Latest & greatest articles for elderly

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Top results for elderly

981. Life-Space Mobility and Cognitive Decline Among Mexican Americans Aged 75 Years and Older Full Text available with Trip Pro

Life-Space Mobility and Cognitive Decline Among Mexican Americans Aged 75 Years and Older To examine the association between life-space mobility and cognitive decline over a five-year period among older Mexican Americans.Longitudinal study.Hispanic Established Population for the Epidemiologic Study of the Elderly survey conducted in the southwestern of United States (Texas, Colorado, Arizona, New Mexico, and California).Four hundred thirty-two Mexican Americans aged 75 and older with normal (...) to participants in the lowest category (0 to 20) (β = 1.03, Standard Error [SE] = 0.29, P = 0.0004), after adjusting for all covariates.Greater life-space mobility at baseline was predictor of slower rates of cognitive decline over 5 years in older Mexican Americans.© 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

2017 EvidenceUpdates

982. Limited Evidence as to Caries-Protecting Effect of Breastfeeding Compared to Bottle-Feeding in the first 3 to 6 months of age.

Limited Evidence as to Caries-Protecting Effect of Breastfeeding Compared to Bottle-Feeding in the first 3 to 6 months of age. UTCAT3201, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Limited Evidence as to Caries-Protecting Effect of Breastfeeding Compared to Bottle-Feeding in the first 3 to 6 months of age. Clinical Question Does bottle-feeding, compared to breastfeeding, result in more caries in the primary

2017 UTHSCSA Dental School CAT Library

983. Silver Diamine Fluoride is More Effective in Arresting and Preventing Root Caries in the Elderly Population than Sodium Fluoride Varnish

on these facts the articles should be considered valid. Perspective: Although the study was conducted on institutionalized dependent elderly population, it is expected that the results would still be the same if it is performed on functionally independent elderly populations considering that the two materials are professionally applied. Applicability Due to improvement in dental awareness, many people now retain their to older age but gingival recession exposes the root. Thus prevalence of root caries (...) Silver Diamine Fluoride is More Effective in Arresting and Preventing Root Caries in the Elderly Population than Sodium Fluoride Varnish UTCAT3173, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Silver Diamine Fluoride is More Effective in Arresting and Preventing Root Caries in the Elderly Population than Sodium Fluoride Varnish Clinical Question Is silver diamine fluoride (SDF) more effective in arresting

2017 UTHSCSA Dental School CAT Library

984. Longevity of 3-Unit Bridge Restorations Utilizing CAD/CAM Technology Is Comparable to That of Metal-Ceramic Castings

Longevity of 3-Unit Bridge Restorations Utilizing CAD/CAM Technology Is Comparable to That of Metal-Ceramic Castings UTCAT3157, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Longevity of 3-Unit Bridge Restorations Utilizing CAD/CAM Technology Is Comparable to That of Metal-Ceramic Castings Clinical Question In a patient needing a 3-unit bridge, does CAD/CAM technology lead to increased longevity as compared (...) CAD-CAM and metal-ceramic FPDs would have both been 100% had it not been for a “longitudinal root fracture seen in an endodontically treated abutment tooth.” Reich/2005 did not measure survival rates. It is commonly understood, however, that a more intimate marginal fit a between 3-unit prostheses and their respective abutment teeth will lead to increased clinical longevity due to an improved retention and resistance form. This is supported by fixed prosthodontics literature. Perspective

2017 UTHSCSA Dental School CAT Library

985. Children's migration and lifestyle-related chronic disease among older parents ‘left behind’ in india Full Text available with Trip Pro

having migrant (adult) children and older parents' lifestyle-related chronic disease in India. Bi-variate and multivariate analysis are conducted using data from a representative sample of 9507 adults aged 60 and older in seven Indian states from the UNFPA project 'Building Knowledge Base on Ageing in India'. The results show that for any of the diagnosed conditions of hypertension, diabetes and heart disease, the prevalence among older people with a migrant son is higher than among those without (...) . More specifically, the odds ratio of reporting a lifestyle-related chronic disease is higher among older adults with at least one adult son living in another district, State or outside India than those with their children living closer. This study contributes empirical evidence to the academic and policy debate about the consequences of globalization and urbanization for older people's health status generally, and particularly their risk for reporting chronic diseases that relate to changes

2017 SSM - population health

986. Education, race/ethnicity, and multimorbidity among adults aged 30–64 in the National Health Interview Survey Full Text available with Trip Pro

Education, race/ethnicity, and multimorbidity among adults aged 30–64 in the National Health Interview Survey Demographic risk factors for multimorbidity have been identified in numerous population-based studies of older adults; however, there is less data on younger populations, despite the fact that approximately 24% of US adults age 18+ have multimorbidity. Understanding multimorbidity earlier in the life course is critical because of the increased likelihood of long-term disability (...) and demographic research on the burden of multimorbidity among non-elderly adults is limited, but warrants renewed attention given the potential for long-term loss of quality of life, productivity, and well-being for non-elderly adults. Reducing multimorbidity through health promotion efforts across the socioeconomic spectrum and earlier in the life course will be a requirement to age successfully and support overall well-being in the aging US population.

