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the problem of elderly

Shivendra Singh, Prem Shankar Patel, Prodip Kumar Doley, Shiv Shankar Sharma, Mohd Iqbal, Anupam Agarwal, Neelam Singh, Alok Kumar
BACKGROUND: HAAKI is a common clinical problem in hospitalized patients. Its incidence is high in older patients and carries worse prognosis. The presence of multiple co-morbidities, aging process, and frequent diagnostic and therapeutic interventions predispose elderly patients to HAAKI. This study aims to evaluate the spectrum, risk factors and determinants of outcome of elderly patients with HAAKI. METHODS: This prospective study was conducted during January 2014 to September 2015 in the Department of nephrology, Institute of Medical Sciences, BHU, Varanasi, UP, India...
March 19, 2019: International Urology and Nephrology
I Féki, M Turki, I Zitoun, R Sellami, I Baati, J Masmoudi
INTRODUCTION AND OBJECTIVES: Elderly patients with diabetes have been shown to have more diabetes-related complications, and they are more likely to develop somatic and psychiatric comorbidities including cognitive dysfunction and depression. Several studies have shown a close association between diabetes and depression. This comorbidity may lead to functional disability and quality of life deterioration. Thus, the elderly will face various constraints through the coping strategies. In this context, we conducted our study to assess the prevalence of depressive symptoms in elderly patients with diabetes as well as its associated factors, and to investigate their coping strategies...
March 15, 2019: L'Encéphale
Eva C Ketel, Monica G Aguayo-Mendoza, René A de Wijk, Cees de Graaf, Betina Piqueras-Fiszman, Markus Stieger
Food oral processing depends on food properties and consumer characteristics. The aim of this study was to determine the effect of age, gender, ethnicity and eating capability on oral processing behaviour of liquid, semi-solid and solid foods. Oral processing behaviour of 18 commercially available foods, ranging from liquids, semi-solids to solids, was compared between Dutch, Caucasian adults (18-30 yrs), Chinese, Asian adults (18-30 yrs), Dutch, Caucasian elderly (60-80 yrs), and consumers with mild swallowing problems and/or low mastication efficiency (18-80 yrs)...
May 2019: Food Research International
P Ramírez-Boix, L Giménez-Llort
The increase of prevalence of mental health problems in the elderly due to the aging of the population becomes an outstanding issue since in most individuals it happens in an already complex multimorbid scenario that may include frailty and age-related medical conditions. Depression, soon the major cause of global disease burden, can be found as an age-related comorbidity and frailty, or as part of neurodegenerative diseases and where females are more vulnerable to it. Thought the multifactorial aetiology and heterogeneous nature of depression render it difficult to be modelled in animals, active behaviours elicited in the Forced Swimming Test (FST) are used to screen antidepressant treatments...
March 13, 2019: Experimental Gerontology
Magda Tsolaki
Dementia and Alzheimer's Disease (AD) particularly will become in future one of the major problems that healthcare systems will have to face with in developed but also in developing countries, because of the progressive aging of the population and the age-associated increase in their incidence. There is a rapid increasing in life expectancy and in elderly percentage. Unfortunately, improvements in lifespan have not been matched by improvements in mental health span. In recent years, there has been a growing interest, supported by a large number of experimental, epidemiological and clinical studies, about the beneficial effects of some natural products in preventing various age-related pathologic conditions, including brain aging and neurodegeneration...
January 2019: Hellenic Journal of Nuclear Medicine
Ali M Omari, Leen S Omari, Hazar H Dagash, Waleed M Sweileh, Nehal Natour, Sa'ed H Zyoud
BACKGROUND: Protein-energy wasting (PEW) is a relatively prevalent problem among adult haemodialysis patients (HDP). PEW is an important determinant of morbidity and mortality in HDP, therefore it is essential for dietitians to accurately assess malnutrition (MN) in these patients. HDP appear to be more susceptible to developing MN; however, this is not well documented. Therefore this study aimed to assess the nutritional status among HDP and to establish the factors associated with MN in these patients...
