Publications

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Cryptogenic Cirrhosis: Nonalcoholic Steatohepatitis Despite the Absence of Risk Factors?

JAMDA
March 1, 2019
Cirrhosis, a manifestation of end-stage liver disease, is said to be cryptogenic when the etiology of the destruction of liver architecture is unknown. We report an unusual case of cryptogenic cirrhosis due to nonalcoholic fatty liver disease (NAFLD...

Co-Residents in a Long-Term Facility-Can They Affect Mortality and Quality of Life?

JAMDA
March 1, 2019
Frontotemporal dementia (FTD) is a group of neurodegenerative disorders where there is atrophy of the frontal/temporal areas of the brain responsible for executive function and language. Primary progressive aphasia is a subtype of frontotemporal...

Cerebral Amyloid Angiopathy Limits Treatment of Stroke

JAMDA
March 1, 2019
Cerebral amyloid angiopathy (CAA) is a predominantly sporadic degenerative vasculopathy characterized by beta-amyloid deposition in the cerebral microvasculature, which may lead to lobar intracerebral and sulcal hemorrhage in older adults. Although...

Cardiac Limited Ultrasound Exam (CLUE) Protocol for CHF Management in a Skilled Nursing Facility Setting

JAMDA
March 1, 2019
Cardiac Limited Ultrasound Exam (CLUE) protocol using portable ultrasound has been being more widely adopted by clinicians to augment the bedside cardiac physical examination, especially for patients with CHF. We present a case to illustrate the...

Bilateral Eyelid Edema – a Subtle Presentation of Superior Vena Cava Syndrome

JAMDA
March 1, 2019
Superior vena cava syndrome (SVCS) is an important clinical entity that manifests secondary to compression of the superior vena cava (SVC) from an intrathoracic malignancy. Although it has an incidence of about 15,000 cases per year in the United...

Actinomyces Odontolyticus Bacteremia in an Immunosuppressed Patient

JAMDA
March 1, 2019
Mr. X is an 81-year-old male with history of atrial fibrillation, meningioma, and recent pacemaker placement 1 month prior reporting to the hospital after being called by the ER for positive blood cultures. Apparently, he was in ER 4 days prior with...

A Case of the Uncontrollable Tears

JAMDA
March 1, 2019
Pseudobulbar affect is a common cause of “emotional lability” in patients with neurodegenerative disorders and can significantly affect a patient's quality of life.

A Case of Barium Enema–Induced Anal Fistula in a Long-term Care Resident: An Imperative to Avoid Barium Enema as a Screening and Diagnostic Tool in the Elderly

JAMDA
March 1, 2019
The use of barium enema study has decreased as lower GI endoscopy becomes more prevalent. However, it is still used in several clinical settings given benefits of sedation avoidance, less invasiveness and low cost. Even though barium enema is a...

Is There an Opioid Crisis in Nursing Homes?

JAMDA
March 1, 2019
In this issue of JAMDA, several articles appear that discuss opioid use in nursing homes. The first, by Roitto et al, found that the prevalence of opioid use in Helsinki nursing homes nearly tripled to 30.2% in 2017. In addition, the concomitant use...

Fourteen-Year Trends in the Use of Psychotropic Medications, Opioids, and Other Sedatives Among Institutionalized Older People in Helsinki, Finland

JAMDA
March 1, 2019
The use of psychotropic drugs in long-term care (LTC) is very common, despite their known adverse effects. The prevalence of opioid use is growing among older adults. This study aimed to investigate trends in the prevalence of psychotropics, opioids...