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September 03, 2010
CNE ArticleFeasibility of Family Participation in a Delirium Prevention Program for Hospitalized Older Adults - Journal of Gerontological Nursing
Rosenbloom–Brunton DA et al. – These findings have implications for clinicians committed to delivering quality inpatient care to older adults and their families, with the benefits of HELP being extended to include family caregivers with an important role in delirium prevention efforts....
Agreeableness and Activity Engagement in Nursing Home Residents with Dementia - Journal of Gerontological Nursing
Hil NL et al. – This pilot study used an analysis of covariance procedure to test the relationship between the personality trait of agreeableness and engagement when activities are ideally tailored to ability and interest. No significant difference was found between the high and low agreeableness groups, indicating that residents were more engaged when activities were individually tailored, regardless of their agreeableness level. Although low agreeableness may pose a challenge when implementing activities for people with dementia, the results of this study suggest that tailoring activities to functional ability and interest may overcome the effects....
Metronomic Chemotherapy for Metastatic Prostate Cancer: A 'Young' Concept for Old Patients - Drugs & Aging
Fontana A et al. – Metronomic chemotherapy, i.e. low–dose, long–term, frequently administered chemotherapy, has been shown to have a significant stabilizing effect on cancer and a positive impact on the quality of life of patients, including those with prostate cancer. Given the low toxicity profile of metronomic chemotherapy, elderly patients or patients with co–morbidities may be candidates for a first–line or second–line oral metronomic approach when standard chemotherapies are contraindicated or not acceptable to the patient. Moreover, the possibility of patients being able to spend more time at home is an important component of a palliative treatment such as metronomic chemotherapy. Unfortunately, and despite these considerations, very few data are available on the activity and safety of metronomic chemotherapy in elderly patients....
Age-related physiologic changes and perioperative management of elderly patients - Surgical Oncology
Colloca G et al. – Aging is associated with a progressive decrease in heart, lung and kidney performance. Under normal conditions, these physiologic changes do not produce any problems for the elderly, but when these patients are subjected to the stress of surgery or its complications, there may be inadequate functional reserve. It is very important to know age–related patho–physiological changes in order to be able to better evaluate elderly patients undergoing surgery, and to prevent and manage preoperative complications....
Schizophrenia in older adults - Current Psychiatry
Desai AK et al. – Positive symptoms of schizophrenia—hallucinations, delusions, and disorganized or catatonic behavior—do not "burn out" in most older adults. The severity of "day–to–day" psychotic symptoms appears reduced in patients with schizophrenia who have not had recent severe psychotic episodes. Aging–associated decrease in dopaminergic and other monoaminergic activities may explain this....
Assessment and treatment of elderly patients with cancer - Surgical Oncology
Balducci L et al. – Aging, age–related changes, frailty, prolongation of active life expectancy, prevention of Adverse Drugs Reactions (ADRs), Comprehensive Geriatric Assessment (CGA), and individualised treatment in the future will become the most widely used concepts in the management of cancer patients....
Associations between energy demands, physical activity, and body composition in adult humans between 18 and 96 y of age - American Journal of Clinical Nutrition
Speakman JR et al. – Physical activity level and activity energy expenditure were not associated with age in subjects aged <52 y. activity energy expenditure, basal energy expenditure, and PAL were all negatively associated with age in subjects aged >=52 y. An absence of a relation between age–adjusted physical activity level and fat–free mass suggested that greater physical activity was not associated with higher fat–free mass in the elderly....
Adverse Events Reported in Progressive Resistance Strength Training Trials in Older Adults: 2 Sides of a Coin - Archives of Physical Medicine and Rehabilitation
Liu CJ et al. – Adverse events may be underreported because there is no consensus on the definition. Reporting adverse events associated with progressive resistance strength training in older adults is informative for practitioners to translate clinical research to clinical practice by knowing both the benefits and risks....
Forgoing Physician Visits Because of Cost: A Source of Health Disparities for Elderly People With Disabilities - Archives of Physical Medicine and Rehabilitation
Lee JC et al. – Although elderly people with disabilities were more likely than their counterparts without disabilities to have a usual source of care, those with disabilities were more likely to forgo physician visits because of cost. Elderly persons with greater perceived health needs were most likely to experience the disparity....
Hepatic progenitor cells in chronic hepatitis C: a phenomenon of older age and advanced liver disease - Virchows Archiv
Delladetsima J et al. – Hepatic progenitor cells (HPC) appear in a variety of liver diseases. Their occurrence in chronic hepatitis C (CHC) remains unclear, and triggering factors have to be elucidated. The presence of HPC in CHC was examined in relation to histological and virological parameters and patient age. Fifty liver biopsies of HCV–infected patients were examined. ...

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