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Community Services for the Elderly

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61. Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic ran

and cost-effectiveness of a Community In-reach Rehabilitation And Care Transition (CIRACT) service with the traditional hospital-based rehabilitation (THB-Rehab) service in patients aged ≥ 70 years. Older people represent a significant proportion of patients admitted to hospital as a medical emergency. Compared with the care of younger patients, their care is more challenging, their stay in hospital is much longer, their risk of hospital-acquired problems is much higher and their 28-day readmission (...) Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people: a pragmatic ran Comparing the cost-effectiveness and clinical effectiveness of a new community in-reach rehabilitation service with the cost-effectiveness and clinical effectiveness of an established hospital-based rehabilitation service for older people

2016 Health Technology Assessment (HTA) Database.

62. Counselling for physical activity, life-space mobility and falls prevention in old age (COSMOS): protocol of a randomised controlled trial. Full Text available with Trip Pro

) investigating the effectiveness of a health and PA counselling programme on life-space mobility and falls rates in community-dwelling older adults at the Health Kiosk and/or Service Centre.Community-dwelling men and women (n=450) aged 65 years and over with early phase mobility limitation will be recruited to a 24-month RCT with a 24-month follow-up. Participants will be randomly allocated into either a health and PA counselling group (intervention) or relaxation group (control intervention). All (...) Counselling for physical activity, life-space mobility and falls prevention in old age (COSMOS): protocol of a randomised controlled trial. The most promising way to promote active life years in old age is to promote regular participation in physical activity (PA). Maintaining lower extremity muscle function with good balance has been associated with fewer falls and the need of help from others. This article describes the design and intervention of a randomised controlled trial (RCT

2019 BMJ open

63. The composition of polypharmacy: A register-based study of Swedes aged 75 years and older. Full Text available with Trip Pro

The composition of polypharmacy: A register-based study of Swedes aged 75 years and older. Polypharmacy is common among older adults. However, little is known about the composition of polypharmacy: which are the most frequently used drugs, and how much do these drugs contribute to the overall prevalence of polypharmacy.A total of 822,619 Swedes aged ≥75 years was identified from the Total Population Register. Through record-linkage with the Swedish Prescribed Drug Register and the Social (...) Services Register we could analyze concurrent drug use in the entire population (both individuals living in the community and institution) on the 31 December 2013.The prevalence of polypharmacy (≥5 drugs) was 45%. The most frequently used drugs were cardiovascular drugs, analgesics, and psychotropics. By excluding the ten most frequently used drug classes or compounds, the prevalence of polypharmacy was reduced by 69% and 51% respectively. The majority of the users of either one of the 10 most

2018 PLoS ONE

64. Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure

Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure -1- Guidance for Providers Caring for Women and Men Of Reproductive Age with Possible Zika Virus Exposure (Modified from CDC a-e , FDA f,g and WHO h Published Guidance) Updated August 2018 Planning Pregnancy for Infected, Exposed, or Possibly Exposed Individuals In September 2016, the ASRM issued a Zika guidance for providers that addressed the care of non-pregnant patients desiring pregnancy (...) ) for the woman and 3 vs. 6 months for men with Zika virus disease should be made using a shared patient-provider decision-making model taking into account any new available data and such variables as age of the female patient and other infertility factors with documentation of the conversation and decision. 4. Symptomatic women and men attempting pregnancy through ART with possible Zika virus exposure should have testing that includes the Zika virus nucleic acid test (NAT) to rule out active Zika infection

2019 Society for Assisted Reproductive Technology

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

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 (...) 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

2019 American College of Obstetricians and Gynecologists

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

not address these areas. 4 To be consistent with discussions of evidence-based practice in other areas of health care, we use the term patient to refer to the child, adolescent, adult, older adult, couple, family, group, organization, community, or other populations receiving psychological services. However, we recognize that in many situations there are important and valid reasons for using such terms as client, consumer or person in place of patient to describe the recipients of services. APA GUIDELINE (...) 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

