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Age-Related Changes in Antidepressant Pharmacokinetics and Potential Drug-Drug Interactions: A Comparison of Evidence-Based Literature and Package Insert Information.
Boyce RD, Handler SM, Karp JF, Hanlon JT.BACKGROUND: Antidepressants are among the most commonly prescribed psychotropic agents for older patients. Little is known about the best source of pharmacotherapy information to consult about key factors necessary to safely prescribe these medications to ...
Can simulator-based training improve street-crossing safety for elderly pedestrians?-Dommès A, Cavallo V.
Older adults are known to be over-involved in pedestrian fatalities. Past research has shown that many of them make unsafe decisions when vehicles are approaching at a high speed and also miss many crossing opportunities when vehicle speed is low. They see...
Could Fire and Rescue Services identify older people at risk of falls?
Laybourne AH, Martin FC, Whiting DG, Lowton K.Protecting or improving the efficiency and effectiveness of services while reducing costs in response to public sector funding reductions is a significant challenge for all public service organisations. Preventing falls in older people is a major public he...
Depressive Symptoms, Chronic Pain, and Falls in Older Community-Dwelling Adults: The MOBILIZE Boston Study.-Eggermont LH, Penninx BW, Jones RN, Leveille SG.
OBJECTIVES: To examine whether overall depressive symptoms and symptom clusters are associated with fall risk and to determine whether chronic pain mediates the relationship between depression and fall risk in aging. DESIGN: Prospective cohort study. SETTI...
Distracted driving in elderly and middle-aged drivers.
Thompson KR, Johnson AM, Emerson JL, Dawson JD, Boer ER, Rizzo M.Automobile driving is a safety-critical real-world example of multitasking. A variety of roadway and in-vehicle distracter tasks create information processing loads that compete for the neural resources needed to drive safely. Drivers with mind and brain a...
Dual-task complexity affects gait in people with mild cognitive impairment: the interplay between gait variability, dual tasking, and risk of falls.-Montero-Odasso M, Muir SW, Speechley M.
OBJECTIVE: To determine the effect of 2 different dual tasks on gait variability in people with mild cognitive impairment (MCI) compared with control subjects. DESIGN: Cross-sectional study. SETTING: Memory clinic at a university hospital. PARTICIPANTS: Ol...
Effects of a Late-Life Suicide Risk-Assessment Training on Multidisciplinary Healthcare Providers.
Huh JT, Weaver CM, Martin JL, Caskey NH, O'Riley A, Kramer BJ.Older adults are among the highest at risk for completing suicide, and they are more likely to seek mental health services from providers outside of traditional mental health care, but providers across the spectrum of care have limited training in suicide ...
Effects of Intervention Using a Community-Based Walking Program for Prevention of Mental Decline: A Randomized Controlled Trial.-Maki Y, Ura C, Yamaguchi T, Murai T, Isahai M, Kaiho A, Yamagami T, Tanaka S, Miyamae F, Sugiyama M, Awata S, Takahashi R, Yamaguchi H.
OBJECTIVES: To evaluate the efficacy of a municipality-led walking program under the Japanese public Long-Term Care Insurance Act to prevent mental decline. DESIGN: Randomized controlled trial. SETTING: The city of Takasaki. PARTICIPANTS: One hundred fifty...
Emerging evidence that older driver retraining can improve knowledge and on-road driving skills.
George S, Devos H.[Abstract unavailable]
Language: Eng...
Evidence-based exercise prescription for balance and falls prevention: a current review of the literature.-Shubert TE.
Falls are the leading cause of emergency department visits, hospital admissions, and unintentional death for older adults. Balance and strength impairments are common falls risk factors for community-dwelling older adults. Though physical therapists common...
Factors influencing commencement and adherence to a home-based balance exercise program for reducing risk of falls: perceptions of people with Alzheimer's disease and their caregivers.
Suttanon P, Hill KD, Said CM, Byrne KN, Dodd KJ.ABSTRACTBackground: Balance exercise is an important component of falls-prevention interventions, with growing evidence that it can be beneficial for people with Alzheimer's disease (AD). However, to implement a balance exercise program successfully for pe...
Gait changes and fall risk.-Wolf I, Bridenbaugh SA, Gschwind YJ, Kressig RW.
Walking is a complex motor task generally performed automatically by older adults. Falls with or without serious consequences such as fractures or fear of falling can be the result. Gait analysis shows that even minor stride-to-stride variations increase t...
