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https://read.qxmd.com/read/30772240/medication-related-risk-factors-and-its-association-with-repeated-hospital-admissions-in-frail-elderly-a-case-control-study
#1
V-Lin Cheong, Julie Sowter, Andy Scally, Neil Hamilton, Ali Ali, Jonathan Silcock
BACKGROUND: Repeated hospital admissions are prevalent in older people. The role of medication in repeated hospital admissions has not been widely studied. The hypothesis that medication-related risk factors for initial hospital admissions were also associated with repeated hospital admissions was generated. OBJECTIVES: To examine the association between medication-related risk factors and repeated hospital admissions in older people living with frailty. METHOD: A retrospective case-control study was carried out with 200 patients aged ≥75 years with unplanned medical admissions into a large teaching hospital in England between January and December 2015...
February 13, 2019: Research in Social & Administrative Pharmacy: RSAP
https://read.qxmd.com/read/30766431/identifying-treatment-related-problems-and-associated-factors-among-hospitalized-post-stroke-patients-through-medication-management-review-a-multi-center-study
#2
Iman A Basheti, Shahnaz Mohammed Ayasrah, Muayyad Ahmad
Background: Stroke is a major cause of disability and one of the leading causes of death among the elderly. Treatment related problems can lead to undesirable consequences. The Medication Management Review (MMR) service is aimed at identifying, resolving and preventing TRPs, subsiding the undesirable outcomes associated with TRPs. Objectives: To explore the types, frequencies and severity of TRPs amongst post-stroke patients recruited through hospitals via conducting the MMR service by clinical pharmacists in Jordan...
February 2019: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
https://read.qxmd.com/read/30764529/ultrastructure-in-transthyretin-amyloidosis-from-pathophysiology-to-therapeutic-insights
#3
REVIEW
Haruki Koike, Masahisa Katsuno
Transthyretin (TTR) amyloidosis is caused by systemic deposition of wild-type or variant amyloidogenic TTR (ATTRwt and ATTRv, respectively). ATTRwt amyloidosis has traditionally been termed senile systemic amyloidosis, while ATTRv amyloidosis has been called familial amyloid polyneuropathy. Although ATTRwt amyloidosis has classically been regarded as one of the causes of cardiomyopathy occurring in the elderly population, recent developments in diagnostic techniques have significantly expanded the concept of this disease...
February 5, 2019: Biomedicines
https://read.qxmd.com/read/30761883/polypharmacy-and-drug-related-problems-among-people-living-with-hiv-aids-a-single-center-experience
#4
Emre Kara, Ahmet Çağkan İnkaya, Duygu Aydın Haklı, Kutay Demirkan, Serhat Ünal
Background/aim: The HIV-infected population is aging, and the concomitant comorbidities increase the likelihood of polypharmacy. There is a scarcity of data for determining drug-related problems in people living with HIV/AIDS (PLWHA). Materials and methods: This cross-sectional study was carried out between 1 September 2015 and 1 July 2016. All patients underwent a face-to-face interview with a clinical pharmacist. PCNE Classification V 7.0 was used classify incident drug-related problems (DRPs)...
February 11, 2019: Turkish Journal of Medical Sciences
https://read.qxmd.com/read/30761048/the-history-and-the-future-of-the-psychology-of-filial-piety-chinese-norms-to-contextualized-personality-construct
#5
Olwen Bedford, Kuang-Hui Yeh
In the field of psychology, filial piety is usually defined in terms of traditional Chinese culture-specific family traditions. The problem with this approach is that it tends to emphasize identification of behavioral rules or norms, which limits its potential for application in other cultural contexts. Due to the global trend of population aging, governments are searching for solutions to the accompanying financial burden so greater attention is being focused on the issue of elder care and its relevance to filial practices...