2019 American Psychological Association

67. Management of Pregnant and Reproductive Aged Women during a Measles Outbreak

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 . 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 persons are at increased risk of severe illness and complications of measles . The two-dose series (...) Management of Pregnant and Reproductive Aged Women during a Measles Outbreak Management of Pregnant and Reproductive Aged Women during a Measles Outbreak | ACOG Clinical Guidance Journals & Publications Patient Education Topics Featured Clinical Topics Hi, Featured Clinical Topics Clinical Guidance Management of Pregnant and Reproductive Aged Women during a Measles Outbreak Practice Advisory April 2019 Jump to Resources Share By reading this page you agree to ACOG's Terms and Conditions

2019 American College of Obstetricians and Gynecologists

68. Capturing how age-friendly communities foster positive health, social participation and health equity: a study protocol of key components and processes that promote population health in aging Canadians. Full Text available with Trip Pro

Capturing how age-friendly communities foster positive health, social participation and health equity: a study protocol of key components and processes that promote population health in aging Canadians. To address the challenges of the global aging population, the World Health Organization promoted age-friendly communities as a way to foster the development of active aging community initiatives. Accordingly, key components (i.e., policies, services and structures related to the communities (...) explanatory design will be used. The quantitative part will involve a survey of Canadian communities and secondary analysis of cross-sectional data from the Canadian Longitudinal Study on Aging (CLSA). The survey will include an age-friendly questionnaire targeting key components in seven domains: physical environment, housing options, social environment, opportunities for participation, community supports and healthcare services, transportation options, communication and information. The CLSA is a large

2017 BMC Public Health

69. A community-based cluster randomised controlled trial to evaluate the effectiveness of different bundles of nutrition-specific interventions in improving mean length-for-age z score among children at 24 months of age in rural Bangladesh: study protocol. Full Text available with Trip Pro

targeting the critical first 1000 days of life from conception, on lives saved and costs incurred in countries with the highest burden of stunted children. However, primary research on the combined effects of these interventions is limited. Our study directly addresses this gap by examining the effect of combinations of 5 preventive interventions on length-for-age z-scores (LAZ) among 2-years old children.This community-based cluster randomised trial (c-RCT) compares 4 intervention combinations against (...) A community-based cluster randomised controlled trial to evaluate the effectiveness of different bundles of nutrition-specific interventions in improving mean length-for-age z score among children at 24 months of age in rural Bangladesh: study protocol. Prevalence of stunting among under-five children in Bangladesh is 36%, varying with geographic and socio-economic characteristics. Previously, research groups statistically modelled the effect of 10 individual nutrition-specific interventions

2017 BMC Public Health Controlled trial quality: predicted high

70. Top 5 Things I’ve Learned About Geriatric Emergency Medicine

. Controlled trial of a geriatric case-finding and liaison service in an emergency department. J Am Geriatr Soc . 1996;44(5):513-520. [ ] 6. Lee J, Sirois M, Moore L, et al. Return to the ED and hospitalisation following minor injuries among older persons treated in the emergency department: predictors among independent seniors within 6 months. Age Ageing . 2015;44(4):624-629. [ ] 7. Hwang U, Shah M, Han J, Carpenter C, Siu A, Adams J. Transforming emergency care for older adults. Health Aff (Millwood (...) of older people. Age Ageing . 2016;45(5):703-707. [ ] 16. Rosen T, Hargarten S, Flomenbaum N, Platts-Mills T. Identifying Elder Abuse in the Emergency Department: Toward a Multidisciplinary Team-Based Approach. Ann Emerg Med . 2016;68(3):378-382. [ ] 17. Anglin D, Homeier D. Elder abuse and neglect. In: Marx J, Hockberger R, eds. Rosen’s Emergency Medicine . Elsevier/Saunders; 2014:885-892. 18. Acute functional decline. Geri-EM. . Published 2013. Accessed July 21, 2017. 19. The geriatrics

2017 CandiEM

71. Healthy Ageing in Scotland: the pilot survey

linkage. This suggests a role for altruistic motivation in encouraging survey participation, and further work could consider the implications for how respondents should be asked for consent to data linkage Healthy Ageing in Scotland: The Pilot Survey 21 Executive SummaryChapter 6 Online Shopping and Service Use in an Older Population in Scotland • 76% of Scotland’s older population use the internet. Internet usage by older people in Scotland is higher than the average across OECD countries • The most (...) common inter net activities for older people ar e using email (67%), finding information about goods and services (66%) and online shopping (54%) • Internet usage is less frequent as age increases. 56% of people aged 80 or over report that they never use the internet • Amongst inter net users ther e is no age differ ence in the pr oportion using email. Older inter net users ar e less likely to use the inter net to find information or shop online Chapter 7 Older Workers and Retirement • Economic

