abstract：OBJECTIVES:To evaluate the effectiveness of pelvic floor muscle (PFM) and fitness exercises in reducing urine leakage in elderly women with stress urinary incontinence (UI). DESIGN:Randomized, crossover, follow-up trial. SETTING:Urban community in Japan. PARTICIPANTS:Seventy women aged 70 and older who reported urin...

journal_title：Journal of the American Geriatrics Society

authors： Kim H,Suzuki T,Yoshida Y,Yoshida H

更新日期：2007-12-01 00:00:00

abstract：OBJECTIVES:To determine the effect of biofeedback (BFB) therapy on psychological burden of urge urinary incontinence (UI) and whether prior depression or current depressive symptoms affect older women's response to BFB. DESIGN:Secondary analysis of an ongoing trial. SETTING:Academic medical center. PARTICIPANTS:Fort...

journal_title：Journal of the American Geriatrics Society

authors： Tadic SD,Zdaniuk B,Griffiths D,Rosenberg L,Schäfer W,Resnick NM

更新日期：2007-12-01 00:00:00

abstract：OBJECTIVES:To quantify the relationship between indwelling devices (urinary catheters, feeding tubes, and peripherally inserted central catheters) and carriage of antimicrobial-resistant pathogens in nursing home residents. DESIGN:Cross-sectional. SETTING:Community nursing home in Southeast Michigan. PARTICIPANTS:Re...

journal_title：Journal of the American Geriatrics Society

authors： Mody L,Maheshwari S,Galecki A,Kauffman CA,Bradley SF

更新日期：2007-12-01 00:00:00

abstract：OBJECTIVES:To determine the role terminally ill patients would opt to have their loved ones and physicians play in healthcare decisions should they lose decision-making capacity and how this changes over time. DESIGN:Serial interviews. SETTING:The study institutions were The Johns Hopkins Medical Institutions in Balt...

journal_title：Journal of the American Geriatrics Society

authors： Sulmasy DP,Hughes MT,Thompson RE,Astrow AB,Terry PB,Kub J,Nolan MT

更新日期：2007-12-01 00:00:00

abstract：:Falls are among the most common unwanted events in older hospital inpatients, but evidence of effective prevention is still limited compared with that in the community and in long-term care facilities. This article describes a prevention program and its effects on the incidence of falls in geriatric hospital wards. It...

journal_title：Journal of the American Geriatrics Society

authors： von Renteln-Kruse W,Krause T

更新日期：2007-12-01 00:00:00

abstract：OBJECTIVES:To determine whether serum calcium is associated with cognitive function in elderly individuals in the general population. DESIGN:Prospective follow-up study of two independent, population-based cohorts. SETTING:The Rotterdam Study (median follow-up 11 years) and the Leiden 85-plus Study (median follow-up ...

journal_title：Journal of the American Geriatrics Society

authors： Schram MT,Trompet S,Kamper AM,de Craen AJ,Hofman A,Euser SM,Breteler MM,Westendorp RG

更新日期：2007-11-01 00:00:00

abstract：OBJECTIVES:To identify variables associated with diagnosing dementia in poor older adults by comparing older people with dementia who were diagnosed by their primary care physicians (PCPs) with those not diagnosed by their PCP. DESIGN:Observational study. SETTING:Community-based, in-home cognitive assessment program....

journal_title：Journal of the American Geriatrics Society

authors： Wilkins CH,Wilkins KL,Meisel M,Depke M,Williams J,Edwards DF

更新日期：2007-11-01 00:00:00

abstract：OBJECTIVES:To assess the association between kidney function and change in body composition in older individuals. DESIGN:Prospective cohort study. SETTING:Two sites, Pittsburgh, Pennsylvania, and Memphis, Tennessee. PARTICIPANTS:Three thousand twenty-six well-functioning, participants aged 70 to 79 in the Health, Ag...

journal_title：Journal of the American Geriatrics Society

authors： Fried LF,Boudreau R,Lee JS,Chertow G,Kurella-Tamura M,Shlipak MG,Ding J,Sellmeyer D,Tylavsky FA,Simsonick E,Kritchevsky SB,Harris TB,Newman AB,Health, Aging and Body Composition Study.

