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https://www.readbyqxmd.com/read/30517585/frailty-syndrome-among-elderly-and-associated-factors-comparison-of-two-cities
#1
Rosalina Aparecida Partezani Rodrigues, Jack Roberto Silva Fhon, Maria de Lourdes de Farias Pontes, Antonia Oliveira Silva, Vanderlei José Haas, Jair Lício Ferreira Santos
OBJECTIVE: to compare the frailty syndrome among elderly people living at home in two Brazilian cities and to identify factors related to sociodemographic and health-related variables. METHOD: population-based cross-sectional study with 480 elderly individuals from the cities of Ribeirão Preto/SP and João Pessoa/PB, with application of the Mini Mental State Examination instruments and the Edmonton Frailty, Geriatric Depression and Lawton and Brody scales. Descriptive analysis, Chi-square test, Fisher's test, Student's t-test, Spermann's correlation and Logistic regression were used...
November 29, 2018: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/30517469/characteristics-associated-to-a-poor-self-rated-health-in-brazilian-adolescents-national-adolescent-school-based-health-survey-2015
#2
Deborah Carvalho Malta, Max Moura de Oliveira, Isis Eloah Machado, Rogério Ruscito Prado, Sheila Rizzato Stopa, Claudio Dutra Crespo, Ada Ávila Assunção
Health self-assessment (HSA) is a widely studied indicator among adults and the elderly, but not often explored in adolescents. This study aimed to estimate the prevalence of poor self-rated health in Brazilian schoolchildren and associated factors. Data from the 2015 National Adolescent School-based Health Survey (PeNSE) were analyzed; prevalences and their 95% confidence intervals (95%CI) were estimated for poor self-rated health and associated factors. Multiple logistic regression analysis was performed...
November 29, 2018: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/30517412/management-of-elderly-people-with-stroke-strategies-based-on-action-research
#3
Luna Vitória Cajé Moura, Larissa Chaves Pedreira, Tânia Maria de Oliva Menezes, Nildete Pereira Gomes, Alyne Henri Motta Coifman, Alice de Andrade Santos
OBJECTIVE: To elaborate and implement, through an educational intervention with the nursing team of the Emergency Unit, strategies that contribute to the management of elderly people suspected/affected by Stroke. METHOD: Action research with eighteen nursing professionals working in the Emergency Unit of a reference hospital. The data were collected through five pedagogical workshops and systematized through the thematic analysis. RESULTS: After a situational analysis and identification of the difficulties in the management of these elderly, a synthesis chart was prepared with strategic actions, responsible professionals and perspectives for implementation in the short, medium and long term...
November 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/30517391/family-health-strategies-profile-quality-of-life-of-people-with-diabetes
#4
Claudete Moreschi, Claudete Rempel, Daiana Foggiato de Siqueira, Dirce Stein Backes, Luis Felipe Pissaia, Magali Teresinha Quevedo Grave
OBJECTIVE: To evaluate the quality of life and to analyze the epidemiological profile of people with diabetes treated in Family Health Strategies. METHOD: A cross-sectional study carried out with 350 people with diabetes. RESULTS: Most people with diabetes are women, elderly, married, white, with low educational level, retired/pensioners, family income of up to two minimum wages. As the time of people with the disease increases, their quality of life decreases...
November 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/30517365/profile-of-drugs-used-for-self-medication-by-elderly-attended-at-a-referral-center
#5
Samanta Bárbara Vieira de Oliveira, Soraya Coelho Costa Barroso, Maria Aparecida Camargos Bicalho, Adriano Max Moreira Reis
OBJECTIVE: To determine the profile of medications used for self-medication by the elderly. METHODS: A cross-sectional study based on interviews with elderly seen at a reference center for Elderly Health of a teaching hospital, from July 2014 to July 2015. Clinical, demographic and pharmacotherapeutic data were collected. RESULTS: A total of 170 elderly were interviewed, 85.9% female, and the median age was 76 years. The frequency of self-medication was 80...