2018 Health Economics Research Unit

72. Recommendations on screening for breast cancer in women 40-74 years of age who are not at increased risk

years than in those aged 50 years and older. However, classification of breast density status has poor reliability, and density status is reclassified on subsequent examination for 1 in 5 women by the same radiologist and for 1 in 3 by a different radiologist. Further, supplemental screening may increase the number of women experiencing overdiagnosis with unnecessary treatment and negative effects from false-positive results. A recent review conducted for the US Preventive Services Task Force did (...) of breast cancer screening for women of all ages, and particularly for women younger than 50 years and older than 70. These populations are currently the focus of the AgeX Trial, a cluster randomized trial underway in the United Kingdom with results expected in 2026 ( , no. ). Although the task force did not specifically review evidence on supplemental screening for women with dense breast tissue, a recent review for the US Preventive Services Task Force concluded that studies are needed to clarify

2018 Canadian Task Force on Preventive Health Care

73. Access to reproductive health services among the female floating population of childbearing age: a cross-sectional study in Changsha, China. Full Text available with Trip Pro

with the largest floating population in the world.A cross-sectional survey was conducted for more than 3 months. Six hundred twenty females of childbearing age in a floating population were recruited into the study by using random sampling, with these individuals being recruited from six community centres in Changsha, China. The use of reproductive health services was assessed by utilizing a self-designed questionnaire.A total of 555 participants returned the completed questionnaires (effective response rate (...) Access to reproductive health services among the female floating population of childbearing age: a cross-sectional study in Changsha, China. The floating population serves an important role in economic and social development. However, little is known about the floating population's reproductive health (RH) services, especially in low- and middle-income countries. This study aimed to assess the use of reproductive health services in the female floating population in China, which is a country

2019 BMC health services research

74. Knowledge, help-seeking and efficacy to find respite services: an exploratory study in help-seeking carers of people with dementia in the context of aged care reforms. Full Text available with Trip Pro

at all.Cross-sectional survey data was collected from a convenience sample of n = 84 carers of older people with dementia living in the Illawarra-Shoalhaven region of NSW, Australia. We assessed knowledge, attitudes, information seeking behaviours, and unmet need for respite services in 2016, following national aged care reforms.Over the previous 12 months, 86% of carers sought respite service information. The majority (73%) of all carers reported an unmet need for respite services, and were relying (...) respite services. Respite service information seekers were more likely to be caring for someone with behavioural problems, to have received assistance to access services, and to have used respite services in the past 3 to 6 months.New reforms in the Australian aged care sector have not adequately responded to the needs of carers of people with dementia for respite service information and support. Wider, community-based messaging promoting positive service options and the provision of active personal

2019 BMC Geriatrics

75. Do the Social and Environmental Factors Affect the Emergency Service Admission Characteristics of Preschool-Aged Pediatric Trauma Patients?: A Prospective Study. (Abstract)

Do the Social and Environmental Factors Affect the Emergency Service Admission Characteristics of Preschool-Aged Pediatric Trauma Patients?: A Prospective Study. Studies related to the epidemiology of trauma play a major role in determining the health status of the communities living in the vicinity of the centers that they are conducted. We have found no epidemiological study related to emergency service admission conducted only on preschool-aged children in the literature. Our aim (...) was to determine characteristics of trauma in this age group, to analyze encountered trauma types, and to investigate possible associations among epidemiological factors, characteristics of the trauma victims, and trauma itself in pediatric patients admitted to our emergency service.We conducted a prospective study with patients aged 66 months and younger, admitted to Emergency Service of Istanbul Kanuni Sultan Suleyman Training and Research Hospital between July 1, 2015, and December 31, 2015. Data related