更新日期：2007-10-01 00:00:00

abstract：OBJECTIVES:To examine current utilization patterns of cholinesterase inhibitor (ChEI) therapy for dementia to determine treatment duration, use in long-term care, how often patients receive these drugs until death, and frequency of switching between the available ChEIs. DESIGN:A population-based healthcare administrat...

journal_title：Journal of the American Geriatrics Society

authors： Herrmann N,Gill SS,Bell CM,Anderson GM,Bronskill SE,Shulman KI,Fischer HD,Sykora K,Shi HS,Rochon PA

更新日期：2007-10-01 00:00:00

abstract：:The management of older patients with chronic medical conditions dominates medical practice. Cardiovascular disease (CVD) and diabetes mellitus type 2 (DM) in patients aged 65 and older have reached epidemic proportions. Using elements of the Chronic Care Model (CCM), a quality improvement project was undertaken to re...

journal_title：Journal of the American Geriatrics Society

authors： Caruso LB,Clough-Gorr KM,Silliman RA

更新日期：2007-10-01 00:00:00

abstract：OBJECTIVES:To alert persons in the public and private healthcare professions to the increasing trends in higher proportions of persons aged 50 and older who are newly diagnosed with human immunodeficiency virus (HIV) and who are living with HIV and acquired immunodeficiency syndrome (AIDS). DESIGN:Data from the period...

journal_title：Journal of the American Geriatrics Society

authors： Paul SM,Martin RM,Lu SE,Lin Y

更新日期：2007-09-01 00:00:00

abstract：:Japan implemented a mandatory social long-term care insurance (LTCI) system in 2000, making long-term care services a universal entitlement for every senior. Although this system has grown rapidly, reflecting its popularity among seniors and their families, it faces several challenges, including skyrocketing costs. Th...

journal_title：Journal of the American Geriatrics Society

authors： Tsutsui T,Muramatsu N

更新日期：2007-09-01 00:00:00

abstract：OBJECTIVES:To describe the association between frailty and health status, the progression of frailty, and the relationship between frailty and mortality in older men. DESIGN:Cross-sectional and prospective cohort study. SETTING:Six U.S. clinical centers. PARTICIPANTS:Five thousand nine hundred ninety-three community...

journal_title：Journal of the American Geriatrics Society

authors： Cawthon PM,Marshall LM,Michael Y,Dam TT,Ensrud KE,Barrett-Connor E,Orwoll ES,Osteoporotic Fractures in Men Research Group.

更新日期：2007-08-01 00:00:00

abstract：:Evidence of poor performance in the evaluation and management of common geriatric conditions suggests the need for changing physician behavior in these areas. Traditional lecture-style continuing medical education (CME) has not been shown to be effective. Expert faculty initially trained 60 nonexpert peer educators to...

journal_title：Journal of the American Geriatrics Society

authors： Levine SA,Brett B,Robinson BE,Stratos GA,Lascher SM,Granville L,Goodwin C,Dunn K,Barry PP

更新日期：2007-08-01 00:00:00

abstract：OBJECTIVES:To determine whether an in-home palliative care intervention for terminally ill patients can improve patient satisfaction, reduce medical care costs, and increase the proportion of patients dying at home. DESIGN:A randomized, controlled trial. SETTING:Two health maintenance organizations in two states. PA...

journal_title：Journal of the American Geriatrics Society

authors： Brumley R,Enguidanos S,Jamison P,Seitz R,Morgenstern N,Saito S,McIlwane J,Hillary K,Gonzalez J

更新日期：2007-07-01 00:00:00

abstract：OBJECTIVES:To estimate population norms for use in assessment of individuals in relation to their age-matched peers using true longitudinal patterns of decline. DESIGN:Longitudinal study of 10 years of follow-up data from the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS) on the most commonly ...

journal_title：Journal of the American Geriatrics Society

authors： Chatfield M,Matthews FE,Brayne C,Medical Research Council Cognitive Function and Ageing Study.

