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Journal of the American Geriatrics Society 43건

  1. [해외논문]   I'm So Glad You're Here: Positive Aspects of Informal Caregiving   SCI SCIE SSCI

    Meisner, Brad A. (School of Health and Human Performance, Dalhousie University, Halifax, Nova Scotia, Canada) , Binnington, Leslie E. (School of Health and Human Performance, Dalhousie University, Halifax, Nova Scotia, Canada)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. e25 - e26 , 2017 , 0002-8614 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  2. [해외논문]   Preoperative Psoas Muscle Size Predicts Postoperative Delirium in Older Adults Undergoing Surgery: A Pilot Cohort Study   SCI SCIE SSCI

    Miller, Ashley L. (School of Medicine, University of Michigan, Ann Arbor, Michigan ) , Englesbe, Michael J. (Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan ) , Diehl, Kathleen M. (Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan ) , Chan, Chiao‐ (Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan ) , Li (School of Medicine, University of Michigan, Ann Arbor, Michigan ) , Cron, David C. (Morphomics Analysis Group, University of Michigan Health System, Ann Arbor, Michigan ) , Derstine, Brian A. (Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan ) , Palazzolo, William C. (Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan ) , Hall, Karen E. (Department of Surgery, University of Michigan Health System, Ann Arbor, Michigan ) , Wang, Stewart C. (Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan) , Min, Lillian C.
    Journal of the American Geriatrics Society v.65 no.1 ,pp. e23 - e24 , 2017 , 0002-8614 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Preparing Family Caregivers to Recognize Delirium Symptoms in Older Adults After Elective Hip or Knee Arthroplasty   SCI SCIE SSCI

    Bull, Margaret J. (College of Nursing, Marquette University, Milwaukee, Wisconsin ) , Boaz, Lesley (College of Nursing, Marquette University, Milwaukee, Wisconsin ) , Maadooliat, Mehdi (Department of Mathematics, Statistics and Computer Science, Marquette University, Milwaukee, Wisconsin ) , Hagle, Mary E. (Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin ) , Gettrust, Lynn (Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, Wisconsin ) , Greene, Maureen T. (Wheaton Franciscan Healthcare, Milwaukee, Wisconsin ) , Holmes, Sue Baird (Wheaton Franciscan Healthcare, Milwaukee, Wisconsin ) , Saczynski, Jane S. (Department of Epidemiology, Northeastern University, Boston, Massachusetts)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. e13 - e17 , 2017 , 0002-8614 ,

    초록

    Objectives To test the feasibility of a telephone‐based intervention that prepares family caregivers to recognize delirium symptoms and how to communicate their observations to healthcare providers. Design Mixed‐method, pre–post quasi‐experimental design. Setting A Midwest Veterans Affairs Medical Center and a nonprofit health system. Participants Forty‐one family caregiver‐older adult dyads provided consent; 34 completed the intervention. Intervention Four telephone‐based education modules using vignettes were completed during the 3 weeks before the older adult's hospital admission for elective hip or knee replacement. Each module required 20 to 30 minutes. Measurements Interviews were conducted before the intervention and 2 weeks and 2 months after the older adult's hospitalization. A researcher completed the Confusion Assessment Method (CAM) and a family caregiver completed the Family Version of the Confusion Assessment Method (FAM‐CAM) 2 days after surgery to assess the older adults for delirium symptoms. Results Family caregivers’ knowledge of delirium symptoms improved significantly from before the intervention to 2 weeks after the intervention and was maintained after the older adult's hospitalization. They also were able to recognize the presence and absence of delirium symptoms in the vignettes included in the intervention and in the older adult after surgery. In 94% of the cases, the family caregiver rating on the FAM‐CAM approximately 2 days after the older adult's surgery agreed with the researcher rating on the CAM. Family caregivers expressed satisfaction with the intervention and stated that the information was helpful. Conclusion Delivery of a telephone‐based intervention appears feasible. All family caregivers who began the program completed the four education modules. Future studies evaluating the effectiveness of the educational program should include a control group.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  4. [해외논문]   Muscle Mass Loss Is a Potential Predictor of 90‐Day Mortality in Older Adults with Aspiration Pneumonia   SCI SCIE SSCI

