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Community Services for the Elderly

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161. Sialanar (glycopyrronium) - for treating severe drooling of saliva in children and adolescents (aged 3 years and above) with conditions affecting the nervous system, such as cerebral palsy, epilepsy and neurodegenerative diseases

mg/ kg/day. Nevertheless, clinical data showed that in children from the age of 5 years and adult patients, up to 500 mg/kg/day of propylene glycol could generally be considered safe. In the absence of compelling data this safety threshold was decreased to 50 mg/kg/day in children less than 5 years old as indicated in in CHMP assessment on propylene glycol (EMA/175205/2014). The exposure in this product is equivalent to 0.865 mg/kg/day as defined by the applicant; this is well below the set (...) Sialanar (glycopyrronium) - for treating severe drooling of saliva in children and adolescents (aged 3 years and above) with conditions affecting the nervous system, such as cerebral palsy, epilepsy and neurodegenerative diseases 30 Churchill Place ? Canary Wharf ? London E14 5EU ? United Kingdom An agency of the European Union Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5520 Send a question via our website www.ema.europa.eu/contact 21 July 2016 EMA/555265/2016 Committee

2016 European Medicines Agency - EPARs

162. Employment Interventions for Return to Work in Working Aged Adults Following Traumatic Brain Injury (TBI): A Systematic Review Full Text available with Trip Pro

expenses ( ; ; ; ; ; Te ), communities and employers experience lost workdays and productivity (Te ; ; ). TBI can also impose substantial burdens on governments through publicly funded healthcare, rehabilitation service costs, and financial support for injured persons (Te ; ; ). The Centers for Disease Control and Prevention (CDC) in the United States, estimated that the medical and indirect costs of TBI (e.g., lost productivity) in 2010 were $76.5 billion in the United States ( ; ), while the total (...) of a minority group (Arango‐ ; ; ; ) History of substance abuse ( ; ; Hollar, McAweeney, & Moore, 2008; ; ) Financial status and receipt of a settlement or public benefits following the injury ( ) 1.2 THE INTERVENTION 1.2.1 Post‐Acute Return‐to‐Work Interventions Following acute care, post‐acute rehabilitation services focus on helping individuals adjust to ongoing impairments and re‐enter their communities, workplaces, schools, etc. Post‐acute interventions are broadly classified into the following groups

2016 Campbell Collaboration

163. Influencing the trajectories of ageing

with longevity in a Japanese population, as demonstrated in the following paper: Zarse K, et al. (2011). Low-dose lithium uptake promotes longevity in humans and metazoans. Eur J Nutr. 50(5), 387–389. 14 Moore AZ, et al. (2014). Difference in muscle quality over the adult life span and biological correlates in the Baltimore Longitudinal Study of Aging. J Am Geriatr Soc. 62(2), 230–236. The Academy of Medical Sciences 11 distinctive differences in the levels of certain metabolites in the bloodstream of people (...) 6 The state of play in ageing research 8 The biology of intrinsic ageing 8 The clinical perspective of geriatrics and functional decline 10 Multimorbidity and frailty 11 Socioeconomic determinants of ageing 12 Psychological factors and cognition 13 What are the implications for predicting longevity and health? 16 How can we use the science to better understand longevity trends and manage longevity uncertainty? 16 Panel discussion 1: what are the implications for predicting longevity and health

2016 Academy of Medical Sciences

164. An update to the Greig Health Record: Preventive health care visits for children and adolescents aged 6 to 17 years ? Technical report

for sexual activity In Canada, the criminal code defines the age of consent for sexual activity as 16 years for non-exploitative activity and as 18 years for situations involving prostitution, pornography or in relationships where there is a difference in authority or dependence. There are close-in-age exceptions. For 14- or 15- year-olds, the relationship must be non-exploitative and the partner must be < 5 years older. For 12- and 13-year-olds, the partner must be < 2 years older. For details, see (...) the strength of the recommendation. The checklist tables are divided arbitrarily into early, middle and late age groupings, but it is important to remember that children develop at different rates and screening questions should be tailored to each individual. For example, it may be appropriate to discuss pubertal development with some 8- or 9- year-olds, especially girls, but not appropriate for their less mature peers. A small area for family history is included on the top left-hand corner of each

2016 Canadian Paediatric Society

165. Aboriginal and Torres Strait Islander Ageing in Australia

that allows older people to be cared for within their community. 5. The ANZSGM aims to improve access to specialist Geriatric medical services to aid in the delivery of health care to older Aboriginal and Torres Strait Islander Australians. For older people living in rural and remote areas, access to specialist health care services can be a challenge. This might be overcome, in part, by the provision of specialist outreach and telehealth services. 6. The ANZSGM supports appropriate cultural competency (...) , and that conditions of ageing tend to affect people at a younger age than they do other Australians. 4. The ANZSGM recognises that the care needs of older Aboriginal and Torres Strait Islander Australians may differ from those of other Australians, and recognises the need for Aged Care services that are both accessible and culturally appropriate. Aboriginal and Torres Strait Islander people utilise dementia and aged care services at a younger age than other Australians. There is a need for service provision

