Victor Hirth | Palmetto Health (original) (raw)

Papers by Victor Hirth

Research paper thumbnail of Hyperlipidemia in Seniors: Too Much, Too Little, Too Late?

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Research paper thumbnail of Cross-Sectional and Longitudinal Association Between Antihypertensive Medications and Cognitive Impairment in an Elderly Population

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Research paper thumbnail of Geriatric Content in Medical School Curricula: Results of a National Survey: GERIATRIC CONTENT IN MEDICAL SCHOOL CURRICULA

Journal of The American Geriatrics Society, 2005

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Research paper thumbnail of Use of Wireless Smart Sensors for Detecting Human Falls through Structural Vibrations

Conference Proceedings of the Society for Experimental Mechanics Series, 2011

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Research paper thumbnail of Functional Changes in Older Adults: Impact on Home Technology Design

Dagstuhl Seminars, 2007

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Research paper thumbnail of Use of Wireless Smart Sensors for Detecting Human Falls through Structural Vibrations

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Research paper thumbnail of Geriatrics Training and Education for Nongeriatrician Faculty: The Dean's Faculty Scholars in Aging Program: GERIATRICS TRAINING FOR NONGERIATRICIAN FACULTY

Journal of The American Geriatrics Society, 2005

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Research paper thumbnail of In Situ Monitoring of Health in Older Adults: Technologies and Issues: ISSUES IN IN SITU GERIATRIC HEALTH MONITORING

Journal of The American Geriatrics Society, 2010

With the upcoming reform of the healthcare system and the greater emphasis on care in the home an... more With the upcoming reform of the healthcare system and the greater emphasis on care in the home and other living environments, geriatric providers will need alternate ways of monitoring disease, activity, response to therapy, and patient safety. Current understanding of the dynamic nature of chronic illnesses, their effects on health over time, and the ability to manage them in the community are limited to measuring a set of variables at discrete points in time, which does not account for the dynamic interactions between physiological systems and the environments of daily life. Recent developments of sensors, data recorders, and communication networks allow the unprecedented measurements of physiological and sociological data for use in geriatrics care. This article identifies and discusses the important issues regarding the use of monitoring technologies in elderly patients. The goals are fourfold. First, some emerging technology that may improve the lives of older adults and improve care are highlighted. Second, the possible applications of technology in geriatrics settings are discussed, with a focus on acute falls, dementia, and cardiac conditions. Third, real and perceived concerns in using monitoring technology are identified and addressed, including technology adoption by elderly people; stigma; and the reduction in social contact; ethical concerns of privacy, autonomy, and consent; concerns of clinicians, including information overload, licensure, and liability; current reimbursement schemes for using technology; and the reliability and infrastructure needed for monitoring technology. Fourth, future approaches to make monitoring technology useful and available in geriatrics are recommended.

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Research paper thumbnail of Establishment of a Predominantly African-American Cohort for the Study of Alzheimer’s Disease

Dementia and Geriatric Cognitive Disorders, 2009

The recruitment of culturally diverse subject populations into research studies, particularly Afr... more The recruitment of culturally diverse subject populations into research studies, particularly African-Americans (AA), has been the focus of intense interest by many groups. In this paper, we present the methodology utilized to create a predominantly AA cohort for the longitudinal study of risk factors in Alzheimer's disease (AD). The underlying strategy was that of identifying geographically diverse clinical venues within South Carolina (SC) where large numbers of AA patients already come to seek medical care. This strategy was successful, although recruitment rates for AA subjects (43.4%) still fell below those for white subjects (70.3%; p = 0.0025). Subject characteristics of AA subjects that chose to enroll were not substantially different from those that declined to participate. The demographic characteristics of this cohort were largely similar to those of the SC Alzheimer Disease Registry, a population-based database. The problems of standardization of subject recruitment and assessment across diverse clinical venues are also addressed. The utilization of geographically diverse sites for research recruitment where minorities already receive medical care is one practical solution to the problem of minority participation in research. Multi-site recruitment to improve minority recruitment can be accomplished with acceptable standardization and inter-rater reliability.

