by Margaret M Esiri

Received: 27 November 2019;  Published: 04 February 2020;  doi: 10.21926/obm.geriatr.2001103

In this article I wish to put the case for a change of emphasis in the approach to finding a prevention/treatment for Alzheimer’s disease from a focus on beta amyloid to one on tau. In particular, I make the case for aiming to prevent the spread of abnormal tau from the medial temporal lobe to widespread areas of association cortex that are anatomically linked to this critical region. I pose an analogy with cardiovascular disease in which the initiating pathology, lipid streaks, are left untreated until they are so [...]

by Garuth Eliot Chalfont  , Jane Simpson  , Fiona J Eccles  and Christine Milligan

Received: 06 September 2019;  Published: 21 January 2020;  doi: 10.21926/obm.geriatr.2001102

The urgent need for innovative approaches to dementia treatment that are acceptable, effective and affordable underlies this research. Growing evidence supports ‘integrative medicine’ as a potential treatment approach aligned with and including conventional medicine. However, success will depend on addressing barriers, recognising needs of diverse communities and involving people in co-creating desired interventions. The three aims of this study were to, 1) describe conventional allopathic medicine and integrative [...]

by Julia Henderson

Received: 05 November 2019;  Published: 17 January 2020;  doi: 10.21926/obm.geriatr.2001101

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by Michael Fossel

Received: 14 January 2020;  Published: 15 January 2020;  doi: 10.21926/obm.geriatr.2001100

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by Charisse Chehovich  and Tammie Lee Demler

Received: 14 October 2019;  Published: 10 January 2020;  doi: 10.21926/obm.geriatr.2001099

Second-generation antipsychotics, have known metabolic side effects; specifically, clozapine is implicated in worsening or causing hyperglycemia, hypercholesterolemia and weight gain. Recently, there has been an increased interest in the safe use of clozapine in patients with diabetes. In March 2018, a 65-year-old female with a diagnosis of schizophrenia was admitted for inpatient hospitalization to a psychiatric hospital in Buffalo, NY for further stabilization after receiving two months of treatment at a comprehe [...]

by Deborah H. John  , Patrick Abi Nader  and Katherine Gunter

Received: 29 October 2018;  Published: 06 January 2020;  doi: 10.21926/obm.geriatr.2001098

Physical inactivity is the fourth leading risk factor for global mortality and as such, it is critical that physical activity guidelines for health consider equitable access to physical activity opportunities for all, including those aged 65 years and older. The purpose of this study was to examine the intersections of attributes of older people (e.g. income, gender, age, health, physical activity) and attributes of the places they live (e.g. rurality, public transit, sidewalks, parks, community centre) to explain [...]

by Em V. Adams  , Marieke Van Puymbroeck  , Heather S. Torphy  , Brian C. Helsel  , Karen A. Kemper  , Cheryl Dye  and Arlene A. Schmid

Received: 03 October 2019;  Published: 03 January 2020;  doi: 10.21926/obm.geriatr.2001097

Falls have negative consequences for older adults, but falls can be reduced through interventions that target the reduction of fall risk factors. Cognitive behavioral education programs and therapeutic yoga are two interventions that have independently been used as a means to reduce the risk of falls. The purpose of this study was to determine if adding therapeutic yoga following an education intervention improved well known fall risk factors. Potential participants were recruited through a senior center for a 12-w [...]

by Malith Kadirappulli-Hewage  and Rasika Jayasekara

Received: 30 August 2019;  Published: 02 January 2020;  doi: 10.21926/obm.geriatr.2001096

Social isolation and social disconnectedness have resulted in some older adults ending their lives by suicide; therefore, improving social connectedness has become an integral part of suicide prevention programmes. The purpose of this literature review was to assess the impact of social connectedness interventions for preventing suicide in older adults. It is evident that interventions aimed at promoting social connectedness are intended to alleviate stress and depressive symptoms due to social separation and traum [...]

by Jeanneane Wood-Nartker  , Emily Beuschel  and Denise Guerin

Received: 28 August 2019;  Published: 16 December 2019;  doi: 10.21926/obm.geriatr.1904095

As people age, environments supporting changing needs can potentially impact their quality of life. Aging often leads to a decrease in the ability of people to interpret sensory cues within their environment. Using Pastalan’s Empathic Model as a framework, a list of guidelines was established to address the extrinsic risk factors affecting falls within the built environment. Attention to these items may not prevent all falls but will mitigate some of the external risks that cause falls for older adults. It is [...]

by María Izal  , Roberto Nuevo  and Ignacio Montorio

Received: 19 June 2019;  Published: 12 December 2019;  doi: 10.21926/obm.geriatr.1904094

We analyze the confluence between two paradigms of health from different theoretical backgrounds: successful (or healthy) aging (SA) and positive psychology (PP). In this cross-sectional study, 169 healthy older adults completed several questionnaires to assess central constructs for successful aging and positive psychology frameworks. Participants were recruited from recreational centers for older adults. Confirmatory factor analyses with a two-latent-factor structure (SA and PP) showed an adequate fit between t [...]