keyword
https://read.qxmd.com/read/38496261/takotsubo-syndrome-after-bilateral-simultaneous-total-knee-arthroplasty-a-case-report
#21
JOURNAL ARTICLE
Dhanasekaran Soundarrajan, Rithika Singh, Muthiah Subramaniam, Palanisami Dhanasekararaja, Natesan Rajkumar, Shanmuganathan Rajasekaran
INTRODUCTION: Cardiac complications represents a major cause of morbidity and mortality especially after bilateral simultaneous total knee arthroplasty (BS-TKA). Takotsubo syndrome after BS-TKA has not been described in the literature. CASE PRESENTATION: A 60 years-old women underwent BS- TKA and she suddenly developed bradycardia and hypotension after second knee wound closure. The electrocardiography revealed ST elevation and echocardiography showed apical hypokinesia of left ventricle...
August 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38496181/arriving-at-skinted-surgery-of-the-knee-injury-to-the-infrapatellar-branch-of-the-saphenous-nerve-traumatic-eczematous-dermatitis-a-case-report
#22
KavyaDeepu R M, Mohnish Sekar
Surgery of the knee, injury to the infrapatellar branch of the saphenous nerve, traumatic eczematous dermatitis (SKINTED) is a postsurgical localized dermatitis specifically linked to total knee arthroplasty (TKA). It is due to autonomic denervation following surgically inflicted nerve injury. It develops several months to years following a surgical trauma. It is being referred to by various names in the literature. Locoregional immune dysfunction due to lymphatic injury after surgery is the currently accepted theory...
February 2024: Curēus
https://read.qxmd.com/read/38495938/association-of-pulse-pressure-and-aortic-root-diameter-in-elderly-chinese-patients-with-chronic-heart-failure
#23
JOURNAL ARTICLE
Lu Chen, Wenhui Xie, Xuhui Hong, Huashan Hong
BACKGROUND: High pulse pressure (PP) and aortic root diameter (AoD) are hallmarks of arterial stiffness or vascular aging and they are considered as risk factors for age-related cardiovascular disease, including heart failure (HF). However, the relationship between PP and AoD in patients with heart failure (HF) is uncertain. This study aimed to evaluate the relationship between PP and AoD in the middle-aged and the elderly with HF. METHODS: A total of 1,027 Chinese middle-aged and elderly patients with HF, including HF with reduced ejection fraction (HFrEF), HF with mid-range EF (HFmrEF), and HF with preserved EF (HFpEF) were included in this study...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38495917/adjuvant-vitamin-d-injection-in-elderly-patients-before-intertrochanteric-fracture-surgery-a-randomised-controlled-trial
#24
JOURNAL ARTICLE
Mehrdad Rabiee Rad, Ghazal Ghasempour Dabaghi, Alireza Afshari Safavi, Pooya Moshkdar, Hossein Akbariaghdam
BACKGROUND: There are multiple recommended protocols for Vitamin D (VitD) supplementation in elderly; however, only a few studies achieved to examine the role of VitD supplements before intertrochanteric fracture surgery on mortality and complications after surgery. METHODS: This single-center block-randomized double-blinded trial was conducted on 80 patients with intertrochanteric fractures and a sufficient level of 25 (OH) VitD. The intervention group received an intramuscular 300,000 IU VitD ampule before surgery...
2024: Geriatric Orthopaedic Surgery & Rehabilitation
https://read.qxmd.com/read/38495895/service-allocators-experiences-of-ethical-dilemmas-and-strategies-in-long-term-care-a-qualitative-study
#25
JOURNAL ARTICLE
Ann Katrin Blø Pedersen, Marianne Sundlisæter Skinner, Maren Sogstad
The provision of long-term care services for older adults is characterised by increasing needs and scarce resources, leading to ethical dilemmas. This qualitative study explored the ethical dilemmas experienced by healthcare professionals when allocating long-term care services to older adults and the strategies used to handle ethical dilemmas. Data from semi-structured individual interviews, focus group interviews, and observations of service allocators assessing needs and assigning long-term care services to older adults were analysed using content analysis...