2019: Frontiers in Psychology
https://read.qxmd.com/read/30760276/evaluation-of-a-collaborative-care-approach-between-general-practitioners-and-clinical-pharmacists-in-primary-care-community-settings-in-elderly-patients-on-polypharmacy-in-slovenia-a-cohort-retrospective-study-reveals-positive-evidence-for-implementation
#6
Matej Stuhec, Katja Gorenc, Erika Zelko
BACKGROUND: The population of developed countries is aging, leading to an increase in the use of medication in daily practice, which can lead to serious treatment costs and irrational polypharmacy. A collaborative care approach, such as providing medication review service provided by a clinical pharmacist (CP), is a possible way to reduce drug-related problems and irrational polypharmacy. The aim of this study was to determinate whether a CP's medication review service can improve the quality of drug prescribing in elderly patients treated with polypharmacy in primary care...
February 13, 2019: BMC Health Services Research
https://read.qxmd.com/read/30754063/step-as-a-useful-tool-to-screen-for-diabetes-specific-health-related-problems-in-community-based-geriatric-patients-an-exploratory-secondary-analysis-of-cross-sectional-data
#7
Solveig Carmienke, Anne-Kathrin Geier, Tobias Deutsch, Franz Maximilian Rasche, Thomas Frese
BACKGROUND AND AIMS: Comprehensive geriatric assessments are established tools for the identification of health problems in the elderly. So far, little is known about tailoring and targeting to facilitate their application. As a starting point for a tailored assessment of patients with diabetes, a highly prevalent health condition, we aimed to assess if the Standardized Assessment of Elderly People (STEP) is able to identify relevant differences in self-reported health problems between diabetic and non-diabetic patients...
February 12, 2019: Experimental and Clinical Endocrinology & Diabetes
https://read.qxmd.com/read/30753432/heart-failure-with-preserved-ejection-fraction-atrial-fibrillation-and-the-role-of-senile-amyloidosis
#8
Maarten P van den Berg, Bart A Mulder, Sebastiaan H C Klaassen, Alexander H Maass, Dirk J van Veldhuisen, Peter van der Meer, Hans L A Nienhuis, Bouke P C Hazenberg, Michiel Rienstra
Heart failure with preserved ejection fraction (HFpEF) and atrial fibrillation (AF) are very common conditions, particularly in the elderly. However, the mechanisms underlying the two disorders, including their intricate interaction have not been fully resolved. Here, our aim is to review the evidence on the role of the two types of senile amyloidosis in this connection. Two types of senile amyloidosis can be identified: wild-type transthyretin (TTR)-derived amyloidosis (ATTRwt) and isolated atrial amyloidosis (IAA)...
February 8, 2019: European Heart Journal
https://read.qxmd.com/read/30747075/primary-prevention-of-cardiovascular-risk-in-octogenarians-by-risk-factors-control
#9
Pasquale Palmiero, Annapaola Zito, Maria Maiello, Annagrazia Cecere, Anna Vittoria Mattioli, Roberto Pedrinelli, Pietro Scicchitano, Marco Matteo Ciccone
Primary prevention of cardiovascular events in older adults is a relevant problem, because of lack of evidence for safe and efficacious therapy, its costs and elderly quality of life, Italy's aging population is constantly increasing, so cardiovascular disease (CVD) primary prevention in the elderly is a prime objective. Life expectancy has dramatically increased over the last 2 decades,the proportion of individuals aged 80 years and older has grown rapidly in Europe and United States,but cost / effective ratio of CVD prevention through risk factors control is debated...
February 11, 2019: Current Hypertension Reviews
https://read.qxmd.com/read/30744270/-frailty-progress-and-related-factors-in-the-elderly-living-in-community-a-prospective-study
#10
F Yang, S Wang, H Qin, K Tan, Q Q Sun, L X Wang, S S Nie, J N Liu, Y Chen, M Zhang, Y Y Chen
Objective: To investigate frailty progress status and related factors in the elderly living in communities. Methods: A cohort of elderly people aged 65 and over in Pingyi community of Dujiangyan, Sichuan province, was established. Face-to-face questionnaire survey was conducted by trained interviewers. The frailty status, cognitive function, nutrition status and other functions of the subjects surveyed were evaluated at baseline survey and during follow-up. The socio-demographic and clinical characteristics of the subjects surveyed were assessed at baseline survey...
