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JAMDA
April 28, 2015

The concept of vascular lesions in the brain leading to cognitive dysfunction was first shown by Otto Binswagner in 1894.1 Little attention was paid to these asymptomatic vascular lesions until 1986 when both Hachinski2,3 and Awad4,5 separately noted subcortical lesions on brain scans and related these to vascular disease and impaired cognition. Hachinski was the first to use the term leukoaraiosis (“leuko” = white and “araios” = rarefied) indicating that these lesions resulted in reduced x-ray absorption in the white matter.

JAMDA
April 28, 2015

We examined possible associations between different red blood cell (RBC) transfusion strategies, overall quality of life (OQoL), and recovery of activities of daily living (ADL) in operated frail elderly hip fracture patients, and the possibility that OQoL was related to ADL recovery.

JAMDA
April 28, 2015

To evaluate influences of disease severity and food texture on prevalence and type of dysphagia in hospitalized geriatric patients.

JAMDA
April 28, 2015

Numerous observational studies have reported an increased risk of mortality for conventional antipsychotics in elderly patients, and for haloperidol in particular. Subsequently, health authorities have warned against use of conventional antipsychotics in dementia. Experimental evidence is lacking.

JAMDA
April 28, 2015

With an aging population, a growing number of older adults experience physical or cognitive decline that necessitates admission to residential aged care facilities (RACF). Each year a considerable proportion of these residents has at least 1 emergency transfer to hospital, which may result in a number of adverse outcomes. Rates of transfer from RACF to hospital can vary considerably between different RACFs suggesting the presence of potentially modifiable risk factors for emergency department (ED) transfer.

JAMDA
April 24, 2015

The loss of skeletal muscle mass with advancing age is a universal phenomenon. The trajectory of this loss of muscle is remarkably variable and its etiology complex and multifactorial. The term, sarcopenia, was initially described as the age-associated decrease in skeletal muscle mass and was thought to be similar to the phenomenon of osteopenia, the age associated loss of bone density that is predictive of an increase in risk of a bone fracture.1,2 The loss of muscle mass was thought to be the primary cause of decreased strength and functional capacity and a predictor of risk of...

JAMDA
April 24, 2015

JAMDA published in 2008 practical recommendations about the treatment of behavioral and psychological symptoms of dementia (BPSD) in nursing homes.1 Five years later, an update of the relevant scientific literature was undertaken to assess potential changes. The 3 algorithms describing the pharmacologic treatment of BPSD in nursing homes' residents suffering from dementia were, therefore, updated. The algorithms are (1) depression management (Figure 1); (2) agitation management (Figure 2); and (3) sleep disturbances management (Figure 3).

JAMDA
April 24, 2015

In older patients, hospitalization is often associated with new or worsening disability. This hospitalization-associated disability may be explained in part by the cumulative effect of aging, frailty, comorbidities, and illnesses that led to hospitalization but may also result from health care management issues and the hospital environment. Our objective was to determine the frequency, causes, and the preventability of disability induced by the processes of care or “iatrogenic disability.”

JAMDA
April 23, 2015

To identify the differences of incidence of disability between frail older persons with and without slow walking speed.

JAMDA
April 23, 2015

Hypovitaminosis D is highly prevalent among seniors. Although evidence is insufficient to recommend routine vitamin D screening in seniors, universal vitamin D supplementation is not desirable either. To rationalize vitamin D determination, our objective was to elaborate and test a clinical diagnostic tool for the identification of seniors with hypovitaminosis D without using a blood test.