2024: Health Services Insights
https://read.qxmd.com/read/38495887/level-of-il-6-tnf-and-il-1%C3%AE-and-age-related-diseases-a-systematic-review-and-meta-analysis
#26
Anna Tylutka, Łukasz Walas, Agnieszka Zembron-Lacny
INTRODUCTION: Chronic low-grade inflammation is an important aspect of morbidity and mortality in older adults. The level of circulating pro-inflammatory cytokines (interleukin (IL)-6, tumor necrosis factor (TNF) or IL-1β) is a risk factor in cardiovascular and neurodegenerative diseases and is also associated with sarcopenia and frailties. The objective of this study was to assess each cytokine: IL-6, TNF, and IL-1β separately in the elderly with comorbidities against controls without diseases according to the data published in the available literature...
2024: Frontiers in Immunology
https://read.qxmd.com/read/38495808/pulsatility-analysis-of-the-circle-of-willis
#27
JOURNAL ARTICLE
Henning U Voss, Qolamreza R Razlighi
PURPOSE: To evaluate the phenomenological significance of cerebral blood pulsatility imaging in aging research. METHODS: N = 38 subjects from 20 to 72 years of age (24 females) were imaged with ultrafast MRI with a sampling rate of 100 ms and simultaneous acquisition of pulse oximetry data. Of these, 28 subjects had acceptable MRI and pulse data, with 16 subjects between 20 and 28 years of age, and 12 subjects between 61 and 72 years of age...
2024: Aging brain
https://read.qxmd.com/read/38495786/unveiling-peripheral-neuropathy-and-cognitive-dysfunction-in-diabetes-an-observational-and-proof-of-concept-study-with-video-games-and-sensor-equipped-insoles
#28
JOURNAL ARTICLE
Antao Ming, Elisabeth Lorek, Janina Wall, Tanja Schubert, Nils Ebert, Imke Galatzky, Anne-Katrin Baum, Wenzel Glanz, Sebastian Stober, Peter R Mertens
BACKGROUND: Proactive screening for cognitive dysfunction (CD) and peripheral neuropathy (PNP) in elderly patients with diabetes mellitus is essential for early intervention, yet clinical examination is time-consuming and prone to bias. OBJECTIVE: We aimed to investigate PNP and CD in a diabetes cohort and explore the possibility of identifying key features linked with the respective conditions by machine learning algorithms applied to data sets obtained in playful games controlled by sensor-equipped insoles...
2024: Frontiers in Endocrinology
https://read.qxmd.com/read/38495710/noninvasive-hemoglobin-quantification-across-different-cohorts-using-a-wearable-diffuse-reflectance-spectroscopy-system
#29
JOURNAL ARTICLE
Ying-Yu Chen, Guan-Hua Lai, Chia-Te Chen, Hsiu-Chi Cheng, Sheng-Hao Tseng
Quantifying hemoglobin is vital yet invasive through blood draws. We developed a wearable diffuse reflectance spectroscopy device comprising control and sensor boards with photodiodes and light-emitting diodes to noninvasively determine hemoglobin. Neural networks enabled recovery of optical parameters for chromophore fitting to calculate hemoglobin. Testing healthy and elderly subjects revealed strong correlation (r=0.9) between our system and invasive methods after data conversion. Bland-Altman analysis demonstrated tight 95% limits of agreement from -1...
March 1, 2024: Biomedical Optics Express
https://read.qxmd.com/read/38495682/early-and-1-year-mortality-of-native-geriatric-distal-femur-fractures-a-systematic-review-and-time-to-event-meta-analysis
#30
REVIEW
Yanjinlkham Chuluunbaatar, Nawal Benachar, Harnoor Khroud-Dhillon, Ananth Srinivasan, Djamila Rojoa, Firas Raheman
PURPOSE: Distal femur fractures (DFF) account for 6% of all femoral fractures and predominate in females. The current 1-year mortality of DFF is currently reported to be between 10 and 38%, a wide margin, and confounded by multiple factors including age, high energy mechanisms, pathological and periprosthetic fractures. The purpose of this study was to assess and determine all-cause mortality following geriatric native distal femur fractures at 30 days, six months and one year. METHODS: - The databases Cochrane CENTRAL, MEDLINE, EMBASE and NHS NICE Healthcare Databases Advanced Search Interface were searched in accordance with PRISMA guidelines...
March 2024: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/38495592/analysis-of-hot-topics-regarding-global-smart-elderly-care-research-1997-2021
#31
JOURNAL ARTICLE
Hongman Wang, Hong Chen, Yuqi Wang
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: With the assistance of the internet, big data, cloud computing, and other technologies, the concept of smart elderly care has emerged. WHAT IS ADDED BY THIS REPORT?: This study presents information on the countries or regions that have conducted research on smart elderly care, as well as identifies global hotspots and development trends in this field. WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: The results of this study suggest that future research should focus on fall detection, health monitoring, and guidance systems that are user-friendly and contribute to the creation of smarter safer communities for the well-being of the elderly...
