The open geriatric medicine journal最新文献_第2页

End Stage Dementia and Entropy Definition of Suffering 终末期痴呆和痛苦的熵定义

The open geriatric medicine journal Pub Date : 2009-02-27 DOI: 10.2174/1874827900902010005

B. Z. Aminoff

{"title":"End Stage Dementia and Entropy Definition of Suffering","authors":"B. Z. Aminoff","doi":"10.2174/1874827900902010005","DOIUrl":"https://doi.org/10.2174/1874827900902010005","url":null,"abstract":"Objectives: A new definition of human suffering and satisfaction according to the entropy hypothesis may fa- cilitate comprehension of health, disease and the aging process. Methods: A cohort study of 71 patients (28 females, 43 males), with very advanced dementia, who died in our ward dur- ing the study period. The intense suffering level of end-stage dementia patients was evaluated by the Mini-Suffering State Examination (MSSE) scale. Results: Suffering level in end-stage dementia has a significant correlation with short survival, advancing age, more se- vere illness, malnutrition, the existence of decubitus ulcers, and the administration of medications. Established correla- tions could be explained by the enhanced level of the patients' body entropy. Discussion: Suffering and satisfaction are functional levels of human entropy. An elevated level of human entropy is a measure of disorder, a process of aging and torment of the patient. a perceived threat to the integrity of the self, perceived help- lessness in the face of that threat, and exhaustion of psycho- social and personal resources of coping. The model proposed by Cherny, Coyle, Foley (10) described suffering as an aver- sive experience, characterized by the perception of personal distress which is generated by adverse factors that undermine quality-of-life. Cherny (11) proposed the triangular model of suffering and taxonomy of factors, prevalence of distress experienced by patients, their families, and their attending health care professionals.","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"2 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2009-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092327","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}

引用次数: 0

Customer Satisfaction as a Quality Factor in Geriatric Rehabilitation 顾客满意度作为老年康复的质量因素

The open geriatric medicine journal Pub Date : 2009-01-27 DOI: 10.2174/1874827900902010001

M. Colombo, A. Guaita, Albert Cottino, M. Cairati, Danila Ferrari, Giorgio Previderè, G. Procino, M. Gandolfi, Rosaria Tararà, Angela Mercanti

{"title":"Customer Satisfaction as a Quality Factor in Geriatric Rehabilitation","authors":"M. Colombo, A. Guaita, Albert Cottino, M. Cairati, Danila Ferrari, Giorgio Previderè, G. Procino, M. Gandolfi, Rosaria Tararà, Angela Mercanti","doi":"10.2174/1874827900902010001","DOIUrl":"https://doi.org/10.2174/1874827900902010001","url":null,"abstract":"Customer satisfaction is relevant for geriatric rehabilitation, besides objective outcomes. We aimed at measur- ing customer satisfaction at discharge from our rehabilitative wards, and at singling out its predictive factors. We studied 506 elderly patients, aged 78 ± 8 years. Satisfaction at discharge scored high in all 4-levels graded items of a questionnaire surveying perception of patient improvement, quality of rehabilitative treatment, physicians' and nurses' intervention, personal care, lodging quality, goodness of information got. Mean overall rating (scoring 0 to 10) of the rehabilitative stay was 9.2 ± 2.1, median and mode were 10. Rating correlated with: relative functional gain (r = 0.23, p < .000), absolute Barthel Index total score at discharge (r = 0.18, p < .000), net gain in Barthel Index total score at discharge (r = 0.1, p = 0.021), and improvement in CIRS Severity Index (r = 0.9, p = 0.043). Relative functional gain was the only variable pre- dictive of rating that was retained by stepwise multiple regressions (p < .000).","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"32 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2009-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092243","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}

引用次数: 6

Skeletal Status Assessed by Quantitative Ultrasound in Elderly Women Compared with Early Postmenopausal Women 定量超声评估老年妇女与早期绝经后妇女的骨骼状况

The open geriatric medicine journal Pub Date : 2009-01-02 DOI: 10.2174/1874827900801010056

