Publications

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How the Frailty Index May Support the Allocation of Health Care Resources: An Example From the INCUR Study

JAMDA
March 17, 2016
The Frailty Index (FI), proposed by Rockwood and Mitniski, measures the deficits accumulation occurring with aging, and can be generated from the results of a comprehensive clinical assessment. Its construct (based on pure arithmetical assumptions)...

Brand New Medicine for an Older Society

JAMDA
March 16, 2016
The prolongation of life expectancy has been a major endeavor throughout human history. Economic development, technological and medical advancements, and the establishment of solid public health systems have been instrumental to the fast-paced...

The Relevance of Assessing Cognitive Performances in Patients With Cerebrovascular Diseases

JAMDA
March 11, 2016
The relevance, indication, and ethical aspects of evaluating cognitive performances greatly depend on the target population. Assessing cognitive status in elderly individuals who visit their primary care doctor1,2 may thus be strongly different in...

Development of an Applied Framework for Understanding Health Information Technology in Nursing Homes

JAMDA
March 11, 2016
There is growing evidence that Health Information Technology (HIT) can play a role in improving quality of care and increasing efficiency in the nursing home setting. Most research in this area, however, has examined whether nursing homes have or...

Effects of Geriatric Interdisciplinary Home Rehabilitation on Walking Ability and Length of Hospital Stay After Hip Fracture: A Randomized Controlled Trial

JAMDA
March 11, 2016
To evaluate if Geriatric Interdisciplinary Home Rehabilitation could improve walking ability for older people with hip fracture compared with conventional geriatric care and rehabilitation. A secondary aim was to investigate the postoperative length...

Do Not Harm Older Persons in Primary Care by Case Finding of Cognitive Decline, Instead Assess Cognition Only Following Loss of Well-being

JAMDA
March 10, 2016
The technical possibilities of mass online cognitive testing1 and identification of brain amyloidosis by positron emission tomography (PET) scanning and cerebrospinal fluid analysis,2 which allow early detection of cognitive decline and preclinical...

High-Quality Exercise Programs Are an Essential Component of Nursing Home Care

JAMDA
March 10, 2016
“I have to exercise early in the morning before my brain figures out what I am doing.”∼Author unknown

Brain Health: A Japanese Viewpoint

JAMDA
March 10, 2016
A recent survey revealed that there are more than 4 million older persons with dementia in Japan, which is equal to a prevalence of approximately 15% of older adults, and close to 4 million older persons have mild cognitive impairment.1 This result...

Next Generation Brain Health Depends on Early Alzheimer Disease Diagnosis: From a Timely Diagnosis to Future Population Screening

JAMDA
March 10, 2016
Recent advances in neuroimaging, cerebrospinal fluid (CSF) assays, and other biomarkers now provide the ability to detect evidence of Alzheimer's disease (AD) pathophysiological process in vivo.1 This stirs the debate about how and when AD is best...

Neglected Categorical Differences of Hypertension of the Elderly vs. the Young: A Case of Institutional Amnesia?

JAMDA
March 10, 2016
In the early 20th century, hypertension became a topic of major interest and by approximately the mid-century a number of investigators had identified a syndrome/condition in adults younger than 50 to 55 termed “essential hypertension” (sometimes “...