any place else and should report original unpublished research results. The journal does not expect any fees for publication. All articles are available on the website of the journal with membership.
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Although the JALTC has completed its first year in publication, it is currently indexed by thirteen internationally recognized indexes around the world.
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I have found only a handful of studies in my review of literature. Just wondering if anyone is looking at this also.
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Please take a look at this useful RG link.
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Frailty is a widely discussed topic in clinical research. I'm wondering if this is more relevant for geriatric or cardiac rehabilitation patients.
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Hi, in my opinion measuring frailty in cardiac rehabilitation patients is really important, you can have many informations on the prognosis of the intervention.
In 2017 the European Association of Preventive Cardiology made a call to action in order to promote the assessment of frailty in elderly patients entering cardiac rehabilitation programmes.
I hope I have answered your question!
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It is generally accepted that elderly people because of some conditions require more intensive management than can be provided in the community. The admission of elderly patients to hospital, their treatment and subsequent discharge can prove challenging. Whilst self-sufficiency depends a lot on the underlying condition, delivering a package of care to an acceptable standard can make the difference between an individual who is a self-sufficient functioning member of the community and an old person who is disabled and dependent. Actually, Do the elderly need an special ward in hospitals as the children have for a better care?
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70 to 80 % of persons elder than 70 years have at least two up to 8 chronic disorders. These patients suffer from multimorbidity and even more than half of people with multimorbidity and nearly two thirds with physical-mental health comorbidity are younger than 65 years (Barnett et al. Lancet 2012). The question to be answered is about the competence of the treating persons (medical doctors, nurses, allied health professionals etc.) Does a specialist in a medical discipline have an overview about the diagnosis and therapy of all other disciplines and does the geriatric specialist have the competence for medical specialties like neurology , nephrology, psychiatry etc.? If the answer is NO then the problem to be solved is to organise the comming together of all these specialists to the patients benefit for diagnosis and therapy as well. Specialised geriatric wards would be helpful if beyond this general geriatric competence the knowledge of other medical disciplines is always at hand. This may be done by installing an obligatory consultancy service by the other specialties for elder people and vice versa by looking at all aged persons in other wards by the geriatric specialist to identify geriatric multimorbidity because geriatric problems are often overseen by specialists due to a specialist view.
As an example about the importance of polypharmacy and the question put, I draw your attention to the dependence of the risk of hip fracture due to psychotropic drug use which is from a publication of Ray et al. in 1987. You can easily see that the occurance of hip fractures conincides with the dosis of drugs per day.
In Germany Borchelt 1995 (Berlin study of aged people) investigated that:
People elder than 70 , which you know suffer from multimorbidity , receive on average 3 different medical drugs per day
35 % of people over 70 years receive 5 to 8 different medical drugs per day
15 % even receive more than 13 different medical drugs per day
The group of 80 to 85 receives the highest number of medical drugs to take per day
Typical consequences of this polypharmacy are
1 falls and mortality 2 risk of interactions
3 cascading of prescriptions 4 poor medication adherence
In another study with patients over 60 the number of not desired side effects and interactions is more than double as with younger people, the higher the number of medical drugs, the higher will be the adverse drug events.
Up to 5 medical drugs at the same time go along with (3,4 % pharmacological interactions), but more than 6 medical drugs at the same time go along with (25 % adverse drug events.)s Mühlberg und Platt already realized in 1999
And the netherland study group of opondo an coworkers found by a systematic review of 19 studies in 2012 that the median rate of inappropriate medication prescription was 20% in elderly persons in primary care.
Best greetings
Wolfgang
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Hi,
What do you think causes the phenomenon of economic fraud against the elderly? Why are they more likely to be victims of fraud? It would be nice if you could base your opinion by referring me to good articles on the subject.
Thanks,
Ya'akov
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Thanks Enrique and Michael!
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Hello All
For most of our research work in older adults and people with Parkinson's disease, we have used Beck's Depression Inventory (BDI-II) or Geriatric Depression Scale (GDS).
Recently, we have started doing some experiments with younger adults and would like to screen them for depression. Could you recommend some screening tools that are not expensive and take less than 15 min to administer?
Thanks,
Supraja
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well PHQ-9 would be of help
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Hello, we have a longitudinal study for geriatrics and one component assesses their cognitive status over the phone. Many times our subjects become frustrated at the length of the cognitive screen. Does anyone have experience administering these types of surveys and could suggest a short - validated tool?
