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prevalence problems with the elderly

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
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
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
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
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
Sean Mayne, Alexander Bowden, Pär-Daniel Sundvall, Ronny Gunnarsson
BACKGROUND: Non-specific symptoms, such as confusion, are often suspected to be caused by urinary tract infection (UTI) and continues to be the most common reason for suspecting a UTI despite many other potential causes. This leads to significant overdiagnosis of UTI, inappropriate antibiotic use and potential harmful outcomes. This problem is particularly prevalent in nursing home settings. METHODS: A systematic review of the literature was conducted assessing the association between confusion and UTI in the elderly...
February 4, 2019: BMC Geriatrics
Christopher I Udoye, Hamid Jafarzadeh, Jun-Ichiro Kinoshita, Atsufumi Manabe, Mikihiro Kobayashi
AIM: Teeth extraction is an important problem in elder patients. Although some of these teeth have been endodontically treated, many of them may be subjected to extraction. The reasons for extraction are important for prevention planning in further patients. The aim of this study was to assess the prevalence and important reasons for extraction of endodontically treated teeth in adult Nigerians. MATERIALS AND METHODS: This study involved a retrospective examination of 2,000 case files in the archives of the University of Nigeria Teaching Hospital...
December 1, 2018: Journal of Contemporary Dental Practice
Roberta Vaccaro, Daniele Zaccaria, Mauro Colombo, Simona Abbondanza, Antonio Guaita
OBJECTIVE: Hearing loss is a common chronic condition in elderly people. The prevalence of disabling hearing loss among the elderly worldwide is 33% and in Italy ranges from 0.6% (profound hearing loss) to 39% (mild hearing loss). We investigated the relationship between self-reported hearing disability and clinician-evaluated hearing status, and its longitudinal consequences in relation to cognitive impairment and functional decline. We hypothesised that subjects who report that they have a hearing disability have a worse functional and cognitive profile than people who do not report having a hearing disability...
March 2019: Maturitas
Valéria Teresa Saraiva Lino, Nádia Cristina Pinheiro Rodrigues, Idenalva Silva de Lima, Soraya Athie, Edinilsa Ramos de Souza
This cross-sectional study was carried out in Manguinhos, Rio de Janeiro, Brazil and aimed to identify the prevalence and factors associated with familial violence perpetrated by caregivers against elderly dependents. A sample of 135 pairs was evaluated using instruments to assess both caregivers (social support, alcoholism, burden, violence) and elders (depression, cognition, functional capacity). Statistical tests compared the percentages of reported violence according to the characteristics of caregiver and elders...
January 2019: Ciência & Saúde Coletiva
Yuvaraj Krishnamoorthy, Gokul Sarveswaran, Venkatachalam Jayaseelan, Manikandanesan Sakthivel, Yashodha Arivarasan, N Bharathnag
Background: An average Indian woman spends almost one-third of her lifespan in the postmenopausal phase enduring the consequences of hormonal decline. This can have a significant impact on quality of life (QOL). Hence, this study was conducted to assess the QOL and health problems among postmenopausal women in urban Puducherry, South India. Methods: A cross-sectional study was carried out among postmenopausal women attending urban primary health center between April and May 2017...
October 2018: Journal of Mid-life Health
Kade L Paterson, Lucy Gates
Foot and ankle osteoarthritis (OA) is a common and disabling problem that adversely affects physical function and significantly reduces quality of life. Although the knee was considered to be the lower-limb site most often affected by OA, recent population data showed foot OA is as prevalent as knee OA, and rates increase with advancing years. The most common foot OA sites include the first metatarsophalangeal joint and the midfoot, with the ankle affected less often. Despite the high prevalence and disabling nature of foot and ankle OA, the condition has been neglected by clinical researchers, and there are very few trials investigating non-surgical foot or ankle OA treatment options...
January 25, 2019: Drugs & Aging
Can-You Zhang, Fei Zhao, Yin-Yin Xia, Yan-Ling Yu, Xin Shen, Wei Lu, Xiao-Meng Wang, Jin Xing, Jian-Jun Ye, Jian-Wei Li, Fei-Ying Liu, Jian-Lin Wu, Lin Xu, Hui Zhang, Jun Cheng, Li-Xia Wang
BACKGROUND: The problem of population aging is a critical public health concern in modern China, and more tuberculosis (TB) control efforts are needed to reach elderly people at high priority. In this study, we aim to determine the prevalence and identify the risk factors of TB among elderly people in China. METHODS: A multistage cluster-sampled cross-sectional survey was conducted in 2013, and 27 clusters were selected from 10 counties of 10 provinces in China...
January 18, 2019: Infectious Diseases of Poverty
Mei-Yen Chen
In rapidly aging societies, it is commonly found that the limited number of remaining teeth in elders results in chewing difficulties that cause health problems and malnutrition. Surprisingly, even the latest high-tech oral medical care achieves health maintenance results that are inferior to those regularly achieved by healthy natural teeth. Oral health issues are particularly serious in rural areas. The literature supports a close association between oral hygiene and general health. Because oral microorganisms are known to cause infections and inflammation reactions, people with poor oral hygiene often have high incidences of periodontal disease and tooth loss and an even higher prevalence of cardiometabolic-related chronic diseases, poorer life quality, and higher mortality than their peers with better oral hygiene (Ma et al...
