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JAMDA
March 11, 2016

The relevance, indication, and ethical aspects of evaluating cognitive performances greatly depend on the target population. Assessing cognitive status in elderly individuals who visit their primary care doctor1,2 may thus be strongly different in its significance from performing the same practice in patients who have vascular disease or those who are, for example, subjected to some surgical procedures.

JAMDA
March 11, 2016

There is growing evidence that Health Information Technology (HIT) can play a role in improving quality of care and increasing efficiency in the nursing home setting. Most research in this area, however, has examined whether nursing homes have or use any of a list of available technologies. We sought to develop an empirical framework for understanding the intersection between specific uses of HIT and clinical care processes. Using the nominal group technique, we conducted a series of focus groups with different types of personnel who work in nursing homes (administrators, directors of...

JAMDA
March 11, 2016

To evaluate if Geriatric Interdisciplinary Home Rehabilitation could improve walking ability for older people with hip fracture compared with conventional geriatric care and rehabilitation. A secondary aim was to investigate the postoperative length of hospital stay (LOS).

JAMDA
March 10, 2016

The technical possibilities of mass online cognitive testing1 and identification of brain amyloidosis by positron emission tomography (PET) scanning and cerebrospinal fluid analysis,2 which allow early detection of cognitive decline and preclinical Alzheimer disease, urge for a clear guideline on screening and case finding in the elderly at risk population. Therefore, the pro and con series in this journal is greatly welcomed. However, we strongly disagree with the International Association on Gerontology and Geriatrics (IAGG) consensus statement, which proposed routine investigation of...

JAMDA
March 10, 2016

“I have to exercise early in the morning before my brain figures out what I am doing.”∼Author unknown

JAMDA
March 10, 2016

A recent survey revealed that there are more than 4 million older persons with dementia in Japan, which is equal to a prevalence of approximately 15% of older adults, and close to 4 million older persons have mild cognitive impairment.1 This result has been received with surprise and concern because these figures are indeed much higher than previously estimated, and may mean that the shortage of caregivers and the rise in health care cost will further accelerate. The subsequent broad media coverage gave rise to heightened public awareness and anxiety.

JAMDA
March 10, 2016

Recent advances in neuroimaging, cerebrospinal fluid (CSF) assays, and other biomarkers now provide the ability to detect evidence of Alzheimer's disease (AD) pathophysiological process in vivo.1 This stirs the debate about how and when AD is best detected. Recently the International Association of Gerontology and Geriatrics formed a consensus group (IAGG)2 to deal with these questions. When discussing the recommendations of the consensus group, in our view, it is important to bear in mind that (1) nowadays disease-modifying drugs are still not available and (2) there might be differences...

JAMDA
March 10, 2016

In the early 20th century, hypertension became a topic of major interest and by approximately the mid-century a number of investigators had identified a syndrome/condition in adults younger than 50 to 55 termed “essential hypertension” (sometimes “primary hypertension” or “hypertensive vascular disease”) (EHT). As then described and accepted by the medical community, individuals with EHT were understood to be distinct from those with hypertension with onset after approximately age 50 to 55 (“hypertension of the elderly”).

JAMDA
March 9, 2016

The International Association of Geriatrics and Gerontology (IAGG) Consensus Conference report1 brings a welcome voice to the importance of early detection of cognitive impairment and repeated measures of cognitive function. Early detection has similarly been promoted by the Alzheimer's Association,2 the Gerontological Society of America,3 and others. Yet the US Preventive Services Task Force4 and the Canadian Task Force on Preventive Health Care do not recommend screening, and although Medicare reimburses for cognitive assessment in the Annual Wellness Visit, few cognitive assessments...

JAMDA
March 9, 2016

We read the recent article published in your journal and written by Ter Borg et al1 with great interest. The study is well designed and its findings are important and remarkable. Ter Borg et al1 found in this cross-sectional study that daily intake of some nutrients, such as omega 3 fatty acids, vitamin B6, folic acid, vitamin E, and magnesium level, is lower in sarcopenic patients than in nonsarcopenic individuals and these nutrients might be related to sarcopenia. Studies on this subject are lacking in the literature, and in light of the findings of the recent study, further studies...