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Research paper thumbnail of Cognitive Performance and Neural Correlates of Detecting Driving Hazards in Healthy Older Adults

Dementia and Geriatric Cognitive Disorders, 2007

In spite of the growing number of seniors who drive and their relatively frequent involvement in ... more In spite of the growing number of seniors who drive and their relatively frequent involvement in accidents, little is known about the cognitive substrates of road hazard recognition and their relationship with general cognitive performance in this population. We aimed to investigate, using a combination of functional MRI (fMRI) and a comprehensive neuropsychological battery, the anatomical and cognitive components of driving hazard recognition. Fourteen healthy active drivers aged between 65 and 87 years underwent neuropsychological evaluation and fMRI scanning. fMRI was performed while subjects watched a video composed of clips of driving hazards randomly interspersed with uneventful driving clips. We investigated brain areas that are recruited for hazard detection, in contrast to brain areas responding to driving without a hazard. The performance on neuropsychological tests was then regressed with the degree of activation of cortical areas related exclusively to detecting hazards. Driving hazards generated significant activations, compared to non-hazards, in the lateral associative occipital cortex and in the right prefrontal cortex. Intensity of brain activation was correlated on performance on memory and cognitive control neuropsychological tests. Future studies can possibly address the same relationship in early dementia, as a preliminary form of investigation for driving safety.

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Research paper thumbnail of Seniors’ and Physicians’ Attitudes Toward Using Driving Simulators in Clinical Settings

Occupational Therapy in Health Care, 2012

ABSTRACT Interactive driving simulators may offer a safe and controlled environment for occupatio... more ABSTRACT Interactive driving simulators may offer a safe and controlled environment for occupational therapists to treat clients with conditions that affect their ability to drive safely. The use of simulators has been mostly limited to research settings. To make appropriate use of this technology, identifying and understanding the needs of clients and medical personnel that simulators can fulfill is important. The current investigation seeks to identify the attitudes of potential clients and physicians regarding the use of driving simulators. Using survey and interview methodology, clients' and physicians' needs in regard to driving and community mobility are investigated in the context of identifying potential applications for simulator technology. In addition, general needs and attitudes about driving in the context of medical practice were identified. Attitudes toward the use of simulators were generally positive, and the desire for a greater ability to understand and treat clients in the context of driving appears strong.

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Research paper thumbnail of Establishment of a Predominantly African-American Cohort for the Study of Alzheimer’s Disease

Dementia and Geriatric Cognitive Disorders, 2009

The recruitment of culturally diverse subject populations into research studies, particularly Afr... more The recruitment of culturally diverse subject populations into research studies, particularly African-Americans (AA), has been the focus of intense interest by many groups. In this paper, we present the methodology utilized to create a predominantly AA cohort for the longitudinal study of risk factors in Alzheimer's disease (AD). The underlying strategy was that of identifying geographically diverse clinical venues within South Carolina (SC) where large numbers of AA patients already come to seek medical care. This strategy was successful, although recruitment rates for AA subjects (43.4%) still fell below those for white subjects (70.3%; p = 0.0025). Subject characteristics of AA subjects that chose to enroll were not substantially different from those that declined to participate. The demographic characteristics of this cohort were largely similar to those of the SC Alzheimer Disease Registry, a population-based database. The problems of standardization of subject recruitment and assessment across diverse clinical venues are also addressed. The utilization of geographically diverse sites for research recruitment where minorities already receive medical care is one practical solution to the problem of minority participation in research. Multi-site recruitment to improve minority recruitment can be accomplished with acceptable standardization and inter-rater reliability.

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Research paper thumbnail of Cognitive Performance and Neural Correlates of Detecting Driving Hazards in Healthy Older Adults