Thanks
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You may find the following reference of help to you.
Reference:
A Remote Intervention to Prevent or Delay Cognitive Impairment in Older Adults: Design, Recruitment, and Baseline Characteristics of the Virtual Cognitive Health (VC Health) Study.
Bott N, Kumar S, Krebs C, Glenn JM, Madero EN, Juusola JL.
JMIR Res Protoc. 2018 Aug 13;7(8):e11368.
doi: 10.2196/11368.
PMID: 30104186
Free Article
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I am going to work on geriatric sporadic Alzheimer's disease. Tripple transgenic mice model is good for famillial alzheimer's disease but it is not a good model for sporadic alzheimer's.
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Hi Nageeb, unfortunately animal models of diseases dictate that they show the full blown pathology within a year if you are looking to get funded.
An animal model of sporadic AZ might be out there, but it will probably not get funded since they are sporadic and non-reproducible unless you have a large cohort of animals.
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If hip damages severely by arthritis, a fracture, or other conditions, hip replacement is needed to relieve pain and increase motion.
Its more common in elderly , however the risk of problems after surgery increases because of their weaknesses and age . Most of them are forbidden from such aggressive treatment and implantation .
So whats solution ? can the risk of surgery be managed?
Or a substitute treatment is required ?
Is stem cell infusion as effective as surgery ?
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Advances in Pre and post operative optimisation of patient and overall bone health and rehab part should play good role in making most patients lead optimal outcome and should be the focus than stem cells as of now.
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I would like to belong to this project. Which is the first step?
Sincerely.
Diana Rodríguez Hurtado M.D FACP
Full Professor Faculty of Medicine Universidad Peruana Cayetano Heredia.
Internal Medicine - Geriatrics
Master in Clinical Epidemiology.
Mobile: 51 999395806
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The intent is a mutually beneficial exchange of information and knowledge - so sharing will bring benefits. While the focus is on SAGE and SAGE-related data, we actively encourage comparisons to other data sets and interactions/exchanges on that to better understand the drivers of differences in health created by unique policy and cultural issues.
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Gerontology and geriatrics state that elderly face many mental and physical health problems. Teachers face more problems. Is it true? Any idea? If it is yes, then do we have any solution?
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Hello,
Teaching is generally regarded as one of the safest professions in the world because it requires fixed hours of work, involves a hygienic and clean environment and very little physical strain. Surprisingly, however, the profession is not completely free from work-related illnesses and trauma. It seems that teachers suffer from a number of physical and health hazards troubling them after retirement including ENT tract, skin, eyes, legs, and lower urinary tract. Amazingly, many teachers also suffer from mental problems and need to access psychological help for work stress.
Best regards,
R. Biria
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I will be conducting an exercise study in obese inactive population and ethical committee wants to see some statistics on rates of acute cardiovascular events for this population. Any suggestions on which paper to reference and what data to give them?
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The exercise study in obese individuals that may provide information of acute myocardial infarction may be essential for the proposed study as asked in the question. The Ethical committee that wants to see some statistics on rates of acute cardiovascular events may not be familiar with recent work with biomarkers that may indicate that an acute myocardial infarction may occur with exercise. Sirt 1 is now closely involved in cardiovascular disease and other global chronic diseases. The biomarkers discussed in the references below may assist with uncontrolled cell apoptosis that may lead to infarction with exercise and various preventative therapies that may need to be undertaken before an exercise studies in obese individuals to prevent acute myocardial infarction. Biomarker Tests and Ageing Science. Ageing Sci Ment Health Stud Volume 2017, 1(1): 1–2 ONLINE: The Future of Biomarkers Tests and Genomic Medicine in Global Organ Disease. Arch Infect Dis Ther. 2017; 1(1): 1-6. ONLINE: Anti-Aging Genes Improve Appetite Regulation and Reverse Cell Senescence and Apoptosis in Global Populations. Advances in Aging Research, 2016, 5, 9-26 ONLINE: Magnesium Therapy Prevents Senescence with the Reversal of Diabetes and Alzheimer’s Disease. Health, 2016, 8, 694-710.
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Theoretical framework for a research into the health care needs of the elderly
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In Hungary very well work the "3. age university" system for education and mental pervention of elderly. In that system we do curs, presentations, and essence the slowing down the process of aging, maintaining self-sufficiency.