    Maeda, Keisuke (Department of Nutrition and Dysphagia Rehabilitation, Tamana Regional Health Medical Center, Kumamoto, Japan) , Akagi, Junji (Department of Surgery, Tamana Regional Health Medical Center, Kumamoto, Japan)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. e18 - e22 , 2017 , 0002-8614 ,

    초록

    Objectives To investigate the association between loss of muscle mass and aspiration pneumonia (AP). Design Prospective observational cohort. Setting Acute geriatric hospital. Participants Individuals admitted to the hospital for AP (N = 151; mean age 85.9; 49.7% male). Measurements Appendicular skeletal muscle index (ASMI; appendicular skeletal muscle mass divided by height squared) was used to evaluate muscle mass. Data on age, sex, body mass index, Mini Nutritional Assessment—Short Form score, Barthel Index score, Charlson Comorbidity Index score, and pneumonia severity (Japanese version of the CURB‐65 (C (confusion), U (blood urea nitrogen ≥20 mg/dL), R (respiratory rate ≥30 breaths/min), B (systolic blood pressure Results Mild, moderate, severe, and extremely severe AP were observed in 1.3%, 70.2%, 25.8%, and 2.6% of participants, respectively. On Kaplan‐Meier analysis, participants in the lowest ASMI quartile for each sex were more likely to die than those in the other quartiles (log‐lank test P = .005). Multivariate logistic analyses showed that ASMI and A‐DROP were independent predictors of 90‐day mortality; only A‐DROP was a significant predictor of 30‐day mortality ( P P = .03). Conclusion Low muscle mass is a potential predictor of long‐term mortality in individuals with AP. Prospectively preventing muscle mass deterioration may be beneficial for recovery from AP in older adults.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  5. [해외논문]   Cover   SCI SCIE SSCI


    Journal of the American Geriatrics Society v.65 no.1 ,pp. C1 - C1 , 2017 , 0002-8614 ,

    초록

    Objectives To investigate the association between loss of muscle mass and aspiration pneumonia (AP). Design Prospective observational cohort. Setting Acute geriatric hospital. Participants Individuals admitted to the hospital for AP (N = 151; mean age 85.9; 49.7% male). Measurements Appendicular skeletal muscle index (ASMI; appendicular skeletal muscle mass divided by height squared) was used to evaluate muscle mass. Data on age, sex, body mass index, Mini Nutritional Assessment—Short Form score, Barthel Index score, Charlson Comorbidity Index score, and pneumonia severity (Japanese version of the CURB‐65 (C (confusion), U (blood urea nitrogen ≥20 mg/dL), R (respiratory rate ≥30 breaths/min), B (systolic blood pressure Results Mild, moderate, severe, and extremely severe AP were observed in 1.3%, 70.2%, 25.8%, and 2.6% of participants, respectively. On Kaplan‐Meier analysis, participants in the lowest ASMI quartile for each sex were more likely to die than those in the other quartiles (log‐lank test P = .005). Multivariate logistic analyses showed that ASMI and A‐DROP were independent predictors of 90‐day mortality; only A‐DROP was a significant predictor of 30‐day mortality ( P P = .03). Conclusion Low muscle mass is a potential predictor of long‐term mortality in individuals with AP. Prospectively preventing muscle mass deterioration may be beneficial for recovery from AP in older adults.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Resting‐State Functional Connectivity and Cognition After Major Cardiac Surgery in Older Adults without Preoperative Cognitive Impairment: Preliminary Findings   SCI SCIE SSCI

    Browndyke, Jeffrey N. (Geriatric Behavioral Health Division, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina ) , Berger, Miles (Division of Neuroanesthesiology, Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina ) , Harshbarger, Todd B. (Brain Imaging and Analysis Center, Duke University, Durham, North Carolina ) , Smith, Patrick J. (Behavioral Medicine Division, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina ) , White, William (Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina ) , Bisanar, Tiffany L. (Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina ) , Alexander, John H. (Division of Cardiology, Department of Medicine, Duke University Medical Center, Durham, North Carolina ) , Gaca, Jeffrey G. (Division of Cardiothoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina ) , Welsh‐ (Geriatric Behavioral Health Division, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham) , Bohmer, Kathleen , Newman, Mark F. , Mathew, Joseph P.
    Journal of the American Geriatrics Society v.65 no.1 ,pp. e6 - e12 , 2017 , 0002-8614 ,

