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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.

JAMDA
April 22, 2015

Dr Zorowitz is correct in that in the United States intravenous infusions are commonly done in nursing homes.1 In our editorial, we were taking a global view.2 As we have previously shown, the majority of nursing homes throughout the world are social or nursing lead nursing homes, where intravenous infusions are not undertaken.3 I agree that in the USA intravenous infusions can play an important role in reducing avoidable hospitalizations.4 Nevertheless, I would stress that even in the United States hypodermoclysis is simpler and often a preferable alternative.

JAMDA
April 18, 2015

This study assessed individual and organizational context (work environment) factors that influence use of best practices by care aides (nursing assistants) in nursing homes. Little scientific attention has been focused on understanding best practice use in nursing homes and almost none on care aides.

JAMDA
April 10, 2015

Several research studies have shown that resident-to-resident aggression (RRA) in long-term care residences is a prevalent, concerning, but under-reported and understudied phenomenon with serious psychological and physical consequences for residents and staff members.1–9 In addition, numerous deaths subsequent to injury in RRA episodes have been reported in the media (as documented on the Archival Blog: The Center for Prevention of Aggression Between Residents with Dementia)10; Staff training programs in recognition, prevention, and de-escalation of RRA episodes are sorely needed.

JAMDA
April 10, 2015

The objective of this study was to evaluate cross-sectional and longitudinal associations between ankle-brachial index (ABI) and indicators of cognitive function.

JAMDA
April 10, 2015

The objective of the study was to investigate the prevalence of, and factors associated with, polypharmacy in long-term care facilities (LTCFs).

JAMDA
April 9, 2015

The editorial by Lima Ribeiro and Morley regarding dehydration in the nursing home was timely and helpful, particularly in its endorsement of subcutaneous infusion (hypodermoclysis) as a valuable, yet easy intervention.1 Yet, I must take objection to the statement that, “In most cases, when intravenous fluid is necessary, hospitalization will also be required.”

JAMDA
April 9, 2015

Hip fractures (HFs) in old age frequently cause severe functional impairment and deteriorating autonomy in everyday life. Many older patients with HFs are malnourished or at risk of malnutrition. In this study, we examined the relationship between nutritional status of geriatric patients before HF and their functional and clinical course up to 6 months after hospital discharge.

JAMDA
April 6, 2015

A better understanding of the essential components of frailty is important for future developments of management strategies. We aimed to assess the incremental validity of a Comprehensive Model of Frailty (CMF) over Frailty Index (FI) in predicting self-rated health and functional dependency amongst near-centenarians and centenarians.

JAMDA
April 6, 2015

The objective of this study was to develop a measure of the perceptions of nursing home (NH) directors of nursing (DONs) on the adequacy of physician care and to examine its variation as well as its construct validity.