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https://www.readbyqxmd.com/read/29680809/impact-of-dexmedetomidine-infusion-during-general-anaesthesia-on-incidence-of-postoperative-delirium-in-elderly-patients-after-major-non-cardiac-surgery-study-protocol-of-a-randomised-double-blinded-and-placebo-controlled-trial
#1
Bo-Jie Wang, Chun-Jing Li, Jian Hu, Huai-Jin Li, Chao Guo, Zhen-Han Wang, Qiao-Chu Zhang, Dong-Liang Mu, Dong-Xin Wang
INTRODUCTION: Delirium is a common complication in the elderly after surgery and is associated with worse outcomes. Multiple risk factors are related with postoperative delirium, such as exposure to general anaesthetics, pain and postoperative inflammatory response. Preclinical and clinical studies have shown that dexmedetomidine attenuated neurotoxicity induced by general anaesthetics, improved postoperative analgesia and inhibited inflammatory response after surgery. Several studies found that intraoperative use of dexmedetomidine can prevent postoperative delirium, but data were inconsistent...
April 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29665830/implementation-of-telemedicine-for-knee-osteoarthritis-study-protocol-for-a-randomized-controlled-trial
#2
Zhengping Huang, Xia Pan, Weiming Deng, Zhixiang Huang, Yukai Huang, Xuechan Huang, Zhaohua Zhu, Weiyu Han, Shaoling Zheng, Xin Guo, Changhai Ding, Tianwang Li
BACKGROUND: Osteoarthritis (OA) is the most prevalent chronic joint disease, characterized by joint structural deterioration, pain and loss of function among the elders. It is also associated with several extra-articular symptoms (fatigue, sleep disorders, anxiety and depression) and a reduction of life quality. Studies have revealed that patients with OA benefitted from enhanced management via telemedicine. Guangdong Online Hospital (GOH) is the first officially recognized web-based hospital that provides telemedicine service in China...
April 17, 2018: Trials
https://www.readbyqxmd.com/read/29661333/sleep-disorders-in-the-elderly
#3
REVIEW
Kathleen Yaremchuk
Although some physiologic changes in sleep are a normal part of the aging process, other sleep complaints made by elderly patients can indicate a primary or secondary sleep disorder. It is important to recognize the difference between normal age-related changes and what may require further testing to make an accurate diagnosis. Proper diagnosis and treatment of sleep disorders can improve the quality of life and safety for the elderly and their families.
May 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/29660304/circadian-rhythm-resynchronization-improved-isoflurane-induced-cognitive-dysfunction-in-aged-mice
#4
Jia Song, Shuaishuai Chu, Yin Cui, Yue Qian, Xiuxiu Li, Fangxia Xu, Xueming Shao, Zhengliang Ma, Tianjiao Xia, Xiaoping Gu
Postoperative cognitive dysfunction (POCD) is a common clinical phenomenon characterized by cognitive deficits in patients after anesthesia and surgery. Advanced age is a significant independent risk factor for POCD. We previously reported that in young mice, sleep-wake rhythm is involved in the isoflurane-induced memory impairment. In present study, we sought to determine whether advanced age increased the risk of POCD through aggravated and prolonged post-anesthetic circadian disruption in the elderly. We constructed POCD model by submitting the mice to 5-h 1...
April 13, 2018: Experimental Neurology
https://www.readbyqxmd.com/read/29628854/magnesium-interscalene-nerve-block-for-the-management-of-painful-shoulder-disorders
#5
Olumuyiwa A Bamgbade
Shoulder pain is a common and distressing disorder. Systemic multimodal analgesia may be ineffective, but interscalene nerve block provides effective therapy. Magnesium may increase the efficacy and duration of systemic or regional analgesia. This case series examines the utility of magnesium interscalene nerve block for the management of painful shoulder disorders. Six elderly patients with shoulder pain and dysfunction received interscalene nerve block with injection of bupivacaine and magnesium. The patients subsequently reported significant improvement in sleep, shoulder pain, and physical function for 16 weeks...
