Current Awareness in Aging Research (CAAR) Report #110--November 15, 2001

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NOTE!! Next week's CAAR Report will be issued on Wednesday, November 21, 2001.
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CAAR (Current Awareness in Aging Research) is a weekly email report produced by the Center for Demography of Health and Aging at the University of Wisconsin-Madison that helps researchers keep up to date with the latest developments in the field. For more information, including an archive of back issues and subscription information see:

http://www.ssc.wisc.edu/cdha/caar/caar-index.htm

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I. Reports and articles:

1. KFF/PBS NEWSHOUR SURVEY: "New Kaiser/NewsHour Survey on Nursing Homes" (Kaiser Family Foundation/PBS NewsHour with Jim Lehrer, October 2001, .pdf format). Available at the site are survey highlights and question cross tabulations.

Abstract:

A new national survey by The NewsHour with Jim Lehrer, the Kaiser Family Foundation, and the Harvard School of Public Health finds that people who have substantial experience with a friend or family member in a nursing home, or have been in a nursing home themselves, have generally positive views about the care provided. A significant minority of those with nursing home experience, however, says that the person they know has received poor quality care in the nursing home, including about a quarter that report incidents of abuse or overmedication. The majority of Americans see an important role for the government in long-term care, both in oversight of facility quality and in helping finance the costs for nursing home care.

http://www.kff.org/content/2001/3171/
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2. GAO REPORT: "Medicare: Information Systems Modernization Needs Stronger Management and Support" (US General Accounting Office GAO-01-824, September 2001, .pdf format, 35p.).

http://www.gao.gov/new.items/d01824.pdf

Note: This is a temporary address. GAO reports can always be found at:

http://www.access.gpo.gov/su_docs/aces/aces160.shtml

Search on title or report number.
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3. DHHS OIG OEI REPORTS:

A. "Psychotropic Drug Use in Nursing Homes" (US Department of Health and Human Services, Office of the Inspector General, Office of Evaluation and Inspections OEI-02-00-00490, November 2001, .pdf format, 18p.).

http://oig.hhs.gov/oei/reports/oei-02-00-00490.pdf

B. "Psychotropic Drug Use in Nursing Homes: Supplemental Information - 10 Case Studies (US Department of Health and Human Services, Office of the Inspector General, Office of Evaluation and Inspections OEI-02-00-00491, November 2001, .pdf format, 31p.).

http://oig.hhs.gov/oei/reports/oei-02-00-00491.pdf

Abstract:

The OIG has released a final inspection report on the use of psychotropic drugs in nursing homes, along with supplemental information intended to provide content for the main report. This inspection was conducted in response to concerns expressed by the Senate Special Committee on Aging about the use of psychotropic drugs as inappropriate chemical restraints. We found that this is not a pervasive problem. These drugs are generally being used appropriately. Where there are problems, they are related to inappropriate dosage, chronic use, a lack of documented benefit to the resident, and unnecessary duplicate drug therapy. We also note a lack of adequate documentation for residents' psychotropic drug use in some cases. We suggest that CMS consider educating providers to better document the use of these drugs.
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4. NIA NEWS RELEASE: "Cognitive Impairment High Among Older People, Study Suggests" (National Institute on Aging Alzheimer's Disease Research Update, Nov. 12, 2001).

http://www.alzheimers.org/nianews/nianews41.html
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5. CENTER FOR MEDICARE AND MEDICAID SERVICES COVERAGE EXPANSION DECISION; AUDIT:

A. "Continuous Positive Airway Pressure (CPAP) Therapy Used in the Treatment of Obstructive Sleep Apnea (OSA) (US Center for Medicare and Medicaid Services #CAG-00093R), October 2001, HTML and .rtf format [decision memo, 18p.]).

http://www.hcfa.gov/coverage/8b3-bbb.htm

B. "Implementation of Medicare's Postacute Care Transfer Policy" (US Department of Health and Human Services, Office of the Inspector General, Center for Medicare and Medicaid Services Audit A-04-00-01220, October 2001, .pdf format, 21p.).