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In conducting a narrative review of qualitative studies, is there a standard tool for evaluation to assess the quality of the published article for inclusion in the review?
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One that I am aware of is available at
These are available in English, German and Spanish at https://www.canchild.ca/en/resources/137-critical-review-forms-and-guidelines
I'm sure there are others out there too, but this is what I use with my students.
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Dear Colleagues. Help me find an article in which the results of the statistical analysis will be indicated in the development of the model of sarcopenia of the EWGSOP. How was its specificity and sensitivity determined?
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Ewgsop is a consensual definition of sarcopenia wich Come from an expert task force 
to my best knowledges there is no assessment of diagnostic performance of this algorithm 
best regards
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I am looking for research into community support for the aging Alzheimer's population. Is it better for the family to place to Alzheimer's patient in assisted living or a Alzheimer's community village. Which would delay dementia symptoms longer?
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There are many frailty measurement tools used in hospitals and in primary care services. Should we use different frailty measurement tools across the different settings, or should we just use one frailty measurement tool for all settings?
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Elsa!
Your question is a philosophical one. 
The ideal index should be the one that could be used in every scenario. However, such instrument does not exist, especially when talking about frailty.
Several keys should be considered, such as validity, generalizability, stability, repeatability.
It is more important to have a clear objective. If you are aiming to treatment, then use an instrument which is sensitive to change in a short period. If you are aiming to diagnosis, then use an instrument with appropriate sensitivity and specificity. In case you are aiming to measure the economic impact of the diseases, then... ...and so on.
We must keep in mind that a specific objective will have as many advantages as limitations. And everything comes to the researcher choice, considering that limitations should be justified properly.
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Hello. We participate in a clinical study on the study of Sarcopenia in the elderly after a fracture of the hip. However, there are great difficulties in performing tests in patients.
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Dear Julia,
If the SPPB is being performed in an acute phase after hip fracture it's understandable the difficult of the patients, and it will be biased as a measure of sarcopenia. I believe that handgrip strength is a good alternative as suggested above.
Kind Regards,
Alessandra
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We want to set up a trial in which we measure hourly pain scores. The study population  consists of admitted patients, mainly elderly.
Therefore we would like to know if an easy to use application exists for assessing  painscores (numerical rating scale) at an interval which is determined by the investigator.
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Pain is always subjective and it is difficult to quantify but i think chinease researcher make an app for kids to examine the intensity of pain 
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am doing my research on, Does there any differences in ethnicities in gait?
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WHO SAGE Waves 1 and 2 include gait speed (normal and rapid pace) and ethnicity/race variables - for China, Ghana, India, Mexico, Russia and South Africa - you are welcome to examine this information at:
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We are increasingly concerned about the adverse effects of hospital imposed harm - specifically immobilisation in hospital beds or wards.  Finding the evidence base that confirms the adverse impact on physiology, function, mobility, independence or muscle function is vital.
Any papers that anyone can share would be widely appreciated.
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Research on mobility attached.
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Does anyone have examples of studies (or literature reviews) that have used applied behavior analysis for treatment of persons with dementia? Articles can either pertain to reduction of problem behavior or skill maintenance/acquisition.  Thanks.
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Trahan, M. A., Kahng, S., Fisher, A. B., & Hausman, N. L. (2011). BEHAVIOR-ANALYTIC RESEARCH ON DEMENTIA IN OLDER ADULTS. Journal of Applied Behavior Analysis, 44(3), 687–691
you can find more literature in behavioral gerontology special interest group website
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I need to know for what sort of population was validated and if it is useful for my population (healthy elderly and frail elderly).
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kind Elisa,
maybe the old [Spanish !] work might be useful to you
sorry that the normative Italian data are available in the web only as abstract
best regards, Mauro
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Dr. Fox, thank you for the share.
Your work must be a labor of love to this underserved population. Thank you for the work you are doing.
