{"results":[{"id":"ss_bd86ffe5262122e71014534dbe743904bb5cc87b","title":"American Geriatrics Society 2023 updated AGS Beers Criteria® for potentially inappropriate medication use in older adults","authors":[{"name":"Mary Jordan Samuel"}],"abstract":"The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults is widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been the steward of the criteria and has produced updates on a regular cycle. The AGS Beers Criteria® is an explicit list of PIMs that are typically best avoided by older adults in most circumstances or under specific situations, such as in certain diseases or conditions. For the 2023 update, an interprofessional expert panel reviewed the evidence published since the last update (2019) and based on a structured assessment process approved a number of important changes including the addition of new criteria, modification of existing criteria, and formatting changes to enhance usability. The criteria are intended to be applied to adults 65 years old and older in all ambulatory, acute, and institutionalized settings of care, except hospice and end‐of‐life care settings. Although the AGS Beers Criteria® may be used internationally, it is specifically designed for use in the United States and there may be additional considerations for certain drugs in specific countries. Whenever and wherever used, the AGS Beers Criteria® should be applied thoughtfully and in a manner that supports, rather than replaces, shared clinical decision‐making.","source":"Semantic Scholar","year":2023,"language":"en","subjects":["Medicine"],"doi":"10.1111/jgs.18372","url":"https://www.semanticscholar.org/paper/bd86ffe5262122e71014534dbe743904bb5cc87b","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jgs.18372","is_open_access":true,"citations":936,"published_at":"","score":95.08},{"id":"ss_7d34b7c3006af8b1aa5dea99fbf021d832ab264c","title":"American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults","authors":[{"name":"D. Fick"},{"name":"T. Semla"},{"name":"M. Steinman"},{"name":"J. Beizer"},{"name":"N. Brandt"},{"name":"R. Dombrowski"},{"name":"C. Dubeau"},{"name":"L. Pezzullo"},{"name":"J. Epplin"},{"name":"N. Flanagan"},{"name":"Emily Morden"},{"name":"J. Hanlon"},{"name":"P. Hollmann"},{"name":"R. Laird"},{"name":"S. Linnebur"},{"name":"S. Sandhu"}],"abstract":"The American Geriatrics Society (AGS) Beers Criteria® (AGS Beers Criteria®) for Potentially Inappropriate Medication (PIM) Use in Older Adults are widely used by clinicians, educators, researchers, healthcare administrators, and regulators. Since 2011, the AGS has been the steward of the criteria and has produced updates on a 3‐year cycle. The AGS Beers Criteria® is an explicit list of PIMs that are typically best avoided by older adults in most circumstances or under specific situations, such as in certain diseases or conditions. For the 2019 update, an interdisciplinary expert panel reviewed the evidence published since the last update (2015) to determine if new criteria should be added or if existing criteria should be removed or undergo changes to their recommendation, rationale, level of evidence, or strength of recommendation. J Am Geriatr Soc 67:674–694, 2019.","source":"Semantic Scholar","year":2019,"language":"en","subjects":["Medicine"],"doi":"10.1111/jgs.15767","url":"https://www.semanticscholar.org/paper/7d34b7c3006af8b1aa5dea99fbf021d832ab264c","is_open_access":true,"citations":2263,"published_at":"","score":93},{"id":"ss_350a4126c7ea7c8a981a407ca78e209dd78a158c","title":"ESPEN guideline on clinical nutrition and hydration in geriatrics.","authors":[{"name":"D. Volkert"},{"name":"A. Beck"},{"name":"T. Cederholm"},{"name":"A. Cruz-Jentoft"},{"name":"S. Goisser"},{"name":"L. Hooper"},{"name":"E. Kiesswetter"},{"name":"M. Maggio"},{"name":"A. Raynaud-Simon"},{"name":"C. Sieber"},{"name":"L. Sobotka"},{"name":"D. V. van Asselt"},{"name":"R. Wirth"},{"name":"S. Bischoff"}],"abstract":"BACKGROUND Malnutrition and dehydration are widespread in older people, and obesity is an increasing problem. In clinical practice, it is often unclear which strategies are suitable and effective in counteracting these key health threats. AIM To provide evidence-based