February 10, 2019: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://read.qxmd.com/read/30742391/-comparison-of-the-international-prostate-and-visual-prostate-symptom-scores-in-turkish-patients
#11
S Alkan, M Sungur
INTRODUCTION: Benign prostate hyperplasia is one of the most common disease in elderly men. The patients usually present lower urinary tract symptoms including frequency, urgency, nocturia and interittancy. The prostate symptom scores are usually used for daily urology practice. We aimed to compare the International Prostate Symptom Score and Visual Prostate Symptom Score in Turkish patients. METHOD: s. The study protocol was conducted from from February to August 2017...
December 2018: Urologii︠a︡
https://read.qxmd.com/read/30740051/greek-traditional-dances-a-way-to-support-intellectual-psychological-and-motor-functions-in-senior-citizens-at-risk-of-neurodegeneration
#12
Styliani Douka, Vasiliki I Zilidou, Olympia Lilou, Magda Tsolaki
One of the major problems that elderly people are facing is dementia. For scientist's dementia is a medical, social and economic problem, as it has been characterized as the epidemic of the 21st century. Prevention and treatment in the initial stages of dementia are essential, and community awareness and specialization of health professionals are required, with the aim of early and valid diagnosis of the disease. Activities are recommended to the senior citizens to improve their physical and mental health. Dance has been suggested as an appropriate recreational activity for the elderly that brings functional adjustments to the various systems of the body, psychological benefits, and makes exercise to seem interesting and entertaining as it combines the performance of multiple animations with musical accompaniment...
2019: Frontiers in Aging Neuroscience
https://read.qxmd.com/read/30739493/physical-and-mental-health-correlates-of-perceived-financial-exploitation-in-older-adults-preliminary-findings-from-the-finance-cognition-and-health-in-elders-study-finches
#13
Gali H Weissberger, Laura Mosqueda, Annie L Nguyen, Anya Samek, Patricia A Boyle, Caroline P Nguyen, S Duke Han
OBJECTIVES: Financial exploitation (FE) in old age is poorly understood, particularly among those without significant cognitive impairment. The Finance, Cognition, and Health in Elders Study (FINCHES) aims to identify factors associated with FE among cognitively-healthy older adults. Preliminary findings regarding physical and mental health correlates in the pilot phase of FINCHES are reported. METHOD: Sixteen older adults who self-reported FE were demographically-matched on age, education, sex, and race/ethnicity to eighteen older adults who did not report past FE...
February 10, 2019: Aging & Mental Health
https://read.qxmd.com/read/30739358/the-prevalence-and-clinical-risk-factors-of-insomnia-in-the-chinese-elderly-based-on-comprehensive-geriatric-assessment-in-chongqing-population
#14
Yan Zou, Yao Chen, Weihua Yu, Tian Chen, Qi Tian, Qi Tu, Yongtao Deng, Jingxi Duan, Mingzhao Xiao, Yang Lü
BACKGROUND: Insomnia is a major public health problem affecting older people. This study aimed to investigate the prevalence and clinical risk factors of insomnia in a representative sample of Chinese elderly (≥ 60 years) in Chongqing. METHODS: A cross-sectional study based on comprehensive geriatric assessment was conducted from January 2013 to February 2014. A questionnaire on sleep status was provided to each patient and insomnia was assessed according to the Diagnostic and Statistical Manual of Mental Disorders 4th edition criteria...
February 10, 2019: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
https://read.qxmd.com/read/30732519/-having-to-learn-this-so-late-in-our-lives%C3%A2-swedish-elderly-patients-beliefs-experiences-attitudes-and-expectations-of-e-health-in-primary-health-care
#15
Veronica Milos Nymberg, Beata Borgström Bolmsjö, Moa Wolff, Susanna Calling, Sofia Gerward, Magnus Sandberg
OBJECTIVE: The elderly are an increasing group and large consumers of care in Sweden. Development of mobile information technology shows promising results of interventions for prevention and treatment of chronic diseases. Exploring the elderly patients' beliefs, attitudes, experiences and expectations of e-health services helps us understand the factors that influence adherence to such tools in primary care. MATERIAL AND METHODS: We conducted focus group interviews with 15 patients from three primary health care centers (PHCCs) in Southern Sweden...
