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senile hospitalized patients

Taro Yanagawa, Masaki Takao, Masami Yasuda, Tomoya Kamide, Hiroki Sato, Kaima Suzuki, Toshiki Ikeda, Yuichiro Kikkawa, Hiroki Kurita
OBJECTIVE: To evaluate the clinical and histopathological features of elderly patients with subcortical intracerebral hemorrhage (ICH), and to analyze the presence of cerebral amyloid angiopathy (CAA) and Alzheimer's disease (AD) type pathologic changes using amyloid beta (Aβ) and tau immunohistochemistry. PATIENTS AND METHODS: We retrospectively analyzed cases satisfying the Boston criteria for CAA among patients with subcortical hemorrhage who underwent surgical removal by craniotomy at our hospital...
November 29, 2018: Clinical Neurology and Neurosurgery
Nan-Jian Xu, Yun-Lin Chen, Wei-Yu Jiang, Wei-Hu Ma
OBJECTIVE: To explore the short-term efficacy of posterior percutaneous screw fixation combined with local percutaneous endoscopic debridement in treating senile spinal tuberculosis. METHODS: The clinical data of 19 senile patients with spinal tuberculosis underwent surgical treatment from January 2015 to September 2016 were retrospectively analyzed. There were 13 males and 6 females, aged from 60 to 73 years old with an average of (66.2±4.0) years. All patients have been diagnosed with spinal tuberculosis prior to hospitalization with abscess, dead bone formation but no sinus, neurological symptoms, open surgical indications...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Yong Zhou, Wen-Zhang Zha, Ren-Gen Fan, Guo-Qin Jiang, Xu-Dong Wu
BACKGROUND: there is an increasing incidence rate of cholecysto-choledocholithiasis associated with the increasing proportion of senile individuals. METHODS: a total of 100 elderly patients (over 80 years of age) suffering both from cholelithiasis and choledocholithiasis were retrospectively studied from January 2010 to December 2016. Patients were scheduled for either a single-stage or two-stage procedure. The LCBDE group (n = 54) included cases that underwent a single stage procedure of laparoscopic exploration of the common bile duct combined with cholecystectomy...
December 3, 2018: Revista Española de Enfermedades Digestivas
Subraham Pany, Lipilekha Patnaik, E Venkata Rao, Sumitra Pattanaik, Trilochan Sahu
Context: The care of sick members is the hallmark of a civilized society. End-of-life care and social security for elderly are emerging issues nowadays. Aims: The aim of this study is to explore the desires of the elderly regarding the end-of-life care decisions along with to find out social security measures among the study population. Settings and Design: The cross-sectional study conducted in the geriatric outpatient department of a tertiary care hospital...
October 2018: Indian Journal of Palliative Care
Ke Xu, Jie Ding, Bowen Shi, Yanyuan Wu, Yunteng Huang
The present study reported the clinical experience of using a PolyScope with holmium laser lithotripter in managing renal calculi in senile patients. Between December 2013 and December 2016, 157 senile patients (69.1±6.1 years old) were treated with PolyScope holmium laser lithotripsy for renal calculi at Xin Hua Hospital (Shanghai, China). The mean stone digitized surface area was 154.2±57.7 mm2 (range, 55.8-478.3 mm2 ). A thorough medical history investigation, and laboratory and radiological examination were followed by proper preoperative management...
September 2018: Experimental and Therapeutic Medicine
(no author information available yet)
According to the national survey data over the past five years, there are about 50.16 million elderly diabetic patients (≥60 years old) in China. With the increase in the total number of the elderly, this number will be expected to increase. Among the elderly patients, most of them are newly diagnosed, and are associated with a number of risk factors for cardiovascular diseases at the time of initial diagnosis. Those who were with young-onset have a long-term clinical course, and often complicated with diabetic chronic complications and potential organ dysfunctions...
September 1, 2018: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
Laís Gabriela Yokota, Beatriz Mota Sampaio, Erica Pires Rocha, André Luís Balbi, Iara Ranona Sousa Prado, Daniela Ponce
Acute kidney injury (AKI) is characterized by a sudden renal dysfunction with consequent increase of nitrogenous products, hydroelectrolytic and acid-base disorders. Its prevalence is high in hospitalized populations (4.9%-7.2%), especially in intensive care units (ICUs). Despite all the technical and therapeutic advances that have occurred in the last few decades, the overall mortality of AKI patients remains high, reaching 80% in ICU patients. Several conditions predispose a patient to progress with AKI, including age, sepsis, surgeries, and comorbidities, such as systemic arterial hypertension, diabetes mellitus, heart disease, neoplasia, and chronic renal disease...
