The Association Between Adverse Childhood Experiences and Positive Dementia Screen in American Older Adults.

Background: Adverse childhood experiences (ACEs) are linked to higher risk of common conditions driving mortality in adulthood, but little evidence exists on whether ACEs are associated with risk of dementia, a leading cause of death in the USA.

Objective: To estimate the relationship between US adults' reported ACE scores and a positive screen for dementia.

Design: Cross-sectional analysis of a longitudinal, national population-based survey of US older adults.

Training for In-Home Supportive Services Caregivers in an Underserved Area.

Despite the complexity of care associated with older adults who have been diagnosed with Alzheimer's disease and related dementias, many in-home paid caregivers receive little to no training in competent care for these older adults. The In-Home Supportive Services program in California provides care for elderly, blind, and disabled people with the goal of ensuring the care recipients may remain safely in their own homes. Yet, these caregivers are not required to receive training in any specific disease or condition prior to providing caregiving services.

Geriatric Workforce Development for the Underserved: Using RCQI Methodology to Evaluate the Training of IHSS Caregivers.

Caregivers play an important role in the in-home care of community dwelling older adults living with Alzheimer's disease or related dementias (ADRD); however, many of these caregivers lack training in caring for this vulnerable population. In 2015, we developed and implemented an interactive, community-based, knowledge and skills-based training program for In-Home Supportive Services (IHSS) caregivers. This report shares the results of a process evaluation of this training program as it evolved over the course of three training sessions in Riverside County, California.

Team-Based Interprofessional Competency Training for Dementia Screening and Management.

As many as 50% of people satisfying diagnostic criteria for dementia are undiagnosed. A team-based training program for dementia screening and management was developed targeting four professions (medicine, nursing, pharmacy, social work) whose scope of practice involves dementia care. An interprofessional group of 10 faculty members was trained to facilitate four interactive competency stations on dementia screening, differential diagnoses, dementia management and team care planning, and screening for and managing caregiver stress.

Osteocranioplasty of calotte defects with autoplastic rib segments in children.

Calotte defects that are larger than 3-5 cm require stable plastic reconstruction. Osseous regenerations take place at the connective tissue bone of the calotte if the dura is intact. Even large defects may be considerably reduced in this way within 2 or 3 years.

[Occurrence of cancers in duplications of the digestive tract].

Sometimes duplications of the digestive tract are diagnosed not before adulthood. Single cases of malignant tumours in combination with duplications have been described previously. The poor incidence of this entity is documented by less than 20 reports in the last 107 years.

[Surgery in esophageal atresia. Anatomical and functional aspects].

The first successfully operated newborn with esophageal atresia dates back more than 55 years. During this period the concept of the unity of structure and function for surgical treated malformations has been retained. Primary anastomosis offers the best prerequisites.

[Multiple endocrine neoplasia of the II B type].

Multiple endocrine neoplasia, type II B (MEN II B) includes thyroid carcinoma, pheochromocytoma, ganglioneuromatosis and marfanoid habitus. Its short-term prognosis is determined by the tumour of the adrenal gland, whereas long-term prognosis is determined by the thyroid carcinoma. Often the well-defined but rare syndrome is diagnosed late.

[Varicocele testis--a pediatric disease?].

The inquiries and evidences demonstrated deal with the consequences of the varicocele disease which had remained unattended in childhood. They are based on representative collective statistics and examinations of the own patients. The parameters density of spermatozoa, motility of spermatozoa, paternity, volume of the testes and histomorphology of the testes refer to the diminution of the fertility beyond adolescence.

Follow-up studies in 50 totally colectomised children.

We report on 50 totally colectomised children, most of whom suffered from Hirschsprung's disease. Of the 50, one child died postoperatively of enteritis. On an average, the children were re-examined 5 1/2 years after the colectomy.

[Results of total colectomy in childhood].

In nineteen colectomized children operated for Hirschsprung's disease in most instances, size and weight were within normal ranges about six years after surgery. They passed stools, mostly of pulpy consistence, once to ten-times a day, on average four times a day. Eleven children suffered from continence disturbances.