recommendations for clinical nutrition and hydration in older persons in order to prevent and/or treat malnutrition and dehydration. Further, to address whether weight-reducing interventions are appropriate for overweight or obese older persons. METHODS This guideline was developed according to the standard operating procedure for ESPEN guidelines and consensus papers. A systematic literature search for systematic reviews and primary studies was performed based on 33 clinical questions in PICO format. Existing evidence was graded according to the SIGN grading system. Recommendations were developed and agreed in a multistage consensus process. RESULTS We provide eighty-two evidence-based recommendations for nutritional care in older persons, covering four main topics: Basic questions and general principles, recommendations for older persons with malnutrition or at risk of malnutrition, recommendations for older patients with specific diseases, and recommendations to prevent, identify and treat dehydration. Overall, we recommend that all older persons shall routinely be screened for malnutrition in order to identify an existing risk early. Oral nutrition can be supported by nursing interventions, education, nutritional counseling, food modification and oral nutritional supplements. Enteral nutrition should be initiated if oral, and parenteral if enteral nutrition is insufficient or impossible and the general prognosis is altogether favorable. Dietary restrictions should generally be avoided, and weight-reducing diets shall only be considered in obese older persons with weight-related health problems and combined with physical exercise. All older persons should be considered to be at risk of low-intake dehydration and encouraged to consume adequate amounts of drinks. Generally, interventions shall be individualized, comprehensive and part of a multimodal and multidisciplinary team approach. CONCLUSION A range of effective interventions is available to support adequate nutrition and hydration in older persons in order to maintain or improve nutritional status and improve clinical course and quality of life. These interventions should be implemented in clinical practice and routinely used.","source":"Semantic Scholar","year":2019,"language":"en","subjects":["Medicine"],"doi":"10.1016/j.clnu.2018.05.024","url":"https://www.semanticscholar.org/paper/350a4126c7ea7c8a981a407ca78e209dd78a158c","pdf_url":"https://ueaeprints.uea.ac.uk/id/eprint/67392/1/Accepted_manuscript.pdf","is_open_access":true,"citations":1064,"published_at":"","score":93},{"id":"ss_35f2da20bc22f2b146f8adeb5e68221b2f058c35","title":"American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults","authors":[{"name":"Mary Jordan Samuel"}],"abstract":"","source":"Semantic Scholar","year":2015,"language":"en","subjects":["Medicine"],"doi":"10.1111/jgs.13702","url":"https://www.semanticscholar.org/paper/35f2da20bc22f2b146f8adeb5e68221b2f058c35","is_open_access":true,"citations":1860,"published_at":"","score":89},{"id":"ss_c5199383ce80d22e83d59da8183aea5f7815d6b6","title":"American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults","authors":[{"name":"C. Campanelli"}],"abstract":"","source":"Semantic Scholar","year":2012,"language":"en","subjects":["Medicine"],"doi":"10.1111/J.1532-5415.2012.03923.X","url":"https://www.semanticscholar.org/paper/c5199383ce80d22e83d59da8183aea5f7815d6b6","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1532-5415.2012.03923.x","is_open_access":true,"citations":1936,"published_at":"","score":86},{"id":"crossref_10.1111/j.1532-5415.2010.03234.x","title":"Summary of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons","authors":[{"name":"Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society"}],"abstract":"The following article is a summary of the American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons (2010). This article provides additional discussion of the guideline process and the differences between the current guideline and the 2001 version and includes the guidelines' recommendations, algorithm, and acknowledgments. The complete guideline is published on the American Geriatrics Society's Web site ( http://www.americangeriatrics.org/health_care_professionals/clinical_practice/clinical_guidelines_recommendations/2010/ ).","source":"CrossRef","year":2011,"language":"en","subjects":null,"doi":"10.1111/j.1532-5415.2010.03234.x","url":"https://doi.org/10.1111/j.1532-5415.2010.03234.x","is_open_access":true,"citations":1434,"published_at":"","score":85},{"id":"ss_5ecf900bd2cd28a66bb93bef3809889ff63d01e3","title":"ESPEN practical guideline: Clinical nutrition and hydration in geriatrics.","authors":[{"name":"D. Volkert"},{"name":"A. Beck"},{"name":"T. Cederholm"},{"name":"A. Cruz-Jentoft"},{"name":"L. Hooper"},{"name":"E. Kiesswetter"},{"name":"M. Maggio"},{"name":"A. Raynaud-Simon"},{"name":"C. Sieber"},{"name":"L. Sobotka"},{"name":"D. V. van Asselt"},{"name":"R. Wirth"},{"name":"S. Bischoff"}],"abstract":"BACKGROUND Malnutrition and dehydration are widespread in older people, and obesity is an increasing problem. In clinical practice, it is often unclear which strategies are suitable and effective in counteracting these key health threats. AIM To provide evidence-based recommendations for clinical nutrition and hydration in older persons in order to prevent and/or treat malnutrition and dehydration. Further, to address whether weight-reducing interventions are appropriate for overweight or obese older persons. METHODS This guideline was developed according to the standard operating procedure for ESPEN guidelines and consensus papers. A systematic literature search for systematic reviews and primary studies was performed based on 33 clinical questions in PICO format. Existing evidence was graded according to the SIGN grading system. Recommendations were developed and agreed in a multistage consensus process. RESULTS We provide eighty-two evidence-based recommendations for nutritional care in older persons, covering four main topics: Basic questions and general principles, recommendations for older persons with malnutrition or at risk of malnutrition, recommendations for older patients with specific diseases, and recommendations to prevent, identify and treat dehydration. Overall, we recommend that all older persons shall routinely be screened for malnutrition in order to identify an existing risk early. Oral nutrition can be supported by nursing interventions, education, nutritional counselling, food modification and oral nutritional supplements. Enteral nutrition should be initiated if oral, and parenteral if enteral nutrition is insufficient or impossible and the general prognosis is altogether favorable. Dietary restrictions should generally be avoided, and weight-reducing diets shall only be considered in obese older persons with weight-related health problems and combined with physical exercise. All older persons should be considered to be at risk of low-intake dehydration and encouraged to consume adequate amounts of drinks. Generally, interventions shall be individualized, comprehensive and part of a multimodal and multidisciplinary team approach. CONCLUSION A range of effective interventions is available to support adequate nutrition and hydration in older persons in order to maintain or improve nutritional status and improve clinical course and quality of life. These interventions should be implemented in clinical practice and routinely used.","source":"Semantic Scholar","year":2022,"language":"en","subjects":["Medicine"],"doi":"10.1016/j.clnu.2022.01.024","url":"https://www.semanticscholar.org/paper/5ecf900bd2cd28a66bb93bef3809889ff63d01e3","pdf_url":"http://www.clinicalnutritionjournal.com/article/S0261561422000346/pdf","is_open_access":true,"citations":319,"published_at":"","score":75.57},{"id":"ss_4a052456aa48967e838a5565603c0e38ad489ae1","title":"Redefining the elderly as aged 75 years and older: Proposal from the Joint Committee of Japan Gerontological Society and the Japan Geriatrics Society","authors":[{"name":"Y. Ouchi"},{"name":"H. Rakugi"},{"name":"H. Arai"},{"name":"M. Akishita"},{"name":"Hideki Ito"},{"name":"K. Toba"},{"name":"I. Kai"}],"abstract":"","source":"Semantic Scholar","year":2017,"language":"en","subjects":["Medicine"],"doi":"10.1111/ggi.13118","url":"https://www.semanticscholar.org/paper/4a052456aa48967e838a5565603c0e38ad489ae1","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ggi.13118","is_open_access":true,"citations":450,"published_at":"","score":74.5},{"id":"ss_f439505066b3098bce16b451c303f35bb96abf3f","title":"Coronavirus