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RECHERCHES
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Assessment of clinical practices for crushing medication in geriatric units Ce travail sur l'écrasement des médicaments en gériatrie vient de paraître online dans The journal of nutrition, health & aging. Results : 155/526 in-patients (29.5%) were unable to swallow tablets or capsules: 98 (40.3%) in long-term care, 46 patients (23.8%) in the rehabilitation unit and 11 (12.2%) in the acute care unit (p =.005). In thirty-nine (27.3%) of the 143 prescriptions studied all tablets were safe to crush and all capsules were safe to open. In 104 cases, at least one medication could not be safely modified, including 26 cases (18.2%) in which none of the prescribed drugs were safe to crush or open. In 48.2% of the 110 medications that were crushed, crushing was forbidden, and presented a potential threat in 12.7% of cases or a reduced efficacy in 8.2% of cases. Crushing methods were rarely appropriate: no specific protective equipment was used (81.8%), crushing equipment was shared between patients without cleaning (95.1%), medications were spilled or lost (69.9%). The method of administration was appropriate (water, jellified water) in 25% of the cases, questionable (soup, coffee, compote, juice, cream) in 55% of the cases and unacceptable (laxative) in 21% of the cases. Pour consulter l'article en ligne: ici Determination of Cutoff Values for DEXA-Based Body Composition Measurements for Determining Metabolic and Cardiovascular Health The two components of the body weight (i.e., fat mass and muscle mass) appeared to be of high interest to consider in predicting metabolic health related risks. We aimed to determine cutoff values for fat mass index (FMI) and muscle mass index (MMI), FM/MM, and BMI for metabolic and cardiovascular health. Our cutoff values for FMI, MMI, and FM/MM could be of practical value for the clinical evaluation of a deficit in MM with or without excess of FM. They complement the classical concept of BMI in a more qualitative manner and extend the analysis of its impact on health outcomes to all BMI categories. Article Markers of metabolic and cardiovascular health in adults: Comparative analysis of DEXA-based body composition components and BMI categories Our findings suggest that fat mass (FM) and muscle mass (MM) readouts are important measurements of nutritional status and they extend the analysis of its impact on health outcomes to all BMI categories. Moreover, they highlight the interest of measuring body composition in medical check-ups to predict metabolic and cardiovascular diseases. Abstract Intérêt des échelles de calcul de la charge anticholinergique en gériatrie Dans cette étude, 3 échelles anticholinergiques ont été évaluées sur les prescriptions de 441 patients hospitalisés en gériatrie. Evaluation de la charge anticholinergique en gériatrie nouveau Un score de risque de iatrogénie Voici un score simple, basé sur les résultats de l'étude IMEPAG et permettant de calculer le risque d'événement indésirable médicamenteux (EIM) chez les malades âgés: ADE geriatric risk score (pdf) Identifying and preventing adverse drug events in elderly hospitalised patients: a randomised trial of a program to reduce adverse drug effects L'article sur l'étude IMEPAG vient de paraître en anglais lien abstract article en anglais (pdf) Validation de la version française du test d'évaluation cognitive par téléphone (F-TICS-m) Validation study of a French version of the modified telephone interview for cognitive status (F-TICS-m) in elderly women. lien abstract le test en français et en anglais est disponible sur la page ERI 20 de l'INSERM (numéro 12 tests TICS). article en français (2008) Etude sur la Iatrogénie Médicamenteuse Evitable chez les Personnes AGées (IMEPAG) hospitalisées en SSR gériatrique (PHRC 2001) Synthèse Etude sur la valeur pronostique de l'IL6 en soins de longue durée "Valeur pronostique à 2 ans de l'interleukine-6 dans une population de sujets âgés fragiles" article en français (2008) "Prognostic value of serum interleukin-6 (IL-6) levels in long term care" abstract article en anglais (2007) Etude sur la vaccination grippale des soignants en gériatrie "Factors That Influence Influenza Vaccination Among Healthcare Workers in a French Geriatric Hospital" article en anglais Etude sur l'utilisation des héparines de bas poids moléculaire dans les services de gériatrie en europe Etude sur l'utilisation des héparines de bas poids moléculaire dans les services de gériatrie français "Long-term use of low molecular weight heparin for venous thromboembolism prophylaxis in french geriatric settings" Etude sur les infections urinaires en gériatrie Etude sur les infections nosocomiales en gériatrie "Nosocomial febrile illness in the elderly" Etude sur la carence en vitamine D en gériatrie Etude sur les septicémies à streptocoque B "Group B streptococcal bacteraemia in the elderly" Etude sur l'hyperthyroïdie du sujet âgé "Differences in the signs and symptoms of hyperthyroidism in older and younger patients" article en anglais
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