Dementia and Geriatric Cognitive Disorders, 2007

In spite of the growing number of seniors who drive and their relatively frequent involvement in ... more In spite of the growing number of seniors who drive and their relatively frequent involvement in accidents, little is known about the cognitive substrates of road hazard recognition and their relationship with general cognitive performance in this population. We aimed to investigate, using a combination of functional MRI (fMRI) and a comprehensive neuropsychological battery, the anatomical and cognitive components of driving hazard recognition. Fourteen healthy active drivers aged between 65 and 87 years underwent neuropsychological evaluation and fMRI scanning. fMRI was performed while subjects watched a video composed of clips of driving hazards randomly interspersed with uneventful driving clips. We investigated brain areas that are recruited for hazard detection, in contrast to brain areas responding to driving without a hazard. The performance on neuropsychological tests was then regressed with the degree of activation of cortical areas related exclusively to detecting hazards. Driving hazards generated significant activations, compared to non-hazards, in the lateral associative occipital cortex and in the right prefrontal cortex. Intensity of brain activation was correlated on performance on memory and cognitive control neuropsychological tests. Future studies can possibly address the same relationship in early dementia, as a preliminary form of investigation for driving safety.

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Research paper thumbnail of Geriatric Content in Medical School Curricula: Results of a National Survey

Journal of the American Geriatrics Society, 2000

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Research paper thumbnail of Geriatrics Training and Education for Nongeriatrician Faculty: The Dean's Faculty Scholars in Aging Program

Journal of the American Geriatrics Society, 2000

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Research paper thumbnail of In Situ Monitoring of Health in Older Adults: Technologies and Issues

Journal of the American Geriatrics Society, 2010

With the upcoming reform of the healthcare system and the greater emphasis on care in the home an... more With the upcoming reform of the healthcare system and the greater emphasis on care in the home and other living environments, geriatric providers will need alternate ways of monitoring disease, activity, response to therapy, and patient safety. Current understanding of the dynamic nature of chronic illnesses, their effects on health over time, and the ability to manage them in the community are limited to measuring a set of variables at discrete points in time, which does not account for the dynamic interactions between physiological systems and the environments of daily life. Recent developments of sensors, data recorders, and communication networks allow the unprecedented measurements of physiological and sociological data for use in geriatrics care. This article identifies and discusses the important issues regarding the use of monitoring technologies in elderly patients. The goals are fourfold. First, some emerging technology that may improve the lives of older adults and improve care are highlighted. Second, the possible applications of technology in geriatrics settings are discussed, with a focus on acute falls, dementia, and cardiac conditions. Third, real and perceived concerns in using monitoring technology are identified and addressed, including technology adoption by elderly people; stigma; and the reduction in social contact; ethical concerns of privacy, autonomy, and consent; concerns of clinicians, including information overload, licensure, and liability; current reimbursement schemes for using technology; and the reliability and infrastructure needed for monitoring technology. Fourth, future approaches to make monitoring technology useful and available in geriatrics are recommended.

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Research paper thumbnail of A Web-Based Framework for Improving Geriatric Education

Gerontology & Geriatrics Education, 2004

Despite the growth in the elderly population, physicians with special geriatric training and cert... more Despite the growth in the elderly population, physicians with special geriatric training and certification number only 9,000 out of 650,000 doctors in the United States. The flexibility and increasing availability of the Internet makes it an ideal avenue for addressing the educational needs of health care providers to improve the health and care of older adults. We performed an Internet search using popular search engines. This yielded between 321 and 358,000 websites about geriatrics and 164 to 175,000 about geriatric education. This paper reviews popular health and medical Web sites to determine geriatric educational content and proposes a structure for an "ideal" geriatric Web site that would provide resources and enhance training for allied health professionals, physicians in training and community doctors in practice. We also propose a framework addressing the design and content for developing a geriatric specific website. We use this framework to propose a prototype resource on falls and gait instability.

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Research paper thumbnail of Assessing Geriatrics Content in Undergraduate Medical Education

Gerontology & Geriatrics Education, 2004

... Eleazer, G. Paul; Liken, Michelle; Hirth, Victor A.; Johnson, David; Lucas, Amy; Egbert, John... more ... Eleazer, G. Paul; Liken, Michelle; Hirth, Victor A.; Johnson, David; Lucas, Amy; Egbert, John; Boland, Rebecca H.; Wieland, Darryl. Gerontology & Geriatrics Education, Vol 24(3), 2004, 1-8. doi: 10.1300/J021v24n03_01. Abstract. ...

