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1. 包括的老年医学的評価 comprehensive geriatric assessment
2. 高齢者におけるリハビリテーションの概要：リハビリテーションのプログラム構成および環境 overview of geriatric rehabilitation program components and settings for rehabilitation
3. 高齢者における急性骨髄性白血病の治療前評価および予後 pretreatment evaluation and prognosis of acute myeloid leukemia in older adults
4. 米国における障害者の評価および認定 disability assessment and determination in the united states
5. 認知症治療におけるコリンエステラーゼ阻害剤 cholinesterase inhibitors in the treatment of dementia

English Journal

Disability transitions in the oldest old in the general population. The Leiden 85-plus study.

van Houwelingen AH, Cameron ID, Gussekloo J, Putter H, Kurrle S, de Craen AJ, Maier AB, den Elzen WP, Blom JW.Author information Department of Public Health and Primary Care, Leiden University Medical Center, Postzone V0-P, P.O. Box 9600, 2300 RC, Leiden, The Netherlands.AbstractTransitions between disability states in older people occur frequently. This study investigated predictors of disability transitions in the oldest old and was performed in the Leiden 85-plus study, a population-based prospective cohort study among 597 participants aged 85 years. At baseline (age 85 years), data on sociodemographic characteristics and chronic diseases were obtained. Disabilities in basic activities of daily living (BADL) and instrumental activities of daily living (IADL) were measured annually for 5 years with the Groningen Activities Restriction Scale (GARS). Mortality data were obtained. A statistical multi-state model was used to assess the risks of transitions between no disabilities, IADL disability, BADL disability, and death. At baseline, 299 participants (50.0 %) were disabled in IADL only, and 155 participants (26.0 %) were disabled in both BADL and IADL. During 5-year follow-up, 374 participants (62.6 %) made >1 transition between disability states, mostly deterioration in disability. Males had a lower risk of deterioration [hazard ratio (HR), 0.75 (95 % CI, 0.58-0.96)] compared to females. No gender differences were observed for improvement [HR, 0.64 (95 % CI, 0.37-1.11)]. Participants with depressive symptoms were less likely to improve [HR, 0.50 (95 % CI, 0.28-0.87)]. Participants with depressive symptoms [HR, 1.46 (95 % CI, 1.12-1.91)], >1 chronic disease [HR, 1.60 (95 % CI, 1.27-2.01)], and with cognitive impairment [HR, 1.60 (95 % CI, 1.20-2.13)] had the highest risk of deteriorating. Disability is a dynamic process in the oldest old. Deterioration is more common than improvement. Older men are less likely to deteriorate than women. The presence of depressive symptoms, chronic disease, and cognitive impairment predicts deterioration.
Age (Dordrecht, Netherlands).Age (Dordr).2014 Feb;36(1):483-93. doi: 10.1007/s11357-013-9574-3. Epub 2013 Aug 30.
Transitions between disability states in older people occur frequently. This study investigated predictors of disability transitions in the oldest old and was performed in the Leiden 85-plus study, a population-based prospective cohort study among 597 participants aged 85 years. At baseline (age 85
PMID 23990275

Multiple chronic conditions and limitations in activities of daily living in a community-based sample of older adults in New York City, 2009.

Ralph NL, Mielenz TJ, Parton H, Flatley AM, Thorpe LE.Author information New York City Department of Health and Mental Hygiene, Gotham Center, CN# 34A, 42-09 28th St, 10th Floor, Queens, New York 11101-4132. E-mail: nlralph@gmail.com.AbstractINTRODUCTION: Nationally, 60% to 75% of older adults have multiple (2 or more) chronic conditions (MCCs), and the burden is even higher among low-income, racial/ethnic minority populations. MCCs limit activities of daily living (ADLs), yet this association is not well characterized outside of clinical populations. We examined the association of MCCs with ADLs in a racially/ethnically diverse population of low-income older adults living in New York City public housing.
Preventing chronic disease.Prev Chronic Dis.2013 Nov 27;10:E199. doi: 10.5888/pcd10.130159.
INTRODUCTION: Nationally, 60% to 75% of older adults have multiple (2 or more) chronic conditions (MCCs), and the burden is even higher among low-income, racial/ethnic minority populations. MCCs limit activities of daily living (ADLs), yet this association is not well characterized outside of clinic
PMID 24286273

Perceived importance of prospective memory failures in adults with traumatic brain injury.

Huang J, Fleming J, Pomery NL, O'Gorman JG, Chan RC, Shum DH.Author information a Neuropsychology and Applied Cognitive Neuroscience Laboratory, Key Laboratory of Mental Health, Institute of Psychology , Chinese Academy of Sciences , Beijing , China.AbstractProspective memory (PM) is the ability to carry out an intended action in the future. Failures in PM are often observed as more frequent in individuals with traumatic brain injury (TBI) than controls. However, it remains unknown how individuals with TBI and their significant others perceive the importance of these PM problems. In the current study, four groups (38 TBI, 34 TBI-other, 34 controls, 31 control-other) were recruited to report on the perceived importance of PM failures using Part B of the Comprehensive Assessments of Prospective Memory (CAPM). Individuals with TBI perceived PM failures as being more important than did their significant others. Controls' ratings did not differ from their significant others. There were no statistically significant differences in rated importance for PM problems involving the basic activities of daily living (BADL) component and those involving the instrumental activities of daily living (IADL) component. Implications of the results are discussed in terms of the motivation of people with TBI.
Neuropsychological rehabilitation.Neuropsychol Rehabil.2013 Oct 31. [Epub ahead of print]
Prospective memory (PM) is the ability to carry out an intended action in the future. Failures in PM are often observed as more frequent in individuals with traumatic brain injury (TBI) than controls. However, it remains unknown how individuals with TBI and their significant others perceive the impo
PMID 24171841

Japanese Journal

高齢者の認知症評価法

須藤紀子,神崎恒一
腫瘍内科 8(3), 260-269, 2011-09
NAID 40019035856

Association between social interaction and the functional status of elders in Japanese rural community : a 3-year follow-up study(Paper & Abstract September 17th)

Wu Bailiang,Tong Lian,Hirano Maki,Shinohara Ryoji,Sugisawa Yuka,Sawada Yuko,Ishii Yukiko,Gan-Yadama Amarsanaa,Morita Kentaro,Tanaka Emiko,Tomisaki Etsuko,Watanabe Taeko,Onda Yoko,Mochizuki Yukiko,Kawashima Yuri,Nanba Mayumi,Tokutake Kentaro,Anme Tokie
日本保健福祉学会誌 18(1), 59-65, 2011-08-01
… The data of social interaction and activity of daily living (ADL) including basic ADL (BADL) and instrumental ADL (IADL) were analyzed by logistic regression analysis to examine the associations between elders' social interaction and their functional status 3 years later. … During the 3-year follow up, after controlling for elders' age and gender, the significant factors of social activities related to their future BADL included: having a hobby (odds ratio=-1.57, p<0.05); …
NAID 110008712125

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