    초록

    Objectives To look for changes in intrinsic functional brain connectivity associated with postoperative changes in cognition, a common complication in seniors undergoing major surgery, using resting‐state functional magnetic resonance imaging. Design Objective cognitive testing and functional brain imaging were prospectively performed at preoperative baseline and 6 weeks after surgery and at the same time intervals in nonsurgical controls. Setting Academic medical center. Participants Older adults undergoing cardiac surgery (n = 12) and nonsurgical older adult controls with a history of coronary artery disease (n = 12); no participants had cognitive impairment at preoperative baseline (Mini‐Mental State Examination score >27). Measurements Differences in resting‐state functional connectivity (RSFC) and global cognitive change relationships were assessed using a voxel‐wise intrinsic connectivity method, controlling for demographic factors and pre‐ and perioperative cerebral white matter disease volume. Analyses were corrected for multiple comparisons (false discovery rate P Results Global cognitive change after cardiac surgery was significantly associated with intrinsic RSFC changes in regions of the posterior cingulate cortex and right superior frontal gyrus—anatomical and functional locations of the brain's default mode network (DMN). No statistically significant relationships were found between global cognitive change and RSFC change in nonsurgical controls. Conclusion Clinicians have long known that some older adults develop postoperative cognitive dysfunction (POCD) after anesthesia and surgery, yet the neurobiological correlates of POCD are not well defined. The current results suggest that altered RSFC in specific DMN regions is positively correlated with global cognitive change 6 weeks after cardiac surgery, suggesting that DMN activity and connectivity could be important diagnostic markers of POCD or intervention targets for potential POCD treatment efforts.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Issue Information   SCI SCIE SSCI


    Journal of the American Geriatrics Society v.65 no.1 ,pp. 1 - 13 , 2017 , 0002-8614 ,

    초록

    Objectives To look for changes in intrinsic functional brain connectivity associated with postoperative changes in cognition, a common complication in seniors undergoing major surgery, using resting‐state functional magnetic resonance imaging. Design Objective cognitive testing and functional brain imaging were prospectively performed at preoperative baseline and 6 weeks after surgery and at the same time intervals in nonsurgical controls. Setting Academic medical center. Participants Older adults undergoing cardiac surgery (n = 12) and nonsurgical older adult controls with a history of coronary artery disease (n = 12); no participants had cognitive impairment at preoperative baseline (Mini‐Mental State Examination score >27). Measurements Differences in resting‐state functional connectivity (RSFC) and global cognitive change relationships were assessed using a voxel‐wise intrinsic connectivity method, controlling for demographic factors and pre‐ and perioperative cerebral white matter disease volume. Analyses were corrected for multiple comparisons (false discovery rate P Results Global cognitive change after cardiac surgery was significantly associated with intrinsic RSFC changes in regions of the posterior cingulate cortex and right superior frontal gyrus—anatomical and functional locations of the brain's default mode network (DMN). No statistically significant relationships were found between global cognitive change and RSFC change in nonsurgical controls. Conclusion Clinicians have long known that some older adults develop postoperative cognitive dysfunction (POCD) after anesthesia and surgery, yet the neurobiological correlates of POCD are not well defined. The current results suggest that altered RSFC in specific DMN regions is positively correlated with global cognitive change 6 weeks after cardiac surgery, suggesting that DMN activity and connectivity could be important diagnostic markers of POCD or intervention targets for potential POCD treatment efforts.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   AGS Position Statement: Making Medical Treatment Decisions for Unbefriended Older Adults   SCI SCIE SSCI

    Farrell, Timothy W. (University of Utah School of Medicine, Salt Lake City, UT ) , Widera, Eric (University of California San Francisco, San Francisco, CA ) , Rosenberg, Lisa (Roseman University of Health Sciences, Las Vegas, NV ) , Rubin, Craig D. (University of Texas Southwestern Medical Center, Dallas, TX ) , Naik, Aanand D. (Baylor College of Medicine, Houston, TX ) , Braun, Ursula (Baylor College of Medicine, Houston, TX ) , Torke, Alexia (Indiana University, Indianapolis, IN ) , Li, Ina (Christiana Care Health System, Wilmington, DE ) , Vitale, Caroline (University of Michigan, Ann Arbor, MI ) , Shega, Joseph (VITAS Hospice Care Healthcare, Gotha, FL)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 14 - 15 (e1-e5) , 2017 , 0002-8614 ,