Peggy
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Dear Ms.Dalton and other readers on this string or outside,
                            While it is socially very important that healthcare be delivered to the marginalised it is equally important to ask in the context of any industrialised market economy why that is not already happening. This is the scientific problem we believe. We have used Econophysics to discover this Insurance Markets Functor and Sector category (using first principles of category theory (Mallick, Hamburger, Mallick (2016)) and found that with a Insurance Information System which is String Theoretically Systems Integrated "with pretrading learning" by the population, will very scientifically reach systems integrated equilibrium over spacextime factorisation using our developed Dbranes String Functor and Sector category Algebra and Calculus which satisfies transitivity with the design of Artificial Genetic Gravity Neural Networks over spacextime. Network Physics can solve the problem and achieve modified Pareto Optimality with Walrasian Auctioneer Category Arrow-Debreu Price Engineering for Insurance categories (also Mallick (2011)). An application in terms of "God does not play dice" Einsteinian Principle which the Swedish School of Physics had waylead to show can be solved by suitable integration (Ingelman (1982)) for example. If you care to you can take alook at our publications including the ones on Pharmaceutical Industry Classification Categories which are the Econophysical solutions also. Sorry if we sound too technical but it is a 'bypass' solution using systems Physics and of course Economics and Medical Sciences.
Soumitra K. Mallick
for Soumitra K. Mallick, Nick Hamburger, Sandipan Mallick
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Hello everybody, 
I'm looking for studies which prove the increase of older adults population the last years. 
Thank you!
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Dear Marianna,
the World Alzheimer Report might be helpful too:
Prince M, Wimo A, GuerchetM, Ali G-C,Wu Y-T, Prina M.World Alzheimer Report 2015: The Global Impact of Dementia: An Analysis of Prevalence. London, England: Alzheimer’s Disease International; 2015.
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Very interested in demonstrated effectiveness of physical medicine and rehab, including neuropsychology, in the mediation of PTSD and depression, and is this age-specific or site of cancer-specific?
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Dear Marilyn, there's a lot of work on psychological rehabilitation in cancer survivorship, but mostly on therapies for distress etc. The literature on this is somewhat mixed and suffers from a number of methodological issues, such as selective recruitment and dropout, indicating that while many patients may be distressed, many of these do not want or feel they need help to cope.  Our own work indicates that, contrary to popular belief, most cancer patients are not distressed or depressed, and rates of depression and anxiety are little different from those seen in the general population. In people who are depressed, there is growing evidence that these people may have pre-existing vulnerabilities.  There is also controversy about what constitutes PTSD in the context of cancer. Often the measures used to diagnose used tools not designed to detect PTSD or included a re-definition of what PTSD might be.  David Speigel has good examples of both of these issues. His early work in the Lancet implying that group therapy increases survival of women with advanced breast cancer in fact reflected sampling bias, while a recent review in the Lancet Oncology sensible cautions about PTSD in cancer. Hope this is useful.
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those who did study on Empowerment of geriatrics
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Thank you very much Mr.Glenn
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Are the ADL (Activities Daily Living) in the geriatric reports based on the real examinations of patients during their living activities or, some times, are only based on the description reported by others?
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Thank you for your answer.
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I am having trouble trying to find up to date research for the prevalence of adults over 65 years with hypertension in the UK. I can find data from 2006 and 2010 but nothing any more recent than this. Also, I can find up to date information on this for other countries like Germany and USA but not for the UK. If anyone has any suggestions on this it would be much appreciated. It is for an assignment that I have to hand in at the beginning of Dec.
Thanks Cheryl
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Hi 
Yes the latest published one is from 2010, however you can find the data from http://qof.digital.nhs.uk/ as gp collects the data around prevalence of hypertension
Regards
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Most of the journals for geriatric research focus on quantitative research. I am looking for a journal to submit a narrative analysis. At this point I am sort of frustrated by the lack of interest in qualitative research.
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Hi
nursing journal of Isfahan University of Medical Siences probabaly will pbublish your study
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Do support and training programs for older adults with frailty work? I'm looking for literature to support/refute this comment. I'm thinking of lifestyle advice and self-management strategies to improve medication adherence, improve mobility, navigate the health care system, etc. 
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With a right balance of support and education, i would think so. Heterogeneity among older adults make it more challenging. In a pilot study completed with pre-frail older people (75+ nonMaori and 60+Maori), we notice that support, particular transport, seem to be more important for those who are frailer and have lower SES.  We will be writing up the findings in the next month. 
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In 2003 French data showed in a group of well nourished people, mean age 70 years, that CC < 31 cm was associated with low muscle function and not with lean body mass. (people were able to stand on one leg for the measurement)
Since the working definition of 2012 by EWGSOP, it is clear that CC does not equals with sarcopenia, but that is a factor besides muscle function (usual gait) and muscle power (hand grip).