February 8, 2019: Scandinavian Journal of Primary Health Care
https://read.qxmd.com/read/30725224/amino-acid-profiling-as-a-method-of-discovering-biomarkers-for-diagnosis-of-neurodegenerative-diseases
#16
REVIEW
Edyta Socha, Marcin Koba, Piotr Kośliński
The trend of growing population of 60+ years old people is visible in most of the highly developed European countries. Recently researchers have shown an increased interest in aging-associated diseases including neurological disorders. Neurodegenerative diseases are a very important clinical problem for several reasons. One of the key aspects are: frequency of occurrence as well as difficulties in the diagnosis, therapeutic problems and care of elderly patients. Furthermore, the very important point is the significant decrease of quality of life of untreated patients and late-stage diagnosis of the disease...
February 6, 2019: Amino Acids
https://read.qxmd.com/read/30724894/-the-forensic-medical-aspects-of-the-problem-of-victimization-of-the-elderly-persons-as-exemplified-by-a-case-of-suicide-of-an-oncological-patient
#17
V A Fetisov, D V Bogomolov, P G Dzhuvalyakov, Yu V Zbrueva, S S Kabakova
The frequency of suicides is an indirect indicator of the social welfare without distinction as to the social and political system. This problem is of special importance as regards the well-being of elderly people whose numbers grow steadily all over the world. The extending life expectancy at older ages in the combination with the resulting demographic disproportions have widespread repercussions on the older generation because they are associated with the increase of the negative social trends as exemplified by a case of suicide of the 89 year-old man A who had for a long time suffered from an oncological disease and was entirely dependent upon the assistance from other people...
2019: Sudebno-meditsinskaia Ekspertiza
https://read.qxmd.com/read/30724694/high-rates-of-fosfomycin-resistance-in-gram-negative-urinary-isolates-from-israel
#18
Avi Peretz, Basel Naamneh, Linda Tkhawkho, Orna Nitzan
BACKGROUND: Increasing antimicrobial resistance is a major problem worldwide. Many urinary tract infection (UTI) isolates are resistant to all oral antimicrobial agents, necessitating intravenous treatment even for cystitis. Fosfomycin is a broad-spectrum antibiotic that achieves high and prolonged urinary drug concentration and is considered first-line treatment for uncomplicated cystitis. Our aim was to investigate fosfomycin susceptibility among urinary isolates and search for demographic or bacterial characteristics associated with fosfomycin nonsusceptibility...
February 6, 2019: Microbial Drug Resistance: MDR: Mechanisms, Epidemiology, and Disease
https://read.qxmd.com/read/30723553/how-may-coexisting-frailty-influence-adherence-to-treatment-in-elderly-hypertensive-patients
#19
Bartosz Uchmanowicz, Anna Chudiak, Izabella Uchmanowicz, Grzegorz Mazur
Background: Hypertension is considered to be the most common condition in the general population. It is the most important risk factor for premature deaths in the world. Treatment compliance at every stage is a condition for successful antihypertensive therapy, and improving the effectiveness of treatment is a major goal in preventing cardiovascular incidents. Treatment noncompliance and lack of cooperation stem from numerous problems of older age, including frailty syndrome. Objective: To evaluate the effect of frailty syndrome on treatment compliance in older patients with hypertension...
2019: International Journal of Hypertension
https://read.qxmd.com/read/30721638/advances-in-surgical-strategies-for-prolapse
#20
A Giannini, M Caretto, E Russo, P Mannella, T Simoncini
Pelvic floor dysfunctions are a complex condition in elderly women; pelvic organ prolapse, urinary or fecal incontinence, constipation, pelvic pain, and sexual dysfunction are common problems. The goal of surgical treatment is functional reconstruction with symptom management and repair of anatomic defects. The recent advancements in surgical treatment of pelvic floor dysfunction allow several good options for choosing the best surgery for each patient. The vaginal procedure is traditionally the gold standard approach for elderly patients, but abdominal surgery is increasing as a mini-invasive approach and the robotic approach is gaining acceptance for treatment of pelvic floor dysfunctions...
February 2019: Climacteric: the Journal of the International Menopause Society
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