Abstract:

This report points out that the Centers for Medicare & Medicaid Services (CMS) have no controls in place to prevent excessive payments to prospective payment system (PPS) hospitals for erroneously coded patient discharges that are followed by postacute care, such as care in a skilled nursing facility or by a home health agency. Medicare policy calls for inpatient payment rates to be reduced when PPS hospitals discharge beneficiaries in 10 specified diagnosis related groups (DRG) to such settings. However, we estimate, based on a statistical sample, that Medicare paid approximately $52.3 million nationwide in excessive DRG payments to PPS hospitals as a result of erroneously coded discharges. In addition to recovery of overpayments, we are recommending that HCFA, as a long-term remedy, establish edits in its Common Working File to compare beneficiary inpatient claims potentially subject to the postacute care policy with subsequent claims. This will allow potentially erroneous claims to be reviewed and appropriate adjustments to be made to the discharging hospital's inpatient claim. CMS officials concurred with our findings and recommendations.

http://oig.hhs.gov/oas/reports/region4/40001220.htm
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6. _SCIENCE_ EDITORIAL, ARTICLE ABSTRACT: Note: Full electronic text (HTML and .pdf format) may be available. Check your organization's library.

A. "Cholesterol--Making or Breaking the Synapse," by Ben A. Barres and Stephen J. Smith (_Science_ editorial, Vol. 294, No. 5545, Nov. 9, 2001, p. 1296-1297).

http://www.sciencemag.org/cgi/content/summary/294/5545/1296

B. "CNS Synaptogenesis Promoted by Glia-Derived Cholesterol," by Daniela H. Mauch, Karl Ngler, Stefan Schumacher, Christian Gritz, Eva-Christina Mller, Albrecht Otto, and Frank W. Pfrieger (_Science_, Vol. 294, No. 5545, Nov. 9, 2001, p. 1354-1357).

http://www.sciencemag.org/cgi/content/abstract/294/5545/1354
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7. _JAMA_ ARTICLE, ARTICLE ABSTRACTS, EDITORIAL:

A. "Complete Genomic Screen in Parkinson Disease: Evidence for Multiple Genes," by William K. Scott, Martha A. Nance, Ray L. Watts, Jean P. Hubble, William C. Koller, Kelly Lyons, Rajesh Pahwa, Matthew B. Stern, Amy Colcher, Bradley C. Hiner, Joseph Jankovic, William G. Ondo, Fred H. Allen, Jr., Christopher G. Goetz, Gary W. Small, Donna Masterman, Frank Mastaglia, Nigel G. Laing, Jeffrey M. Stajich, Brandon Slotterbeck, Michael W. Booze, Robert C. Ribble, Evadnie Rampersaud, Sandra G. West, Rachel A. Gibson, Lefkos T. Middleton, Allen D. Roses, Jonathan L. Haines, Burton L. Scott, Jeffery M. Vance, and Margaret A. Pericak-Vance (_Journal of the American Medical Association_, Vol. 286, No. 18, Nov. 14, 2001, HTML and .pdf format, p. 2239-2244).

http://jama.ama-assn.org/issues/v286n18/rfull/joc10904.html

B. "Association of Single-Nucleotide Polymorphisms of the Tau Gene With Late-Onset Parkinson Disease," by Eden R. Martin, William K. Scott, Martha A. Nance, Ray L. Watts, Jean P. Hubble, William C. Koller, Kelly Lyons, Rajesh Pahwa, Matthew B. Stern, Amy Colcher, Bradley C. Hiner, Joseph Jankovic, William G. Ondo, Fred H. Allen, Jr., Christopher G. Goetz, Gary W. Small, Donna Masterman, Frank Mastaglia, Nigel G. Laing, Jeffrey M. Stajich, Robert C. Ribble, Michael W. Booze, Allison Rogala, Michael A. Hauser, Fengyu Zhang, Rachel A. Gibson, Lefkos T. Middleton, Allen D. Roses, Jonathan L. Haines, Burton L. Scott, Margaret A. Pericak-Vance, and Jeffery M. Vance (_Journal of the American Medical Association_, Vol. 286, No. 18, Nov. 14, 2001, p. 2245-2250).