更新日期：2007-07-01 00:00:00

abstract：:The Schulich School of Medicine, University of Western Ontario, Canada, has created a mandatory clerkship in Elder Care that consists of small group seminars, clinical experiences, and an Elder Care manual. This article describes the use of a paper-based log to track students' clinical encounters to determine whether ...

journal_title：Journal of the American Geriatrics Society

authors： Diachun LL,Van Bussel L,Ens A,Dumbrell AC,Hillier LM

更新日期：2007-07-01 00:00:00

abstract：OBJECTIVES:To estimate in a community-dwelling elderly population the magnitude of renal function misclassification, occurring when persons with normal serum creatinine have reduced glomerular filtration rate (GFR), and to describe the participant characteristics related to misclassification. DESIGN:Cross-sectional. ...

journal_title：Journal of the American Geriatrics Society

authors： Giannelli SV,Patel KV,Windham BG,Pizzarelli F,Ferrucci L,Guralnik JM

更新日期：2007-06-01 00:00:00

abstract：OBJECTIVES:To determine the feasibility and effect of exercise training after stroke. DESIGN:Randomized exploratory trial comparing exercise training (including progressive endurance and resistance training) with relaxation (attention control). SETTING:Interventions were performed in a rehabilitation hospital. PARTI...

journal_title：Journal of the American Geriatrics Society

authors： Mead GE,Greig CA,Cunningham I,Lewis SJ,Dinan S,Saunders DH,Fitzsimons C,Young A

更新日期：2007-06-01 00:00:00

abstract：OBJECTIVES:To investigate whether higher circulating levels of C-reactive protein (CRP), interleukin-6 (IL-6), and alpha1-antichymotrypsin (ACT) are associated with worse cognitive function and decline in old age. DESIGN:Two independent population-based cohort studies. SETTING:The Rotterdam Study (mean follow-up 4.6 ...

journal_title：Journal of the American Geriatrics Society

authors： Schram MT,Euser SM,de Craen AJ,Witteman JC,Frölich M,Hofman A,Jolles J,Breteler MM,Westendorp RG

更新日期：2007-05-01 00:00:00

abstract：:Long-term acute care (LTAC) represents a rapidly growing category of Medicare providers, but little is known about its quality, outcomes, and cost-effectiveness. Its defining characteristic, as set by Medicare, is an average length of stay of greater than 25 days. Modern LTAC emerged in the early 1980s as a setting fo...

journal_title：Journal of the American Geriatrics Society

authors： Eskildsen MA

更新日期：2007-05-01 00:00:00

abstract：OBJECTIVES:To evaluate the association between neighborhood walkability and depression in older adults. DESIGN:Cross-sectional analysis using data from Adult Changes in Thought (ACT), a prospective, longitudinal cohort study. SETTING:King County, Washington. PARTICIPANTS:Seven hundred forty randomly selected men and...

journal_title：Journal of the American Geriatrics Society

authors： Berke EM,Gottlieb LM,Moudon AV,Larson EB

更新日期：2007-04-01 00:00:00

abstract：OBJECTIVES:To determine the performance of the Patient Health Questionnaire 2 (PHQ-2) against the criterion standard for diagnosing major depression, the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), and to examine its performance across age, sex, and racial/ethnic groups. DESIGN:Cros...

journal_title：Journal of the American Geriatrics Society

authors： Li C,Friedman B,Conwell Y,Fiscella K

更新日期：2007-04-01 00:00:00

abstract：OBJECTIVES:To determine the relationship between blood pressure (BP) and all-cause mortality in subjects aged 80 and older with hypertension. DESIGN:Retrospective cohort study with 5 years of follow-up. SETTING:Ten Veterans AFFAIRS (VA) sites. PARTICIPANTS:Four thousand seventy-one ambulatory patients aged 80 and ol...

journal_title：Journal of the American Geriatrics Society

authors： Oates DJ,Berlowitz DR,Glickman ME,Silliman RA,Borzecki AM

更新日期：2007-03-01 00:00:00

abstract：OBJECTIVES:To evaluate a new alcohol-related risk score for research use. DESIGN:Using data from a previously reported trial of a screening and education system for older adults (Computerized Alcohol-Related Problems Survey), secondary analyses were conducted comparing the ability of two different measures of risk to ...

