Journal of Clinical Gerontology and Geriatrics最新文献

{"title":"Retrospective analysis of post-treatment apical periodontitis and quality of endodontic treatment and coronal restorations in an elderly Turkish population","authors":"Evren Sarıyılmaz, C. Keskin, Ö. Özcan","doi":"10.1016/J.JCGG.2015.08.003","DOIUrl":"https://doi.org/10.1016/J.JCGG.2015.08.003","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"53 1","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84767266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using innovative teaching strategies to engage students in a gerontology course","authors":"N. Schroeder","doi":"10.1016/J.JCGG.2015.03.004","DOIUrl":"https://doi.org/10.1016/J.JCGG.2015.03.004","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"6 1","pages":"31-32"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74661518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Five items differentiate mild to severe dementia from normal to minimal cognitive impairment—Using the Global Deterioration Scale","authors":"Yoon Jung Choi MD ,&nbsp;Chang Won Won MD, PhD ,&nbsp;Sunyoung Kim MD ,&nbsp;Hyun Rim Choi MD, PhD ,&nbsp;Byung Sung Kim MD, PhD ,&nbsp;Seung Youn Jeon MD ,&nbsp;Sang Yun Kim MD, PhD ,&nbsp;Kun Woo Park MD","doi":"10.1016/j.jcgg.2015.05.004","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.05.004","url":null,"abstract":"<div><h3>Background/Purpose</h3><p>The aim of our study is to develop a concise and effective dementia screening tool for use in primary care, wherein we selected five items from the Global Deterioration Scale (GDS) that were most predictive of dementia diagnosis.</p></div><div><h3>Methods</h3><p>Our study population comprised 191 patients older than 60 years who visited four university hospitals between 2008 and 2011 for impaired memory or medical care. Our 5-item screening tool is an abbreviated version of the GDS. We compared the assessment results obtained through our model with those obtained through the GDS in order to evaluate the accuracy of our tool in detecting dementia.</p></div><div><h3>Results</h3><p>The screening tool had a sensitivity of 91.2%, specificity of 75.0%, a cutoff value of 12.495, and an area under the curve of 0.911 (95% confidence interval, 0.862–0.948; <em>p</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>We anticipate that our abridged GDS, composed of five items, will facilitate a rapid, yet effective assessment of patients in primary care centers. Its use will benefit both patients and medical professionals by minimizing the length of time required to conduct the assessment, and by allowing early diagnosis and care of patients. However, further research with a larger population is required to verify its efficacy.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 1","pages":"Pages 1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72248036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Five items differentiate mild to severe dementia from normal to minimal cognitive impairment—Using the Global Deterioration Scale","authors":"Y. Choi, C. Won, Sunyoung Kim, H. Choi, Byung Sung Kim, S. Jeon, Sang Yun Kim, Kun-Woo Park","doi":"10.1016/J.JCGG.2015.05.004","DOIUrl":"https://doi.org/10.1016/J.JCGG.2015.05.004","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"110 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80575243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of oral cilostazol on acute neurological deterioration and outcome of noncardioembolic minor stroke","authors":"S. Fujimoto, M. Osaki, M. Kanazawa, Naoki Tagawa, M. Kumamoto, Yuichiro Ohya, T. Kitazono","doi":"10.1016/J.JCGG.2015.09.001","DOIUrl":"https://doi.org/10.1016/J.JCGG.2015.09.001","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"10 1","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84215774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using innovative teaching strategies to engage students in a gerontology course","authors":"Nancy R. Schroeder MSN, RN","doi":"10.1016/j.jcgg.2015.03.004","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.03.004","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 1","pages":"Pages 31-32"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72294130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of advanced age as a risk factor for severe Clostridium difficile infection","authors":"Ursula C. Patel PharmD ,&nbsp;Jeffrey T. Wieczorkiewicz PharmD ,&nbsp;Jerry Tuazon PharmD","doi":"10.1016/j.jcgg.2015.06.003","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.06.003","url":null,"abstract":"<div><h3>Background/purpose</h3><p>Although advanced age has been associated with the incidence of <em>Clostridium difficile</em> infection (CDI), its relationship with disease severity remains inconclusive. The objective of this study was to evaluate risk factors, specifically advanced age, which may be associated with the acquisition of severe CDI.