April 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29616958/associations-between-the-mediterranean-diet-and-sleep-in-the-elderly
#6
Eirini Mamalaki, Costas Anastasiou, Mary Kosmidis, Efthimios Dardiotis, Giorgos Hadjigeorgiou, Paraskevi Sakka, Nikolaos Scarmeas, Mary Yannakoulia
No abstract text is available yet for this article.
April 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29616465/incidence-indications-and-predictive-factors-for-icu-admission-in-elderly-high-risk-patients-undergoing-laparoscopic-sleeve-gastrectomy
#7
Nesreen Khidir, Moamena El-Matbouly, Mohammed Al Kuwari, Michel Gagner, Moataz Bashah
BACKGROUND: Obesity affects the elderly, leading to increased prevalence of age- and obesity-associated comorbidities. There are no guidelines for indications and risk assessment for the elderly undergoing bariatric surgery. OBJECTIVES: To determine the incidence, indications, and outcomes of planned ICU admission in elderly, high-risk patients after laparoscopic sleeve gastrectomy (LSG) and to assess if preoperative risk factors for planned postoperative ICU admission in elderly patients undergoing LSG could be predicted preoperatively...
April 3, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29614850/factor-analysis-of-delirium-in-elderly-using-the-korean-version-of-delirium-rating-scale-revised-98
#8
Gahye Noh, Insun Kwon, Miji Lee, So Hyun Ahn, Jeong Lan Kim
Objective: This study aimed to identify the core symptoms of delirium, particularly in elderly people associated with major risk factors, using the Korean version of the Delirium Rating Scale-Revised-98. Methods: The study sample consisted of 200 patients (mean age: 72.7±3.9 years, male: 68.5%) who had been diagnosed with delirium. Exploratory factor analysis was used to investigate the factor structure, and confirmatory factor analysis was used to evaluate the goodness of fit of the results...
April 5, 2018: Psychiatry Investigation
https://www.readbyqxmd.com/read/29600740/sensitivity-and-specificity-analysis-use-of-emoticon-for-screening-of-depression-in-elderly-in-singapore
#9
Laurence Tan, Hui Jin Toh, Lai Kiow Sim, James Alvin Low
BACKGROUND: The current screening tools for depression can be tedious to administer, especially in the elderly population with hearing impairment and/or limited proficiency in English language. OBJECTIVES: To look at the feasibility of using emoticon as a screening and assessment tool for depression in the elderly. DESIGN: Cross-sectional study. METHOD: A total of 77 elderly patients completed the study from June 2014 to August 2015 in a general geriatric outpatient clinic of an acute care hospital in Singapore...
March 1, 2018: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/29580302/determinants-of-poor-sleep-quality-in-elderly-patients-with-diabetes-mellitus-hyperlipidemia-and-hypertension-in-singapore
#10
Grace S H Chiang, Brenda L H Sim, Jeannette J M Lee, Joanne H M Quah
AimThe objective of this study was to assess determinants of poor sleep quality which is an under-diagnosed and under-treated problem in elderly patients with diabetes mellitus, hyperlipidemia and hypertension. BACKGROUND: Poor sleep quality is linked to decreased quality of life, increased morbidity and mortality. Poor sleep quality is common in the elderly population with associated cardiometabolic risk factors such as diabetes, hyperlipidemia and hypertension. METHODS: This is a cross-sectional study undertaken in the primary healthcare setting (Singhealth Polyclinics-Outram) in Singapore...
March 27, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29580265/unexpected-association-between-subclinical-hearing-loss-and-restorative-sleep-in-a-middle-aged-and-elderly-japanese-population
#11
Kei Nakajima, Eiichiro Kanda, Kaname Suwa
OBJECTIVE: Hearing loss may be associated with certain sleep abnormalities. We recently reported that subclinical hearing loss (SHL) was more prevalent in individuals in a broad Japanese population who slept longer than 8 h; however, the underlying mechanism was unknown. Therefore, we investigated the association between SHL and self-reported restorative sleep (RS), assessed by questionnaire, in a database of 33,888 Japanese aged 40-69 years without overt or diagnosed hearing loss (20,225 men, 13,663 women)...