BIA and DXA is not current available in acute geriatric wards.
Since muscle mass is an epidemiologic parameter, I wonder if research has been done, on the relation of CC en lean body mass in the west-european geriatric population, in order to implement this in clinical daily practice in Belgium.
kind regards,
dr Baeyens HIlde
az alma, Eeklo
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Chère amie,
A Toulouse, une publication de Rolland and coll de l'équipe de Bruno Vellas, pense que 31 cm est la réponse que vous me demandez.
A ma connaissanc, aucun autre papier ne donne une autre valeur
Bien à Vous
Jean-Pierre
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I'm looking into the effectiveness of caffeine, especially when ingestion after creatine supplementation on anaerobic power and isoenzyme creatine kinase in male athletes. is there anyone that could enlighten me on this subject?
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The valuation of ADL (Activities Daily Living) is based only on the analysis provided by the patient or on the actual evaluation of the activities performed during the day by the elderly?
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The medical examination is important especially in establish the so called "indennità di accompagnamento", i.e. the inability of the patient to walk without unaided or to carry out daiily Activities of live (ADL).
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I have not found any conclusive study on that relationship.  It seems unclear in current literature about the effect of natural or induced telomerase on aging, whether a reduction in aging rate would be opposed by the effect of telomerase on cancer cells.  For example, “ ... high telomerase activity is observed in over 90% of human cancer cells. Although the disappearance of telomerase with aging is considered a natural defense against development of cancer, it is not known what triggers the reappearance of telomerase in cancer cells. ... Data from experimental studies suggest that telomerase assay could potentially play a role in the diagnosis and prognosis of cancers. On the other hand, there is also evidence that telomerase inhibitors might be used as anticancer agents.” [Ahmed, Ali and Tollefsbol, Trygve “Telomeres, Telomerase, and Telomerase Inhibition: Clinical Implications for Cancer”, Journal of the American Geriatrics Society, Jan2003, Vol. 51 Issue 1, pp.116-122.]  Here the authors end with a hope for “advances in understanding of the relationship between telomeres, cancer, and aging”.  Meanwhile, it has been reported that as recently as September 2015 "the first human being to be successfully rejuvenated by gene therapy, after her own company’s experimental therapies reversed 20 years of normal telomere shortening" http://bioviva-science.com/2016/04/21/first-gene-therapy-successful-against-human-aging/.  Still, there remain counter-arguments such as that "cancer cells unlock telomerase to make themselves immortal" To the latter question the answer seems to be: "Scientists are not yet sure"  http://learn.genetics.utah.edu/content/chromosomes/telomeres/
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The most important word in your question is "conclusively". Because most studies involving the subject are performed using various model systems (both in vitro and animal models), it is likely to be difficult to "conclusively" prove a strong relationship among various topics (telemeres, telomerase, cancer, and aging). However, there is ample evidence to support the idea that (i) immortalization is the first step for cancer cells; and (ii) defects in telomere that lead to activation of a DNA-damage response (DDR) contribute to premature aging in cells/organisms.
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To define low grip strength, Fried's original frailty criteria uses < 20kg for women, and < 30kg for women. Are these cut-off points still relevant in the modern literature? Similarly, what are the best cut-off points to define low walking speed? 
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Plase see this paper:
de Souza Barbosa JF, Zepeda MU, Béland F, Guralnik JM, Zunzunegui MV, Guerra RO. Clinically relevant weakness in diverse populations of older adults participating in the International Mobility in Aging Study.
Age (Dordr). 2016 Feb;38(1):25. doi: 10.1007/s11357-016-9888-z. Epub 2016 Feb 11.
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Not only by observation done by professionals, but really assess the capacity of dementia patients. It's often very hard to conduct assessments available nowadays as dementia patients have difficulty in following instructions and poor attention span. It may be worth it to establish assessment tools which can effectively reflect the true ability of dementia patients...
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Dear Mauro,
Thanks for your information. The assessment tools you suggested are very useful not just on my research but also on my daily clinical practice. I will apply it when I need to assess the ADL functions of my clients with dementia.
I'm currently conducting a research on the assessment tools for the physical performance of people with dementia, specifically on functional mobility and exercise tolerance. It would be interesting to see the results.