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Research paper thumbnail of Age-related relative volume preservation of the dominant hand cortical region

Brain Research, 2009

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Research paper thumbnail of A Step toward Solving the Geriatrician Shortage

The American Journal of Medicine, 2008

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Research paper thumbnail of Hyperlipidemia in Seniors: Too Much, Too Little, Too Late?

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Cross-Sectional and Longitudinal Association Between Antihypertensive Medications and Cognitive Impairment in an Elderly Population

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Geriatric Content in Medical School Curricula: Results of a National Survey: GERIATRIC CONTENT IN MEDICAL SCHOOL CURRICULA

Journal of The American Geriatrics Society, 2005

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Use of Wireless Smart Sensors for Detecting Human Falls through Structural Vibrations

Conference Proceedings of the Society for Experimental Mechanics Series, 2011

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Functional Changes in Older Adults: Impact on Home Technology Design

Dagstuhl Seminars, 2007

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Use of Wireless Smart Sensors for Detecting Human Falls through Structural Vibrations

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Geriatrics Training and Education for Nongeriatrician Faculty: The Dean's Faculty Scholars in Aging Program: GERIATRICS TRAINING FOR NONGERIATRICIAN FACULTY

Journal of The American Geriatrics Society, 2005

Bookmarks Related papers MentionsView impact

Research paper thumbnail of In Situ Monitoring of Health in Older Adults: Technologies and Issues: ISSUES IN IN SITU GERIATRIC HEALTH MONITORING

Journal of The American Geriatrics Society, 2010

With the upcoming reform of the healthcare system and the greater emphasis on care in the home an... more With the upcoming reform of the healthcare system and the greater emphasis on care in the home and other living environments, geriatric providers will need alternate ways of monitoring disease, activity, response to therapy, and patient safety. Current understanding of the dynamic nature of chronic illnesses, their effects on health over time, and the ability to manage them in the community are limited to measuring a set of variables at discrete points in time, which does not account for the dynamic interactions between physiological systems and the environments of daily life. Recent developments of sensors, data recorders, and communication networks allow the unprecedented measurements of physiological and sociological data for use in geriatrics care. This article identifies and discusses the important issues regarding the use of monitoring technologies in elderly patients. The goals are fourfold. First, some emerging technology that may improve the lives of older adults and improve care are highlighted. Second, the possible applications of technology in geriatrics settings are discussed, with a focus on acute falls, dementia, and cardiac conditions. Third, real and perceived concerns in using monitoring technology are identified and addressed, including technology adoption by elderly people; stigma; and the reduction in social contact; ethical concerns of privacy, autonomy, and consent; concerns of clinicians, including information overload, licensure, and liability; current reimbursement schemes for using technology; and the reliability and infrastructure needed for monitoring technology. Fourth, future approaches to make monitoring technology useful and available in geriatrics are recommended.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Establishment of a Predominantly African-American Cohort for the Study of Alzheimer’s Disease

Dementia and Geriatric Cognitive Disorders, 2009

The recruitment of culturally diverse subject populations into research studies, particularly Afr... more The recruitment of culturally diverse subject populations into research studies, particularly African-Americans (AA), has been the focus of intense interest by many groups. In this paper, we present the methodology utilized to create a predominantly AA cohort for the longitudinal study of risk factors in Alzheimer's disease (AD). The underlying strategy was that of identifying geographically diverse clinical venues within South Carolina (SC) where large numbers of AA patients already come to seek medical care. This strategy was successful, although recruitment rates for AA subjects (43.4%) still fell below those for white subjects (70.3%; p = 0.0025). Subject characteristics of AA subjects that chose to enroll were not substantially different from those that declined to participate. The demographic characteristics of this cohort were largely similar to those of the SC Alzheimer Disease Registry, a population-based database. The problems of standardization of subject recruitment and assessment across diverse clinical venues are also addressed. The utilization of geographically diverse sites for research recruitment where minorities already receive medical care is one practical solution to the problem of minority participation in research. Multi-site recruitment to improve minority recruitment can be accomplished with acceptable standardization and inter-rater reliability.

