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Aged 80 and older

Ismail Altintop, Mehmet Tatli
AIM: Elderly physical abuse (EPA) is defined as injury or assault to or the restriction of an elderly person. Although EPA is an important social problem, its diagnosis is difficult because of tendency to cover up the event. In this study, patients aged 65 years and over who presented at the emergency department (ED) for forensic reasons and in whom physical abuse was suspected were examined. The aim of this study was to raise ED awareness of EPA and thereby to contribute to treatment plans for these patients in the ED...
August 13, 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Huong Thi Thu Nguyen, Mackenzie Pi Moir, Thanh Xuan Nguyen, Anh Phuong Vu, Long Hoang Luong, Tam Ngoc Nguyen, Long Hoang Nguyen, Bach Xuan Tran, Tung Thanh Tran, Carl A Latkin, Melvyn Wb Zhang, Roger Cm Ho, Huyen Thanh Thi Vu
Background: Health-related quality of life (HRQoL) is an important indicator for designing care and treatment services for patients with diabetes. This is especially true given its rapid increase among the elderly population in Vietnam. HRQoL data in elderly diabetic Vietnamese are currently limited. This study aimed to 1) measure the HRQoL of elderly patients with type 2 diabetes (T2DM) in Vietnam and 2) identify related factors and their relationship with HRQoL. Patients and methods: A cross-sectional study was conducted...
2018: Patient Preference and Adherence
John D Rodriguez, Keith Lane, David A Hollander, Aron Shapiro, Sunita Saigal, Andrew J Hertsenberg, Garrick Wallstrom, Divya Narayanan, Endri Angjeli, Mark B Abelson
Purpose: To identify parameters from cone function and recovery after photostress that detect functional deficits in early non-exudative age-related macular degeneration (AMD) and to determine the repeatability of these parameters. Methods: Cone-mediated visual function recovery after photostress was examined in three groups of subjects: young normal subjects (ages 20-29; N=8), older normal subjects (ages 50-90; N=9), and early non-exudative AMD subjects (ages 50-90; N=12)...
2018: Clinical Ophthalmology
Daniel C Austin, Michael T Torchia, Wayne E Moschetti, David S Jevsevar, Benjamin J Keeney
BACKGROUND: Patients aged 80 and above who suffer from end-stage osteoarthritis may benefit from total knee arthroplasty (TKA), but at high potential risk. Additionally, there is controversy about whether functional improvement in patients above age 80 is similar to younger patients. We compared functional improvement, length of stay (LOS), and facility discharge rates after TKA between this cohort and patients less than 80 years of age. METHODS: We completed a retrospective cohort study comparing TKA patients aged 80 and above with all patients younger than 80...
July 19, 2018: Journal of Arthroplasty
Shi-Yi Wang, Jessica B Long, Brigid K Killelea, Suzanne B Evans, Kenneth B Roberts, Andrea L Silber, Amy J Davidoff, Tannaz Sedghi, Cary P Gross
PURPOSE: To examine associations between pre-operative magnetic resonance imaging (MRI) use and clinical outcomes among women undergoing breast-conserving surgery (BCS) with or without radiotherapy for early-stage breast cancer. METHODS: We identified women from the Surveillance, Epidemiology, and End Results-Medicare dataset aged 67-94 diagnosed during 2004-2010 with stage I/II breast cancer who received BCS. We compared subsequent mastectomy and breast cancer mortality with versus without pre-operative MRI, using Cox regression and competing risks models...
August 11, 2018: Breast Cancer Research and Treatment
Grazia Canciello, Costantino Mancusi, Maria Angela Losi, Raffaele Izzo, Bruno Trimarco, Giovanni de Simone, Nicola De Luca
BACKGROUND: Aortic root (AR) dimension (ARD) at the Valsalva sinuses has been associated with incident cardiovascular (CV) events in population-based studies, but this effect could be due to the association with increased left ventricular (LV) mass. There is also uncertainty on how to define clear-cut AR dilatation. Thus, we analyzed the Campania Salute Network (CSN) registry to (i) establish criteria for evaluation of ARD, (ii) propose cut-points for AR dilatation, and (iii) determine whether AR dilatation has prognostic value independent of LV hypertrophy (LVH)...