Many thanks,
Wayne 
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Hello, I'm from China. I want to know how can we mimic the effects of resistance exercise on C2C12 or L6 myotubes with the electric stimulation?
Many scholars mimicked the endurance exercise with low-frequency electric stimulation, but I can't find clues about the resistance exercise.
Many thanks!
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Yes, it seems that many groups have studied the "aerobic" models of in vitro myotube stimulation, but I would check out the following paper from Keith Baar's lab: http://www.ncbi.nlm.nih.gov/pubmed/19807268. They were able to modulate the frequency to more of a "resistance" model, and demonstrated an anabolic like response.
David Hood's group at York (Canada) has also completed quite a bit of research in the in vitro e-stim area, although they focused more on mitochondrial biogenesis. You may want to also check them out for some experimental designs.
Hope this helps. Best of luck.
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Data analysis on high need patients with pre-emergency department visits and admission find that long term planning for end stages of condition were not in place. Crucial discussion with the patient had not occurred by Primary Care Providers. Preventive management would include functional assessment every 6 months or sooner, preplanning  and comprehensive management by the nurse practitioner. The Comprehensive Model of Care may reduce non-urgent ED visits, improve adherence and patient/family satisfaction
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What are   "non-urgent ED visits " ? This should be specified  first ,. 
I agree with Michele  G  that involvement of primary care general practitioners is crucial but regretably their knowledge in basic geriatrics is limited,
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Can anyone suggest literature on comparison of depression or its symptoms in Retired Men with that of Men of the same age group who are self employed?
Your views on the same are welcome too!
Thanks in Advance
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Thank you for the response Prof . Beatrice., Much appreciate the effort. thanks
Thank you Prof. Ahmad, I understand the available literature which used depression scales might have had the employment status as a variable. But I am concerned specifically about the comparison of the Post-retirement age group & the self employed group.
For example:
Group - I - Retired from employement in the recent  past
Group - II - was always Self Employed (was never in full time public job) 
Both Groups in the age group of 60 to 70 years.
Regards
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Mice as young as 2-3 months of age are considered by some to be adults.  NIA's strain survival information (https://www.nia.nih.gov/research/dab/aged-rodent-colonies-handbook/strain-survival-information) indicates that 75% of the C57Bl/6 mice live to 22-24 mo of age.  If one had to pick a single older age for study, when could a mouse be considered to be a geriatric mouse for the purpose of cardiovascular and renal experiments?
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I found some very useful information on age-equivalency of mice and humans on the Jackson Lab website for their research labs.
Figure v3 at https://www.jax.org/research-and-faculty/research-labs/the-harrison-lab/gerontology/life-span-as-a-biomarker.  Based upon maturational and senescence changes, they suggest that mice are mature adults from 3-6 mo, middle aged from 10-14 mo, and old from 18-24 mo, with 50% surviving to 28 mo.  They also have a table comparing maturational rates at different mouse ages relative to humans.
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Chronic, non-specific and widespread pain is very common among older adults. Traditional interventions which usually use physical means to deal with individual joints only cannot address the problem. Is there any effective interventions that incorporate physical, psychological and social needs of this population? 
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Here are some possible publications related to a 3 week, outpatient based multidisciplinary pain program that could be helpful for you to review--W. Michael Hooten had been the main physician champion in the past.
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Many times due to  Pain & fear geriatric population will not participate Actively in Rehabilitation Protocol and due to that there outcome was limited. So is there any method to prevent or reduce the Kinesiophobia.............?
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Hello  Hemal,
I agree with the previous answer, and I believe that CTB can help patients to perform better after surgery.  A paper from 2014, indicated that after decrease in pain and disability (after surgery) was associated with a reduction in catastrophizing and kinesiophobia. In other words, fear of pain (particularly pain), may be the main reason most patients who will not participate Actively in Rehabilitation Protocol after surgery are the ones showing higher levels of kinesiophobia.
During my clinical work in a multi-disciplinary centre, our rehab group identified some patients who performed poorly after surgery. The approach from our OTs were very helpful, not forgetting that family did play an important role.