March 27, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29575248/a-high-yield-fall-risk-and-adverse-events-screening-questions-from-the-stopping-elderly-accidents-death-and-injuries-steadi-guideline-for-older-emergency-department-fall-patients
#12
Jiraporn Sri-On, Gregory Philip Tirrell, Anucha Kamsom, Keith A Marill, Kalpana Narayan Shankar, Shan W Liu
OBJECTIVES: The objectives were to examine whether responses to the Stopping Elderly Accidents, Death, and Injuries (STEADI) questions responses predicted adverse events after an older adult emergency department (ED) fall visits and to identify factors associated with such recurrent fall. METHODS: We conducted a prospective study at 2 urban, teaching hospitals. We included patients aged ≥ 65 who presented to the ED for an accidental fall. Data were gathered for fall relevant co-morbidities, high-risk medications for falls and the responses to 12 questions from the STEADI guideline recommendation...
March 25, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29574520/sleep-duration-and-the-risk-of-osteoporosis-among-middle-aged-and-elderly-adults-a-dose-response-meta-analysis
#13
REVIEW
D Wang, W Ruan, Y Peng, W Li
It remains unclear how many hours of sleep are associated with the lowest risk of osteoporosis. This meta-analysis was performed to assess the dose-response relationship between sleep duration and risk of osteoporosis. PubMed and Web of Science were searched from inception to December 3, 2017, supplemented by manual searches of the bibliographies of retrieved articles. Data were pooled using fixed- and random-effects models. Restricted cubic spline analysis with four knots was used to model the sleep duration and osteoporosis association...
March 25, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29573578/associations-of-sleep-duration-and-prediabetes-prevalence-in-a-middle-aged-and-elderly-chinese-population-with-regard-to-age-and-hypertension-the-china-health-and-retirement-longitudinal-baseline-study
#14
Mingming Yan, Zhen Fu, Tingting Qin, Nanjin Wu, Yalan Lv, Qinyun Wei, Hongwei Jiang, Ping Yin
BACKGROUND: To examine the age-specific associations between self-reported sleep duration and prevalent prediabetes in middle-aged and elderly Chinese with or without hypertension. METHODS: A total of 2,985 Chinese adults aged ≥45 from the CHARLS baseline survey were selected for analysis. Sleep duration was assessed by structured questionnaires, and then categorized into three groups (≤6 h, 6-8 h, and >8 h). The prevalence of prediabetes was defined using fasting plasma glucose (100-125 mg/dL), and/or glycated haemoglobin (HbA1c) (5...
March 24, 2018: Journal of Diabetes
https://www.readbyqxmd.com/read/29569174/relationship-between-organizational-culture-and-the-use-of-psychotropic-medicines-in-nursing-homes-a-systematic-integrative-review
#15
REVIEW
Mouna Sawan, Yun-Hee Jeon, Timothy F Chen
BACKGROUND: Psychotropic medicines are commonly used in nursing homes, despite marginal clinical benefits and association with harm in the elderly. Organizational culture is proposed as a factor explaining the high-level use of psychotropic medicines. Schein describes three levels of culture: artifacts, espoused values, and basic assumptions. OBJECTIVE: This integrative review aimed to investigate the facets and role of organizational culture in the use of psychotropic medicines in nursing homes...
