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https://read.qxmd.com/read/30760684/-the-effectiveness-of-the-complete-lateral-position-method-in-elderly-patients-with-severe-dysphagia
#1
Hiroshi Kudo, Hiroki Ide, Motokazu Nakabayashi, Takahiro Goto, Akira Wakakuri, Naohiro Iwata, Yoshito Kuroki
AIM: This study aimed to clarify the effectiveness of using the complete lateral position method to treat elderly patients with severe dysphagia. METHODS: We enrolled 47 patients >65 years of age who had been diagnosed with severe dysphagia using a video endoscopic examination of swallowing at Hida City Hospital between February 1, 2015, and October 31, 2017. We collected and analyzed data pertaining to patient characteristics, the onset of aspiration pneumonia, and treatment outcomes...
2019: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
https://read.qxmd.com/read/30701859/management-of-acute-coronary-syndrome-in-older-adults-data-from-russian-federal-acute-coronary-syndrome-registry
#2
E V Ocshepkova, O V Sagaydak, I E Chazova
AIM: In the present study was to investigate the quality of medical care for patients with acute coronary syndrome (ACS) old age and compliance of the treatment current guidelines. The data is exported from the system of the Federal register OKS. MATERIALS AND METHODS: Analyzed medical history 33 893 patients with ACS entered in the system registry of ACS for the period from 01.01.2016 to 31.12.2016. a comparison was made of the quality of care in patients with ACS elderly (75 years and older, n=8773) and in younger patients...
April 19, 2018: Terapevticheskiĭ Arkhiv
https://read.qxmd.com/read/30584883/-total-knee-arthroplasty-in-senile-age-patients-and-long-livers
#3
V Y Murilev, P M Elizarov, A V Muzichenkov, Y A Rukin, A A Dering, G A Kukovenko, G G Rubin
The analysis of results of knee arthroplasty performed in two groups of patients - 40 patients of senile age and 40 long-livers, taking into account their comorbidity was perfomed. Patients with the Charlson comorbidity index of 5-8 points, subject to hospitalization on the profile for pre-examination and inpatient treatment of aggravating somatic pathology, as preparation for a future knee replacement surgery. Results after the operation in the groups on the scale KOOS was 78±8,18 and 76±11,36, and according to WOMAC 142±4,6 and 151±4,8, respectively...
2018: Advances in Gerontology
https://read.qxmd.com/read/30584881/-comparison-of-open-and-minimally-invasive-techniques-in-the-surgical-treatment-of-intradural-extramedullary-spinal-tumors-in-elderly-and-senile-patients
#4
V A Byvaltsev, I A Stepanov, M A Aliyev
With an increase in the average life expectancy of the population, some histological types of symptomatic IEMT are more common in elderly and senile patients. Of the 45 patients included in the study, 27 (60%) patients underwent a microneurosurgical resection of the tumor tissue using minimally invasive techniques (minimally invasive group) and 18 (40%) to patients using the classical open method (open group). The duration of operative intervention in both cohorts of respondents is comparable and is 245,4±117,1 min and 261,1±108,6 min for open and minimally invasive groups, respectively (p=0,71)...
2018: Advances in Gerontology
https://read.qxmd.com/read/30583901/risk-factors-and-treatment-outcomes-for-stent-graft-infection-after-endovascular-aortic-aneurysm-repair
#5
Kota Shukuzawa, Takao Ohki, Koji Maeda, Yuji Kanaoka
OBJECTIVE: We aimed to retrospectively analyze incidence, risk factors, and management of postoperative stent graft (SG) infection after endovascular aneurysm repair (EVAR). METHODS: We evaluated patients who underwent EVAR for infrarenal abdominal aortic aneurysm at our institution between July 2006 and December 2014. The primary end point was SG infection. We compared patients' demographics between the infection (group I) and noninfection (group NI) groups and reviewed management and outcomes in group I...
