Gerontology
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Although the number of older patients is increasing in almost all medical specialties, the interest of medical students in geriatrics as a career is still low. Because quality of medical education and educators strongly influences student career decisions, it is important to develop curricula that motivate students to become self-directed, lifelong learners in the field of geriatric medicine. ⋯ Geriatrics seems to be an established subject in most German and Austrian faculties. However, the current data clearly indicate highly variable quality in geriatric pregraduate training at German and Austrian universities. Because curricula should prepare young people using competence-based training and assessment methods, room for improvement remains not only in terms of structure, but also regarding quality of training to develop self-directed lifelong learners.
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The prevalence of malnutrition in institutionalized elderly people is generally high. A good nutritional status is related to a decrease in mortality and costs of morbidity treatments. Therefore, it is essential to know the nutritional status in order to establish action policies. However, there are not enough studies about malnutrition in institutionalized elderly in Spain. ⋯ The prevalence of malnutrition and risk of malnutrition was 40.1%. Female gender and living in institutions located in the main city were identified as malnutrition risk factors. In general, an increase in malnutrition with age was detected, except for people in the last years of their lives. The MNA questions that best predicted the nutritional status were the ones relating to the anthropometrical and self-assessments.
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Recent research has demonstrated commonalities between remembering past events and imagining future events. Behavioral studies have revealed that remembering the past and imagining the future depend on shared cognitive processes, whereas neuropsychological and neuroimaging studies have shown that many of the same brain regions are involved in both remembering the past and imagining the future. Here, we review recent cognitive and neuroimaging studies that examine remembering the past and imagining the future in elderly adults. ⋯ These findings are in line with the constructive episodic simulation hypothesis [Schacter and Addis: Phil Trans R Soc B 2007;362:773-786], which holds that past and future events draw on similar information and rely on similar underlying processes, and that episodic memory supports the construction of future events by extracting and recombining stored information into a simulation of a novel event. At the same time, however, recent data indicate that non-episodic factors also contribute to age-related changes in remembering the past and imagining the future. We conclude by considering a number of questions and challenges concerning the interpretation of age-related changes in remembering and imagining, as well as functional implications of this research for everyday concerns of older adults.
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Elder abuse is common and is a frank violation of an older adult's fundamental rights to be safe and free of violence. Our prior study indicates elder abuse is independently associated with mortality. This study aims to quantify the relationship between overall elder abuse and specific subtypes of elder abuse and rate of admission to skilled nursing facilities (SNF). ⋯ Elder abuse was associated with increased rates of admission to SNF in this community population. Specific subtypes of elder abuse had a differential association with an increased rate of admission to SNF.
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Interdisciplinary emergency departments (EDs) are confronted with trauma and nontrauma patients of any age group. Length of stay (LOS) and admission rates reflect both disease complexity and severity. ⋯ The correlation between age and LOS is stronger for trauma patients, which might indicate a special need for geriatric expertise in elderly trauma ED patients. Thus an interdisciplinary approach including surgical and geriatric expertise may be advantageous.