journal_title：Journal of the American Geriatrics Society

authors： Wilson SR,Fink A,Verghese S,Beck JC,Nguyen K,Lavori P

更新日期：2007-03-01 00:00:00

abstract：OBJECTIVES:To investigate the effectiveness of an exercise program in improving ability to perform activities of daily living (ADLs), physical performance, and nutritional status and decreasing behavioral disturbance and depression in patients with Alzheimer's disease (AD). DESIGN:Randomized, controlled trial. SETTIN...

journal_title：Journal of the American Geriatrics Society

authors： Rolland Y,Pillard F,Klapouszczak A,Reynish E,Thomas D,Andrieu S,Rivière D,Vellas B

更新日期：2007-02-01 00:00:00

abstract：OBJECTIVES:To determine the effect of four vitamin D supplement doses on falls risk in elderly nursing home residents. DESIGN:Secondary data analysis of a previously conducted randomized clinical trial. SETTING:Seven hundred twenty-five-bed long-term care facility. PARTICIPANTS:One hundred twenty-four nursing home r...

journal_title：Journal of the American Geriatrics Society

authors： Broe KE,Chen TC,Weinberg J,Bischoff-Ferrari HA,Holick MF,Kiel DP

更新日期：2007-02-01 00:00:00

abstract：:Generalist physicians provide most primary care for older people. Increasingly, undergraduate clinical education occurs in community sites. Hence, community-based generalist faculty members need continuing education in geriatrics to support clinical practice and teaching. The Geriatrics Scholars Program provided conti...

journal_title：Journal of the American Geriatrics Society

authors： Willett RM,Boling PA,Meyers ME,Hoban JD,Lawson SR,Schlesinger JB

更新日期：2007-02-01 00:00:00

abstract：OBJECTIVES:To assess the association between change in motor function and mortality. DESIGN:Prospective, observational cohort study. SETTING:Approximately 40 retirement communities across the Chicago metropolitan area participating in the Rush Memory and Aging Project. PARTICIPANTS:Eight hundred thirty-seven communi...

journal_title：Journal of the American Geriatrics Society

authors： Buchman AS,Wilson RS,Boyle PA,Bienias JL,Bennett DA

更新日期：2007-01-01 00:00:00

abstract：OBJECTIVES:To describe longitudinal changes in the prevalence of major cardiovascular disease (CVD) risk factors in aging American Indians. DESIGN:Population-based ongoing epidemiological study. SETTING:The Strong Heart Study is a study of CVD and its risk factors. Standardized examinations were repeated in 1993 to 1...

journal_title：Journal of the American Geriatrics Society

authors： Rhoades DA,Welty TK,Wang W,Yeh F,Devereux RB,Fabsitz RR,Lee ET,Howard BV

更新日期：2007-01-01 00:00:00

abstract：OBJECTIVES:To assess the effect of methicillin-resistant Staphylococcus aureus (MRSA) colonization on morbidity and mortality of nursing home residents. DESIGN:Three-year cohort study from 2000 to 2003. SETTING:Twenty-three nursing homes of all types and regions in the northern part of Belgium (Flanders). PARTICIPAN...

journal_title：Journal of the American Geriatrics Society

authors： Suetens C,Niclaes L,Jans B,Verhaegen J,Schuermans A,Van Eldere J,Buntinx F

更新日期：2006-12-01 00:00:00

abstract：:Urinary incontinence and other lower urinary tract symptoms exert a major influence on the health and independence of frail older people. Detrusor underactivity (DU) is defined as a contraction of reduced strength and/or duration, resulting in prolonged bladder emptying and/or a failure to achieve complete bladder emp...

journal_title：Journal of the American Geriatrics Society

authors： Taylor JA 3rd,Kuchel GA

更新日期：2006-12-01 00:00:00

abstract：OBJECTIVES:To examine the association between alcohol intake and problem drinking history and bone mineral density (BMD), falls and fracture risk. DESIGN:Cross-sectional and prospective cohort study. SETTING:Six U.S. clinical centers. PARTICIPANTS:Five thousand nine hundred seventy-four men aged 65 and older. MEASU...