Disease 2019 in Geriatrics and Long‐Term Care: The ABCDs of COVID‐19","authors":[{"name":"Heather D'Adamo"},{"name":"T. Yoshikawa"},{"name":"J. Ouslander"}],"abstract":"The pandemic of coronavirus disease of 2019 (COVID‐19) is having a global impact unseen since the 1918 worldwide influenza epidemic. All aspects of life have changed dramatically for now. The group most susceptible to COVID‐19 are older adults and those with chronic underlying medical disorders. The population residing in long‐term care facilities generally are those who are both old and have multiple comorbidities. In this article we provide information, insights, and recommended approaches to COVID‐19 in the long‐term facility setting. Because the situation is fluid and changing rapidly, readers are encouraged to access frequently the resources cited in this article. J Am Geriatr Soc 68:912–917, 2020","source":"Semantic Scholar","year":2020,"language":"en","subjects":["Medicine"],"doi":"10.1111/jgs.16445","url":"https://www.semanticscholar.org/paper/f439505066b3098bce16b451c303f35bb96abf3f","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jgs.16445","is_open_access":true,"citations":291,"published_at":"","score":72.72999999999999},{"id":"arxiv_2601.17608","title":"Home Health System Deployment Experience for Geriatric Care Remote Monitoring","authors":[{"name":"Dong Yoon Lee"},{"name":"Alyssa Weakley"},{"name":"Hui Wei"},{"name":"Daniel Cardona"},{"name":"Shijia Pan"}],"abstract":"To support aging-in-place, adult children often provide care to their aging parents from a distance. These informal caregivers desire plug-and-play remote care solutions for privacy-preserving continuous monitoring that enabling real-time activity monitoring and intuitive, actionable information. This short paper presents insights from three iterations of deployment experience for remote monitoring system and the iterative improvement in hardware, modeling, and user interface guided by the Geriatric 4Ms framework (matters most, mentation, mobility, and medication). An LLM-assisted solution is developed to balance user experience (privacy-preserving, plug-and-play) and system performance.","source":"arXiv","year":2026,"language":"en","subjects":["cs.HC","cs.SD","eess.AS","eess.SY"],"url":"https://arxiv.org/abs/2601.17608","pdf_url":"https://arxiv.org/pdf/2601.17608","is_open_access":true,"published_at":"2026-01-24T22:01:22Z","score":70},{"id":"arxiv_2601.17012","title":"The Digital Divide in Geriatric Care: Why Usability, Not Access, is the Real Problem","authors":[{"name":"Christine Ine"}],"abstract":"The rapid increase in the world's aging population to 16% by the year 2050 spurs the need for the application of digital health solutions to enhance older individuals' independence, accessibility, and well-being. While digital health technologies such as telemedicine, wearables, and mobile health applications can transform geriatric care, their adoption among older individuals is not evenly distributed. This study redefines the \"digital divide\" among older health care as a usability divide, contends that user experience (UX) poor design is the primary adoption barrier, rather than access. Drawing on interdisciplinary studies and design paradigms, the research identifies the main challenges: visual, cognitive, and motor impairment; complicated interfaces; and lack of co-creation with older adults, and outlines how participatory, user-focused, and inclusive notions of design can transcend them. Findings reveal that older persons easily embrace those technologies that are intuitive, accessible, and socially embedded as they promote autonomy, confidence, and equity in health. The study identifies the effects of the design attributes of high-contrast screens, lower interaction flow, multimodal feedback, and caregiver integration as having strong influences on usability outcomes. In addition, it critiques the current accessibility guidelines as being technically oriented rather than experiential and demands an ethical, empathetic understanding