2016 Australian and New Zealand Society for Geriatric Medicine

166. The Aging, Community and Health Research Unit—Community Partnership Program for older adults with type 2 diabetes and multiple chronic conditions: a feasibility study Full Text available with Trip Pro

The Aging, Community and Health Research Unit—Community Partnership Program for older adults with type 2 diabetes and multiple chronic conditions: a feasibility study Few studies have examined the effectiveness of community-based self-management interventions in older adults with type 2 diabetes mellitus (T2DM) and multiple chronic conditions (MCC). The objectives of this study were to examine the feasibility of implementation in practice (primary) and the feasibility of study methods (...) and potential effectiveness (secondary) of the Aging, Community and Health-Community Partnership Program, a new 6-month interprofessional, nurse-led program to promote diabetes self-management in older adults (>65 years) with T2DM and MCC.This study used a prospective one-group pre-test/post-test design. Participants were recruited from a specialized diabetes clinic. They received a median of three in-home/clinic visits by certified diabetes educators (CDEs) and attended a median of three group wellness

2016 Pilot and feasibility studies Controlled trial quality: predicted high

167. Prevention of Dehydration in Geriatric Patients in Long-Term Care

[Internet]. 4th ed. New York (NY): Springer Publishing Company; 2012. p. 419-38. http://consultgerirn.org/topics/hydration_management/want_to_know_more See: Nursing Care Strategies, A. Risk identification, no. 2 Summary available from: http://www.guideline.gov/content.aspx?id=43929 2. Smith CM, Cotter V. Age-related changes in health. In: Boltz M, Capezuti E, Fulmer T, Zwicker D, editors. Evidence-based geriatric nursing protocols for best practice [Internet]. 4th ed. New York (NY): Springer Publishing (...) : Recognition: Step 1 (Tables 1 & 2), Step 2 Assessment: Steps 3-6 Monitoring and Prevention: Steps 9 and 10 PREPARED BY: Canadian Agency for Drugs and Technologies in Health Tel: 1-866-898-8439 www.cadth.ca Prevention of Dehydration in Geriatric Patients in Long-Term Care 3 APPENDIX – FURTHER INFORMATION: Systematic Reviews and Meta-analyses – Setting Not Specified 5. Hodgkinson B, Evans D, Wood J. Maintaining oral hydration in older adults: a systematic review. Int J Nurs Pract. 2003 Jun;9(3):S19-S28

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

168. Overcoming barriers to interprofessional education in gerontology: the Interprofessional Curriculum for the Care of Older Adults Full Text available with Trip Pro

programs and offerings to advance education and interdisciplinary patient care, there is an unmet need for geriatric IPE, especially as it relates to community-dwelling older adults and caregivers in medically underserved areas. A core group of university faculty from multiple disciplines received funding from the Health Resources and Services Administration Geriatric Workforce Enhancement Program to collaborate with community-based providers from several Area Agencies on Aging in the creation (...) Overcoming barriers to interprofessional education in gerontology: the Interprofessional Curriculum for the Care of Older Adults A fragmented workforce consisting of multiple disciplines with varying levels of training and limited ability to work as a team often provides care to older adults. Interprofessional education (IPE) is essential for preparing practitioners for the effective teamwork required for community-based, holistic, person-centered care of the older adults. Despite numerous

2018 Advances in medical education and practice

169. Self-care difficulties and reliance on support among vulnerable middle-aged and older adults with chronic conditions: A cross-sectional study. (Abstract)

Self-care difficulties and reliance on support among vulnerable middle-aged and older adults with chronic conditions: A cross-sectional study. Chronic conditions are pervasive among middle-aged and older adults. This study identified: (1) factors associated with participants reporting difficulties self-managing their chronic condition(s); and (2) factors associated with participants' reliance on external sources for ongoing help and support to improve their health and manage their health (...) conditions.Cross-sectional data were collected using the National Council on Aging Chronic Care Survey, a nationally representative telephone survey of adults aged 45 years and older with at least one chronic condition.Self-care difficulties among middle-aged and older adults with one or more chronic conditions and factors associated with reliance on ongoing help and support were examined.Among 731 middle-aged and older adults with one or more chronic conditions, 31% of participants reported their health

