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A revised teaching assistant-led extracurricular physical activity programme for 8- to 10-year-olds: the Action 3:30R feasibility cluster RCT A revised teaching assistant-led extracurricular physical activity programme for 8- to 10-year-olds: the Action 3:30R feasibility cluster RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from
consent from a person with parental responsibility. Adults over 18 years of age are presumed to be competent to consent to treatment provided they can comprehend and retain the information they are given, and they can consider the facts and make an informed decision. Young people of 16 and 17 years of age are also presumed to be competent using the same criteria as older adults. Younger people can also give consent if they fully understand what is involved, but ideally a person with parental (...) over 5 years of age, and adults diagnosed at increased risk From age 5 years onwards. How should I vaccinate children over 5 years of age, and adults diagnosed at increased risk? People at increased risk of pneumococcal disease or complications include those with: Asplenia or splenic dysfunction. Chronic respiratory, heart, kidney, or liver disease. Diabetes requiring insulin or oral hypoglycaemic drugs. Immunosuppression due to a medical condition or treatment. Cochlear implants. Cerebrospinal
dose of MMR — give a single dose of MMR, followed by a second dose usually at 3 years and 4 months old. Note: in some circumstances it may be appropriate to give the second dose of MMR early after an interval of 1 month (if the child is older than 18 months of age), or 3 months (if the child is younger than 18 months of age). Examples include: if the child is unlikely to return for their second dose at 3 years and 4 months old; if the child is likely to travel regularly to a country with a high (...) on rotavirus in Immunisation against infectious disease (the 'Green book') [ ]. The first dose of rotavirus vaccine should only be given to children older than 6 weeks and younger than 15 weeks old and the second dose should only be given to infants younger than 24 weeks old to minimize the risk of bowel intussusception. How should I administer vaccines in children 1-2 years of age? Obtain written or verbal consent from a person with parental responsibility at the time of vaccination. Ensure
Guidelines for preventing respiratory illness in older adults aged 60 years and above living in long-term care: A rapid review of clinical practice guidelines Guidelines for preventing respiratory illness in older adults aged 60 years and above living in long-term care: A rapid review of clinical practice guidelines | medRxiv Search for this keyword Guidelines for preventing respiratory illness in older adults aged 60 years and above living in long-term care: A rapid review of clinical practice (...) of Toronto For correspondence: Abstract Background: The overall objective of this rapid review was to identify infection protection and control recommendations from published clinical practice guidelines (CPGs) for adults aged 60 years and older in long-term care settings Methods: Comprehensive searches in MEDLINE, EMBASE, the Cochrane Library, and relevant CPG publishers/repositories were carried out in early March 2020. Title/abstract and full-text screening, data abstraction, and quality appraisal
of different comorbidi- ties, but a study by Petrilli and co-workers contributes valuable data. The authors followed a cohort consisting of 4103 patients with COVID-19, and explored charac- teristics of patients admitted to hospital. They found that the risk of hospitalisation increased with age: Compared to patients between 19 and 44 years old, the odds ra- tio (OR) was 4.17 (95% CI 3.35 to 5.2) for people between 55 and 64, 10.91 (95% CI 8.35 to 14.34) for people between 65 and 74, and 66.79 (44.73 (...) -102.62) for peopleaged 75 or older. High BMI, heart failure, chronic kidney disease, diabetes and male gender were identified as independent predictors of hospitalisation (Table 1). Table 1 Studies assessing risk factors predicting more severe disease Reference Outcome Factors tested Factors included in multivariate model Dong et al (10) N=135 China Mild vs Severe course NA # Age Comorbidity OR 1.04 (1.01-1.97) OR 1.7 (1.1-2.8) Hu et al (11) N=323 China Favorable vs. unfavorable§ Age, BMI, CVD
COVID-19 and the ‘old-fashioned’ idea of neighbourhoods COVID-19 and the ‘old-fashioned’ idea of neighbourhoods - CEBM CEBM The Centre for Evidence-Based Medicine develops, promotes and disseminates better evidence for healthcare. Navigate this website COVID-19 and the ‘old-fashioned’ idea of neighbourhoods June 8, 2020 Dr Patrícia Canelas Departmental Lecturer, Sustainable Urban Development Programme, University of Oxford Dr Idalina Baptista Associate Professor, Sustainable Urban Development
delegates due to an error Add Cancel Actions Cite Share Permalink Copy Page navigation Diabetes Care Actions , 43 (2), 382-388 Feb 2020 Mortality Implications of Prediabetes and Diabetes in Older Adults , , , , , , , Affiliations Expand Affiliations 1 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. 2 Division of Cardiology and National Institute for Prevention and Cardiovascular Health, National University of Ireland, Galway, Ireland. 3 Department of Geriatric (...) @jhu.edu. PMID: 31776141 PMCID: (available on 2021-02-01 ) DOI: Item in Clipboard Full-text links Cite Abstract Objective: Diabetes in olderage is heterogeneous, and the treatment approach varies by patient characteristics. We characterized the short-term all-cause and cardiovascular mortality risk associated with hyperglycemia in olderage. Research design and methods: We included 5,791 older adults in the Atherosclerosis Risk in Communities Study who attended visit 5 (2011-2013; ages 66-90 years