July 14, 2018: American Journal of Hypertension
Ruth Elisa Eyl, Lena Koch-Gallenkamp, Lina Jansen, Viola Walter, Prudence Carr, Michael Hoffmeister, Jenny Chang-Claude, Hermann Brenner, Volker Arndt
PURPOSE: Since physical activity (PA) has been shown to be associated with better prognosis and quality of life (QOL) in colorectal cancer (CRC) patients, this study focuses on the barriers of PA among CRC survivors. METHODS: This study is based on a population-based study from Germany of 1343 women and men, diagnosed with CRC between 2003 and 2008 and being alive five years later. Multivariable logistic regression was used to explore associations between baseline as well as five-year follow-up (5YFU) characteristics and physical inactivity (PIA) at 5YFU...
August 10, 2018: Journal of Cancer Survivorship: Research and Practice
Arritxu Etxeberria, Josune Iribar, Rafael Rotaeche, Kalliopi Vrotsou, Iosu Barral
BACKGROUND AND OBJECTIVE: Several interventions have been shown to reduce polypharmacy and potentially inappropriate prescription (PIP). The objective of the study was to evaluate the number of drugs and PIP before and after an educational intervention with the Primary Care physician (PCP), with electronic identification of PIP and structured medication review, in elderly patients with excessive polypharmacy (≥10 drugs). MATERIAL AND METHODS: A before-after intervention study was conducted in the Gipuzkoa district of Osakidetza (Basque Country Health System), in a random sample of patients older than 80 years taking ≥ 10 drugs, and whose PCP attended training sessions...
August 7, 2018: Revista Española de Geriatría y Gerontología
Julia M Guerin, Marc L Copersino, David J Schretlen
BACKGROUND: The Geriatric Depression Scale, Short Form (GDS-15) is a widely-used depression rating scale for elderly adults. It might be useful for persons across the adult lifespan, but more research is needed to support its clinical utility with young and middle-aged adults. METHODS: We examined the classification accuracy of the GDS-15 in identifying depression cases and non-cases in adults aged 18-54 (n = 199) compared to those aged 55-80 (n = 112), using the standard cutoff score of 5...
July 20, 2018: Journal of Affective Disorders
Michelle Eykelenboom, Elizabeth Velema, Berend P D Eberson, Gillian C Scholten, Valerié K Lushpa, Ingrid H M Steenhuis
BACKGROUND: Portion and package sizes of foods generally influence energy intake in children and adults. However, little is known about this effect in older adults. This study aimed to determine the effect of increasing package size on usage volume of peanut butter in older adults. Furthermore, it is investigated whether older women and men, different age groups (<65, 65-80, and 80+), and non-overweight (BMI<25), overweight (BMI≥25) and obese (BMI>30) older adults had different responses to variation in package size...
August 7, 2018: Appetite
Igor Grabovac, Sandra Haider, Eva Winzer, Ali Kapan, Karin E Schindler, Christian Lackinger, Thomas E Dorner
OBJECTIVE: To measure health effects in lay volunteers who made home visits consisting of social interaction, nutritional and physical exercise interventions to pre-frail and frail older people (trial registration, NCT01991639). METHODS: After baseline, participants were followed-up at 12 (V1) and 24 (V2) weeks. A one-repetition maximum (1-RPM) and handgrip were measured with the Concept2®DYNO and a dynamometer. The Physical Activity Scale for the Elderly was used to assess physical activity, and Food Frequency Questionnaire and the Mediterranean Diet Adherence Screener for nutrition...
August 9, 2018: Wiener Klinische Wochenschrift
Mariana L Henry, Jiangong Niu, Ning Zhang, Sharon H Giordano, Mariana Chavez-MacGregor
OBJECTIVES: This study sought to determine the rate of chemotherapy-related cardiotoxicity and to estimate adherence to recommendations for cardiac monitoring among breast cancer patients treated with chemotherapy. BACKGROUND: Heart failure (HF) is a known complication associated with cancer therapies. Little is known regarding the rate of chemotherapy-related cardiotoxicity and adherence to recommendations for cardiac monitoring among chemotherapy-treated breast cancer patients...
August 2018: JACC. Cardiovascular Imaging
M S Osborne, S Krishna, A George, D Costello, R Corbridge
Surgical tracheostomy is a widely performed procedure to overcome upper airway obstruction and allow lung toileting and long term ventilation. According to Hospital Episode statistic data 2150 temporary tracheostomies (E42.3) were performed in 2015-16. 1366 on male 783 female of which 47% (1019) were performed as emergences. During this time most commonly they performed on patients between 60-68 years of age, 200 were performed on patients older than 80 (see table 1). This article is protected by copyright...