http://jama.ama-assn.org/issues/v286n18/abs/joc10905.html

C. "A Founder Mutation in Presenilin 1 Causing Early-Onset Alzheimer Disease in Unrelated Caribbean Hispanic Families," by Eleni S. Athan, Jennifer Williamson, Alejandra Ciappa, Vincent Santana, Stavra N. Romas, Joseph H. Lee, Haydee Rondon, Rafael A. Lantigua, Martin Medrano, Mayobanex Torres, Shigeki Arawaka, Ekaterina Rogaeva, You-Qiang Song, Christine Sato, Toshitaka Kawarai, Kimberley C. Fafel, Michael A. Boss, William K. Seltzer, Yaakov Stern, Peter St George-Hyslop, Benjamin Tycko, and Richard Mayeux (_Journal of the American Medical Association_, Vol. 286, No. 18, Nov. 14, 2001, p. 2257-2263).

http://jama.ama-assn.org/issues/v286n18/abs/joc10332.html

D. "Tau and Parkinson Disease," by Maria Grazia Spillantini and Michel Goedert (_Journal of the American Medical Association_ editorial, Vol. 286, No. 18, Nov. 14, 2001, HTML and .pdf format, p. 2324-2326).

http://jama.ama-assn.org/issues/v286n18/ffull/jed10073.html
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8. _NEJM_ ARTICLE ABSTRACT: "A Comparison of Warfarin and Aspirin for the Prevention of Recurrent Ischemic Stroke," by J.P. Mohr, J.L.P. Thompson, R.M. Lazar, B. Levin, R.L. Sacco, K.L. Furie, J.P. Kistler, G.W. Albers, L.C. Pettigrew, H.P. Adams, Jr., C.M. Jackson, and P. Pullicino (_New England Journal of Medicine_, Vol. 345, No. 20, Nov. 15, 2001, p. 1444-1451).

http://content.nejm.org/cgi/content/short/345/20/1444
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9. _BMJ_ EDITORIAL, NEWS ROUNDUP, NEWS EXTRA:

A. "Why active euthanasia and physician assisted suicide should be legalised," by Len Doyal and Lesley Doyal (_British Medical Journal_ editorial, Vol. 323, No. 7321, Nov. 10, 2001, HTML and .pdf format, p. 1079-1080).

http://bmj.com/cgi/content/full/323/7321/1079

B. "New law requires doctors to learn care of the dying," by Fred Charatan (_British Medical Journal_ News Roundup, Vol. 323, No. 7321, Nov. 10, 2001, p. 1088).

http://bmj.com/cgi/content/full/323/7321/1088/c

C. "Right to die case goes to House of Lords," by Clare Dyer (_British Medical Journal_ News Extra, Vol. 323, No. 7321, Nov. 10, 2001, p. 1090).

http://bmj.com/cgi/content/full/323/7321/1090/e
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10. _LANCET_ SCIENCE AND MEDICINE NEWS: Note: _Lancet_ requires free registration before providing content. "New mechanism proposed for NSAID reduction of Alzheimer's disease incidence," by Jane Bradbury (_Lancet_ Science and Medicine News, Vol. 358, No. 9293, Nov. 9, 2001).

http://www.thelancet.com/journal/vol358/iss9293/full/llan.358.9293.news.18354.3
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11. MEDSCAPE CONFERENCE REPORT: Note: Medscape requires free registration before providing articles: "Highlights of the 12th Annual Meeting of the North American Menopause Society," a conference held Oct. 4-6, 2001 in New Orleans, Louisiana.