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Research paper thumbnail of Cognitive Performance and Neural Correlates of Detecting Driving Hazards in Healthy Older Adults

Dementia and Geriatric Cognitive Disorders, 2007

In spite of the growing number of seniors who drive and their relatively frequent involvement in ... more In spite of the growing number of seniors who drive and their relatively frequent involvement in accidents, little is known about the cognitive substrates of road hazard recognition and their relationship with general cognitive performance in this population. We aimed to investigate, using a combination of functional MRI (fMRI) and a comprehensive neuropsychological battery, the anatomical and cognitive components of driving hazard recognition. Fourteen healthy active drivers aged between 65 and 87 years underwent neuropsychological evaluation and fMRI scanning. fMRI was performed while subjects watched a video composed of clips of driving hazards randomly interspersed with uneventful driving clips. We investigated brain areas that are recruited for hazard detection, in contrast to brain areas responding to driving without a hazard. The performance on neuropsychological tests was then regressed with the degree of activation of cortical areas related exclusively to detecting hazards. Driving hazards generated significant activations, compared to non-hazards, in the lateral associative occipital cortex and in the right prefrontal cortex. Intensity of brain activation was correlated on performance on memory and cognitive control neuropsychological tests. Future studies can possibly address the same relationship in early dementia, as a preliminary form of investigation for driving safety.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Seniors’ and Physicians’ Attitudes Toward Using Driving Simulators in Clinical Settings

Occupational Therapy in Health Care, 2012

ABSTRACT Interactive driving simulators may offer a safe and controlled environment for occupatio... more ABSTRACT Interactive driving simulators may offer a safe and controlled environment for occupational therapists to treat clients with conditions that affect their ability to drive safely. The use of simulators has been mostly limited to research settings. To make appropriate use of this technology, identifying and understanding the needs of clients and medical personnel that simulators can fulfill is important. The current investigation seeks to identify the attitudes of potential clients and physicians regarding the use of driving simulators. Using survey and interview methodology, clients' and physicians' needs in regard to driving and community mobility are investigated in the context of identifying potential applications for simulator technology. In addition, general needs and attitudes about driving in the context of medical practice were identified. Attitudes toward the use of simulators were generally positive, and the desire for a greater ability to understand and treat clients in the context of driving appears strong.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Establishment of a Predominantly African-American Cohort for the Study of Alzheimer’s Disease

Dementia and Geriatric Cognitive Disorders, 2009

The recruitment of culturally diverse subject populations into research studies, particularly Afr... more The recruitment of culturally diverse subject populations into research studies, particularly African-Americans (AA), has been the focus of intense interest by many groups. In this paper, we present the methodology utilized to create a predominantly AA cohort for the longitudinal study of risk factors in Alzheimer's disease (AD). The underlying strategy was that of identifying geographically diverse clinical venues within South Carolina (SC) where large numbers of AA patients already come to seek medical care. This strategy was successful, although recruitment rates for AA subjects (43.4%) still fell below those for white subjects (70.3%; p = 0.0025). Subject characteristics of AA subjects that chose to enroll were not substantially different from those that declined to participate. The demographic characteristics of this cohort were largely similar to those of the SC Alzheimer Disease Registry, a population-based database. The problems of standardization of subject recruitment and assessment across diverse clinical venues are also addressed. The utilization of geographically diverse sites for research recruitment where minorities already receive medical care is one practical solution to the problem of minority participation in research. Multi-site recruitment to improve minority recruitment can be accomplished with acceptable standardization and inter-rater reliability.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Cognitive Performance and Neural Correlates of Detecting Driving Hazards in Healthy Older Adults

Dementia and Geriatric Cognitive Disorders, 2007

In spite of the growing number of seniors who drive and their relatively frequent involvement in ... more In spite of the growing number of seniors who drive and their relatively frequent involvement in accidents, little is known about the cognitive substrates of road hazard recognition and their relationship with general cognitive performance in this population. We aimed to investigate, using a combination of functional MRI (fMRI) and a comprehensive neuropsychological battery, the anatomical and cognitive components of driving hazard recognition. Fourteen healthy active drivers aged between 65 and 87 years underwent neuropsychological evaluation and fMRI scanning. fMRI was performed while subjects watched a video composed of clips of driving hazards randomly interspersed with uneventful driving clips. We investigated brain areas that are recruited for hazard detection, in contrast to brain areas responding to driving without a hazard. The performance on neuropsychological tests was then regressed with the degree of activation of cortical areas related exclusively to detecting hazards. Driving hazards generated significant activations, compared to non-hazards, in the lateral associative occipital cortex and in the right prefrontal cortex. Intensity of brain activation was correlated on performance on memory and cognitive control neuropsychological tests. Future studies can possibly address the same relationship in early dementia, as a preliminary form of investigation for driving safety.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Geriatric Content in Medical School Curricula: Results of a National Survey