journal_title：Journal of the American Geriatrics Society

authors： Cawthon PM,Harrison SL,Barrett-Connor E,Fink HA,Cauley JA,Lewis CE,Orwoll ES,Cummings SR

更新日期：2006-11-01 00:00:00

abstract：OBJECTIVES:To analyze baseline data from the Ginkgo Evaluation of Memory (GEM) study, in which information was collected on the use of all dietary supplements. DESIGN:Cross-sectional regression analysis. SETTING:GEM study sites in California, Maryland, North Carolina, and Pennsylvania. PARTICIPANTS:The GEM study enr...

journal_title：Journal of the American Geriatrics Society

authors： Nahin RL,Fitzpatrick AL,Williamson JD,Burke GL,Dekosky ST,Furberg C,GEM Study Investigators.

更新日期：2006-11-01 00:00:00

abstract：OBJECTIVES:To test the applicability and safety of a standardized diagnostic algorithm in geriatric departments and to define the prevalence of different causes of syncope in older patients. DESIGN:Multicenter cross-sectional observational study. SETTING:In-hospital geriatric acute care departments and outpatient cli...

journal_title：Journal of the American Geriatrics Society

authors： Ungar A,Mussi C,Del Rosso A,Noro G,Abete P,Ghirelli L,Cellai T,Landi A,Salvioli G,Rengo F,Marchionni N,Masotti G,Italian Group for the Study of Syncope in the Elderly.

更新日期：2006-10-01 00:00:00

abstract：:Most estimates of the cost of informal caregiving in patients with Alzheimer's disease (AD) remain cross-sectional. Longitudinal estimates of informal caregiving hours and costs are less frequent and are from assessments covering only short periods of time. The objectives of this study were to estimate long-term traje...

journal_title：Journal of the American Geriatrics Society

authors： Zhu CW,Scarmeas N,Torgan R,Albert M,Brandt J,Blacker D,Sano M,Stern Y

更新日期：2006-10-01 00:00:00

abstract：OBJECTIVES:To assess the relationship between alcohol intake and mortality in a cohort of women aged 70 and older and to explore the relationship between level of alcohol use and changes in physical and mental health-related quality of life. DESIGN:National longitudinal surveys from 1996 to 2002. SETTING:Community ba...

journal_title：Journal of the American Geriatrics Society

authors： Byles J,Young A,Furuya H,Parkinson L

更新日期：2006-09-01 00:00:00

abstract：OBJECTIVES:To determine whether severe obesity in older people is independently associated with diminished lower extremity physical performance (LEP) in a random sample of homebound older adults that were considered ambulatory. DESIGN:Prospective cohort with 1 year of follow-up (2000-02). SETTING:In-home assessments ...

journal_title：Journal of the American Geriatrics Society

authors： Sharkey JR,Ory MG,Branch LG

更新日期：2006-09-01 00:00:00

abstract：OBJECTIVES:To assess whether older age is independently associated with hemorrhage risk in patients with atrial fibrillation, whether or not they are taking warfarin therapy. DESIGN:Cohort study. SETTING:Integrated healthcare delivery system. Thirteen thousand five hundred fifty-nine adults with nonvalvular atrial fi...

journal_title：Journal of the American Geriatrics Society

authors： Fang MC,Go AS,Hylek EM,Chang Y,Henault LE,Jensvold NG,Singer DE

更新日期：2006-08-01 00:00:00

abstract：:The coming decades will see a dramatic rise in the number of homebound adults. These individuals will have multiple medical conditions requiring a team of caregivers to provide adequate care. Home-based primary care (HBPC) programs can coordinate and provide such multidisciplinary care. Traditionally, though, HBPC pro...

journal_title：Journal of the American Geriatrics Society

authors： Smith KL,Ornstein K,Soriano T,Muller D,Boal J

更新日期：2006-08-01 00:00:00