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Specialty: Geriatrics

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Total 1481 results found since Jan 2013.

Estimation of Gait Independence Using a Tri-Axial Accelerometer in Stroke Patients.
This study suggests that an acceleration-based gait analysis facilities gait independence estimation, and is a useful tool during the rehabilitation of stroke patients. PMID: 28422551 [PubMed - as supplied by publisher]
Source: Journal of Aging and Physical Activity - April 22, 2017 Category: Geriatrics Tags: J Aging Phys Act Source Type: research

The relationship between polypharmacy and recovery of activities of daily living among convalescent stroke patients: A propensity score-matched analysis
Conclusions These findings suggested that polypharmacy negatively affects stroke rehabilitation outcomes. Thus, pharmacists should make attempts to respond to individual patient outcomes to optimize prescriptions, which may minimize the brunt of polypharmacy on patient outcomes.
Source: European Geriatric Medicine - May 9, 2017 Category: Geriatrics Source Type: research

Nonpharmacological Treatments for Post-Stroke Depression: An Integrative Review of the Literature
<p>Stroke is the fifth leading cause of death and the number one cause of long-term disability. Seventy-five percent of annual stroke victims are older than 65. Post-stroke depression (PSD) is a common consequence of stroke, with the estimated prevalence ranging from 25% to 79%. Although several studies have investigated the impact of pharmacological interventions on PSD, there is a significant gap in knowledge regarding the efficacy of nonpharmacological measures for treatment of PSD. The purpose of the current integrative literature review was to synthesize the state of knowledge on selected nonpharmacological trea...
Source: Research in gerontological nursing - June 1, 2017 Category: Geriatrics Source Type: research

Dysphagia Screening Using High-resolution Impedance Manometry in Acute Stroke
Conclusions Our assessment program was safe and effective for assessing swallowing function and for determining the appropriate diet plan.
Source: International Journal of Gerontology - August 9, 2017 Category: Geriatrics Source Type: research

The relation between insulin ‐like growth factor 1 levels and risk of depression in ischemic stroke
ConclusionThe data showed that low serum IGF‐1 levels at admission are associated with a high risk of developing PSD, suggesting that these alterations might be involved in the pathophysiology of depression symptoms in stroke patients.
Source: International Journal of Geriatric Psychiatry - August 23, 2017 Category: Geriatrics Authors: Wei Zhang, Wo Wang, Li Kuang Tags: RESEARCH ARTICLE Source Type: research

Baseline Vascular Cognitive Impairment Predicts the Course of Apathetic Symptoms after Stroke: the CASPER Study
• Studies have shown associations between global VCI and affective symptoms. In addition, we studied the influence of domain-specific VCI on post-stroke depression and apathy.• VCI in at least one cognitive domain is associated with increasing apathy levels from 3 to 15 months post-stroke.• VC I in multiple cognitive domains is associated with higher levels of apathy in the chronic stroke phase compared with VCI in a single domain.• Health professionals should be aware that symptoms of apathy might be absent early after stroke, but evolve over time in patients with VCI.
Source: The American Journal of Geriatric Psychiatry - September 26, 2017 Category: Geriatrics Authors: Elles Douven, Sebastian K öhler, Syenna Schievink, Robert J. van Oostenbrugge, Julie Staals, Frans R.J. Verhey, Pauline Aalten Tags: Regular Research Articles Source Type: research

"I Don't Believe in Leading a Life of My Own, I Lead His Life": A Qualitative Investigation of Difficulties Experienced by Informal Caregivers of Stroke Survivors Experiencing Depressive and Anxious Symptoms.
CONCLUSIONS: Caregivers experienced significant difficulties adapting to changes and losses associated with becoming a caregiver, such as giving up roles and goals of importance and value. Such difficulties persisted into the long-term and were coupled with feelings of hopelessness and worry. Difficulties were further exacerbated by social isolation, lack of information and poor long-term health and social care support. CLINICAL IMPLICATIONS: A greater understanding of difficulties experienced by depressed and anxious caregivers may inform the development of psychological support targeting difficulties unique to the ca...
Source: Clinical Gerontologist - December 3, 2017 Category: Geriatrics Tags: Clin Gerontol Source Type: research

Converting MMSE to MoCA and MoCA 5 ‐minute protocol in an educationally heterogeneous sample with stroke or transient ischemic attack
ConclusionWe provided 2 methods to convert scores from the MMSE to MoCA and MoCA‐5 min based on a large sample of patients with stroke or TIA having a wide range of education and cognitive levels. The converted scores differentiated patients with cognitive impairment after stroke or TIA with high accuracy.
Source: International Journal of Geriatric Psychiatry - January 2, 2018 Category: Geriatrics Authors: Adrian Wong, Sandra E. Black, Stanley Y.P. Yiu, Lisa W.C. Au, Alexander Y.L. Lau, Yannie O.Y. Soo, Anne Y.Y. Chan, Thomas W.H. Leung, Lawrence K.S. Wong, Timothy C.Y. Kwok, Theodore C.K. Cheung, Kam ‐Tat Leung, Bonnie Y.K. Lam, Joseph S.K. Kwan, Vincent Tags: RESEARCH ARTICLE Source Type: research

119should patients presenting with seizure be assessed as a thrombolysis call in hyper-acute stroke services?
Topic: UCLH is a London hyper-acute stroke unit that receives patients within a 30 minute ambulance journey with suspected stroke. Patients with seizure may have symptoms mimicking acute stroke. During stroke training, I assessed many patients with seizures, some whom required ITU care. It was challenging to provide high quality, safe care whilst assessing multiple referrals and delivering appropriate thrombolysis.
Source: Age and Ageing - March 27, 2018 Category: Geriatrics Source Type: research

Epidemiological, Clinical, and Pathogenic Features of Stroke at Elderly and Very Elderly Age
AbstractA comparative investigation of the epidemiological, clinical, and pathogenetic indices of cerebral stroke in 1153 representatives of different age has been conducted. The prevalence of the incidence of strokes among women of elderly and very elderly age is largely due to the higher life expectancy of women compared to men. A significant number of intracerebral blood effusions in elderly and very elderly age can arise secondarily after ischemic focus formation of the type of “red softening.” This, to a certain extent, can be explained by the high frequency of somatic complications of stroke, disorders of conscio...
Source: Advances in Gerontology - January 1, 2018 Category: Geriatrics Source Type: research

Dysphagia Screening Using High-resolution Impedance Manometry in Acute Stroke
ConclusionsOur assessment program was safe and effective for assessing swallowing function and for determining the appropriate diet plan.
Source: International Journal of Gerontology - July 5, 2018 Category: Geriatrics Source Type: research

Neurosyphilis prevalence at a Portuguese stroke unit care.
CONCLUSION: We observed a low prevalence of NS (0.31%), but this result was surprisingly higher than what was expected in an elderly population. PMID: 30343380 [PubMed - as supplied by publisher]
Source: Aging Clinical and Experimental Research - October 20, 2018 Category: Geriatrics Authors: Pintado Maury I, Alves M, Fonseca T Tags: Aging Clin Exp Res Source Type: research

Rehabilitation Indices associated with sustaining a minimal trauma fracture within 12  months of a stroke in Western Australian.
CONCLUSION: Rehabilitation Indices are associated with a MTF within 12 months poststroke. PMID: 30806020 [PubMed - as supplied by publisher]
Source: Australasian Journal on Ageing - February 25, 2019 Category: Geriatrics Authors: David SM, Chan K, Inderjeeth C, Raymond WD Tags: Australas J Ageing Source Type: research