December 21, 2018: Journal of Vascular Surgery
https://read.qxmd.com/read/30575349/-the-choice-of-individual-treatment-strategy-in-geriatric-patients-with-benign-prostatic-hyperplasia-with-consideration-of-indications-and-contraindications-for-elective-isolated-and-simultaneous-interventions
#6
I G Leschenko, O I Bratchikov, I V Shatokhina, A I Akimov
AIM: To develop a rationale treatment strategy for elective isolated and simultaneous interventions in geriatric patients with benign prostatic hyperplasia (BPH) aimed at decreasing of complications rate and grade, based on current approach to indications and contraindications. MATERIALS AND METHODS: From 2000 to 2015 yy. a total of 639 elderly and senile patients with BPH were undergone to isolated simple prostatectomy, transurethral prostatic resection and simultaneous surgery...
December 2018: Urologii︠a︡
https://read.qxmd.com/read/30559156/in-hospital-dementia-related-deaths-following-implementation-of-the-national-dementia-plan-observational-study-of-national-death-certificates-from-1996-to-2016
#7
Miharu Nakanishi, Syudo Yamasaki, Atsushi Nishida
OBJECTIVE: To examine changes in places of dementia-related death following implementation of the national dementia plan and other policy initiatives. DESIGN: Observational study. SETTING: Japan between October 1996 and September 2016. Four major changes in health and social care systems were identified: (1) the public long-term care insurance programme (April 2000); (2) community centres as a first access point for older residents (April 2006); (3) medical care system for older people (April 2008) and (4) the national dementia plan (April 2013)...
December 16, 2018: BMJ Open
https://read.qxmd.com/read/30554091/clinical-and-neuropathologic-analysis-of-intracerebral-hemorrhage-in-patients-with-cerebral-amyloid-angiopathy
#8
Taro Yanagawa, Masaki Takao, Masami Yasuda, Tomoya Kamide, Hiroki Sato, Kaima Suzuki, Toshiki Ikeda, Yuichiro Kikkawa, Hiroki Kurita
OBJECTIVE: To evaluate the clinical and histopathological features of elderly patients with subcortical intracerebral hemorrhage (ICH), and to analyze the presence of cerebral amyloid angiopathy (CAA) and Alzheimer's disease (AD) type pathologic changes using amyloid beta (Aβ) and tau immunohistochemistry. PATIENTS AND METHODS: We retrospectively analyzed cases satisfying the Boston criteria for CAA among patients with subcortical hemorrhage who underwent surgical removal by craniotomy at our hospital...
January 2019: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/30514040/-treatment-of-senile-spinal-tuberculosis-with-posterior-percutaneous-pedicle-screw-fixation-combined-with-local-percutaneous-endoscopic-debridement
#9
Nan-Jian Xu, Yun-Lin Chen, Wei-Yu Jiang, Wei-Hu Ma
OBJECTIVE: To explore the short-term efficacy of posterior percutaneous screw fixation combined with local percutaneous endoscopic debridement in treating senile spinal tuberculosis. METHODS: The clinical data of 19 senile patients with spinal tuberculosis underwent surgical treatment from January 2015 to September 2016 were retrospectively analyzed. There were 13 males and 6 females, aged from 60 to 73 years old with an average of (66.2±4.0) years. All patients have been diagnosed with spinal tuberculosis prior to hospitalization with abscess, dead bone formation but no sinus, neurological symptoms, open surgical indications...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/30507246/a-two-stage-versus-single-stage-procedure-for-the-management-of-cholecysto-choledocholithiasis-in-elderly-patients-a-retrospectively-cohort-study
#10
Yong Zhou, Wen-Zhang Zha, Ren-Gen Fan, Guo-Qin Jiang, Xu-Dong Wu
BACKGROUND: there is an increasing incidence rate of cholecysto-choledocholithiasis associated with the increasing proportion of senile individuals. METHODS: a total of 100 elderly patients (over 80 years of age) suffering both from cholelithiasis and choledocholithiasis were retrospectively studied from January 2010 to December 2016. Patients were scheduled for either a single-stage or two-stage procedure. The LCBDE group (n = 54) included cases that underwent a single stage procedure of laparoscopic exploration of the common bile duct combined with cholecystectomy...