http://www.medscape.com/44641.rhtml?srcmp=ms-110901

or

http://www.medscape.com/Medscape/CNO/2001/NAMS/public/toc-nams.html
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12. AARP BOOKLETS: "Staying Sharp: Current Advances in Brain Research," a series of booklets provided by the AARP Andrus Foundation and the Dana Alliance for Brain Initiatives (2001, .pdf format). At present, the booklets available are "Chronic Health Issues" (19p.), "Depression" (11p.), "Quality of Life" (15p.), and "Memory and Aging" (15p.).

http://www.andrus.org/sharp/sharp_pubs.html

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II. Working Papers:

13. NBER: "Labor Market Search and Optimal Retirement Policy," by Joydeep Bhattacharya, Casey B. Mulligan, and Robert R. Reed III (National Bureau of Economic Research W8591, November 2001, .pdf format, 19p.).

Abstract:

A popular view about social security, dating back to its early days of inception, is that it is a means for young, unemployed workers to"purchase" jobs from older, employed workers. The question we ask is: Can social security, by encouraging retirement and hence creating job vacancies for the young, improve the allocation of workers to jobs in the labor market? Using a standard model of labor market search, we establish that the equilibrium with no policy-induced retirement can be efficient. Even under worst-case parameterizations of our model, we find that public retirement programs pay the elderly substantially more than labor market search theory implies that their jobs are worth. An important effect, ignored by the popular view, is that the creation of a vacant job by a retirement reduces the value of other vacant jobs.

http://papers.nber.org/papers/W8591

Click on "PDF" or submit your email address at the bottom of the abstract for full text.
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III. Journal Tables of Contents (check your library for availability):

14. American Journal of Epidemiology (Vol. 154, No. 10, Nov. 15, 2001). Note: Full electronic text (HTML and .pdf format) may be available at the site. Check your organization's library.

http://aje.oupjournals.org/content/vol154/issue10/index.shtml

15. European Journal of Palliative Care (Vol. 8, No. 6, 2001).

http://www.ejpc.co.uk/ejpc/ejpc8no6.htm
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16. INGENTA Tables of Contents: INGENTA provides fee based document delivery services for selected journals.

A. Point your browser to:

http://www.ingenta.com/

B. click on "Search Options"
C. Type the Journal Name in the "Publication title" search box and click the radio button "Words in Title"
D. View the table of contents for the issue noted.

Journal of Aging and Identity (Vol. 6, No. 3, 2001).

Journal of the American Geriatrics Society (Vol. 49, No. 10, 2001).

Journal of Women and Aging (Vol. 13, No. 3, 2001).

Research on Aging (Vol. 23, No. 6, 2001). Note: Full electronic text of this journal is available in the ProQuest Research Library and EbscoHost Academic Search Elite databases. Check your library for availability of these databases and this issue.

Social Work (Vol. 46, No. 4, 2001). Note: Full electronic text of this journal is available in the ProQuest Research Library. Check your library for availability of this database and this issue.
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17. AMEDEO MEDICAL LITERATURE: Note: "AMEDEO has been created to serve the needs of healthcare professionals, including physicians, nurses, pharmacists, administrators, other members of the health professions, and patients and their friends. They can easily access timely, relevant information within their respective fields... All AMEDEO services are free of charge. This policy was made possible thanks to generous unrestricted educational grants provided by AMGEN, Berlex, Eisai, Glaxo Wellcome, Novartis, Pfizer, Roche, and Schering AG."

A. Alzheimer's Disease: Literature for the week of Nov. 13, 2001:

http://www.amedeo.com/medicine/ad.htm

B. Osteoporosis: Literature for the week of Nov. 13, 2001:

http://www.amedeo.com/medicine/ost.htm

C. Parkinson's Disease: Literature for the week of Nov. 13, 2001:

http://www.amedeo.com/medicine/pd.htm

AMADEO Literature Guide:

http://www.amedeo.com/index.htm

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IV. Funding/Employment Opportunities:

