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Washington, DC, United States

Stokes L.,Keele University | Stokes L.,Sustain Inc. | Combes H.,Staffordshire University | Stokes G.,BUPA UK
Psychogeriatrics | Year: 2015

This review examines how people understand and make sense of a dementia diagnosis. The review explores how lay frameworks and information presented at diagnosis may inform a caregiver's understanding of dementia in a family member. Existing qualitative research exploring how caregivers understand and make sense of dementia is reviewed. A literature search was conducted, and the results indicated that family carers often receive little or unclear information about dementia, with diagnostic information often delivered in euphemistic terms. Lack of clarity regarding diagnosis and prognosis creates uncertainty for caregivers and impacts future care planning. Caregiver's understandings of the condition vary, with some symptoms often not attributed to the condition. The literature highlights significant gaps and misconceptions in public knowledge regarding dementia, which raises questions about how family caregivers understand the condition. Further research is required to explore how information is presented to family carers at the time of diagnosis and how this is used to understand the condition. Psychogeriatrics © 2015 The Japanese Psychogeriatric Society. Source

Sustain Inc. and Choice Information Systems Inc. | Date: 1999-03-30

Computer software for court case management in local, municipal, state and federal government.

Sustain Inc. and Choice Information Systems Inc. | Date: 1999-03-23

Computer software for court case management.

Sustain Inc. | Date: 2009-01-27

Secondary moisture drainage system consisting of non-metal troughs, collection boxes and non-metal barrels.

Fleige L.E.,Sustain Inc. | Sahyoun N.R.,University of Maryland University College | Murphy S.P.,University of Hawaii at Manoa
Journal of Nutrition | Year: 2010

Current micronutrient levels in Public Law 480 fortified blended foods (FBF) may not be appropriate for all food aid beneficiaries, particularly infants and/or young children and pregnant and/or lactating women. A simulation model was developed to determine the micronutrient fortification levels to include in FBF for food aid programs with the goal of reducing the risk of inadequate micronutrient intakes without exceeding the tolerable upper intake level (UL) for any recipient group. For each micronutrient, the age and gender group with the highest daily Recommended Nutrient Intake (RNI) relative to energy requirement was identified and the effect of providing different percentages of that RNI (66, 75, and 100%) was simulated. In this modeling exercise, we also examined consumption of the FBF at 25 (the usual level), 50, and 100% of daily energy requirement. Results indicated that 2 FBF products are needed: a complementary food for age 6-36 mo and a supplementary food for the older groups. Both of the FBF could be fortified to supply at least 75% of the RNI to all groups, without exceeding the UL for most nutrients, if consumed at 25% of the energy requirement. Even if consumed at 50% of energy requirements, mean intakes of most micronutrients would not exceed the UL, although at 100% of the energy requirement, several micronutrients were undesirably high. We conclude that fortifying an FBF to provide 75% of the RNI would be appropriate for most micronutrients, but this level of fortification would not be appropriate for long-term consumption of the FBF at 100% of the energy requirements. © 2010 American Society for Nutrition. Source

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