of design grounded in human-centered usability rather than technical accessibility in itself.","source":"arXiv","year":2026,"language":"en","subjects":["cs.CY","cs.HC"],"url":"https://arxiv.org/abs/2601.17012","pdf_url":"https://arxiv.org/pdf/2601.17012","is_open_access":true,"published_at":"2026-01-14T18:31:15Z","score":70},{"id":"arxiv_2601.07881","title":"Angled Aortic Cannulation Reduces Cerebral Embolic Transport and Adverse Wall Loading During Cardiopulmonary Bypass: A Patient-Specific Hemodynamic Study","authors":[{"name":"Nafis M. Arefin"},{"name":"Bryan C. Good"}],"abstract":"Embolic stroke during cardiopulmonary bypass (CPB) is strongly influenced by cannula induced flow disturbances that govern emboli transport and aortic wall loading. This study quantifies how aortic cannula orientation affects embolic distribution and atherosclerotic plaque disruption risk across patient specific, age-dependent aortic anatomies under clinical CPB conditions. A validated computational fluid dynamics and Lagrangian particle tracking (CFD-LPT) framework was applied to four patient-specific aortic models representing pediatric, adolescent, adult, and geriatric anatomies. Two clinically relevant cannula orientations: perpendicular (90 deg) and angled (30 deg), were evaluated under varying blood viscosities (1.5 to 3.5 cP) and embolus sizes (0.5 to 2.5 mm). Aortic branch exit percentage, wall pressure, and wall shear stress (WSS) were quantified. The 30 deg angled cannula reduced embolic transport into the aortic branches by 18 to 50 percent compared with perpendicular cannulation, with the largest reduction observed in the geriatric model. Perpendicular cannulation produced concentrated jet impingement, resulting in significantly elevated posterior wall pressure (24 percent) and up to an 8 fold increase in local WSS. The pediatric anatomy exhibited the highest sensitivity, where decreasing viscosity and increasing embolus size increased branch exit by 8.4 percent and 25 to 44 percent, respectively, consistent with higher particle Stokes numbers and inertial decoupling from the core flow. Angled cannulation redistributes jet momentum along the aortic curvature, weakens jet impingement, reduces localized pressure and wall stress, and limits embolic delivery towards the cerebral circulation. These findings provide mechanistic, patient-specific evidence supporting angled cannula orientation to reduce CPB complications.","source":"arXiv","year":2026,"language":"en","subjects":["physics.med-ph","physics.flu-dyn"],"url":"https://arxiv.org/abs/2601.07881","pdf_url":"https://arxiv.org/pdf/2601.07881","is_open_access":true,"published_at":"2026-01-11T20:12:36Z","score":70},{"id":"ss_74676dd5f3aeb5ac51c5b2edc090cf20a3b56902","title":"Decision Making for Older Adults With Multiple Chronic Conditions: Executive Summary for the American Geriatrics Society Guiding Principles on the Care of Older Adults With Multimorbidity","authors":[{"name":"C. Boyd"},{"name":"Cynthia D. Smith"},{"name":"F. Masoudi"},{"name":"C. Blaum"},{"name":"J. Dodson"},{"name":"A. Green"},{"name":"A. Kelley"},{"name":"D. Matlock"},{"name":"J. Ouellet"},{"name":"M. Rich"},{"name":"Nancy L. Schoenborn"},{"name":"M. Tinetti"}],"abstract":"Caring for older adults with multiple chronic conditions (MCCs) is challenging. The American Geriatrics Society (AGS) previously developed The AGS Guiding Principles for the Care of Older Adults With Multimorbidity using a systematic review of the literature and consensus. The objective of the current work was to translate these principles into a framework of Actions and accompanying Action Steps for decision making for clinicians who provide both primary and specialty care to older people with MCCs. A work group of geriatricians, cardiologists, and generalists: (1) articulated the core MCC Actions and the Action Steps needed to carry out the Actions; (2) provided decisional tips and communication scripts for implementing the Actions and Action Steps, using commonly encountered situations: (3) performed a scoping review to identify evidence‐based, validated tools for carrying out the MCC Actions and Action Steps; and (4) identified potential barriers to, and mitigating factors