Impact of Tai Chi exercise on multiple fracture-related risk factors in post-menopausal osteopenic women: a pilot pragmatic, randomized trial.
Wayne PM, Kiel DP, Buring JE, Connors EM, Bonato P, Yeh GY, Cohen CJ, Mancinelli C, Davis RB.BACKGROUND: Tai Chi (TC) is a mind-body exercise that shows potential as an effective and safe intervention for preventing fall-related fractures in the elderly. Few randomized trials have simultaneously evaluated TC's potential to reduce bone loss and imp...
Neighborhood Design and the Accessibility of the Elderly: An Empirical Analysis in Northern California-Cao XJ, Mokhtarian PL, Handy SL.
The low mobility of seniors may be due in part to a history of auto-oriented transportation and land use policy decisions. More recently, land use policies that make it possible to drive less show promise of effectiveness for the population as a whole. How...
Personalization and Adaptation to the Medium and Context in a Fall Detection System.
Naranjo D, Roa L, Reina-Tosina J, Estudillo-Valderrama M.The main objective of this paper is to present a distributed processing architecture that explicitly integrates capabilities for its continuous adaptation to the medium, the context and the user. This architecture is applied to a falling detection system t...
Physical activity and health-related quality of life among older men: An examination of current physical activity recommendations.-Vallance JK, Eurich D, Lavallee C, Johnson ST.
OBJECTIVE: To determine differences in health-related quality of life (HRQoL) between older men achieving versus not achieving American College of Sports Medicine (ACSM) and the United States Department of Health and Human Services recommendations (USDHHS)...
Poor bone microarchitecture in older men with impaired physical performance-the STRAMBO study.
Blaizot S, Boutroy S, Vilayphiou N, Boonen S, Chapurlat R, Szulc P.In 810 men ?60 years, poor physical performance of lower limbs was associated with lower areal bone mineral density (aBMD) of total hip and poor bone microarchitecture at the distal tibia (assessed by HR-pQCT). Men who reported falls had lower hip aBMD ...
Posttraumatic stress disorder, depression, and perceived needs for psychological care in older persons affected by Hurricane Ike.-Pietrzak RH, Southwick SM, Tracy M, Galea S, Norris FH.
OBJECTIVE: To examine the prevalence and correlates of disaster-related posttraumatic stress disorder (PTSD), depression, and needs for psychological care in older persons affected by Hurricane Ike. METHOD: A total of 193 adults aged 60 or older who reside...
Reevaluating the Implications of Recurrent Falls in Older Adults: Location Changes the Inference.
Kelsey JL, Procter-Gray E, Berry SD, Hannan MT, Kiel DP, Lipsitz LA, Li W.OBJECTIVES: To compare characteristics of indoor and outdoor recurrent fallers and explore some implications for clinical practice, in which a fall risk assessment for all recurrent fallers has been recommended. DESIGN: Prospective cohort study. SETTING: M...
Risk factors associated with elder abuse: the importance of differentiating by type of elder maltreatment.-Jackson SL, Hafemeister TL.
Elder abuse research rarely differentiates by the type of elder maltreatment involved when identifying risk factors. The purpose of this study was to compare risk factors across four predominant types of elder maltreatment (financial exploitation, physical...
Survey on Victorian driver assessors' experience of critical incidents.
Ng KC, Lovell R.Aim:? To determine the prevalence of critical incidents among driver assessors, identify the type and frequency of critical incidents experienced and the strategies used to cope following these incidents. Method:? Mail survey of 70 Victorian occupation...
The frailty dilemma. Review of the predictive accuracy of major frailty scores.-Pijpers E, Ferreira I, Stehouwer CD, Nieuwenhuijzen Kruseman AC.
BACKGROUND: To identify frail elderly individuals, several index or scoring systems have been developed for research purposes. The practical value of these scores for screening and diagnostic use is uncertain. AIM: The available scoring systems were review...
The prevalence of Neurally Mediated Syncope in older patients presenting with unexplained falls.
Anpalahan M, Gibson S.AIMS: To determine the prevalence and clinical significance of carotid sinus syndrome (CSS) and vasovagal syncope (VVS), the two common types of Neurally Mediated Syncope (NMS), in a cohort of older patients with unexplained falls. METHODS: Patients presen...
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