OBJECTIVE To assess the effect of a 6-month interdisciplinary customized intervention based on goal attainment scaling and aimed at improving the quality of care provided by long-term care facilities to frail older adults. DESIGN A pair-matched group-randomized trial with quality of care measurements taken before and after the intervention and 6 months later. SETTING Forty unregulated small...

SUMMARY In order to evaluate the long-ter m effects of antithyroids and ahlative therapy on patients with toxic diffuse goiter (TDG) in an iodine deficient region, 206 patients were studied in Tehran. Hyperthyroidism recurred in 50%, of 80 patients treated with Methimazole (MMI), from one week to 48 months after cessation of therapy. Another 40 patients remained in remission. Of 102 patients t...

AIM The purpose of this prospective cohort study is to examine whether cognitive decline is an independent predictor of new long-term care insurance (LTCI) requirement certifications in Japan. METHODS A total of 5,765 community-dwelling older Japanese adults who, at baseline, were independent in terms of their activities of daily living participated in this study and were followed up for 18 m...

INTRODUCTION Potentially inappropriate prescribing (PIP) is frequent and problematic in older patients. Identifying PIP is necessary to improve prescribing quality; ideally, this should be performed at the population level. Screening Tool of Older Persons' potentially inappropriate Prescriptions/Screening Tool to Alert doctors to Right Treatment (STOPP/START) and Beers criteria were developed t...

Preventing frailty and its adverse health outcomes is crucial in countries with a large elderly population, such as Japan. Since the long-term care insurance (LTCI) system was launched, the number of certified older adults with LTCI service requirement has continued to increase. This is a serious problem, because the LTCI service requirement certification is equivalent to disability. The aim of...

OBJECTIVES To measure the importance of religion among nursing home residents, describe their use of religious coping strategies, and examine the association between religiousness, religious coping, and psychological well-being. DESIGN Cross-sectional study. SETTING Two nursing facilities in Boston, Massachusetts. PARTICIPANTS One hundred forty cognitively intact to moderately impaired lo...

background budd-chiari syndrome (bcs) is defined as hepatic venous outflow obstruction (hvoo). bcs is an uncommon, life-threatening liver disorder. this study describes the clinical and etiological characteristics in addition to the long-term outcome of bcs in a single referral center in tehran, iran. methods we reviewed long-term outcome of patients who were diagnosed with bcs between 1989 and...