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The effects of evacuation on nursing home residents with dementia. 疏散对老年痴呆症养老院居民的影响。
IF 3.4
American journal of Alzheimer's disease and other dementias Pub Date : 2012-09-01 DOI: 10.1177/1533317512454709
Lisa M Brown, David M Dosa, Kali Thomas, Kathryn Hyer, Zhanlian Feng, Vincent Mor
{"title":"The effects of evacuation on nursing home residents with dementia.","authors":"Lisa M Brown,&nbsp;David M Dosa,&nbsp;Kali Thomas,&nbsp;Kathryn Hyer,&nbsp;Zhanlian Feng,&nbsp;Vincent Mor","doi":"10.1177/1533317512454709","DOIUrl":"https://doi.org/10.1177/1533317512454709","url":null,"abstract":"<p><strong>Background: </strong>In response to the hurricane-related deaths of nursing home residents, there has been a steady increase in the number of facilities that evacuate under storm threat. This study examined the effects of evacuation during Hurricane Gustav on residents who were cognitively impaired.</p><p><strong>Methods: </strong>Nursing homes in counties located in the path of Hurricane Gustav were identified. The Minimum Data Set resident assessment files were merged with the Centers for Medicare enrollment file to determine date of death for residents in identified facilities. Difference-in-differences analyses were conducted adjusting for residents' demographic characteristics and acuity.</p><p><strong>Results: </strong>The dataset included 21,255 residents living in 119 at risk nursing homes over three years of observation. Relative to the two years before the storm, there was a 2.8 percent increase in death at 30 days and a 3.9 percent increase in death at 90 days for residents with severe dementia who evacuated for Hurricane Gustav, controlling for resident demographics and acuity.</p><p><strong>Conclusions: </strong>The findings of this research reveal the deleterious effects of evacuation on residents with severe dementia. Interventions need to be developed and tested to determine the best methods for protecting this at risk population when there are no other options than to evacuate the facility.</p>","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":" ","pages":"406-12"},"PeriodicalIF":3.4,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1533317512454709","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30866236","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}
引用次数: 58
NIH-funded research provides new clues on how ApoE4 affects Alzheimer's risk. 美国国立卫生研究院资助的研究为ApoE4如何影响阿尔茨海默病的风险提供了新的线索。
American journal of Alzheimer's disease and other dementias Pub Date : 2012-01-01 DOI: 10.1037/e591022012-001
{"title":"NIH-funded research provides new clues on how ApoE4 affects Alzheimer's risk.","authors":"","doi":"10.1037/e591022012-001","DOIUrl":"https://doi.org/10.1037/e591022012-001","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"6 1","pages":"356-7"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81529425","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
Characteristics of generalized anxiety disorder in patients with dementia. 痴呆患者广泛性焦虑障碍的特点。
American journal of Alzheimer's disease and other dementias Pub Date : 2011-09-01 Epub Date: 2011-11-07 DOI: 10.1177/1533317511426867
Jessica S Calleo, Mark E Kunik, Dana Reid, Cynthia Kraus-Schuman, Amber Paukert, Tziona Regev, Nancy Wilson, Nancy J Petersen, A Lynn Snow, Melinda Stanley
{"title":"Characteristics of generalized anxiety disorder in patients with dementia.","authors":"Jessica S Calleo, Mark E Kunik, Dana Reid, Cynthia Kraus-Schuman, Amber Paukert, Tziona Regev, Nancy Wilson, Nancy J Petersen, A Lynn Snow, Melinda Stanley","doi":"10.1177/1533317511426867","DOIUrl":"10.1177/1533317511426867","url":null,"abstract":"<p><strong>Background: </strong>Overlap of cognitive and anxiety symptoms (i.e., difficulty concentrating, fatigue, restlessness) contributes to inconsistent, complicated assessment of generalized anxiety disorder (GAD) in persons with dementia.</p><p><strong>Methods: </strong>Anxious dementia patients completed a psychiatric interview, the Penn State Worry Questionnaire-Abbreviated, and the Rating for Anxiety in Dementia scale. Analyses to describe the 43 patients with and without GAD included the Wilcoxon Mann-Whitney two-sample test, Fisher's exact test. Predictors of GAD diagnosis were identified using logistic regression.</p><p><strong>Results: </strong>Those with GAD were more likely to be male, have less severe dementia and endorsed more worry, and anxiety compared to patients without GAD. Gender, muscle tension and fatigue differentiated those with GAD from those without GAD.</p><p><strong>Conclusions: </strong>Although this study is limited by a small sample, it describes clinical characteristics of GAD in dementia, highlighting the importance of muscle tension and fatigue in recognizing GAD in persons with dementia.</p>","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":" ","pages":"492-7"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3252749/pdf/nihms343291.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40136319","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}
引用次数: 0
Elderspeak communication: impact on dementia care. 长者沟通：对痴呆症护理的影响。
American journal of Alzheimer's disease and other dementias Pub Date : 2009-02-01 Epub Date: 2008-06-30 DOI: 10.1177/1533317508318472
Kristine N Williams, Ruth Herman, Byron Gajewski, Kristel Wilson