November 29, 2018: Einstein
https://www.readbyqxmd.com/read/30517337/asthma-mortality-in-brazil-1980-2012-a-regional-perspective
#6
Thaís de Sá Brito, Ronir Raggio Luiz, José Roberto Lapa E Silva, Hisbello da Silva Campos
OBJECTIVE: To estimate asthma mortality rates in Brazil for the period 1980-2012. METHODS: On the basis of data from the Brazilian National Ministry of Health Mortality Database, we estimated mortality rates by calculating moving averages from a municipal perspective that would allow an evaluation differentiating between urban, rural, and intermediate (rurban) Brazil during the period 2002-2012. Trends were assessed using simple linear regression. RESULTS: On average, 2,339 asthma-related deaths were reported per year during the study period...
September 2018: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/30517330/the-cardiopulmonary-bypass-and-cancer-dissemination-puzzle1
#7
Paulo Roberto Barbosa Évora, Agnes Afrodite Sumarelli Albuquerque, Tales Rubens de Nadai, Enio David Mente, Ajith Kumar Sankarankuty, Orlando Castro-E-Silva
Early cancer diagnosis, new therapies that increased survival of patients, besides the increasingly elderly population are some factors would be associated with possible cancer dissemination in patients under cardiopulmonary bypass (CPB) cardiac surgery. Also, the benefits, and risks, regarding long-term survival, have not yet been established. Therefore, cardiac surgery morbimortality may be superior in patients with cancer disease. Also, immunologic and inflammatory changes secondary to CPB can also increase tumor recurrence...
November 2018: Acta Cirúrgica Brasileira
https://www.readbyqxmd.com/read/30517297/rural-workload-and-factors-associated-with-the-use-of-medication-by-elderly-people
#8
Marta Regina Cezar-Vaz, Clarice Alves Bonow, Daiane Porto Gautério Abreu, Jordana Cezar Vaz, Marlise Capa Verde Almeida de Mello, Daiani Modernel Xavier
OBJECTIVE: Identify the prevalence and factors associated with the use of medication by elderly rural workers and verify the association between the use of medication and rural workload. METHOD: Cross-sectional, exploratory study, conducted among elderly rural workers from the state of Rio Grande do Sul. The data was collected through interviews, using a structured questionnaire. RESULTS: Ninety-five elderly people participated in the study...
December 3, 2018: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/30517293/reemerging-arboviruses-clinical-epidemiological-profile-of-hospitalized-elderly-patients
#9
Lia Raquel de Carvalho Viana, Cláudia Jeane Lopes Pimenta, Edna Marília Nóbrega Fonseca de Araújo, Tiago José Silveira Teófilo, Tatiana Ferreira da Costa, Kátia Neyla de Freitas Macedo Costa
OBJECTIVE: Describe the clinical-epidemiological profile of hospitalized elderly patients with arbovirus. METHOD: A documentary retrospective population-based descriptive study that used a quantitative approach with hospitalized elderly patients diagnosed with arbovirus was conducted in a teaching hospital. Data were collected from medical records and investigation forms. RESULTS: Thirty-three elderly patients participated in this study. A prevalence of dengue was observed, with fever, myalgia, and arthralgia...
November 29, 2018: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/30517291/compression-therapy-unna-boot-applied-to-venous-injuries-an-integrative-review-of-the-literature
#10
Luciana Ventura Cardoso, José Maria Pereira de Godoy, Maria de Fátima Guerreiro Godoy, Rildo César Nunes Czorny
OBJECTIVE: To analyze the literature related to the types of therapies for venous injuries with emphasis on use of the Unna boot, and to investigate and discuss the main aspects related to its use compared to other techniques. METHOD: Integrative review of the literature of the last five years through searches in the following databases: VHL, LILACS, BDENF, SciELO, MEDLINE/PubMed. RESULTS: Twenty-two publications were identified, with 15,931 cases among adult or elderly individuals, whose mean age was 60 (35-78) years or greater with no sex differences...
November 29, 2018: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/30516423/klotho-deficiency-aggravates-sepsis-related-multiple-organ-dysfunction
#11
Lecticia Barbosa Jorge, Fernanda Oliveira Coelho, Talita Rojas Sanches, Denise M A C Malheiros, Leandro Ezaquiel de Souza, Fernando Dos Santos, Larissa de Sá Lima, Cristóforo Scavone, Maria Claudia Irigoyen, Makoto Kuro-O, Lucia Andrade
Sepsis-induced organ failure is characterized by a massive inflammatory response and oxidative stress. Acute kidney injury (AKI) occurs in approximately half of patients in septic shock, and the mortality associated with sepsis-induced AKI is unacceptably high. Klotho is a protein expressed by renal cells and has anti-senescence properties. Klotho has also been shown to protect the kidneys in ischemia-reperfusion injury and to have antioxidant properties. To analyze the role of Klotho in sepsis-related organ dysfunction and AKI, we used a cecal ligation and puncture (CLP) model of sepsis in heterozygous Klotho-haploinsufficient mice and their wild-type littermates (CLP-Kl+/- and CLP-WT mice, respectively)...