2017 Maturitas

170. A randomized control trial feasibility evaluation of an mHealth intervention for wheelchair skill training among middle-aged and older adults Full Text available with Trip Pro

A randomized control trial feasibility evaluation of an mHealth intervention for wheelchair skill training among middle-aged and older adults Providing mobility skills training to manual wheelchair (MWC) users can have a positive impact on community participation, confidence and quality of life. Often such training is restricted or not provided at all because of the expense of, and limited access to, occupational and physical therapists before and after discharge. This is particularly true (...) among middle-aged and older adults, who often have limited access to rehabilitation services and require more time to learn motor skills. A monitored MWC skills training home program, delivered using a computer tablet (mHealth), was developed as an alternative approach to service delivery. The purpose of this study was to evaluate the feasibility of implementing this mHealth MWC skills training program among middle-aged and older adults.A 2 × 2 factorial design randomized controlled trial (RCT

2017 PeerJ Controlled trial quality: uncertain

171. Adapting a Psychosocial Intervention for Smartphone Delivery to Middle-Aged and Older Adults with Serious Mental Illness. Full Text available with Trip Pro

the type and intensity of clinical support needed to successfully implement smartphone applications as a component of community-based services for older adults with psychiatric and medical conditions.Copyright © 2017 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved. (...) Adapting a Psychosocial Intervention for Smartphone Delivery to Middle-Aged and Older Adults with Serious Mental Illness. To describe the process of adapting an integrated medical and psychiatric self-management intervention to a smartphone application for middle-aged and older adults with serious mental illness using an adaptive systems engineering framework and user-centered design.First, we determined the technical abilities and needs of middle-aged and older adults with serious mental

2017 The American Journal of Geriatric Psychiatry

172. Which factors affect health care use among older Germans? Results of the German ageing survey. Full Text available with Trip Pro

Which factors affect health care use among older Germans? Results of the German ageing survey. It remains an open question how changes in predisposing, enabling, and need factors affect health care use. Consequently, we aimed to investigate how changes in these variables affect health care use in community-dwelling older persons longitudinally.Data from two waves of the German Ageing Survey (DEAS), a representative sample of the community-dwelling German population aged ≥40 years, was used (...) underline the importance of need factors for health care use. Virtually none of the predisposing factors nor enabling resources affected health care use. These findings might indicate that individuals in the second half of life use health care services adequately, i.e. when medically indicated.

2017 BMC health services research

173. Changes over time in the health and functioning of older people moving into care homes: analysis of data from the English Longitudinal Study of Ageing. Full Text available with Trip Pro

Changes over time in the health and functioning of older people moving into care homes: analysis of data from the English Longitudinal Study of Ageing. the number of people requiring care home support is projected to rise in future years, but little information is available on the needs of new care home residents.to measure the health and functioning of people moving into care homes and how they have changed between 2002 and 2015.English Longitudinal Study of Ageing.two hundred fifty-four (...) was observed.the support needs of care home entrants in England appear to be increasing over time. This has important implications for the provision and funding of care home places and community services.© The Author 2017. Published by Oxford University Press on behalf of the British Geriatrics Society

2017 Age and ageing

174. Exposure to statins in early old age but not in late old age may be associated with a lower risk of developing Alzheimer's disease Full Text available with Trip Pro

disease Article Text Prognosis Exposure to statins in early old age but not in late old age may be associated with a lower risk of developing Alzheimer's disease Free Paul B Rosenberg Statistics from Altmetric.com Question Question Do statins reduce the risk of Alzheimer's disease (AD), and is this influenced by age or presence of apolipoprotein E (APOE) ε4 allele? Population 3392 members of a health maintenance organisation, aged 65 or older and without dementia. Setting Community based (Seattle-area (...) Exposure to statins in early old age but not in late old age may be associated with a lower risk of developing Alzheimer's disease Exposure to statins in early old age but not in late old age may be associated with a lower risk of developing Alzheimer's disease | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see

2011 Evidence-Based Mental Health

175. Food Supplementation for Improving the Physical and Psychosocial Health of Socio?economically Disadvantaged Children Aged Three Months to Five Years: A Systematic Review Full Text available with Trip Pro

Knowledge Centre for the Health Services, Oslo, Norway Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Canada Department of Psychology & Division of Haematology/Oncology, The Hospital for Sick Children, Toronto, Canada Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Canada Department of Social & Environmental Health Research, Faculty of Public Health & Policy, London School of Hygiene and Tropical Medicine, London, UK School of Psychology (...) , Faculty of Medicine, University of Montreal, Quebec, Canada Centre for Primary Care and Public Health, Barts and the London School of Medicine and Dentistry, London, UK Cochrane Musculoskeletal Group, Ottawa, Canada Norwegian Knowledge Centre for the Health Services, Oslo, Norway Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Canada Department of Psychology & Division of Haematology/Oncology, The Hospital for Sick Children, Toronto, Canada Department of Epidemiology