B. Drozdzowska, W. Pluskiewicz, P. Adamczyk, W. Munzer

{"title":"Skeletal Status Assessed by Quantitative Ultrasound in Elderly Women Compared with Early Postmenopausal Women","authors":"B. Drozdzowska, W. Pluskiewicz, P. Adamczyk, W. Munzer","doi":"10.2174/1874827900801010056","DOIUrl":"https://doi.org/10.2174/1874827900801010056","url":null,"abstract":"Background: The aim of the retrospective study was to reveal the pattern of bone loss in elderly women com- pared with early postmenopausal women. Material: The group of 254 women was studied, among them were 40 elderly women (mean age 74.7+/-4.0 y.) and 214 early postmenopausal women (mean age 53.4+/-3.7 y.). Skeletal status was evaluated using quantitative ultrasound (QUS) at the calcaneus (Achilles, Lunar, USA). Parameters measured were: Speed of Sound (SOS (m/s)), Broadband Ultrasound Attenuation (BUA (dB/MHz)) and Stiffness Index (SI (%)). Results: In elderly women age, years since menopause (YSM) and body size did not influence significantly ultrasound values, only positive influence of weight and body mass index on BUA was observed (p<0.05). In early postmenopausal women YSM negatively affected SOS (p<0.05), BUA (p=0.05) and SI (p<0.05), body size had generally a positive impact on all QUS parameters, and the percentage of life with menstruation positively affected SOS (p<0.05). In multiple step- wise regression analyses in elderly women only weight had a positive effect on BUA, and in early postmenopausal women, weight was a protective factor for all parameters, age negatively influenced BUA and SI, and YSM negatively in- fluenced SOS. Multiple stepwise regression analysis in the whole group showed that weight was a protective factor and age was a negative factor for all QUS parameters. Conclusion: The pattern of bone loss in the elderly differs in comparison to younger postmenopausal women, and the weight among factors assessed was the only protective one in postmenopausal women. Maintaince of body weight seems to be the most important in osteoporosis prevention.","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"1 1","pages":"56-61"},"PeriodicalIF":0.0,"publicationDate":"2009-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092202","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}

引用次数: 0

Domiciliary vs Centre-Based Rehabilitation of Older Community Dwellers: Randomised Trial with Economic Evaluation 老年社区居民住家康复与以中心为基础的康复:经济评价的随机试验

The open geriatric medicine journal Pub Date : 2009-01-02 DOI: 10.2174/1874827900801010062

T. Comans, S. Brauer, T. Haines

{"title":"Domiciliary vs Centre-Based Rehabilitation of Older Community Dwellers: Randomised Trial with Economic Evaluation","authors":"T. Comans, S. Brauer, T. Haines","doi":"10.2174/1874827900801010062","DOIUrl":"https://doi.org/10.2174/1874827900801010062","url":null,"abstract":"Background: Community rehabilitation services for older adults aim to address factors that lead to physical de- cline and falls and return people to their normal activities in the community. While community rehabilitation has been proven effective in reducing falls in the elderly, previous studies have not specified whether delivering services at home or in a centre-based format is the more appropriate method of service delivery. Aim: This study aims to compare a centre-based group program with a home-based program. The purpose of this study is to identify the most clinically effective way of delivering community rehabilitation services to older fallers and determine which service delivery setting is more economically efficient. Methods/Design: This paper describes the study design and methods of a randomised clinical trial. One group of partici- pants will receive a centre-based community rehabilitation service, the other group a domiciliary (home-based) commu- nity rehabilitation service of near identical content. Participants in this study are those clients over 60 years of age referred to a community rehabilitation service. Patients referred to this service typically have had recent falls, poor or declining mobility, functional dependency, cognitive decline, and / or physical deconditioning. Clinical effectiveness will be primarily determined by comparison of health-related quality of life and rates of accidental falls. Secondary outcomes include the levels of participation in functional activities, and physical capacity between the two groups. Economic efficiency will be determined through conduct of a cost-benefit analysis. Discussion: Results from this study will guide clinicians and policy makers to identify the more effective and efficient falls prevention community rehabilitation program service delivery model for older adults living in the community. Trial Registration: Australian New Zealand Clinical Trials Register: ACTRN12605000056695.","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"1 1","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2009-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092230","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}