{"title":"Elderspeak communication: impact on dementia care.","authors":"Kristine N Williams, Ruth Herman, Byron Gajewski, Kristel Wilson","doi":"10.1177/1533317508318472","DOIUrl":"10.1177/1533317508318472","url":null,"abstract":"<p><p>Resistiveness to care is common in older adults with dementia. Resistiveness to care disrupts nursing care, increasing costs of care by 30%. Elderspeak (infantilizing communication used by nursing staff) may trigger resistiveness to care in individuals with dementia. Videotaped care episodes (n = 80) of nursing home residents with dementia (n = 20) were coded for type of staff communication (normal talk and elderspeak) and subsequent resident behavior (cooperative or resistive to care). Bayesian statistical analysis tested relationships between staff communication and subsequent resident resistiveness to care. The probability of resistiveness to care varied significantly with communication (Bayes P = .0082). An increased probability of resistiveness to care occurred with elderspeak (.55, 95% CrI, .44-.66), compared with normal talk (.26, 95% CrI, .12-.44). Communication training has been shown to reduce elderspeak and may reduce resistiveness to care in future research.</p>","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":" ","pages":"11-20"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2823803/pdf/nihms172973.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40523552","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}
引用次数: 0
Submission Guidelines 提交指南
American journal of Alzheimer's disease and other dementias Pub Date : 2006-05-01 DOI: 10.1177/153331750602100312
{"title":"Submission Guidelines","authors":"","doi":"10.1177/153331750602100312","DOIUrl":"https://doi.org/10.1177/153331750602100312","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"45 1","pages":"212 - 213"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74068062","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: 47
News Briefs 新闻简报
American journal of Alzheimer's disease and other dementias Pub Date : 2006-05-01 DOI: 10.1177/1533317506289486
{"title":"News Briefs","authors":"","doi":"10.1177/1533317506289486","DOIUrl":"https://doi.org/10.1177/1533317506289486","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"37 1","pages":"209 - 210"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75222351","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
Editorial: The Dementias 社论:痴呆症
American journal of Alzheimer's disease and other dementias Pub Date : 2006-05-01 DOI: 10.1177/1533317506289989
C. Rowland
{"title":"Editorial: The Dementias","authors":"C. Rowland","doi":"10.1177/1533317506289989","DOIUrl":"https://doi.org/10.1177/1533317506289989","url":null,"abstract":"done with no worsening of symptoms. Alberto Marcos and colleagues present a Spanish study of neuropsychological markers of mild cognitive impairment progressing to Alzheimer’s disease. They find that the CAMCOG and memory and perception cognitive screening were the optimum screening tools to discover which patients will go on to acquire Alzheimer’s disease and which will not. This is important because early treatment is so crucial. Nagararatnam et al point out that 38% of patients in their study had accusatory behavior (average age of 74 years, and a male to female ratio of 2.6:1). This behavior is more prevalent in higher stages of dementia and is more often accompanied by hallucinations. They feel it would be more useful to view these behaviors as symptoms rather than as being primary. Sato and colleagues find that advanced glycation end products (AGE) are an important factor in diabetes and neurodegenerative diseases such as Alzheimer’s disease. They discuss the molecular mechanisms of Alzheimer’s disease and especially the toxic AGE-receptor AGE system.","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"17 1","pages":"146 - 146"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73095867","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
Book Review: Letters to My Sisters: An Alzheimer's Journal 书评:给姐妹们的信:一本阿尔茨海默氏症杂志
American journal of Alzheimer's disease and other dementias Pub Date : 2006-01-01 DOI: 10.1177/153331750602100102
S. Albrecht
{"title":"Book Review: Letters to My Sisters: An Alzheimer's Journal","authors":"S. Albrecht","doi":"10.1177/153331750602100102","DOIUrl":"https://doi.org/10.1177/153331750602100102","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"43 1","pages":"55 - 55"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85823067","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
Clinical, legal, and research issues in dementia 痴呆的临床、法律和研究问题
American journal of Alzheimer's disease and other dementias Pub Date : 2006-01-01 DOI: 10.1177/153331750602100101
C. Rowland
{"title":"Clinical, legal, and research issues in dementia","authors":"C. Rowland","doi":"10.1177/153331750602100101","DOIUrl":"https://doi.org/10.1177/153331750602100101","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"35 1","pages":"NP - NP"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87491952","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: 1
New Alzheimer's clinical trials to be undertaken by NIA nationwide consortium. 新的阿尔茨海默病临床试验将由NIA全国联盟进行。
American journal of Alzheimer's disease and other dementias Pub Date : 2006-01-01 DOI: 10.1037/e565442006-001
{"title":"New Alzheimer's clinical trials to be undertaken by NIA nationwide consortium.","authors":"","doi":"10.1037/e565442006-001","DOIUrl":"https://doi.org/10.1037/e565442006-001","url":null,"abstract":"","PeriodicalId":93865,"journal":{"name":"American journal of Alzheimer's disease and other dementias","volume":"7 1","pages":"460-1"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79140610","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: 2
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