2015 Campbell Collaboration

176. Neurobehavioural Development of Infants Born <30 Weeks Gestational Age Between Birth and Five Years of Age

, communication, self-management). It provides standard and scaled scores based on normative and disability samples, and is validated for children with a range of physical and behavioural conditions, including children who use mobility devices. Caregivers will complete the PEDI-CAT on an iPad during their child's assessment. Little DCD Questionnaire [ Time Frame: 4.5-5 years corrected age ] The Little Developmental Coordination Disorder Questionnaire (Little DCD)27 is a parent-completed measure which (...) Neurobehavioural Development of Infants Born <30 Weeks Gestational Age Between Birth and Five Years of Age Neurobehavioural Development of Infants Born <30 Weeks Gestational Age Between Birth and Five Years of Age - 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

2017 Clinical Trials

177. Prevalence, associated risk factors of depression and mental health needs among geriatric population of an urban slum, Cuttack, Odisha. Full Text available with Trip Pro

Prevalence, associated risk factors of depression and mental health needs among geriatric population of an urban slum, Cuttack, Odisha. To find the prevalence of depression among elderly population of urban slum of Cuttack and to study its association with sociodemographic factors, comorbidities, and various life events and also to explore the mental health needs of the study subjects as perceived by them.It was a cross-sectional study carried out in the urban slum, Jobra of Cuttack city (...) in Odisha. Simple random sampling was done using random number table to select the study subjects. Predesigned pretested questionnaire including Geriatric Depression Scale, Lawton's Instrumental Activities of Daily Living, and Katz Index of Independence in Activities of Daily living and questions on important life events including their perceptions regarding existing mental health services were used for data collection. Data were analyzed using SPSS, and binary logistic analysis was done to find

2019 International Journal of Geriatric Psychiatry

178. Pharmacist-led medication reviews for geriatric residents in German long-term care facilities. Full Text available with Trip Pro

Pharmacist-led medication reviews for geriatric residents in German long-term care facilities. The benefit of medication reviews for long-term care (LTC) residents has been generally recognized throughout health care systems. Whereas many studies showed the impact of comprehensive medication reviews performed by specialized clinical pharmacists, little is known about the impact of medication reviews performed by community pharmacists. Involving them in the provision of medication reviews may (...) . The identification of potentially severe drug-drug interactions and PIM showed the highest agreement (88 and 73%) with the reference system.The medication review program of community pharmacists for LTC residents led to the identification of relevant DRPs. The reference system assessing the quality of the service can contribute to its transparency and reveals the potential for its improvement. The community pharmacists' knowledge of the LTC residents and their relation to the prescribers is crucial for providing

2019 BMC Geriatrics

179. Protocol of a feasibility study for cognitive assessment of an ageing cohort within the Southeast Asia Community Observatory (SEACO), Malaysia. Full Text available with Trip Pro

Protocol of a feasibility study for cognitive assessment of an ageing cohort within the Southeast Asia Community Observatory (SEACO), Malaysia. There is a growing proportion of population aged 65 years and older in low-income and middle-income countries. In Malaysia, this proportion is predicted to increase from 5.1% in 2010 to more than 15.4% by 2050. Cognitive ageing and dementia are global health priorities. However, risk factors and disease associations in a multiethnic, middle-income (...) findings will be made available as community briefs on the SEACO website.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

2017 BMJ open

180. Severe acute malnutrition in children aged under 5 years can be successfully managed in a non-emergency routine community healthcare setting in Ghana. Full Text available with Trip Pro

Severe acute malnutrition in children aged under 5 years can be successfully managed in a non-emergency routine community healthcare setting in Ghana. This study investigated the performance of community-based management of severe acute malnutrition (CMAM) within routine healthcare services in Ghana. This was a retrospective cohort study of n = 488 children (6-59 months) who had received CMAM. Data for recovery, default, and mortality rates were obtained from enrolment cards in 56 outpatient (...)  < .001). The average weight gain was 4.7 g-1 ·kg-1 ·day-1 , which was influenced by MUAC status at baseline, β = .78, 95% CI [0.46, 1.00], p < .001, presence of malaria, β = -1.25, 95% CI [-1.58, 0.92], p < .001, and length of stay, β = 0.13, 95% CI [0.08, 0.18], p < .001. The default rate (28.5%) was higher than international standards recommendations by Sphere. Mortality rate (1.6%) was lower than international standards. Our findings suggest that community-based management of SAM can achieve

2017 Maternal & child nutrition

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