2019 Pediatric Emergency Care

76. Management of an Acute Asthma Attack in Adults (aged 16 years and older)

including using sedation in some cases are also factors linked to asthma deaths. Deaths from asthma, while uncommon, are generally preventable and occur usually 53 deaths 99 discharges from ICU 5,396 inpatients discharges 19,370 attendees in ED Approximately 50,000 asthma attendances to GPOOH services 248,400 patients with non-controlled asthma 460,000 people in the Republic of Ireland with doctor-diagnosed-asthma10 | Management of an Acute Asthma Attack in Adults (aged 16 years and older) | A National (...) between people who need hospitalisation and those who could safely be redirected to community services. • GP Out–of-hours (GPOOH) centres are increasingly the first port of call for people experiencing an asthma attack. Therefore medical/nursing staff in these settings need to be as well- trained as in all other settings and in particular need to have close communication with primary care to ensure prompt and appropriate follow-up after the episode. It is particularly important that out-of-hours

2015 National Clinical Guidelines (Ireland)

77. A Geriatric Oncology Collaborative Care Intervention for Older Adults With Advanced Cancer

) and genitourinary (GU) cancers. Condition or disease Intervention/treatment Phase Other Cancer Other: Usual Care Other: Geriatric Oncology Collaborative Care Not Applicable Detailed Description: Cancer disproportionately affects older adults, and the number of older adults with cancer is expected to grow as the population ages. Older adults with advanced cancer often possess a distinct set of medical and psycho-social issues that makes caring for the geriatric oncology population challenging for oncologists (...) on Instrumental Activities of Daily Living (measured with the Multidimensional Functional Assessment Questionnaire from the Older American Resources and Services (OARS)), investigators will use mixed effects models, accounting for repeated measures data and adjusting for relevant covariates (e.g. age and sex) when examining change between groups in Instrumental Activities of Daily Living across multiple time points (e.g. baseline, four months, and six months). Change in number of falls [ Time Frame: 6 months

2018 Clinical Trials

78. Geriatric Assessment and Intervention for Older Patients With Frailty in the Emergency Department

Geriatric Assessment and Intervention for Older Patients With Frailty in the Emergency Department Geriatric Assessment and Intervention for Older Patients With Frailty in the Emergency Department - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove (...) one or more studies before adding more. Geriatric Assessment and Intervention for Older Patients With Frailty in the Emergency Department (GAOPS) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03751319 Recruitment

2018 Clinical Trials

79. Age-Friendliness and Life Satisfaction of Young-Old and Old-Old in Hong Kong Full Text available with Trip Pro

transportation and social participation. Community and health services were associated with life satisfaction for the young-old group only. On the other hand, civic participation and employment was significantly associated with the old-old group only. Social participation is important for the young-old and the old-old. Ageing older adults can be a resource to the society. Implications for promoting and implementing age-friendliness were discussed in the context of successful and productive ageing (...) Age-Friendliness and Life Satisfaction of Young-Old and Old-Old in Hong Kong Age-friendliness, promoted by the World Health Organization (WHO), aims to enable and support individuals in different aspects of life for fostering life satisfaction and personal well-being as they age. We identified specific aspect(s) of age-friendliness associated with life satisfaction and examined similarities and differences in age-friendliness and life satisfaction in young-old and old-old adults. Six hundred

2017 Current gerontology and geriatrics research

80. Measuring outcomes of community aged care programs: challenges, opportunities and the Australian Community Outcomes Measurement ACCOM tool Full Text available with Trip Pro

Measuring outcomes of community aged care programs: challenges, opportunities and the Australian Community Outcomes Measurement ACCOM tool Measuring health and wellbeing outcomes of community aged care programs is a complex task given the diverse settings in which care takes place and the intersection of numerous factors affecting an individual's quality of life outcomes. Knowledge of a strong causal relationship between services provided and the final outcome enables confidence in assuming (...) the care provided was largely responsible for the outcome achieved (Courtney et al., Aust J Adv Nurs 26:49-57, 2009). The Department of Health has recently reported on the findings of The National Aged Care Quality Indicator Program - Home Care Pilot (KPMG, National Aged Care Quality Indicator Program - Home Care Pilot, 2017). The Program sought to test various tools to measure quality of life outcomes of their community aged care programs. Some of the key issues raised in the study reiterate

2018 Health and quality of life outcomes

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