18. NIH FUNDING OPPORTUNITIES:

A. Elucidation of the Underlying Mechanisms of Placebo Effect (US National Institutes of Health, National Institute on Aging, in conjunction with several other agencies, RFA-AT-02-002, Nov. 8, 2001). For more information see:

http://grants.nih.gov/grants/guide/rfa-files/RFA-AT-02-002.html

B. Informal Caregiving Research for Chronic Conditions (US National Institutes of Health, National Institute on Aging, in conjunction with several other agencies, RFA-NR-02-001, Nov. 7, 2001). For more information see:

http://grants.nih.gov/grants/guide/rfa-files/RFA-NR-02-001.html

C. Jointly Sponsored NIH Predoctoral Training Program in the Neurosciences (US National Institutes of Health, National Institute on Aging, in conjunction with several other agencies, RFA-NR-02-001, Nov. 6, 2001). For more information see:

http://grants.nih.gov/grants/guide/pa-files/PAR-02-017.html
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19. NIH NIA EMPLOYMENT OPPORTUNITIES: The Behavioral and Social Research Program (BRS) of the US National Institute on Aging has position openings for one Supervisory Health Scientist Administrator and two Health Scientist Administrators. For more information see:

Supervisory Health Scientist Administrator

https://careerhere.nih.gov/CHPublic/HRShowVac.taf?&VACANCY_uid1=9741&_Title=EV

Health Scientist Administrators

https://careerhere.nih.gov/CHPublic/HRShowVac.taf?&VACANCY_uid1=9643&_Title=EV
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V. Conferences:

20. NIH SUMMER INSTITUTE: "Summer Institute on Design and Conduct of Randomized Clinical Trials Involving Behavioral Interventions," to be held Jul. 28 - Aug. 9, 2002 in Airlie Virginia. (US National Institutes of Health). For more information see:

http://obssr.od.nih.gov/Conf_Wkshp/rct/RCT_Info.htm
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VI. Legislation Information Updates:

21. US HOUSE COMMITTEE ON WAYS AND MEANS, SUBCOMMITTEE ON SOCIAL SECURITY/COMMITTEE ON FINANCIAL SERVICES, SUBCOMMITTEE ON OVERSIGHT AND INVESTIGATIONS HEARING TESTIMONY: "Joint Hearing on Preventing Identity Theft by Terrorists and Criminals," a hearing held Nov. 8, 2001. Of particular interest to researchers in aging may be the testimony of Fritz Strekewald, US Social Security Administration titled "Collection and Use of SSA's Death Data" (.pdf format, 9p.), and Barbara D. Bovbjerg, US General Accounting Office, titled "Observations on Improving Distribution of Death Information" (.pdf format, 10p.).

Hearing testimony:

http://www.house.gov/financialservices/110801tc.htm
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22. US SENATE COMMITTEE ON GOVERNMENTAL AFFAIRS: "Oversight of the Centers for Medicare and Medicaid Services: Medicare Payment Policies for Ambulance Services," a hearing held Nov. 15, 2001).

Hearing testimony:

http://www.senate.gov/~gov_affairs/111501witness.htm
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23. US HOUSE WAYS AND MEANS COMMITTEE, SUBCOMMITTEE ON HEALTH HEARING TRANSCRIPT, PUBLICATION:

A. "H.R. 2768, the Medicare Regulatory and Contracting Reform Act of 2001," a hearing held Sep. 25, 2001 (US House Serial Publication No. 107-45).

Hearing transcript:

http://www.house.gov/ways_means/health/107cong/9-25-01/107-45final.htm

B. "Second in Series on Medicare Reform: Bringing Regulatory Relief to Beneficiaries," a hearing held Mar. 15, 2001 (US House Serial Publication No. 107-12, HTML and .pdf format, 140p.).

http://www.access.gpo.gov/congress/house/house19ch107.html

Scroll to or "find in page" "107-12" (without the quotes).

Jack Solock
Data Librarian--Center for Demography and Ecology and Center for
Demography of Health and Aging
4470 Social Science
University of Wisconsin-Madison
Madison, WI 53706
608-262-9827
jsolock@ssc.wisc.edu