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    <title><![CDATA[American Journal of Geriatric Psych - Featured Articles - Also in this Issue]]></title>
    <link>http://journals.lww.com/ajgponline/</link>
    <description><![CDATA[The American Journal of Geriatric Psychiatry (AJGP) is the authoritative source of information for the rapidly developing field of geriatric psychiatry. The Journal contains peer-reviewed articles on the diagnosis and classification of psychiatric disorders of later life, epidemiological and biological correlates of mental health of older adults, and psychopharmacology and other somatic treatments.]]></description>
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      <title><![CDATA[American Journal of Geriatric Psych - Featured Articles - Also in this Issue]]></title>
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      <link>http://journals.lww.com/ajgponline/Fulltext/2009/11000/AAGP_Position_Statement__Disaster_Preparedness_for.3.aspx</link>
      <author>Sakauye, Kenneth M.; Streim, Joel E.; Kennedy, Gary J.; Kirwin, Paul D.; Llorente, Maria D.; Schultz, Susan K.; Srinivasan, Shilpa</author>
      <category>Special Article</category>
      <title><![CDATA[AAGP Position Statement: Disaster Preparedness for Older Americans: Critical Issues for the Preservation of Mental Health]]></title>
      <description><![CDATA[The Disaster Preparedness Task Force of the American Association for Geriatric Psychiatry was formed after Hurricane Katrina devastated New Orleans to identify and address needs of the elderly after the disaster that led to excess health disability and markedly increased rates of hopelessness, suicidality, serious mental illness (reported to exceed 60% from baseline levels), and cognitive impairment. Substance Abuse and Mental Health Services Administration (SAMHSA) outlines risk groups which fail to address later effects from chronic stress and loss and disruption of social support networks. Range of interventions recommended for Preparation, Early Response, and Late Response reviewed in the report were not applied to elderly for a variety of reasons. It was evident that addressing the needs of elderly will not be made without a stronger mandate to do so from major governmental agencies (Federal Emergency Management Agency [FEMA] and SAMHSA). The recommendation to designate frail elderly and dementia patients as a particularly high-risk group and a list of specific recommendations for research and service and clinical reference list are provided.
Copyright (C) 2009 American Association for Geriatric Psychiatry]]></description>
      <pubDate>11/1/2009 12:00:00 AM</pubDate>
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      <link>http://journals.lww.com/ajgponline/Fulltext/2009/11000/Apart_From_Nihilism_and_Stigma__What_Influences.8.aspx</link>
      <author>Pentzek, Michael; Wollny, Anja; Wiese, Birgitt; Jessen, Frank; Haller, Franziska; Maier, Wolfgang; Riedel-Heller, Steffi G.; Angermeyer, Matthias C.; Bickel, Horst; Mösch, Edelgard; Weyerer, Siegfried; Werle, Jochen; Bachmann, Cadja; Zimmermann, Thomas; van den Bussche, Hendrik; Abholz, Heinz-Harald; Fuchs, Angela; for the AgeCoDe Study Group</author>
      <category>Regular Research Articles</category>
      <title><![CDATA[Apart From Nihilism and Stigma: What Influences General Practitioners' Accuracy in Identifying Incident Dementia?]]></title>
      <description><![CDATA[Objectives: To assess the accuracy of the General Practitioner's (GP) judgment in the recognition of incident dementia cases and to explore factors associated with recognition.
Design: Prospective observational cohort study, two follow-up assessments (FU 1 and FU 2) within 3 years after baseline.
Setting: One hundred thirty-eight general practice surgeries in the six study centers of a prospective German study.
Participants: Participants were between 75 and 89 years of age at baseline and were recruited from the GPs' patient lists. In FU 1, 2,402 patients and in FU 2, 2,177 patients were analyzed.
Measurements: GPs' judgments on their patients' cognitive status as index test; at-home patient interviews and tests, consensus diagnosis as reference; validity of the GP judgment; associations between patient factors and GPs' dementia recognition.
Results: One hundred eleven incident dementia cases with complete data were identified in FU 1 and FU 2. Overall sensitivity of the GP judgment was 51.4%, specificity 95.9%, positive predictive value 23.6%, and negative predictive value 98.8%. GPs missed dementia more frequently in patients living alone. GPs overrated the presence of dementia more frequently in patients with problems in mobility or hearing, in patients with memory complaints, and in patients with a GP-documented depression.
Conclusion: GPs miss nearly half of incident dementia cases. They should be alert not to miss dementia in patients living alone. Without seeking additional information, a positive GP judgment seems not sufficient for case finding. GPs should be aware of their tendency to overestimate dementia in depressed and frail patients.
Copyright (C) 2009 American Association for Geriatric Psychiatry]]></description>
      <pubDate>11/1/2009 12:00:00 AM</pubDate>
      <guid isPermaLink="false">00019442-200911000-00008</guid>
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