引用次数: 9

Are Pictures Worth a Thousand Words: A Pilot Randomized Trial of Visual Cues to Improve Speed of Completion and Comprehension of Three Surveys for Older Adults 图片胜过千言万语:视觉提示提高老年人完成和理解三份调查的速度的随机试验

The open geriatric medicine journal Pub Date : 2009-01-02 DOI: 10.2174/1874827900801010050

S. McPhail, E. Beller, T. Haines

{"title":"Are Pictures Worth a Thousand Words: A Pilot Randomized Trial of Visual Cues to Improve Speed of Completion and Comprehension of Three Surveys for Older Adults","authors":"S. McPhail, E. Beller, T. Haines","doi":"10.2174/1874827900801010050","DOIUrl":"https://doi.org/10.2174/1874827900801010050","url":null,"abstract":"Background and Aims: When conducting surveys with older adults, it is important that participants have clear comprehension of the questions being asked. It is also important that survey items can be administered efficiently. This paper investigates the effect of providing visual cues to aid participant understanding and speed of completion of three types of health surveys. Methods: Design - Pilot randomized controlled trial (n=12) of participants assigned to a visual cues (intervention) or no visual cues (control) group with unblinded outcome assessment using time taken to complete survey and question com- prehension as outcome measures. Results: Although participants from both groups did not report difficulty in understanding or remembering each question, the visual cues group were able to complete the surveys in significantly less time and with significantly fewer errors in comprehension than the no cues group. Conclusions: The results of this study indicate that visual cues improved speed of survey completion and patient compre- hension of survey items. This investigation suggests the use of visual cues may enhance efficiency and reduce labor costs in survey related research with the elderly and potentially reduce burden on participants. Furthermore, this may result in higher validity of questionnaires due to improved comprehension. The findings of this pilot study were unexpectedly de- finitive on their own merit such that a larger investigation was deemed to be unwarranted for the purpose of addressing the research aims.","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"1 1","pages":"50-55"},"PeriodicalIF":0.0,"publicationDate":"2009-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092193","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}

引用次数: 3

Assessing Physical Activity in Older People: Findings from the Hertfordshire Cohort Study 评估老年人的身体活动:来自赫特福德郡队列研究的发现

The open geriatric medicine journal Pub Date : 2009-01-02 DOI: 10.2174/1874827900801010043

H. Martin, H. Syddall, E. Dennison, V. Cox, C. Cooper, A. Sayer

引用次数: 3

New Perspectives for the Treatment of Alzheimer’s Disease~!2008-10-07~!2008-10-30~!2008-11-26~! 阿尔茨海默病治疗的新视角

The open geriatric medicine journal Pub Date : 2008-12-01 DOI: 10.2174/1874827900801010033

D. Galimberti, E. Scarpini

引用次数: 0

End-Stage Dementia: Aminoff Suffering Syndrome and Relief of Suffering Units~!2008-10-06~!2008-10-23~!2008-11-12~! 终末期痴呆:阿米诺夫综合征与解除痛苦单位~!

The open geriatric medicine journal Pub Date : 2008-12-01 DOI: 10.2174/1874827900801010029

B. Z. Aminoff

引用次数: 9

Sarcopenia: Current Clinical and Research Issues 肌少症:当前的临床和研究问题

The open geriatric medicine journal Pub Date : 2008-07-24 DOI: 10.2174/1874827900801010014

M. Cesari, A. Ferrini, V. Zamboni, M. Pahor

引用次数: 12

Psychiatric Diagnoses in a Sample of Outpatient Psycho-Geriatric New Referrals with Suspected Mild Cognitive Impairment 疑似轻度认知障碍的老年精神科门诊新转诊患者的精神病学诊断

The open geriatric medicine journal Pub Date : 2008-05-19 DOI: 10.2174/1874827900801010010

J. Heinik, P. Werner, G. Kavé

引用次数: 3