2017 SSM - population health

987. Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients. Full Text available with Trip Pro

Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients. Laparoscopic transabdominal preperitoneal inguinal hernia repair is a safe and effective technique. In this study we tested the hypothesis that self-gripping mesh used with the laparoscopic approach is comparable to polypropylene mesh in terms of perioperative complications, against a lower overall cost of the procedure. We carried out

2017 Open medicine (Warsaw, Poland) Controlled trial quality: uncertain

988. Exposure to any antenatal corticosteroids and outcomes in preterm infants by gestational age: prospective cohort study. Full Text available with Trip Pro

Exposure to any antenatal corticosteroids and outcomes in preterm infants by gestational age: prospective cohort study. Objective To determine whether exposure to any antenatal corticosteroids is associated with a lower rate of death at each gestational age at which administration is currently recommended.Design Prospective cohort study.Settings 300 participating neonatal intensive care units of the Pediatrix Medical Group in the United States.Participants 117 941 infants 23 0/7 to 34 6/7 weeks (...) ' gestational age born between 1 January 2009 and 31 December 2013.Exposure Any antenatal corticosteroids.Main outcomes measures Death or major hospital morbidities analyzed by gestational age and exposure to antenatal corticosteroids with models adjusted for birth weight, sex, mode of delivery, and multiple births.Results Infants exposed to antenatal corticosteroids (n=81 832) had a significantly lower rate of death before discharge at each gestation 29 weeks or less, 31 weeks, and 33-34 weeks compared

2017 BMJ

989. Association of Childhood Blood Lead Levels With Cognitive Function and Socioeconomic Status at Age 38 Years and With IQ Change and Socioeconomic Mobility Between Childhood and Adulthood. Full Text available with Trip Pro

Association of Childhood Blood Lead Levels With Cognitive Function and Socioeconomic Status at Age 38 Years and With IQ Change and Socioeconomic Mobility Between Childhood and Adulthood. Many children in the United States and around the world are exposed to lead, a developmental neurotoxin. The long-term cognitive and socioeconomic consequences of lead exposure are uncertain.To test the hypothesis that childhood lead exposure is associated with cognitive function and socioeconomic status (...) in adulthood and with changes in IQ and socioeconomic mobility between childhood and midlife.A prospective cohort study based on a population-representative 1972-1973 birth cohort from New Zealand; the Dunedin Multidisciplinary Health and Development Study observed participants to age 38 years (until December 2012).Childhood lead exposure ascertained as blood lead levels measured at age 11 years. High blood lead levels were observed among children from all socioeconomic status levels in this cohort.The IQ

2017 JAMA

990. Effect of Vitamin D and Calcium Supplementation on Cancer Incidence in Older Women: A Randomized Clinical Trial. (Abstract)

Effect of Vitamin D and Calcium Supplementation on Cancer Incidence in Older Women: A Randomized Clinical Trial. Evidence suggests that low vitamin D status may increase the risk of cancer.To determine if dietary supplementation with vitamin D3 and calcium reduces the risk of cancer among older women.A 4-year, double-blind, placebo-controlled, population-based randomized clinical trial in 31 rural counties (June 24, 2009, to August 26, 2015-the final date of follow-up). A total of 2303 healthy (...) postmenopausal women 55 years or older were randomized, 1156 to the treatment group and 1147 to the placebo group. Duration of treatment was 4 years.The treatment group (vitamin D3 + calcium group) received 2000 IU/d of vitamin D3 and 1500 mg/d of calcium; the placebo group received identical placebos.The primary outcome was the incidence of all-type cancer (excluding nonmelanoma skin cancers), which was evaluated using Kaplan-Meier survival analysis and proportional hazards modeling.Among 2303 randomized

2017 JAMA Controlled trial quality: predicted high

991. Association between baseline frailty and driving status over time: a secondary analysis of The National Health and Aging Trends Study Full Text available with Trip Pro