August 9, 2018: Clinical Otolaryngology
Yun Jung Lee, SuJin Song, YoonJu Song
PURPOSE: Although an Asian diet is typically high in carbohydrate and low in fat, there has been a steady increase in the rate of cardiometabolic disease in Asian countries over the past decade. We evaluated food patterns of a high-carbohydrate diet and examined their associations with metabolic disease. MATERIALS AND METHODS: Using data from the 2013-2015 Korean National Health and Nutrition Examination Survey, we included a total of 13106 subjects aged 20 years or older in this study...
September 2018: Yonsei Medical Journal
Leo Kyi, Rangi Kandane-Rathnayake, Eric Morand, Lynden J Roberts
BACKGROUND: Hospital admissions for patients with back pain are increasing. Despite their significant contribution to the health-care burden they remain largely unstudied. AIM: To investigate the management and clinical outcomes of patients with acute back pain admitted to hospital under general medicine units when compared to a rheumatology unit. METHODS: A 36-month retrospective, observational study on patients presenting to the Emergency Department with back pain who were subsequently admitted to 1 of 3 General Medicine Units (GM) or a Rheumatology Unit (RU)...
August 8, 2018: Internal Medicine Journal
Teresa L Rogstad, Adam C Powell, Yongjia Song, Tristan Cordier, Stephen E Price, James W Long, Uday U Deshmukh, Jeffrey D Simmons
BACKGROUND: Recipients of ICD are likely to have several risk factors that could interfere with successful use of implantable cardioverter defibrillators (ICDs). HYPOTHESIS: Age, sex, and factors indicated in claims are associated with one-year mortality and complications after ICD placement. METHODS: Adult Medicare Advantage patients who underwent outpatient ICD implantation from January 2014 to September 2015 were included. Age, sex, Charlson Comorbidity Index (CCI), prior year hospitalization and emergency department (ED) visit, diabetes, heart failure, ischemic heart disease, and indicators of the need for pacing were evaluated as risk factors...
August 9, 2018: Clinical Cardiology
G P Fadini, A Solini, M L Manca, G Zatti, I Karamouzis, A Di Benedetto, L Frittitta, A Avogaro
AIMS: Type 2 diabetes (T2D) accelerates the decline in glomerular function; however, some individuals do not develop chronic kidney disease despite advanced age and long-lasting T2D. We aimed to phenotype patients with T2D aged 80 years or older who presented with a fully preserved kidney function. METHODS: From an Italian population of 281,217 T2D outpatients, we collected data on demographics, anthropometrics, diabetes duration, HbA1c, fasting plasma glucose, lipids, liver enzymes, estimated glomerular filtration rate (eGFR), albumin excretion rate (AER), chronic complications, and medication use...
August 9, 2018: Acta Diabetologica
Tianwu Chen, Austin Wetzler, Scott Singer, Michael Feldman, David Rubenstein, Gunnar Gillespie, Shiyi Chen, Merrick Wetzler
Background: Arena football is an indoor version of American football played in indoor arenas on a smaller field with 8 players per team. Only 1 study has evaluated injury rates in arena football, and no study had compared 2 distinct cohorts of players. Purpose/Hypothesis: The purpose of this study was to evaluate and compare injury rates in American versus Chinese athletes in the Chinese Arena Football League. Our hypothesis was that the rate of significant injuries (≥7 days of time lost from play) would be statistically significantly higher in Chinese athletes...
June 2018: Orthopaedic Journal of Sports Medicine
Cheryl L Craigs, Robert M West, Adam Hurlow, Michael I Bennett, Lucy E Ziegler
BACKGROUND: The UK National Health Service is striving to improve access to palliative care for patients with advanced cancer however limited information exists on the level of palliative care support currently provided in the UK. We aimed to establish the duration and intensity of palliative care received by patients with advanced cancer and identify which cancer patients are missing out. METHODS: Retrospective cancer registry, primary care and secondary care data were obtained and linked for 2474 patients who died of cancer between 2010 and 2012 within a large metropolitan UK city...
2018: PloS One
Ellen N Sutter, Anna E Mattlage, Marghuretta D Bland, Kendra M Cherry-Allen, Elinor Harrison, Swati M Surkar, Jeffrey M Gidday, Ling Chen, Tamara Hershey, Jin-Moo Lee, Catherine E Lang
Remote limb ischemic conditioning (RLIC) is a clinically feasible method of promoting tissue protection against subsequent ischemic insult. Recent findings from our lab demonstrated that RLIC robustly enhances motor learning in young, healthy humans. The next step is to determine which individuals would receive maximum benefit from RLIC before applying these findings to clinical rehabilitation populations such as stroke. Numerous factors, such as age, sex, body mass index (BMI), and cardiovascular comorbidities may influence the response...
August 7, 2018: Translational Stroke Research
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