March 1, 2024: China CDC weekly
https://read.qxmd.com/read/38495590/inflection-point-age-in-the-middle-and-older-women-jiangxi-province-china-2020-2022
#32
JOURNAL ARTICLE
Shanlan Yang, Langlang Zhang, Helang Huang, Jiaofeng Wang, Lei Wu, Zhijun Bao
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Previous studies have predominantly examined the micro-level aspects of women aging inflection points, while macro-level research using big data on the inflection points of aging among middle-aged and elderly women in China is currently limited. WHAT IS ADDED BY THIS REPORT?: This study determined the inflection ages for physiological, psychological, social, and total dimensions in middle-aged, young elderly, and elderly women [(48...
March 1, 2024: China CDC weekly
https://read.qxmd.com/read/38495154/effect-of-subanesthetic-dose-of-esketamine-on-postoperative-pain-in-elderly-patients-undergoing-laparoscopic-gastrointestinal-tumor-surgery-a-prospective-double-blind-randomized-controlled-trial
#33
JOURNAL ARTICLE
Zhaojun Jing, Yu Han, Yi Li, Rui Zeng, Jin Wu, Yiting Wang, Peng Jiang
PURPOSE: Postoperative pain is prevalent and severe complication in elderly surgical patients. Multiple studies propose that a small dose of esketamine administered intraoperatively can alleviate postoperative pain and curtail opioid usage. We aimed to evaluate the impact of esketamine on postoperative acute pain among elderly patients with gastrointestinal tumors. PATIENTS AND METHODS: This is a prospective, parallel-group, randomized controlled trial. Ninety patients aged 60 and above, undergoing resection of gastrointestinal tumors, were randomly assigned to two groups: esketamine group (Group S, a single dose of 0...
March 15, 2024: Heliyon
https://read.qxmd.com/read/38495138/the-global-burden-of-ischemic-heart-disease-attributed-to-high-fasting-plasma-glucose-data-from-1990-to-2019
#34
JOURNAL ARTICLE
Nirui Shen, Jin Liu, Yan Wang, Yuanjie Qiu, Danyang Li, Qingting Wang, Limin Chai, Yuqian Chen, Huizhong Hu, Manxiang Li
BACKGROUND: Ischemic heart disease (IHD) is the leading cause of death worldwide. High fasting plasma glucose (FPG) is an increasing risk factor for IHD. We aimed to explore the long-term trends of high FPG-attributed IHD mortality during 1990-2019. METHODS: Data were obtained from the Global Burden of Disease Study 2019 database. Deaths, disability-adjusted life-years (DALYs), the age-standardized mortality rate (ASMR) and age-standardized DALY rate (ASDR) of IHD attributable to high FPG were estimated by sex, socio-demographic index (SDI), regions and age...
March 15, 2024: Heliyon
https://read.qxmd.com/read/38495115/a-randomized-trial-of-a-wearable-uv-dosimeter-for-skin-cancer-prevention
#35
JOURNAL ARTICLE
Emmanuel L P Dumont, Peter D Kaplan, Catherine Do, Shayak Banerjee, Melissa Barrer, Khaled Ezzedine, Jonathan H Zippin, George I Varghese
BACKGROUND: Non-melanoma skin cancer (NMSC) is the most prevalent cancer in the United States. Despite guidelines on ultraviolet (UV) avoidance, it remains difficult for people to assess their exposure, as UV is invisible and the onset of UV-induced symptoms is delayed. METHODS: In a prospective randomized trial, 97 elderly patients with a history of actinic keratoses (AK) were followed over 6 months. Fifty patients received UV counseling from a dermatologist and a wearable UV dosimeter that provided real-time and cumulative UV exposure...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38494850/quite-a-pickle-a-10-year-increase-in-pickleball-related-hand-injuries
#36
JOURNAL ARTICLE
Peter K Firouzbakht, Kazimir Bagdady, Rohun Gupta, Stephen M Lu, Kevin Chen
BACKGROUND: Pickleball popularity has significantly increased in the United States. Wrist, hand, and finger injuries are commonly seen among pickleball players and are on the rise. METHODS: The National Electronic Injury Surveillance System database was queried from 2013 to 2022 tennis- and pickleball-related injuries in the United States. Data were filtered to include wrist, hand, and finger injuries only. RESULTS: There were a total of 12 021 estimated pickleball injuries between 2013 and 2022, most commonly in white women greater than 55 years old...