December 5, 2018: American Journal of Physiology. Renal Physiology
https://www.readbyqxmd.com/read/30514930/genetic-data-and-cognitively-defined-late-onset-alzheimer-s-disease-subgroups
#12
Shubhabrata Mukherjee, Jesse Mez, Emily H Trittschuh, Andrew J Saykin, Laura E Gibbons, David W Fardo, Madeline Wessels, Julianna Bauman, Mackenzie Moore, Seo-Eun Choi, Alden L Gross, Joanne Rich, Diana K N Louden, R Elizabeth Sanders, Thomas J Grabowski, Thomas D Bird, Susan M McCurry, Beth E Snitz, M Ilyas Kamboh, Oscar L Lopez, Philip L De Jager, David A Bennett, C Dirk Keene, Eric B Larson, Paul K Crane
Categorizing people with late-onset Alzheimer's disease into biologically coherent subgroups is important for personalized medicine. We evaluated data from five studies (total n = 4050, of whom 2431 had genome-wide single-nucleotide polymorphism (SNP) data). We assigned people to cognitively defined subgroups on the basis of relative performance in memory, executive functioning, visuospatial functioning, and language at the time of Alzheimer's disease diagnosis. We compared genotype frequencies for each subgroup to those from cognitively normal elderly controls...
December 4, 2018: Molecular Psychiatry
https://www.readbyqxmd.com/read/30513943/active-ageing-mapping-of-scientific-coverage
#13
José Álvarez-García, Amador Durán-Sánchez, María de la Cruz Del Río-Rama, Diego Fernando García-Vélez
Population ageing is one of humanity's greatest achievements with the elderly who offer valuable resources and make an important contribution to the structure of our societies. At the same time, this ageing population poses great challenges, as it requires greater economic and social needs. Institutions such as the World Health Organization (WHO) are promoting policies that aim at promoting active ageing, which is understood as the process of optimizing health, participation and security opportunities in order to improve people's quality of life as they get older...
December 3, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/30510801/effects-of-resistance-training-on-immunoinflammatory-response-tnf-alpha-gene-expression-and-body-composition-in-elderly-women
#14
Luís Ângelo Macêdo Santiago, Lídio Gonçalves Lima Neto, Guilherme Borges Pereira, Richard Diego Leite, Cristiano Texeira Mostarda, Janaina de Oliveira Brito Monzani, Wandson Rodrigues Sousa, Aruanã Joaquim Matheus Rodrigues Pinheiro, Francisco Navarro
The aim of this study was to determine the effects of resistance training on the immunologic response, body composition, tumor necrosis factor-alpha (TNF-alpha) gene expression obtained from blood leukocytes, and the cytokines interleukin-6, TNF-alpha, and C-reactive protein (CRP), in the elderly women (mean age 63 ± 2 y). A randomized controlled trial was performed using a bi-set training method for eight weeks in nineteen elderly women. Peripheral blood samples were collected by puncture in pretraining (Pre) and posttraining (Post) moments...
2018: Journal of Aging Research
https://www.readbyqxmd.com/read/30502871/use-of-oral-anticoagulants-in-complex-clinical-situations-with-atrial-fibrillation
#15
Alejandra Gullón, Demetrio Sánchez Fuentes, Esteban López-de-Sá, Julio Martí-Almor, Gonzalo Barón-Esquivias, Jesús Jiménez López, María Del Mar Contreras Muruaga, Carmen Suárez Fernández
The present article provides an update on anticoagulant treatment in patients with atrial fibrillation in distinct clinical scenarios requiring particular considerations, such as ischaemic heart disease, electrical cardioversion, pulmonary vein ablation, the presence of valvular disease with or without prosthetic valves, and renal insufficiency, as well as old age and frailty. In patients with non-valvular atrial fibrillation, the presence of renal insufficiency increases both thrombotic and haemorrhagic risk...