has resulted in many countries implementing physical distancing and restriction of movement, particularly for older adults and other vulnerable populations. This requires millions of olderpeople to remain in their homes, many of whom may be isolated from their usual social support network ( ). Olderpeople are the group most at risk in relation to COVID‐19 ( ), and in addition to the many isolating at home, many others are currently confined to nursing homes, rooms in oldage homes and frail care (...) review, we considered olderpeople to be aged 65 years or above. We considered video calls to be calls made via the internet, using computers, tablets or smartphones. COVID‐19 is spreading rapidly, so we needed to answer this question quickly. This meant that we shortened some steps of the normal Cochrane Review process. Two review authors checked 25% of our search results for studies and one review author checked the remaining 75% of our results, where normally two review authors would check all
The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing. To explore associations between different frequencies of arts engagement and mortality over a 14 year follow-up period.Prospective cohort study.English Longitudinal Study of Ageing cohort of 6710 community dwelling adults aged 50 years and older (53.6% women, average age 65.9 years, standard deviation 9.4) who provided baseline data in 2004-05 (...) a protective association with longevity in older adults. This association might be partly explained by differences in cognition, mental health, and physical activity among those who do and do not engage in the arts, but remains even when the model is adjusted for these factors.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
[Efficacy of a reconciliation intervention by a specialized pharmacist to resolve medication-related problems of elderly patients admitted to an emergency department short-stay unit: a randomized clinical trial]. To determine the effect on medication-related problems (MRPs) of a process of medication reconciliation carried out by a specialized pharmacist for patients aged 65 years or older admitted to an emergency department short-stay unit (SSU).Randomized clinical trial of 17 months (February (...) 2013-June 2014) in the SSU of a hospital emergency department. Patients were aged 65 years or older at high risk of MRPs. A total of 130 patients were randomized to a control group (n = 65) or the intervention group (n = 65). The reconciliation process (intervention) was carried out by a specialized pharmacist. The main outcome was the number of MRPs resolved in each group.A total of 3081 medications for 130 patients were reviewed. The patients' mean (SD) age was 79 (7.6) years and 66 (50.8%) were
Older Adults' Functional Performance and Health Knowledge After a Combination Exercise, Health Education, and Bingo Game. Combining exercise, health education, and the game of bingo may help older adults remain independent. The objective was to determine whether a 10-week health promotion program (Bingocize®) improves functional performance and health knowledge in older adults. Participants were assigned to experimental (n = 13) or control (n = 14) groups. The intervention was administered (...) twice per week at two independent living facilities. Pre and postfunctional performance and health knowledge were measured. Mixed between-within subject ANOVA was used to detect differences between groups (p < .05). Improvements were found in all dependent variables except lower body flexibility, systolic blood pressure, and health knowledge. Adherence was 97.31% ± 2.59%. Bingocize® has the potential to help older adults remain independent by improving functional performance. Statistical
Treatment for Advanced Cancer (NEXTAC) and the impact on QOL in elderly patients with advanced cancer.We recruited 30 patients aged ≥70 years who were scheduled to receive the first-line chemotherapy for newly diagnosed advanced pancreatic or non-small-cell lung cancer. The QOL was assessed using the European Organization for Research and Treatment of Cancer QOL Questionnaire version 3.0, while the PA was measured using a pedometer/accelerometer. Instructors counseled patients to increase daily activity (...) Promotion of Behavioral Change and the Impact on Quality of Life in Elderly Patients with Advanced Cancer: A Physical Activity Intervention of the Multimodal Nutrition and Exercise Treatment for Advanced Cancer Program. Physical activity (PA) may improve the quality of life (QOL) of cancer survivors. However, the impact on patients with advanced cancer with high cachectic potential is unknown. We analyzed the feasibility of PA intervention using the multimodal program Nutrition and Exercise