March 17, 2024: Hand: Official Journal of the American Association for Hand Surgery
https://read.qxmd.com/read/38494816/-significance-of-colorectal-cancer-resection-for-the-elderly
#37
JOURNAL ARTICLE
Yu Kuboyama, Kenta Kasahara, Ryutaro Udo, Tomoya Tago, Junichi Mazaki, Yutaka Hayashi, Tetsuo Ishizaki, Kenji Katsumata, Yuichi Nagakawa
INTRODUCTION: Elderly patients requiring surgical treatment is increasing in Japan, and while surgical treatment is expected to be effective even in the very elderly, there is a lack of evidence for the safety and efficacy of surgical resection due to problems with perioperative management and operative tolerance. We therefore retrospectively examined the short-term and long-term outcomes of colorectal cancer surgery for the very elderly at our hospital. SUBJECTS: The study included 14 cases of colorectal cancer in the very elderly who underwent radical resection at our hospital between January 2010 and March 2020...
March 2024: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38494815/-regimen-selection-by-narrative-approach-in-patients-with-advanced-gastric-cancer-paclitaxel-or-nab-paclitaxel
#38
JOURNAL ARTICLE
Tomono Kawase, Hiroshi Imamura, Yoshitomo Yanagimoto, Kazuki Odagiri, Yozo Suzuki, Hiroshi Takeyama, Masafumi Yamashita, Yasufumi Sato, Akira Kobayashi, Masakazu Ikenaga, Junzo Shimizu, Kenzo Akagi, Takashi Iwazawa, Naohiro Tomita, Keizo Dono
BACKGROUND: According to the sixth Gastric Cancer Treatment Guideline, the regimen included nab-paclitaxel(nab-PTX) is a conditional recommendation as second-line treatment for advanced gastric cancer. However, the selection criteria of nab-PTX is not clear. METHOD: Questionnaire survey as narrative approach on the problems of paclitaxel premedication, the symptoms due to paclitaxel containing alcohol, and infusion time was conducted for patients who had been treated with paclitaxel...
March 2024: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38494814/-questionnaire-survey-on-oral-care-and-oral-troubles-for-patients-with-gastric-cancer-received-chemotherapy
#39
JOURNAL ARTICLE
Tomono Kawase, Hiroshi Imamura, Yoshitomo Yanagimoto, Kazuki Odagiri, Yozo Suzuki, Hiroshi Takeyama, Masafumi Yamashita, Yasufumi Sato, Akira Kobayashi, Masakazu Ikenaga, Junzo Shimizu, Kenzo Akagi, Takashi Iwazawa, Naohiro Tomita, Keizo Dono
BACKGROUND: The actual situation of oral care and oral troubles for patients with gastric cancer received chemotherapy is not clear. METHODS: Questionnaire survey in the form of oral questions was performed for patients with gastric cancer who received chemotherapy from December 2021 to February 2022. The relevance between the survey results and background factors was examined using the χ2 test. RESULTS: We performed the questionnaire survey for 36 patients...
March 2024: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://read.qxmd.com/read/38494813/-results-of-surgical-treatment-for-gastric-cancer-in-the-elderly-over-85-years-old
#40
JOURNAL ARTICLE
Yuto Kitano, Tomoya Tsukada, Masahide Kaji, Jungo Yoshida, Tatsuhiro Araki, Hiroaki Horio, Kenta Sukegawa, Toru Kurata, Atsushi Hirose, Masahiro Hada, Koji Amaya, Akemi Yoshikawa, Kiichi Maeda
Although the number of gastric cancers in elderly is increasing with the aging population, the indications of surgical treatment depend on the individual cases and the decisions of doctors. We investigated the outcomes of gastrectomy in elderly patients aged 85 years and older who underwent surgery at our hospital. From 2014 to 2022, 72 cases of gastrectomy were performed in the elderly. The approaches were laparotomy in 28 cases, laparoscopic in 42, and robot-assisted in 2. There were 57 cases of distal gastrectomy, 7 cases of proximal gastrectomy, and 8 cases of total gastrectomy...
March 2024: Gan to Kagaku Ryoho. Cancer & Chemotherapy
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