February 2019: Hu Li za Zhi the Journal of Nursing
Misganaw Birhaneselassie Mengesha, Gezahegn Bekele Dadi
Introduction: Anemia is a public health problem in Ethiopia. In spite of the fact that anemia is a common health burden with much severe consequences, the prevalence of the different types of anemia and its severity have not yet been well documented in different parts of the country. The study aimed to assess the prevalence of different types of anemia, including severity and association with age and sex of study population. Materials and methods: Four hundred anemic patients who are men and non-pregnant women above 15 years of age were selected from patients visiting the laboratory for Complete Blood Count (CBC) investigation...
2019: BMC Hematology
Tissa Wijeratne, Huiliang Melissa Tang, David Crewther, Sheila Crewther
Migraine is one of the most prevalent neurological disorders among all age groups including the elderly, but the incidence and prevalence of migraine tend to decrease with age. The clinical phenotype of migraine also appears to be different in the elderly patient group in comparison to the younger patient group, with elderly migraine appearing to be more often bilateral and associated with what has become known as "late-life migraine accompaniments. Furthermore, difficulty in the differentiation of migraine from vascular insults such as transient ischemic attacks and amyloid angiopathy and other multiple comorbidities, polypharmacy and age-related changes in pharmacodynamics and pharmacokinetics makes treatments for this cohort challenging but necessary, especially given the worldwide increase in life expectancy, and likelihood of migraine continuing to be a major personal and public health problem...
January 9, 2019: Neuroepidemiology
R Peters, N Beckett, R Antikainen, K Rockwood, C J Bulpitt, K J Anstey
Background: there is a growing body of evidence demonstrating an association between subjective memory complaints (SMC) and an increased risk of incident cognitive decline or dementia. To date this has not been examined in hypertensive older adults, a prevalent and growing population group at high risk of cognitive decline. Methods: using data from participants in the Hypertension in the Very Elderly Trial cohort the association between baseline SMC and incident cognitive decline and dementia was examined using Cox proportional hazard regression...
January 7, 2019: Age and Ageing
Camila Guarnieri Ribeiro Bueno, Carla Renata Silva Andrechuk, Margareth Guimarães Lima, Henrique Ceretta Oliveira, Edilson Zancanella, Marilisa Berti de Azevedo Barros, Tânia Aparecida Marchiori de Oliveira, Maria Filomena Ceolim
OBJECTIVE: to analyze the association between napping, functional capacity and satisfaction with life in older adult residing in the community. METHOD: a cross-sectional population-based study using data from a health survey conducted in a city of the state of São Paulo. Information on sociodemographic and clinical variables was collected through a questionnaire, as well as the occurrence or not of napping and satisfaction with life. Functional capacity was assessed using the Katz Index and Lawton-Brody Scale...
December 27, 2018: Journal of Clinical Nursing
Gabriel Uche Pascal Iloh, Grace Uzoamaka Aguocha, Agwu Nkwa Amadi, Miracle Erinma Chukwuonye
Background: Depression is a global health problem that occupies eminent position in clinical and community mental health. As the global prevalence of depression increases, the sociomedical challenges associated with it increase, especially in resource-constrained environment. Aim: The study was aimed at describing depression among ambulatory adult patients in a primary care clinic in Southeastern Nigeria. Patients and Methods: A cross-sectional descriptive hospital-based study was carried out on 400 adult patients in a primary care clinic of Federal Medical Centre, Umuahia...
October 2018: Nigerian Postgraduate Medical Journal
Nana Brochmann, Esben Meulengracht Flachs, Anne Illemann Christensen, Marie Bak, Christen Lykkegaard Andersen, Knud Juel, Hans Carl Hasselbalch, Ann-Dorthe Zwisler, Nina Rottmann
Objective: We sought to determine the prevalence and severity of anxiety and depression among patients with Philadelphia-negative myeloproliferative neoplasms (MPNs) and respective associations of anxiety and depression with demographic and lifestyle factors, comorbidity burden, duration of MPN disease, financial difficulties, and health-related quality of life (QoL). Methods: This study used data from a nationwide, population-based, cross-sectional survey of health-related QoL in MPN patients in Denmark called the MPNhealthSurvey...
2019: Clinical Epidemiology
Menyfah Q Alanazi
Introduction: Urinary tract infection (UTI) is a serious health problem affecting millions of people every year. Inappropriate antibiotic prescriptions put patients at risk and lead to bacterial resistance and elevated costs. Aims: Study aims were to assess the prevalence and antibiotic-treatment patterns of community acquired UTIs, prevalence and types of antibiotic-prescribing errors, and the cost of inappropriate antibiotic use. Methods: This was a retrospective cross-sectional study conducted over a 3-month period in an emergency department in Saudi Arabia...
2018: Therapeutics and Clinical Risk Management
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