During our rounds, we had the opportunity to discuss whether patients should be asked about previous experiences with pain and surgery and how long it took for their complete recovery. The number and quality of research suggesting whether prior intervention (CTB) would be effective are very rare. But, I can tell you that those who indicated long recovery after previous joint surgery or any surgery that resulted in some pain or difficulty to be mobile were the ones presenting long term recovery after TKR or THR. Yes, we could not intervene before surgery as we did not have the resources, but because we already expected hard recovery from these patients, our approached was different and that helped to improve and accelerate their recovery and discharge from hospital.
All the best on your research and clinical work,
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This is becoming very popular as a treatment and little is known about it.
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Clearly the beneficial effects of avastin (or other anti-VEGF-medications) overweight negative effects in nAMD.  
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I'm interested in the potential adverse effects when inappropriate settings are made and the challenges clinicians face when making the right choice. Also, how might these decisions change given the particular patient demographic (i.e., neonate, pediatric, adult, geriatric)?
These questions relate to research I am doing for an article I'm writing for RT: For Decision Makers in Respiratory Care.
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There are a couple of things to remember.  First, it has been shown that it is not only the ARDS patients but all ventilated patients should be ventilated at a volume of 6ml/kg to prevent barotrauma along with ARDS or multisystem failure..  Second,  it is not only the pulmonary disease that affects how you manage a ventilator.  You could be more limited in adding PEEP when a patient is septic, you are more limited on the rate when someone has Asthma or severe bronchospasm and have to accept or even use permissive hypercapnia as a plan.  There is no absolute perfect way to ventilator all patients based on age or disease process because there is usually more than one process going on.  The art of ventilation is titrating and adjusting to the individual patient.  Managing for a pH, not a PaCO2 maintain adequate oxygenation but not hyperoxygenating and making sure the patient is in sync with the ventilator.  This requires close observation of the patient and adjusting the ventilator settings to the patient.  These concepts apply to all patients from newborn to geriatric across all types of disease processes. 
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Correcting refractive errors in elderly is strongly associated with better visual functionality and autonomy. Use of glasses with multifocal lenses may produce a feeling of instability at first. Is there any evidence of a higher risk of this type of optical correction in falls, hip fractures or injuries in the elderly? Thanks
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This review may be of interest: 
(Skelton et al., 2013. Environmental and behavioural interventions for reducing physical activity limitation in community-dwelling visually impaired older people. Cochrane Database Syst Rev. 2013 Jun 5;6:CD009233. doi: 10.1002/14651858.CD009233.pub2).
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I am interested in investigating the efficacy of the role that an APRN could play in cost savings, shorter rehabilitation stays, increased patient satisfaction, decreased rates of pain and infection in the geriatric patient in short-term rehabilitation.
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What doe you mean APRN and what do you mean by geriatric? Do you mean older than 50? I think you mean advanced nurses but I reckon that the nurse has to be holistic in the true sense of the word and to know the person in front of her and then she or he can work well with an older adult particularly if the person has dementia.
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I am interested to work on the needs of caregivers., But I do not have access to appropriate tools for the study.
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The CSNAT has been successfully trialed in Australia and this has been reported in three publications early this year (below). A copy of the tool can be obtained from Gail Ewing: ge200@cam.ac.uk
Aoun SM, Grande G, Howting D, Deas K, Toye C, Stajduhar K, Ewing G. The
impact of the Carer Support Needs Assessment
Tool (CSNAT) in community palliative care
using a Stepped Wedge Cluster Trial. PLos One
2015;10(4):e0123012. DOI:10.1371/
journal.pone.0123012
Aoun SM, Deas K, Toye C, Ewing G, Grande G,
Stajduhar K. Supporting family carers to
identify their own needs in end of life care:
Qualitative findings from a stepped wedge
cluster trial. Palliative Medicine 2015;29(6):
508–17. DOI:10.1177/0269216314566061
Aoun SM, Toye C, Deas K, Howting D, Ewing G, Grande G, Stajduhar K. Enabling a family carer-led assessment of support needs in homebased
palliative care: Potential translation into
practice. Palliative Medicine 2015 April 20; Epub
ahead of print. DOI:10.1177/0269216315583436
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Tolson D, Rolland Y, and others, Task Force. International Association of Gerontology and Geriatrics: a global agenda for clinical research and quality of care in nursing homes, J Am Med Dir Assoc. 2011 Mar;12(3):184-9. doi: 10.1016/j.jamda.2010.12.013. Epub 2011 Jan 15
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Interesting question. Accreditation of nursing homes in Australian largely focus on "paper-recorded" process issues - a lot of  meaningless stuff is recorded for the sake of it but hugely detracts spending time with residents. Process has a poor correlation to quality of care. 