December 3, 2018: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/30410250/end-of-life-care-and-social-security-issues-among-geriatric-people-attending-a-tertiary-care-hospital-of-eastern-india
#11
Subraham Pany, Lipilekha Patnaik, E Venkata Rao, Sumitra Pattanaik, Trilochan Sahu
Context: The care of sick members is the hallmark of a civilized society. End-of-life care and social security for elderly are emerging issues nowadays. Aims: The aim of this study is to explore the desires of the elderly regarding the end-of-life care decisions along with to find out social security measures among the study population. Settings and Design: The cross-sectional study conducted in the geriatric outpatient department of a tertiary care hospital...
October 2018: Indian Journal of Palliative Care
https://read.qxmd.com/read/30186393/flexible-ureteroscopic-holmium-laser-lithotripsy-with-polyscope-for-senile-patients-with-renal-calculi
#12
Ke Xu, Jie Ding, Bowen Shi, Yanyuan Wu, Yunteng Huang
The present study reported the clinical experience of using a PolyScope with holmium laser lithotripter in managing renal calculi in senile patients. Between December 2013 and December 2016, 157 senile patients (69.1±6.1 years old) were treated with PolyScope holmium laser lithotripsy for renal calculi at Xin Hua Hospital (Shanghai, China). The mean stone digitized surface area was 154.2±57.7 mm2 (range, 55.8-478.3 mm2 ). A thorough medical history investigation, and laboratory and radiological examination were followed by proper preoperative management...
September 2018: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/30180447/-expert-consensus-of-the-diagnosis-and-treatment-measures-for-the-chinese-elderly-patients-with-type-2-diabetes-2018-edition
#13
(no author information available yet)
According to the national survey data over the past five years, there are about 50.16 million elderly diabetic patients (≥60 years old) in China. With the increase in the total number of the elderly, this number will be expected to increase. Among the elderly patients, most of them are newly diagnosed, and are associated with a number of risk factors for cardiovascular diseases at the time of initial diagnosis. Those who were with young-onset have a long-term clinical course, and often complicated with diabetic chronic complications and potential organ dysfunctions...
September 1, 2018: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
https://read.qxmd.com/read/30147352/acute-kidney-injury-in-elderly-patients-narrative-review-on-incidence-risk-factors-and-mortality
#14
REVIEW
Laís Gabriela Yokota, Beatriz Mota Sampaio, Erica Pires Rocha, André Luís Balbi, Iara Ranona Sousa Prado, Daniela Ponce
Acute kidney injury (AKI) is characterized by a sudden renal dysfunction with consequent increase of nitrogenous products, hydroelectrolytic and acid-base disorders. Its prevalence is high in hospitalized populations (4.9%-7.2%), especially in intensive care units (ICUs). Despite all the technical and therapeutic advances that have occurred in the last few decades, the overall mortality of AKI patients remains high, reaching 80% in ICU patients. Several conditions predispose a patient to progress with AKI, including age, sepsis, surgeries, and comorbidities, such as systemic arterial hypertension, diabetes mellitus, heart disease, neoplasia, and chronic renal disease...
2018: International Journal of Nephrology and Renovascular Disease
https://read.qxmd.com/read/30121995/-analyses-of-pathogenic-factors-and-clinicopathological-characteristics-of-vocal-leukoplakia
#15
W L Wang, L H Zhang, J Cao, C F Li, Y G Wang, Y X Zhao
Objective: To investigate the pathogenic factors of vocal leukoplakia and its clinical and pathological features. Methods: Eighty-one patients with vocal cord leukoplakia who underwent surgery between February 2010 and December 2016 and 160 volunteers without pharyngeal symptoms designed as controls were included in this case control study. The clinicopathological characteristics of 81 patients were summarized and analyzed synthetically. Results: There was statistical significance in reflux symptom index(RSI), reflux finding score(RFS), smoking index, and drinking index between case group and control group( Z =-5...