Impact of Moderate Aerobic Training on Physical Capacities of Hypertensive Obese Elderly. The association of oldage and chronic conditions, such as hypertension and obesity, can lead to larger decreases in the physical capacities of elderly, compared with their healthy counterparts. Physical exercise has been demonstrated to be efficient in postponing this phenomenon, mainly strength training. However, little is known about the effect of aerobic training on this condition. The aim of this work (...) was to investigate the impact of 12 weeks of moderate-intensity aerobic training on the physical capacities of hypertensive obese older women. Aerobic power, lower limb muscle power, upper limb muscle strength, endurance, and flexibility of 19 hypertensive obese elders were evaluated. Afterward, patients were blindly randomized into control group (CG) and exercise group (EG). EG underwent three sessions/week of 60 min of moderate-intensity aerobic training, during 12 weeks. EG showed increases in VO2max compared
Feasibility and preliminary effects of an integrated hospital-to-home transitional care intervention for older adults with stroke and multimorbidity: A study protocol. Stroke is a major life-altering event and the leading cause of death and disability in Canada. Most older adults who have suffered a stroke will return home and require ongoing rehabilitation in the community. Transitioning from hospital to home is reportedly very stressful and challenging, particularly if stroke survivors have (...) multiple chronic conditions. New interventions are needed to improve the quality of transitions from hospital to home for this vulnerable population.The primary objective of this study is to examine the feasibility of implementing a new 6-month transitional care intervention supported by a web-based app. The secondary objective is to explore its preliminary effects.A single arm, pre/post, pragmatic feasibility study of 20-40 participants in Ontario, Canada. Participants will be community-dwelling older
Impact of Feed the Future initiative on nutrition in children aged less than 5 years in sub-Saharan Africa: difference-in-differences analysis. To evaluate the impact of the US government's Feed the Future initiative on nutrition outcomes in children younger than 5 years in sub-Saharan Africa.Difference-in-differences quasi-experimental approach.Households in 33 low and lower middle income countries in sub-Saharan Africa.883 309 children aged less than 5 years with weight, height, and age (...) . The primary outcome was stunting (height for age >2 standard deviations below a reference median), a key indicator of undernutrition in children. Secondary outcomes were wasting (low weight for height) and underweight (low weight for age).Across all years and countries, 38.3% of children in the study sample were stunted, 8.9% showed wasting, and 21.3% were underweight. In the first six years of Feed the Future's implementation, children in 12 countries with the initiative exhibited a 3.9 percentage point
Elexacaftor/ivacaftor/tezacaftor (Trikafta) - To treat patients 12 years of age and older with the most common gene mutation that causes cystic fibrosis Drug Approval Package: TRIKAFTA TRIKAFTA " /> U.S. Department of Health and Human Services Search FDA Submit search Drug Approval Package: TRIKAFTA Company: Vertex Pharmaceuticals Inc. Application Number: 212273 Approval Date: 10/18/2019 Persons with disabilities having problems accessing the PDF files below may call (301) 796-3634 (...) for assistance. FDA Approval Letter and Labeling (PDF) (PDF) FDA Application Review Files (PDF) (PDF) (PDF) (PDF) (PDF) (PDF) (PDF) Date created: November 25, 2019 Vision impaired people having problems accessing certain pages of a PDF file may call (301) 796-3634 for assistance. Note: Documents in PDF format require the . Note: If you need help accessing information in different file formats, see . Language Assistance Available: | | | | | | | | | | | | | | | FDA Popular Content Product Areas
to in- crease somewhere between the ages 55 and 65 years, 6 and the American College of Surgeons Committee on Trauma recom- mends consideration for triage to TCs for patients 55 years or older.However,muchofthefocusedgeriatrictraumaliterature usesage65yearsorevenolderwhenexamininginterventions. For this reason, we chose to focus on interventions targeting adults 65 years or older. OBJECTIVES Thepurposeofthisreviewwastoprovideasystematicre- viewof 2 key issues in care of the geriatric trauma patient: TC (...) in the definition of elderly, which hampers studyinclusiondefinitions;ouruseoftheage65yearswasmost common,butthismayhaveimpactedourfindings.However,de- spite these limitations, most studies supported similar conclu- sions with at least a modest effect size, allowing us to make somerecommendations for clinicalpractice. UsingTheseGuidelinesinClinicalPractice As our older adult population increases, injured geriatric patientswillcontinuetoposechallengesforcare,suchascomor
Recommendations for (Discontinuation of) Statin Treatment in Older Adults: Review of Guidelines As a person's age increases and his/her health status declines, new challenges arise that may lead physicians to consider deprescribing statins. We aimed to provide insight into recommendations available in international cardiovascular disease prevention guidelines regarding discontinuation of statin treatment applicable to older adults.We systematically searched PubMed, EMBASE, EMCARE (...) , and the websites of guideline development organizations and online guideline repositories for cardiovascular disease prevention guidelines aimed at the general population. We selected all guidelines with recommendations (instructions and suggestions) on discontinuation of statin treatment applicable to older adults, published between January 2009 and April 2019. In addition, we performed a synthesis of information from all other recommendations for older adults regarding statin treatment. Methodological