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Geriatrics (Basel)
December 2024
Department of Occupational Therapy, School of Health Sciences, Fukushima Medical University, Fukushima 960-8516, Japan.
Maintaining functional independence and minimizing disability among older adults living in the community is paramount for mitigating rising care demands. Our study focused on shopping as a critical instrumental activity of daily living (ADL) to explore the association between shopping assistance and functional decline among older individuals receiving support through long-term care insurance (LTCI). This retrospective, cross-sectional study included 6202 participants aged >65 years living in a Japanese regional town receiving LTCI support, suggesting that they required assistance with local community life.
View Article and Find Full Text PDFNeurorehabil Neural Repair
December 2024
Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Background: Although various repetitive transcranial magnetic stimulation (rTMS) and theta burst stimulation (TBS) protocols are used, their comparative effectiveness for treating poststroke hemineglect remains unassessed.
Objective: To investigate rTMS and TBS effects on clinical outcomes in poststroke hemineglect through a systematic review and network meta-analysis.
Methods: We searched PubMed, EMBASE, and Cochrane Library databases up to March 7, 2024, for trials on rTMS or TBS in poststroke hemineglect.
J Am Board Fam Med
December 2024
From the Division of General Internal Medicine and Geriatrics, Addiction Medicine Section, Oregon Health & Science University, Portland, OR (BC, STE, MD, CN, PTK); Central City Concern, Portland OR (BC, AG, MD); Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland OR (EH, STE, SS); School of Medicine, Oregon Health & Science University, Portland OR (AG, CN); School of Social Work, Portland State University, Portland OR (CN); School of Public Health, Oregon Health & Science University and Portland State University, Portland OR (PTK); Division of General Internal Medicine, Johns Hopkins University, Baltimore, MD (SS).
Background: There is great interest in intensive primary care interventions to address high utilization among medically and socially complex patients. How patients experience these interventions has received less attention.
Objective: To better understand patients' experience of intensive primary care, we interviewed patients receiving care from the Streamlined Unified Meaningfully Managed Interdisciplinary Team (SUMMIT), an ambulatory intensive care intervention at an urban federally qualified health center.
Front Psychiatry
December 2024
Forensic Psychiatry Division, The Centre for Addiction and Mental Health, Toronto, ON, Canada.
Introduction/background: Aggression and violence are common problems in healthcare settings and affects both patients and healthcare staff. The Dynamic Appraisal of Situational Aggression (DASA) is an assessment tool to guide assessment for short term risk in inpatient settings. There have been no large-scale studies examining the performance of the DASA across different clinical settings.
View Article and Find Full Text PDFAnn Surg Open
December 2024
Department of Medicine, Royal Melbourne Hospital, Melbourne Brain Centre at Royal Melbourne Hospital, Melbourne Medical School, Faculty of Medicine, The University of Melbourne; Melbourne, Australia.
Objective: To develop age-appropriate nonaGEnaRIan And cenTenarian suRgICal (GERIATRIC) risk tool for classifying patients who may or may not develop postoperative complications or die within their index hospital admission.
Background: There are no validated perioperative risk stratification tools for use in nonagenarian and centenarian patients-people aged 90 to 99 years and >100 years.
Methods: In this retrospective observational study, nonagenarians and centenarians undergoing any surgical procedure were profiled.
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