for, implementing the MCC Actions. The recommended MCC Actions include: (1) identify and communicate patients' health priorities and health trajectory; (2) stop, start, or continue care based on health priorities, potential benefit vs harm and burden, and health trajectory; and (3) align decisions and care among patients, caregivers, and other clinicians with patients' health priorities and health trajectory. The tips and scripts for carrying out these Actions are included in the full MCC Action Framework available in the supplement (www.GeriatricsCareOnline.org). J Am Geriatr Soc 67:665–673, 2019.","source":"Semantic Scholar","year":2019,"language":"en","subjects":["Medicine"],"doi":"10.1111/jgs.15809","url":"https://www.semanticscholar.org/paper/74676dd5f3aeb5ac51c5b2edc090cf20a3b56902","is_open_access":true,"citations":233,"published_at":"","score":69.99000000000001},{"id":"ss_9154c3622ad1d997eaf7a4c1ddf326067efb1907","title":"Consensus statement on “Oral frailty” from the Japan Geriatrics Society, the Japanese Society of Gerodontology, and the Japanese Association on Sarcopenia and Frailty","authors":[{"name":"Tomoki Tanaka"},{"name":"H. Hirano"},{"name":"Kazunori Ikebe"},{"name":"Takayuki Ueda"},{"name":"Masanori Iwasaki"},{"name":"Shunsuke Minakuchi"},{"name":"H. Arai"},{"name":"Masahiro Akishita"},{"name":"Koichi Kozaki"},{"name":"K. Iijima"}],"abstract":"The concept of oral frailty was first proposed in Japan in 2014 by the “Joint Working Committee on Oral Frailty,” consisting of three academic societies—the Japan Geriatrics Society, the Japanese Society of Gerodontology, and the Japanese Association on Sarcopenia and Frailty—to enhance public understanding of oral frailty. Oral frailty is a state between robust oral function (a “healthy mouth”) and its decline, characterized by slight declines in oral function, including tooth loss and difficulties in eating and communicating, which increase the risk of impaired oral functional capacity but can be reversed with proper intervention and treatment. Oral frailty can be assessed using the Oral Frailty 5‐item Checklist (OF‐5) without the need for a dental health professional. Oral frailty is defined as having at least two of the following components: (i) fewer teeth, (ii) difficulty chewing, (iii) difficulty swallowing, (iv) dry mouth, and (v) low articulatory oral motor skills. Approximately 40% of community‐dwelling older adults have oral frailty. Oral frailty is associated with poor dietary variety, social isolation, physical frailty, disability, and mortality. This statement introduces the concept and definition of oral frailty, a new assessment tool (OF‐5), and concept diagrams for healthcare professionals and the general public. These tools aim to promote public awareness and facilitate collaboration between medical and dental healthcare providers. Geriatr Gerontol Int 2024; 24: 1111–1119.","source":"Semantic Scholar","year":2024,"language":"en","subjects":["Medicine"],"doi":"10.1111/ggi.14980","url":"https://www.semanticscholar.org/paper/9154c3622ad1d997eaf7a4c1ddf326067efb1907","pdf_url":"https://doi.org/10.1111/ggi.14980","is_open_access":true,"citations":53,"published_at":"","score":69.59},{"id":"arxiv_2505.15850","title":"Machine Learning-Based Prediction of Mortality in Geriatric Traumatic Brain Injury Patients","authors":[{"name":"Yong Si"},{"name":"Junyi Fan"},{"name":"Li Sun"},{"name":"Shuheng Chen"},{"name":"Elham Pishgar"},{"name":"Kamiar Alaei"},{"name":"Greg Placencia"},{"name":"Maryam Pishgar"}],"abstract":"Traumatic Brain Injury (TBI) is a major contributor to mortality among older adults, with geriatric patients facing disproportionately high risk due to age-related physiological vulnerability and comorbidities. Early and accurate prediction of mortality is essential for guiding clinical decision-making and optimizing ICU resource allocation. In this study, we utilized the MIMIC-III database to identify geriatric TBI patients and applied a machine learning framework to develop a 30-day mortality prediction model. A rigorous preprocessing pipeline-including Random Forest-based imputation, feature engineering, and hybrid selection-was implemented to refine predictors from 69 to 9 