August 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://read.qxmd.com/read/30112028/curative-effect-of-artificial-femoral-head-replacement-and-its-effect-on-hip-joint-function-and-complications-of-senile-patients-with-femoral-intertrochanteric-fracture
#16
Haiwei Shi, Long Xiao, Zhifang Wang
Curative effect of artificial femoral head replacement on hip joint function and complications of elderly patients with femoral intertrochanteric fracture were investigated. Eighty patients who were operated for femoral intertrochanteric fractures operation were randomly divided into observation group (n=40) and control group (n=40). The observation group was treated with artificial femoral head replacement, while the control group received internal proximal femur locking plate fixation. In the observation group, the operation time was shorter than that in the control group (P<0...
August 2018: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/30111406/-the-clinical-efficacy-of-small-dose-cag-program-in-comparison-with-ma-program-in-senile-patients-with-acute-myeloid-leukemia
#17
Li-Juan Wang, Xi-Feng Wu, Ling Sun, Wei Zhuang, Qiang Song
OBJECTIVE: To compare the clinical efficacy of small dose CAG regimen and MA regimen in the senile patients with acute myeloid leukemia(AML). METHODS: The clinical data of 83 senile patients with AML from Sep. 2012 to Sep. 2016 in our Hospital were analyzed retrospectively. According to the chemotherapy regimens, the patients were divided into CAG group and MA group; 36 patients in CAG group were treated with small dose CAG, while 47 patients in MA group were treated with MA...
August 2018: Zhongguo Shi Yan Xue Ye Xue za Zhi
https://read.qxmd.com/read/30080333/-the-main-diseases-and-syndromes-identified-in-patients-of-elderly-and-senile-age-hospitalized-in-the-hospitals-of-a-different-profile
#18
V S Myakotnykh, E S Ostapchuk, V L Postovalova
There was held stationary survey of 661 patients in different age: 234 - from 60 to 102 years, 427 - from 18 to 59 years. Identify options for pathology, clearly increasing its prevalence in parallel with the increase of age. It is, first and foremost, diseases of musculoskeletal apparatus, gastrointestinal tract and cardiovascular system. At the same time, acute violations of cerebral circulation in the form of strokes, on the contrary, prevailed among persons under the age of 60 years, and an increase in the frequency of ischemic heart disease, angina without myocardial infarction among patients of elderly and senile age in relation to persons under the age of 60 years was insignificant...
2018: Advances in Gerontology
https://read.qxmd.com/read/29881523/changes-in-corneal-thickness-and-corneal-endothelial-cell-density-after-phacoemulsification-cataract-surgery-a-double-blind-randomized-trial
#19
Shahram Bamdad, Alireza Bolkheir, Mohammad Reza Sedaghat, Mahsa Motamed
Background: Age-related cataract is a leading cause of visual impairment, considered a global health burden, it is responsible for over 47% of blindness worldwide. Surgical intervention is usually the treatment of choice and phacoemulsification cataract surgery with implantation of an intraocular lens is the most common procedure, which may have several complications. Objectives: To determine the effects of phacoemulsification surgery on corneal endothelial cell density and corneal thickness in patients undergoing cataract surgery...
April 2018: Electronic Physician
https://read.qxmd.com/read/29719351/senile-depression-with-somatization-symptoms-and-insomnia-is-diagnosed-as-multiple-system-atrophy-a-case-report
#20
Ling Yue, Hai Yu, Guanjun Li, Shifu Xiao
Patients who have senile depression with somatization symptoms are commonly encountered in clinical practice. The present case reports on a patient with senile depression who was repeatedly hospitalized and had somatic symptoms. Although the patient recovered after the first hospitalization, she suffered from a relapse one year later. As we followed up, due to the neurological findings and the response to treatment, we found that the patient is in line with the diagnoistic criteria for multiple system atrophy (MSA)...
December 25, 2017: Shanghai Archives of Psychiatry
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