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The extent of cognitive deficit in depressed elderly remains unclear. Recent follow-up studies of elderly patients diagnosed as depressed suggest that depression may present as the initial sign of progressive dementia. This raises questions regarding the nature of the depression in those individuals who deteriorate cognitively over time, and encourages the search for clinical indicators of those depressed who are likely to deteriorate. Thirty-five depressed older adult outpatients were comprehensively examined and re-evaluated with a brief neuropsychological battery after one or more years. Twenty-three probable dementia of the Alzheimer's type patients (DAT) provided a comparison with a known progressive disorder. Patients with a decline of four points from their original score on a mental status examination comprised the "depressed with cognitive deterioration" sample (N = 8) and all others made up the "depressed without cognitive deterioration" sample (N = 27). These two samples were then compared on clinical variables from the initial neuropsychological, medical, radiological, and patient history examination. A Multivariate analysis of variance using the following variables: initial age, education, modified Hachinski, initial Mini-Mental State, Wechsler Memory Quotient, vocabulary, digit span, similarities, picture completion, block design, and digit symbol subtests of the Wechsler Adult Intelligence Scale-Revised, initial Geriatric Depression Scale, and Grocery Store Test of verbal fluency failed to differentiate those depressed elderly that declined from those who did not. A series of Chi-square analyses using the medical and radiological variables demonstrated a significant association between depressed with deterioration and magnetic resonance imaging (MRI) abnormalities, computerized tomography (CT) abnormalities, and Electrocardiogram (EKG) abnormalities. Those depressed patients with cognitive deterioration demonstrated a higher frequency of white matter abnormalities on the combined CT and MRI than did those depressed patients with no deterioration. Leuko-araiosis in depressed elderly may represent a clinical marker for the identification of later cognitive deterioration. Results indicate: (1) a need for the development of more sensitive neuropsychological measures for accurate prediction of deterioration; (2) the importance of follow-up neuropsychological evaluations on depressed elderly; (3) relationship between white matter abnormality and cognitive deterioration in depressed elderly, and (4) support for the hypothesis that depression may present as an early sign of a later developing progressive dementia.

Globally, old age has been identified as one of the key causes of poverty. Governments all over the world have taken the initiative to introduce policies aimed at protecting the elderly from poverty. However in most developing countries, the plight of the elderly often falls on the informal systems of care such as the extended family. This often leaves the elderly more vulnerable to poverty as the informal systems of care are becoming increasingly unreliable. This study explored the impact which an economic crisis characterized by hyperinflation and high unemployment had on the lives of elderly persons in a suburb called Mucheke in Masvingo, Zimbabwe, focusing mainly on their social networks. Most of the literature on Zimbabwe emphasizes that often people who are institutionalized in old age homes in Zimbabwe were those people who had weaker social networks, particularly due to the fact that they were of foreign origin. These individuals did not have an extended family they could rely on in Zimbabwe, whilst at the same time their links with their families had been broken due to a prolonged stay in a foreign country. Black locals rarely sought to be institutionalized in old age homes. However with the economic crisis, many facets of the elderly people’s lives were altered. These alterations included the depletion of the extended family’s capacity to continue its role of providing care to the elderly as resources were limited. The government on its own had been paralyzed by the economic crisis and no longer provided care for the destitute and desperate elderly people as had been the norm. The elderly established different coping strategies to see them through the crisis. The civil society also began to play a more central role in assisting the needy as the crisis worsened. / Thesis (M.Dev.Studies)-University of KwaZulu-Natal, Durban, 2009.

"The purpose of this study is to present descriptively the available information pertaining to the historical development of a voluntary non-profit home--Douglas Gardens, Jewish Home for the Aged of Greater Miami, Florida. The founders of the Home formed themselves into an organized group in 1939 and became incorporated as a non-profit organization on July 25, 1940. However, the Home was not opened for service until 1945. It was believed that information about the Home which was accumulated over the last twenty years would exhibit an historical and chronological experience of this sectarian group which would have wide application to similar efforts elsewhere"--Introduction. / Typescript. / "August, 1960." / "Submitted to the Graduate School of Florida State University in partial fulfillment of the requirements for the degree of Master of Social Work." / Advisor: Irene E. Morris, Professor Directing Study. / Includes bibliographical references (leaves 85-88).

"The purpose of this study was to examine some social, economic, and physical characteristics of aged persons who requested admission to Douglas Gardens, the Jewish Home for the Aged of Greater Miami, Florida. It was felt that by means of such an examination some conclusions could be drawn about characteristics which influence an aged person's choice of residence in a home for the aged. Fifty-eight applicants were selected for the purpose of examining these characteristics, a sample which consisted of twenty-eight aged persons who requested admission, but withdrew their applications during the application process and thirty people who were admitted as residents of the Home"--Introduction. / Typescript. / "June, 1961." / "Submitted to the Graduate School of Florida State University in partial fulfillment of the requirements for the degree of Master of Social Work." / Advisor: Dixie B. Jones, Professor Directing Study. / Includes bibliographical references (leaves 52-54).

Lam Muk Hung. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1989. / Bibliography: leaves 161-172.

Thesis (Ph.D.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 1980. / MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH. / Bibliography: leaves 247-267. / by Janet M. Corpus. / Ph.D.