June 2018: Medicina Clínica
https://www.readbyqxmd.com/read/30498045/impact-of-resilience-on-health-in-older-adults-a-cross-sectional-analysis-from-the-international-mobility-in-aging-study-imias
#16
Siu Yu Zoe Lau, Ricardo Oliveira Guerra, Juliana Fernandes de Souza Barbosa, Susan P Phillips
OBJECTIVES: Self-rated health (SRH) is a predictor of objective health measures, including mortality and morbidity. The link between resilience and SRH among the elderly is unclear. We aim to examine whether resilience aligns with SRH and, secondarily, whether resilience can override the negative health consequences of adverse childhood experiences (ACE). DESIGN AND SETTING: We use 2012, 2014 and 2016 data from the International Mobility in Aging Study, a longitudinal cohort study that collects survey and biophysical data from Albania, Brazil, Colombia and Canada...
November 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/30497350/bone-metastases-and-age-are-associated-with-earlier-dose-reductions-in-metastatic-clear-cell-renal-cell-carcinoma-patients-treated-with-angiogenesis-inhibitors
#17
Lorenz Haaker, Elisabeth De Meue, Hans Wildiers, Annelies Verbiest, Herlinde Dumez, Evelyne Lerut, Steven Pans, Maarten Albersen, Benoit Beuselinck
BACKGROUND: Metastatic clear-cell renal cell carcinoma (m-ccRCC) patients with bone metastases (BM) treated with vascular endothelial growth factor receptor (VEGFR) tyrosine kinase inhibitors (TKI) have a poorer outcome compared to patients without BM. We aimed to investigate whether an increased incidence of VEGFR-TKI treatment interruptions and/or dose reductions in patients with BM could explain this difference in outcome. PATIENTS AND METHODS: Retrospective study on m-ccRCC patients treated in first-line with VEGFR-TKI...
November 29, 2018: Acta Clinica Belgica
https://www.readbyqxmd.com/read/30484561/active-aging-prevalence-and-gender-and-age-differences-in-a-population-based-study
#18
Neuciani Ferreira da Silva Sousa, Margareth Guimarães Lima, Chester Luiz Galvão Cesar, Marilisa Berti de Azevedo Barros
The aim of this study was to analyze prevalence rates and gender and age differences in indicators of active aging in elders participating in the Campinas Municipal Health Survey in Campinas, São Paulo State, Brazil (2014-2015). We estimated prevalence rates for participation by the elderly in twelve activities pertaining to four dimensions and calculated the prevalence ratios with Poisson regression. The study population consisted of 986 elderly. The results showed that 40.2% of the elderly participated in sociocultural activities, 25...
November 23, 2018: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/30484535/thalidomide-in-plasma-cell-balanitis-refractory-to-conventional-topical-treatment
#19
Lucas Mariano Serrão, Karina Demoner de Abreu Sarmenghi, Barbara Christina Bonino Pereira Pinto, Paulo Bittencourt de Miranda
Zoon's plasma cell balanitis is a chronic genital inflammatory dermatosis that affects uncircumcised men, especially the elderly. It's characterized by painless erythematous plaques of orange hue, located on the glans penis and foreskin. Circumcision is the most effective treatment; however, it can be hard for patients to accept. As an alternative, topical calcineurin inhibitors are used, with good response. This article reports the case of a 32-year-old patient, HIV carrier, diagnosed with Zoon's plasma cell balanitis...
November 2018: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/30484534/granuloma-annulare-on-the-palms-in-an-elderly-patient
#20
Danielle Santana Mello, Mariana Rita de Novaes Fernandes, Alexandre Carlos Gripp, Maria de Fátima Guimarães Scotelaro Alves
Granuloma annulare is a relatively common, idiopathic, benign inflammatory dermatosis, with a varied clinical presentation that often makes diagnosis difficult. It mainly affects the extremities, such as the dorsa of the hands and feet, forearms and legs. Palmar and plantar regions are generally spared. It occurs mainly in young female patients. The presentation of the palmar variant in an elderly patient is a rarity.
November 2018: Anais Brasileiros de Dermatologia
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