A quick search found 2 potentially helpful articles 
Looks there is scope to explore this further from a practitioner and patient perspective.
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How can we assess medication underutilisation or underprescribing in older patients?
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Yes it is true, because you get poorer when you grow older and cannot visit the doctor so often. 
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Age limit for coronary bypass , CABG in nonagenarian? When not to operate?
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I think it would be appropriate to look at is it Benefit or Burden?
Holistic assessment would identify the trajectory of frailty on this person and if already bed and chair fast or close to moribund state? what is the advanced care directive they have chosen. 
Geriatric atrophy will play a big impact if the patient has co morbidity in 2 or more facets of frailty.. One being mobility and examine the SPICES tool. Good nursing process here would be recommended as choosing a palliative approach will improve the quality of life the person is receiving whilst planning the end of life pathway. 
Shocking to the medical node of colleagues, however we cant live forever and what quality to we want in the end???
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Im wondering if there is a tool for predicting whether or not a pressure ulcer will heal
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The Push tool allows you to monitor how it is healing, so could predict likelihood, not aware of a tool designed specifically for this purpose
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We are starting in our Geriatrics Division at the teaching hospital of Trieste an experimental service for geriatric patients coming from the Emergency Department. The name is "Geriatric Short Intensive Observation". Within 48 hours we will perform the CGA (Comprehensive Geriatric Assessment), the diagnosis, the treatment (or starting it) and the discarge (at home hopefully).
Someone has developed a similar service in the hospital already? 
Thanks you already.
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Thanks everyone for your answers. Hope we can start quickly and publish soon the results! I am crossing my fingers!
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positive and negative effects of disclosure on patients and their relatives, what would be the mental health professionals way to approach the sensitive subject effectively
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Besides the obvious negativity of receiving a diagnosis, knowing about the diagnosis can help ppl with dementia, and their family members/carers to access support services, and receive medication and interventions to delay the onset of severe symptoms. 
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How can one ensure the quality and authenticity of data entered in the sleep logs (maintained for at least 14 days) especially for those who are not literate like many senior citizens? Is there any other tool like sleep log/sleep diary to elicit sleep patterns (except actigraphy and polysomnography) in a community based survey?
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Hello!
it depends on the content of the tool that you have selected. Basically the tool is made considering the target population. If the illiterate population has to be included, a picture based tool could be useful. The numbers of hours of sleep one had had could be marked in the specified box or space denoting the 
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These are scales to measure dependency in the elderly.
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There are scales that measure INDEPENDENCE, not "dependence."  From these measurements, we determine if the older adult is able to live in the community or does that person require assistance?  ADL, IADL, Frailty Wheel, GDS-SF, Nestle Nutritional Assessment, and add a cognitive assesment such as SLUMS or GP-COG Modified.  Also, if the individual drives, a driving assessment is in order [with simulator].  These assessments must be conducted by an experienced and qualified geriatrician [not a novice or student].  They are available from PAR.  If they approve you to buy them, you can administer them.  Don't be tempted by using bootleg copies, as it could really get you into trouble.  Jan Vinita White, PhD Gerontologist
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Could anyone suggest to me a direction or a possible link to an article?
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It is not known as "dual tasking."  Search "multitasking elderly" in the TITLE and you should get lots of great scholarly sources.  There is a lot of material out there on this topic.  Some people believe they have dementia but they don't, it is just multitasking.  It becomes more difficult to do as we age.  Jan Vinita White, PhD Gerontologist
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I mean rehabilitation the retiring people to the post retirement life.
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Hello,
in my publication are in addition to the estimated need of rehabilitation staff, patients eligible for an Italian province of about 350,000 people, with a breakdown of low-medium and high type of assistance. I hope to help
Silvia
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We are conducting a literature search on models of consumer directed care in countries other than Australia, particularly the UK, Canada, US and New Zealand. Interested in both home community care and residential aged care. Can anyone provide recommendations or links to relevant literature? We would also be interested in any other information including websites,  conferences papers etc.  that might give further clues and links.
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In the UK they are and have published much on the CDC through their local councils as they are in control of the budgets and home care funding