clinically meaningful variables. CatBoost emerged as the top-performing model, achieving an AUROC of 0.867 (95% CI: 0.809-0.922), surpassing traditional scoring systems. SHAP analysis confirmed the importance of GCS score, oxygen saturation, and prothrombin time as dominant predictors. These findings highlight the value of interpretable machine learning tools for early mortality risk stratification in elderly TBI patients and provide a foundation for future clinical integration to support high-stakes decision-making in critical care.","source":"arXiv","year":2025,"language":"en","subjects":["q-bio.QM"],"url":"https://arxiv.org/abs/2505.15850","pdf_url":"https://arxiv.org/pdf/2505.15850","is_open_access":true,"published_at":"2025-05-19T20:58:58Z","score":69},{"id":"arxiv_2504.02794","title":"MENA: Multimodal Epistemic Network Analysis for Visualizing Competencies and Emotions","authors":[{"name":"Behdokht Kiafar"},{"name":"Pavan Uttej Ravva"},{"name":"Asif Ahmmed Joy"},{"name":"Salam Daher"},{"name":"Roghayeh Leila Barmaki"}],"abstract":"The need to improve geriatric care quality presents a challenge that requires insights from stakeholders. While simulated trainings can boost competencies, extracting meaningful insights from these practices to enhance simulation effectiveness remains a challenge. In this study, we introduce Multimodal Epistemic Network Analysis (MENA), a novel framework for analyzing caregiver attitudes and emotions in an Augmented Reality setting and exploring how the awareness of a virtual geriatric patient (VGP) impacts these aspects. MENA enhances the capabilities of Epistemic Network Analysis by detecting positive emotions, enabling visualization and analysis of complex relationships between caregiving competencies and emotions in dynamic caregiving practices. The framework provides visual representations that demonstrate how participants provided more supportive care and engaged more effectively in person-centered caregiving with aware VGP. This method could be applicable in any setting that depends on dynamic interpersonal interactions, as it visualizes connections between key elements using network graphs and enables the direct comparison of multiple networks, thereby broadening its implications across various fields.","source":"arXiv","year":2025,"language":"en","subjects":["cs.HC"],"url":"https://arxiv.org/abs/2504.02794","pdf_url":"https://arxiv.org/pdf/2504.02794","is_open_access":true,"published_at":"2025-04-03T17:40:49Z","score":69},{"id":"arxiv_2507.18115","title":"Agentic AI framework for End-to-End Medical Data Inference","authors":[{"name":"Soorya Ram Shimgekar"},{"name":"Shayan Vassef"},{"name":"Abhay Goyal"},{"name":"Navin Kumar"},{"name":"Koustuv Saha"}],"abstract":"Building and deploying machine learning solutions in healthcare remains expensive and labor-intensive due to fragmented preprocessing workflows, model compatibility issues, and stringent data privacy constraints. In this work, we introduce an Agentic AI framework that automates the entire clinical data pipeline, from ingestion to inference, through a system of modular, task-specific agents. These agents handle both structured and unstructured data, enabling automatic feature selection, model selection, and preprocessing recommendation without manual intervention. We evaluate the system on publicly available datasets from geriatrics, palliative care, and colonoscopy imaging. For example, in the case of structured data (anxiety data) and unstructured data (colonoscopy polyps data), the pipeline begins with file-type detection by the Ingestion Identifier Agent, followed by the Data Anonymizer Agent ensuring privacy compliance, where we first identify the data type and then anonymize it. The Feature Extraction Agent identifies features using an embedding-based approach for tabular data, extracting all column names, and a multi-stage MedGemma-based approach for image data, which infers modality and disease name. These features guide the Model-Data Feature Matcher Agent in selecting the best-fit model from a curated repository. The Preprocessing Recommender Agent and Preprocessing Implementor Agent then apply tailored preprocessing based on data type and model