Journal of the American Geriatrics Society, 2000

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Geriatrics Training and Education for Nongeriatrician Faculty: The Dean's Faculty Scholars in Aging Program

Journal of the American Geriatrics Society, 2000

Bookmarks Related papers MentionsView impact

Research paper thumbnail of In Situ Monitoring of Health in Older Adults: Technologies and Issues

Journal of the American Geriatrics Society, 2010

With the upcoming reform of the healthcare system and the greater emphasis on care in the home an... more With the upcoming reform of the healthcare system and the greater emphasis on care in the home and other living environments, geriatric providers will need alternate ways of monitoring disease, activity, response to therapy, and patient safety. Current understanding of the dynamic nature of chronic illnesses, their effects on health over time, and the ability to manage them in the community are limited to measuring a set of variables at discrete points in time, which does not account for the dynamic interactions between physiological systems and the environments of daily life. Recent developments of sensors, data recorders, and communication networks allow the unprecedented measurements of physiological and sociological data for use in geriatrics care. This article identifies and discusses the important issues regarding the use of monitoring technologies in elderly patients. The goals are fourfold. First, some emerging technology that may improve the lives of older adults and improve care are highlighted. Second, the possible applications of technology in geriatrics settings are discussed, with a focus on acute falls, dementia, and cardiac conditions. Third, real and perceived concerns in using monitoring technology are identified and addressed, including technology adoption by elderly people; stigma; and the reduction in social contact; ethical concerns of privacy, autonomy, and consent; concerns of clinicians, including information overload, licensure, and liability; current reimbursement schemes for using technology; and the reliability and infrastructure needed for monitoring technology. Fourth, future approaches to make monitoring technology useful and available in geriatrics are recommended.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of A Web-Based Framework for Improving Geriatric Education

Gerontology & Geriatrics Education, 2004

Despite the growth in the elderly population, physicians with special geriatric training and cert... more Despite the growth in the elderly population, physicians with special geriatric training and certification number only 9,000 out of 650,000 doctors in the United States. The flexibility and increasing availability of the Internet makes it an ideal avenue for addressing the educational needs of health care providers to improve the health and care of older adults. We performed an Internet search using popular search engines. This yielded between 321 and 358,000 websites about geriatrics and 164 to 175,000 about geriatric education. This paper reviews popular health and medical Web sites to determine geriatric educational content and proposes a structure for an "ideal" geriatric Web site that would provide resources and enhance training for allied health professionals, physicians in training and community doctors in practice. We also propose a framework addressing the design and content for developing a geriatric specific website. We use this framework to propose a prototype resource on falls and gait instability.

Bookmarks Related papers MentionsView impact

Research paper thumbnail of Assessing Geriatrics Content in Undergraduate Medical Education

Gerontology & Geriatrics Education, 2004

... Eleazer, G. Paul; Liken, Michelle; Hirth, Victor A.; Johnson, David; Lucas, Amy; Egbert, John... more ... Eleazer, G. Paul; Liken, Michelle; Hirth, Victor A.; Johnson, David; Lucas, Amy; Egbert, John; Boland, Rebecca H.; Wieland, Darryl. Gerontology & Geriatrics Education, Vol 24(3), 2004, 1-8. doi: 10.1300/J021v24n03_01. Abstract. ...

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Research paper thumbnail of Age-related relative volume preservation of the dominant hand cortical region

Brain Research, 2009

Bookmarks Related papers MentionsView impact

Research paper thumbnail of A Step toward Solving the Geriatrician Shortage

The American Journal of Medicine, 2008

Bookmarks Related papers MentionsView impact