Association between baseline frailty and driving status over time: a secondary analysis of The National Health and Aging Trends Study Continued automobile driving is important for the wellbeing and independence of older adults. Frailty has been associated with a variety of negative health outcomes, but studies are lacking on the potential association between frailty and driving status. The present study uses data from The National Health and Aging Trends Study (NHATS) to assess if the presence (...) of frailty is associated with being a current non-driver.NHATS is a nationally representative cohort study of Medicare beneficiaries (aged ≥65) that have been followed since 2011. We examined frailty status at baseline (Fried's frailty phenotype) and driving status over 4 years (from 2011 to 2014) excluding never drivers at baseline. Multivariable Poisson regression was used to obtain incidence rate ratios, adjusting for covariates and clustering. To account for the repeated measures in the data

2017 Injury epidemiology

992. Sex differences in coronary heart disease and stroke mortality: a global assessment of the effect of ageing between 1980 and 2010 Full Text available with Trip Pro

was higher in men than in women throughout adulthood, but the magnitude of the difference varied by age. Men-to-women CHD mortality rate ratios were 4-5 in middle age (30-64 years) and 2 thereafter (65-89 years). Stroke mortality was more similar between sexes, with men-to-women stroke mortality rate ratios of around 1.5-2 until old age.While CHD and stroke mortality rates declined considerably between 1980 and 2010 in both sexes, there was some indication for stronger age-specific reductions in CHD (...) in men than women. Mortality from CHD and stroke remains higher among men than women until old age across a range of economically, socially and culturally diverse countries.

2017 BMJ global health

993. Efficacy and Safety of Docetaxel in Elderly Patients With Metastatic Castration-Resistant Prostate Cancer Full Text available with Trip Pro

groups. The median OS was longer in the group of patients younger than age 65 years (19.6 v 12.4 v 12.3 months; P = .012). Rates of any grade 3 or higher adverse event were not different among groups (63.2% v 71.8% v 54.5%; P = .14).Administration of docetaxel in elderly patients who had good performance status was well tolerated. Rates of PSA decline and TTP were similar to those of younger patients, but median survival was lower. (...) Efficacy and Safety of Docetaxel in Elderly Patients With Metastatic Castration-Resistant Prostate Cancer Limited data are available about the tolerability and clinical outcomes of elderly patients with metastatic castration-resistant prostate cancer (mCRPC) who are treated with docetaxel. We evaluated the efficacy and safety of docetaxel as first-line chemotherapy for patients with mCRPC who were treated in our institution.We retrospectively identified patients with mCRPC and a Karnosfky

2017 Journal of global oncology

994. Effect of Topical Application of Nigella Sativa Oil and Oral Acetaminophen on Pain in Elderly with Knee Osteoarthritis: A Crossover Clinical Trial. Full Text available with Trip Pro

Effect of Topical Application of Nigella Sativa Oil and Oral Acetaminophen on Pain in Elderly with Knee Osteoarthritis: A Crossover Clinical Trial. Limited evidence supports Nigella sativa's role as an effective complementary and alternative medicine and the anti-inflammatory effects of Nigella sativa on patients with allergic rhinitis.The aim of this study was to investigate the effect of topical application of Nigella sativa oil and oral acetaminophen on pain in the elderly with knee (...) osteoarthritis residing in a parents' home in Sabzevar.This study is done as a crossover clinical trial. After obtaining written consent of elderly patients with osteoarthritis of the knee, they were randomly divided into two groups. In step 1, in group 1, 1 cc of Nigella sativa oil was applied on the knee joint every 8 hours for 3 weeks; for the second group, every 8 hours for 3 weeks, patients were given 1 tablet of 325 mg acetaminophen. After a period of 1 month without medication to wash out each group

2017 Electronic physician Controlled trial quality: uncertain

995. Lack of Diversity in Personal Health Record Evaluations with Older Adult Participants: A Systematic Review of Literature. Full Text available with Trip Pro

Lack of Diversity in Personal Health Record Evaluations with Older Adult Participants: A Systematic Review of Literature. Older adults are not adopting personal health records (PHRs) at the same rates as other adult populations. Disparities in adoption rates are also reported in older adult subgroups. The variability in adoption may be because PHRs are not designed to meet older adult users.We analyzed PHR evaluation studies to examine the characteristics and perspectives of older adult study (...) participants to identify their self-reported needs.We searched Medline, CINAHL, PsycINFO, and Embase for PHR evaluation studies that involved older adult participants.1017 abstracts were identified, and 179 publications went through full text review. 10 publications met inclusion criteria. These publications described studies conducted in 3 countries, and evaluated 7 PHRs. Homogeneity was found in the study populations and participant opinions of the systems.Many PHR evaluations do not include diverse