</p></div><div><h3>Methods</h3><p>A retrospective chart review at a Veterans Affairs Hospital was conducted on hospitalized veterans aged ≥ 18 years with a positive stool toxin assay for <em>Clostridium difficile</em> between May 2008 and September 2012 (<em>n</em> = 224). One hundred and sixty-one (72%) patients were in the mild–moderate infection group and 63 (28%) patients in the severe infection group. The primary outcome was to determine the effect of advanced age (≥70 years old) on the acquisition of severe CDI. The secondary outcome was to identify other potential risk factors for severe CDI. Disease severity was classified according to the criteria established in the 2010 Society for Healthcare Epidemiology of America/Infectious Disease Society of America practice guidelines for CDI. Demographic and disease-specific data were collected. A logistic regression model was used to identify characteristics predictive of disease severity.</p></div><div><h3>Results</h3><p>Our regression model found advanced age to be significantly associated with severe CDI (odds ratio 2.43, <em>p</em> ≤ 0.005, 95% confidence interval 1.31–4.50). A larger proportion of veterans were diagnosed with severe CDI in the intensive care unit (<em>p</em> = 0.004). In addition, multiple antibiotic use (≥3) and association with severe CDI was statistically significant (34% mild–moderate vs. 48% severe, <em>p</em> = 0.041). The univariate analyses did not reveal any other characteristics predictive of disease severity.</p></div><div><h3>Conclusion</h3><p>Advanced age was associated with severe CDI. A prospective evaluation is warranted to validate this finding. Efforts to identify patients at risk for severe CDI will be important as it may direct treatment and positively affect outcomes.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 1","pages":"Pages 12-16"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72248039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does institutionalization influence perceived metamemory, psychological well-being, and working-memory efficiency in Italian elders? A preliminary study","authors":"Maria Chiara Fastame PhD ,&nbsp;Paul Kenneth Hitchcott PhD ,&nbsp;Maria Pietronilla Penna (Full Professor) ,&nbsp;Giorgio Murino MD","doi":"10.1016/j.jcgg.2015.07.001","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.07.001","url":null,"abstract":"<div><h3>Background/Purpose</h3><p>This study was mainly aimed at investigating the impact of institutionalization on working-memory and self-referent metamemory abilities in a sample of cognitively healthy Italian elders.</p></div><div><h3>Methods</h3><p>Fifteen participants (70–91 years old) were recruited from several nursing homes located in Ogliastra, the central eastern area of Sardinia, which is characterized by a higher longevity of its inhabitants. A further sample of 15 community-dwelling elders was recruited in the same areas. The participants were asked to complete several visuospatial and verbal working-memory tasks, and a battery of questionnaires assessing their psychological well-being, general beliefs about global and prospective-memory efficiency, and personal metamnestic abilities.</p></div><div><h3>Results</h3><p>The results showed that, compared with the community-dwelling participants, the institutionalized elders self-rated lower metamemory efficiency, but they trust more general metamemory functions of a stereotypical adult. Furthermore, no differences were found on the well-being measures between the two groups. These outcomes are not biased by social desirability.</p></div><div><h3>Conclusion</h3><p>These findings suggest that institutionalization selectively impacts self-assessed metamemory functions, but not psychological well-being.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 1","pages":"Pages 6-11"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72248038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of advanced age as a risk factor for severe Clostridium difficile infection","authors":"U. Patel, Jeffrey T Wieczorkiewicz, J. Tuazon","doi":"10.1016/J.JCGG.2015.06.003","DOIUrl":"https://doi.org/10.1016/J.JCGG.2015.06.003","url":null,"abstract":"","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"58 1","pages":"12-16"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90562482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enlargement of the posterior horns of the lateral ventricles and recurrent falls: A clinical study","authors":"Nages Nagaratnam MD, FRACP, FRCPA, FRCP, FACC,&nbsp;Kujan Nagaratnam MBBS, FRACP","doi":"10.1016/j.jcgg.2015.03.001","DOIUrl":"https://doi.org/10.1016/j.jcgg.2015.03.001","url":null,"abstract":"<div><p>This is a retrospective study of 12 patients with enlargement of the posterior horns of the lateral ventricles and recurrent falls. The cause was posterior cortical atrophy in eight patients and white matter disintegration in four. Changes in the gray and white matter in the parieto-occipital regions and ventricular expansion are associated with disintegration of the visuospatial and attentional mechanisms, compromising safe navigation and mobility, and increasing the risk of falls. Age, hypertension, and diabetes in the study could independently increase the risk of falls, and could be factors in the development of structural and functional changes in the areas involved.</p></div>","PeriodicalId":100764,"journal":{"name":"Journal of Clinical Gerontology and Geriatrics","volume":"7 1","pages":"Pages 27-30"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jcgg.2015.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72248035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}