    초록

    In this position statement, we define unbefriended older adults as patients who: (1) lack decisional capacity to provide informed consent to the medical treatment at hand; (2) have not executed an advance directive that addresses the medical treatment at hand and lack capacity to do so; and (3) lack family, friends or a legally authorized surrogate to assist in the medical decision‐making process. Given the vulnerable nature of this population, clinicians, health care teams, ethics committees and other stakeholders working with unbefriended older adults must be diligent when formulating treatment decisions on their behalf. The process of arriving at a treatment decision for an unbefriended older adult should be conducted according to standards of procedural fairness and include capacity assessment, a search for potentially unidentified surrogate decision makers (including non‐traditional surrogates) and a team‐based effort to ascertain the unbefriended older adult's preferences by synthesizing all available evidence. A concerted national effort is needed to help reduce the significant state‐to‐state variability in legal approaches to unbefriended patients. Proactive efforts are also needed to identify older adults, including “adult orphans,” at risk for becoming unbefriended and to develop alternative approaches to medical decision making for unbefriended older adults. This document updates the 1996 AGS position statement on unbefriended older adults.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   AGS Position Statement: Making Medical Treatment Decisions for Unbefriended Older Adults  

    Farrell, T. W. , Widera, E. , Rosenberg, L. , Rubin, C. D. , Naik, A. D. , Braun, U. , Torke, A. , Li, I. , Vitale, C. , Shega, J.
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 14-15(e1-e5) , 2017 , 0002-8614 ,

    초록

    In this position statement, we define unbefriended older adults as patients who: (1) lack decisional capacity to provide informed consent to the medical treatment at hand; (2) have not executed an advance directive that addresses the medical treatment at hand and lack capacity to do so; and (3) lack family, friends or a legally authorized surrogate to assist in the medical decision‐making process. Given the vulnerable nature of this population, clinicians, health care teams, ethics committees and other stakeholders working with unbefriended older adults must be diligent when formulating treatment decisions on their behalf. The process of arriving at a treatment decision for an unbefriended older adult should be conducted according to standards of procedural fairness and include capacity assessment, a search for potentially unidentified surrogate decision makers (including non‐traditional surrogates) and a team‐based effort to ascertain the unbefriended older adult's preferences by synthesizing all available evidence. A concerted national effort is needed to help reduce the significant state‐to‐state variability in legal approaches to unbefriended patients. Proactive efforts are also needed to identify older adults, including “adult orphans,” at risk for becoming unbefriended and to develop alternative approaches to medical decision making for unbefriended older adults. This document updates the 1996 AGS position statement on unbefriended older adults.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  10. [해외논문]   Applying the Systolic Blood Pressure Intervention Trial Results to Older Adults   SCI SCIE SSCI

    Supiano, Mark A. (Division of Geriatrics, School of Medicine, University of Utah, Salt Lake City, Utah ) , Williamson, Jeff D. (Section on Geriatric Medicine, Department of Internal Medicine, School of Medicine, Wake Forest University, Winston‐Salem, North Carolina)
    Journal of the American Geriatrics Society v.65 no.1 ,pp. 16 - 21 , 2017 , 0002-8614 ,

    초록

    The Systolic Blood Pressure Intervention Trial (SPRINT; ClinicalTrials.gov, NCT01206062) was stopped early because of significantly lower risk of cardiovascular disease in participants randomized to a systolic blood pressure target of 120 mmHg (intensive) than in those randomized to 140 mmHg (standard). The cardiovascular outcome benefit was also identified in subjects aged 75 and older assigned to the intensive arm—34% lower than in the standard arm—in addition to 33% lower all‐cause mortality at 3.14 years of follow‐up. These beneficial outcomes held in older participants characterized as frail or with impaired gait speed. This article addresses several questions that need to be considered in applying the SPRINT results to the clinical care of older adults: Why are the SPRINT results discordant from those of epidemiological studies? Do the SPRINT findings generalize to the frail, older adults that I care for? Were there more adverse events in the intensive treatment group? What about cognitive and kidney outcomes? What are future considerations, and how low should we go?

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지

논문관련 이미지