March 15, 2019: BMC Nephrology
Peige Song, Diana Rudan, Manli Wang, Xinlei Chang, Igor Rudan
Background: Peripheral artery disease (PAD), the third leading cause of atherosclerotic vascular morbidity, affects approximately 202 million people worldwide, among whom more than two-thirds reside in low- and middle-income countries (LMIC). For China, the largest developing country, little is known about the epidemiology of PAD. We aimed to estimate the prevalence of PAD and the number of affected people in China, establish the main risk factors for PAD and assess the number of people with PAD at the sub-national level...
June 2019: Journal of Global Health
Dominic Thorrington, Edwin van Leeuwen, Mary Ramsay, Richard Pebody, Marc Baguelin
BACKGROUND: Despite a long-standing vaccination programme, seasonal influenza remains a major public health problem in England, in particular for the elderly where a significant disease burden remains despite vaccine coverage approaching the WHO target of 75%. The recently licensed adjuvanted trivalent vaccines (TIV-ADJ) have been shown to offer greater protection for the elderly compared to the standard-dose non-adjuvanted trivalent vaccines (TIV), particularly for those individuals 75 years old and above for whom the TIV has limited effectiveness...
March 11, 2019: Vaccine
Damla Arifoglu, Abdelhamid Bouchachia
In recent years, there is a rapid increase in the population of elderly people. However, elderly people may suffer from the consequences of cognitive decline, which is a mental health disorder that primarily affects cognitive abilities such as learning, memory, etc. As a result, the elderly people may get dependent on caregivers to complete daily life tasks. Detecting the early indicators of dementia before it gets worsen and warning the caregivers and medical doctors would be helpful for further diagnosis...
March 2019: Artificial Intelligence in Medicine
Tomoko Yamashita, Kazuhiko Yamashita, Chugo Rinoie, Yoshimasa Takase, Mitsuru Sato, Kenji Yamada, Yoshiki Sawa
BACKGROUND: Abnormalities in the feet and toenails are common among the elderly and may increase the risk of falls. This study aimed to investigate the changes in toe-gap force, knee-gap force, foot pressure distribution, the ability to perform activities of daily living, subjects' feelings and behaviors, and physical function resulting from daily lifestyle modification and foot care. METHODS: The study participants included 74 elderly adults (mean age 80.3 ± 7...
March 14, 2019: BMC Geriatrics
Yiyun Tan, Lei Liu
Osteoporosis (OP) is a common metabolic bone disease with high incidence, and is recognized as a major public health problem worldwide. It is essential to clarify the pathogenesis of the disease for improving the diagnosis, prevention and treatment of OP. The aim of this study was to clarify the pivotal pathways and hub genes in OP using Gibbs sampling. The gene expression profile datasets were obtained from Gene Expression Omnibus (GEO) database. The pathways were enriched by Kyoto Encyclopedia of Genes and Genomes (KEGG) with genes intersection ≥5 based on gene expression profile data...
March 2019: Experimental and Therapeutic Medicine
Laurie J Parson
Depression among homebound older adults is a significant problem. This pilot project examined the effect of a faith community nurse (FCN) educational intervention based on the CREATION Health Model, on depression in older homebound adults. Results showed a downward trend in depression scores on the Geriatric Depression Scale: Short Form, suggesting that FCN interventions and the CREATION Health Model may be helpful for decreasing depression in this group.
April 2019: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
Hülya Kulakçı Altıntas, Gülbahar Korkmaz Aslan
BACKGROUND: This study was performed to determine the prevalence of elder abuse among community-dwelling older adults and its associated risk factors. METHODS: The sample in this cross-sectional study consisted of 691 older adults. Data were collected with an elder abuse and neglect assessment form, which had been prepared by the researchers in accordance with the literature. Logistic regression analysis was used to identify factors related to subtypes of elder abuse...
March 13, 2019: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Ricardo Duarte, Jean-Pierre Nadeau, Antonio Ramos, Michel Mesnard
The orthosis is considered a class 1 medical device which often originates from a nonstructured development process. As these devices are mainly developed by small- and medium-sized enterprises, with no standard research method, the result can be an unadapted device which may not respond to the user's needs and which in the short term may be abandoned. One way to solve this problem is to define and apply standard rules and procedures throughout the development/design process. Although methodologies may solve the "empiricism" in orthosis design problems, these design strategies are not applied during orthosis development due to the particularities of this field and the difficulties in linking the required knowledge and the actors that may be present during the orthosis development...