March 22, 2018: Drugs & Aging
https://www.readbyqxmd.com/read/29568522/association-of-sleep-quality-with-excessive-daytime-somnolence-and-quality-of-life-of-elderlies-of-community
#16
Glauber Sá Brandão, Fernanda Warken Rosa Camelier, Antônia Adonis Callou Sampaio, Glaudson Sá Brandão, Anderson Soares Silva, Glaucia Sá Brandão Freitas Gomes, Claudio F Donner, Luis Vicente Franco Oliveira, Aquiles Assunção Camelier
Background: The progressive increase in the elderly population contributes to the fact that studies on human aging have important attention of health professionals and government agents, since they present a great challenge regarding public health. Our objective is to characterize the profile of older people with poor sleep quality and analyze possible associations with excessive daytime somnolence, quality of life and functional mobility. Methods: This is a cross-sectional descriptive study, involving elderlies of the community, with the questionnaires Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale, WHOQOL-OLD and application of the Timed Up and Go test - TUG...
2018: Multidisciplinary Respiratory Medicine
https://www.readbyqxmd.com/read/29567618/subjective-and-objective-sleep-quality-in-elderly-individuals-the-role-of-psychogeriatric-evaluation
#17
Vanessa Ibáñez-Del Valle, Josep Silva, Ana-Belén Castelló-Domenech, Mary Martinez-Martinez, Yolanda Verdejo, Laura Sanantonio-Camps, Omar Cauli
Aging affects sleep and sleep problems are common in older individuals. However, the relationship between objective and subjective tools for analysing sleep and psycho-geriatric variables have not been tested in institutionalised older individuals. This work analyses sleep quality by using actigraphy as an objective tool and validates the Athens and Oviedo sleep questionnaires in octogenarian elderly individuals as subjective scales of sleep perception. All patients wore an actigraph device for one week and then completed the Athens and Oviedo clinical sleep-evaluation questionnaires...
March 16, 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29563034/seasonality-of-physical-activity-sedentary-behavior-and-sleep-in-a-middle-aged-and-elderly-population-the-rotterdam-study
#18
Magda Cepeda, Chantal M Koolhaas, Frank J A van Rooij, Henning Tiemeier, Mònica Guxens, Oscar H Franco, Josje D Schoufour
INTRODUCTION: Physical activity (PA) and sedentary behavior (SB) have seasonal patterns. It remains unclear how these patterns are associated with sleep, meteorological factors, and health. METHODS: Activity levels were continuously measured with an accelerometer for seven days between July 2011 and May 2016, among middle-aged (50-64 years), young-elderly (65-74 years) and old-elderly (≥75 years) participants of a population-based Dutch cohort study (n = 1116)...
April 2018: Maturitas
https://www.readbyqxmd.com/read/29562395/-dexmedetomidine-combined-with-ropivacaine-for-continuous-femoral-nerve-block-improved-postoperative-sleep-quality-in-elderly-patients-after-total-knee-arthroplasty
#19
X L Wang, J Wang, D L Mu, D X Wang
Objective: To investigate the effect of dexmedetomidine adding to ropivacaine for continuous femoral nerve block on the improvement of postoperative sleep quality in elderly patients after total knee arthroplasty. Methods: One hundred and sixty patients aged 60 years or older in Jishuitan Hospital scheduled for single total knee arthroplasty between Nov. 2016 and Jun. 2017 were recruited. All patients received spinal anesthesia and were randomized to receive either combined ropivacaine and dexmedetomidine (0...
March 13, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29559028/sedative-hypnotic-drug-use-among-community-dwelling-elderly-in-taiwan
#20
Han-Yun Tseng, Shu-Han Yu, Chun-Yi Lee, Wen-Hao Huang, Seng-Loong Huang, Chi-Shin Wu, Yen-Feng Chiu, Chao A Hsiung
BACKGROUND: Sedative-hypnotic medication use has been related to severe adverse events and risks. This study investigated the prevalence of and characteristics associated with the use of sedatives and hypnotics among community-dwelling elderly persons aged 65 years and over in Taiwan. METHODS: A representative sample of community-dwelling adults was recruited. Clinical and sociodemographic data were collected for assessing physical, mental, and cognitive functioning and disorders...
March 21, 2018: International Psychogeriatrics
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