requirements. Finally, the ``Model Inference Agent\" runs the selected model on the uploaded data and generates interpretable outputs using tools like SHAP, LIME, and DETR attention maps. By automating these high-friction stages of the ML lifecycle, the proposed framework reduces the need for repeated expert intervention, offering a scalable, cost-efficient pathway for operationalizing AI in clinical environments.","source":"arXiv","year":2025,"language":"en","subjects":["cs.AI","cs.CL","cs.CY","cs.ET","cs.LG"],"url":"https://arxiv.org/abs/2507.18115","pdf_url":"https://arxiv.org/pdf/2507.18115","is_open_access":true,"published_at":"2025-07-24T05:56:25Z","score":69},{"id":"arxiv_2509.18411","title":"LIFY: IoT System for Monitoring Vital Signs of Elderly People","authors":[{"name":"Sara Gonzalez"},{"name":"Martin Vasquez"},{"name":"Wilder Castellanos"}],"abstract":"This article describes the implementation of a technological solution aimed at improving the recording of physiological signals in the elderly population residing in geriatric facilities. The developed system consists of a smart device equipped with sensors for body temperature, heart rate, and blood oxygen levels. This device establishes an Internet connection to transmit data to a cloud-based platform for storage. Within this platform, a dashboard has been created to visualize real-time values captured by the sensors, along with additional functionalities such as user management and the configuration of personalized alerts, which are transmitted to the solution's users through the instant messaging system called Telegram.","source":"arXiv","year":2025,"language":"en","subjects":["cs.NI"],"url":"https://arxiv.org/abs/2509.18411","pdf_url":"https://arxiv.org/pdf/2509.18411","is_open_access":true,"published_at":"2025-09-22T20:48:36Z","score":69},{"id":"doaj_10.1186/s12877-025-06624-y","title":"Sedative-hypnotic drug use and risk of falls and fractures in elderly patients: a cross-sectional study","authors":[{"name":"Mohammad Hossein Imani"},{"name":"Amir Hossein Imani"},{"name":"Amirhossein Saem"},{"name":"Maryam Niksolat"}],"abstract":"Abstract Background Falls are a leading cause of injury, hospitalization, and mortality among older adults. Sedative-hypnotic medications, especially benzodiazepines and Z-drugs, have been implicated as potential contributors to fall risk and fracture. This study investigated the prevalence of sedative-hypnotic drug use in elderly patients with falls and its association with fracture outcomes. Methods A cross-sectional study was conducted on 200 patients aged ≥ 60 years presenting with falls to Rasool Akram Hospital, Tehran (2023–2024). Demographics, comorbidities, and medication history were extracted from medical records. Sedative-hypnotic use was recorded, and outcomes included fracture occurrence confirmed by imaging. Statistical analyses included chi-square tests and multivariate logistic regression. Results Among 200 patients (mean age 73 ± 8 years; 65.5% female), 55.5% sustained a fracture. Sedative-hypnotic use was identified in 15.5% (n = 31). Fracture prevalence was higher in sedative users compared to non-users (74% vs. 52%), but the difference was not statistically significant (p = 0.08). Benzodiazepines were the most commonly used class (15.5%). Losartan use was more frequent in fracture patients (29.7% vs. 12.4%) and showed a significant association in logistic regression (OR 3.28; 95% CI: 1.48–7.26; p = 0.003). Conclusions Sedative-hypnotic use was common among elderly patients presenting with falls; although fracture risk was higher in users, the association did not reach statistical significance, likely due to limited sample size. The observed link between losartan and fractures should be interpreted cautiously and warrants further investigation. Medication review remains a critical component of fall-prevention strategies in geriatric care.","source":"DOAJ","year":2025,"language":"","subjects":["Geriatrics"],"doi":"10.1186/s12877-025-06624-y","url":"https://doi.org/10.1186/s12877-025-06624-y","is_open_access":true,"published_at":"","score":69}],"total":134313,"page":1,"page_size":20,"sources":["arXiv","CrossRef","DOAJ","Semantic Scholar"],"query":"Geriatrics"}