2019: Journal of Healthcare Engineering
Paula Domenech-Cebrián, Omar Cauli
BACKGROUND: Many neurological disorders lead to institutionalization and can be accompanied in their advanced stages by functional impairment, and progressive loss of mobility, and cognitive alterations. OBJECTIVE: We analyzed the relationship between functional impairment and cognitive performance and its related subdomains in individuals with Parkinson's disease, Alzheimer's disease accompanied by motor dysfunction, and with other neurological disorders characterized by both motor and cognitive problems...
March 10, 2019: Endocrine, Metabolic & Immune Disorders Drug Targets
Fan Yu, Weibo Xia
BACKGROUND: Osteoporosis has been one of the most common but largely under-diagnosed clinical problems among elderly population. The disease burden is even greater in China because of limited medical resources and large population size. This article is aimed to provide an overview of disease burden, secular trend, and management gap of osteoporosis and related fractures in China. METHODS: Based on the related studies published in English and Chinese from 1990 to 2017, we investigated the prevalence/incidence of osteoporosis and osteoporotic fracture in Chinese mainland, Hong Kong, and Taiwan, characterizing the secular trend and disease burden in different regions...
March 8, 2019: Archives of Osteoporosis
Riho Iwasaki, Kazuaki Hirai, Takayuki Kageyama, Tamae Satoh, Hiromi Fukuda, Hiromi Kai, Kiwa Makino, Kathy Magilvy, Sachiyo Murashima
This article describes the evaluation of an innovative nursing education curriculum project, preventive home visiting practice, which began full implementation in 2015, in terms of students' learning outcomes. For the purpose of learning how elder persons live in community, all the 327 undergraduate nursing students, from freshmen to seniors, provided monthly or bi-monthly visits to home-dwelling elderly persons aged 75 or above in their home over 1 year period, in order to provide support for their independent living and to learn from them...
March 7, 2019: Public Health Nursing
Giuseppe Toro, Federica Lepore, Giampiero Calabrò, Gabriella Toro, Marco Rossini, Michele Vasso, Alfredo Schiavone Panni
INTRODUCTION: Humeral shaft is a common site of fracture non-union. Biology and bone quality represent some of the problems that the orthopaedic surgeon has to face up in the elderly. The goals of treatment of humeral shaft non-union are the achievement of mechanical stability and creation of a favourable biologic environment. Bone graft and stem cells are some of the augmentation techniques available to reach these goals. PURPOSE: Evaluation of the outcomes of humeral shaft non-union in elderly population treated with cortical allograft and stem cells...
February 27, 2019: Injury
Jinhyun Kim, Sungjae Kim, Jinhee Park, Eunhee Lee
AIM: The objective of this study was to investigate both individual and organizational factors influencing the falls of patients in hospitals. BACKGROUND: Falls and fall-related injuries, which cause health problems and increase the economic burden to patients, are a critical issue for patient safety. METHODS: This study retrospectively reviewed patient data and analyzed factors influencing patient falls using a mixed-effect model. RESULTS: The total number of patients in the study was 60,049, and the characteristics of the patients showed statistically significant differences according to the type of hospital where the fall occurred...
March 7, 2019: Journal of Nursing Management
Vanessa da Silva Córralo, Vanessa Marconatto Binotto, Lilian Caroline Bohnen, Guilherme Augusto Gonzaga Dos Santos, Clodoaldo Antônio De-Sá
OBJECTIVES : The objective of this study was to evaluate factors related to polypharmacy and the use of potentially inappropriate medications (PIM) in elderly patients with diabetes. METHODS : We studied 127 elderly diagnosed with type 2 diabetes, 41 males (age = 69.9 ± 6.9 years) and 86 women (age = 71.1 ± 7.7 years). For evaluation of health conditions, medication use, polypharmacy and associated factors, we used the questionnaire adapted from Morais. The drugs were classified according to the Anatomical Therapeutic-Chemical Classification System, and for identification of MPI, we adopted the criteria of Beers-Fick and PRISCUS...
May 2018: Revista de Salud Pública
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