2017 Journal of innovation in health informatics

996. The association between death anxiety with spiritual experiences and life satisfaction in elderly people Full Text available with Trip Pro

The association between death anxiety with spiritual experiences and life satisfaction in elderly people Death anxiety is a concept with greater importance among the elderly as they approach inevitability of death. Identifying the correlates of death anxiety among old people is important in order to reduce the burden of this problem. Therefore, the present study was performed with the aim to examine the association between spiritual experiences and life satisfaction with death anxiety (...) in this stage of life.This cross-sectional study with descriptive-analytical design included 190 elderly people visiting the health and medical centers of Neyshabur city, Iran, during fall and winter, 2016. Participants were asked to complete three questionnaires including a 16-item spiritual experiences scale, life satisfaction index proposed by Wood and Shifor with 13 items, and a 27-item death anxiety scale developed by Aminpour. Analytical statistics (Spearman's correlation coefficient, Pearson's

2017 Electronic physician

997. The necessity of colorectal cancer screening for elderly patients Full Text available with Trip Pro

The necessity of colorectal cancer screening for elderly patients 28447054 2018 11 13 2415-1289 2 2017 Translational gastroenterology and hepatology Transl Gastroenterol Hepatol The necessity of colorectal cancer screening for elderly patients. 19 10.21037/tgh.2017.03.03 Kudo Shin-Ei SE Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. Kudo Toyoki T Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. eng Editorial Comment

2017 Translational gastroenterology and hepatology

998. Melatonin regulates the aging mouse hippocampal homeostasis via the sirtuin1-FOXO1 pathway Full Text available with Trip Pro

. An attempt has been made to determine whether the effect of melatonin is mediated through the SIRT1-FOXO1 pathways. The present results showed that aged mice (22 months old) exhibited significantly downregulated SIRT1, FOXO1, and melatonin receptors MT1 and MT2 protein expression but upregulated tumor suppressor protein 53 (p53), acetyl-p53 protein (Ac-p53), mouse double minute 2 homolog (MDM2), Dickkopf-1 (DKK1) protein expression in mouse hippocampus compared with the young group. Melatonin treatment (...) Melatonin regulates the aging mouse hippocampal homeostasis via the sirtuin1-FOXO1 pathway Sirtuin1 (SIRT1) and forkhead box transcription factor O subfamily 1 (FOXO1) play vital roles in the maintenance of hippocampal neuronal homeostasis during aging. Our previous study showed that melatonin, a hormone mainly secreted by the pineal gland, restored the impaired memory of aged mice. Age-related neuronal energy deficits contribute to the pathogenesis of several neurodegenerative disorders

2017 EXCLI journal

999. Lack of Influence of Calcium/Phosphorus Ratio on Hip and Lumbar Bone Mineral Density in Older Americans: NHANES 2005-2006 Cross-Sectional Data Full Text available with Trip Pro

in a representative sample of older US men and women.For the 1228 men and women aged 50 to 70 and ≥71 years included in the National Health and Nutrition Examination Survey (NHANES) 2005 to 2006 cycle, quintiles of the dietary Ca:P ratio were tested for their association with hip and lumbar BMD after adjusting for body mass index (BMI). All data in this observational study were cross-sectional.Women typically have higher dietary Ca:P ratios than men and lower BMDs. No trend emerged for any age or sex group when (...) Lack of Influence of Calcium/Phosphorus Ratio on Hip and Lumbar Bone Mineral Density in Older Americans: NHANES 2005-2006 Cross-Sectional Data We sought to ascertain the effect of a low dietary calcium/phosphorus (Ca:P) ratio on the bone health of older adults in the United States. The present analysis assessed whether a high dietary consumption of P, which generally leads to a low dietary Ca:P ratio, has an unfavorable effect on the bone mineral density (BMD) of the hip and lumbar vertebrae

2017 Journal of the Endocrine Society

1000. Case Management for Frail Elderly in the Community Setting: Clinical Effectiveness, Cost-Effectiveness, and Guidelines

technology assessment, seven systematic reviews and meta-analyses, 15 randomized control trials, and four economic evaluations were identified regarding case management for frail elderly in the community setting. Additionally, two evidence-based guidelines were identified regarding case management for frail elderly in the community setting. Tags geriatrics, aged, 80 and over, case management, community health nursing, dementia, frail elderly, home care services, home nursing, homemaker services, case (...) Case Management for Frail Elderly in the Community Setting: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Case Management for Frail Elderly in the Community Setting: Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Case Management for Frail Elderly in the Community Setting: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Case Management for Frail Elderly in the Community Setting: Clinical Effectiveness, Cost

2017 Canadian Agency for Drugs and Technologies in Health - Rapid Review