2018: International Journal of Nephrology and Renovascular Disease
W L Wang, L H Zhang, J Cao, C F Li, Y G Wang, Y X Zhao
Objective: To investigate the pathogenic factors of vocal leukoplakia and its clinical and pathological features. Methods: Eighty-one patients with vocal cord leukoplakia who underwent surgery between February 2010 and December 2016 and 160 volunteers without pharyngeal symptoms designed as controls were included in this case control study. The clinicopathological characteristics of 81 patients were summarized and analyzed synthetically. Results: There was statistical significance in reflux symptom index(RSI), reflux finding score(RFS), smoking index, and drinking index between case group and control group( Z =-5...
August 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Haiwei Shi, Long Xiao, Zhifang Wang
Curative effect of artificial femoral head replacement on hip joint function and complications of elderly patients with femoral intertrochanteric fracture were investigated. Eighty patients who were operated for femoral intertrochanteric fractures operation were randomly divided into observation group (n=40) and control group (n=40). The observation group was treated with artificial femoral head replacement, while the control group received internal proximal femur locking plate fixation. In the observation group, the operation time was shorter than that in the control group (P<0...
August 2018: Experimental and Therapeutic Medicine
Li-Juan Wang, Xi-Feng Wu, Ling Sun, Wei Zhuang, Qiang Song
OBJECTIVE: To compare the clinical efficacy of small dose CAG regimen and MA regimen in the senile patients with acute myeloid leukemia(AML). METHODS: The clinical data of 83 senile patients with AML from Sep. 2012 to Sep. 2016 in our Hospital were analyzed retrospectively. According to the chemotherapy regimens, the patients were divided into CAG group and MA group; 36 patients in CAG group were treated with small dose CAG, while 47 patients in MA group were treated with MA...
August 2018: Zhongguo Shi Yan Xue Ye Xue za Zhi
V S Myakotnykh, E S Ostapchuk, V L Postovalova
There was held stationary survey of 661 patients in different age: 234 - from 60 to 102 years, 427 - from 18 to 59 years. Identify options for pathology, clearly increasing its prevalence in parallel with the increase of age. It is, first and foremost, diseases of musculoskeletal apparatus, gastrointestinal tract and cardiovascular system. At the same time, acute violations of cerebral circulation in the form of strokes, on the contrary, prevailed among persons under the age of 60 years, and an increase in the frequency of ischemic heart disease, angina without myocardial infarction among patients of elderly and senile age in relation to persons under the age of 60 years was insignificant...
2018: Advances in Gerontology, Uspekhi Gerontologii
Shahram Bamdad, Alireza Bolkheir, Mohammad Reza Sedaghat, Mahsa Motamed
Background: Age-related cataract is a leading cause of visual impairment, considered a global health burden, it is responsible for over 47% of blindness worldwide. Surgical intervention is usually the treatment of choice and phacoemulsification cataract surgery with implantation of an intraocular lens is the most common procedure, which may have several complications. Objectives: To determine the effects of phacoemulsification surgery on corneal endothelial cell density and corneal thickness in patients undergoing cataract surgery...
April 2018: Electronic Physician
Ling Yue, Hai Yu, Guanjun Li, Shifu Xiao
Patients who have senile depression with somatization symptoms are commonly encountered in clinical practice. The present case reports on a patient with senile depression who was repeatedly hospitalized and had somatic symptoms. Although the patient recovered after the first hospitalization, she suffered from a relapse one year later. As we followed up, due to the neurological findings and the response to treatment, we found that the patient is in line with the diagnoistic criteria for multiple system atrophy (MSA)...
December 25, 2017: Shanghai Archives of Psychiatry
Zhennan Zhao, Wen Wen, Chunhui Jiang, Yi Lu
PURPOSE: To use optical coherence tomography (OCT) angiography and a split-spectrum amplitude-decorrelation angiography algorithm to evaluate the changes in the macular vascular system after uncomplicated phacoemulsification. SETTING: Department of Ophthalmology, Eye and and Ear, Nose, and Throat Hospital of Fudan University, Shanghai, China. DESIGN: Prospective case series. METHODS: Patients with senile cataracts were included...
April 2018: Journal of Cataract and Refractive Surgery
Jie Zhu, Feng Guo, Jie Zhang, Chunli Mu
BACKGROUND: To investigate the correlation between senile osteoporosis and calcified plaques in the arteries and to study the common potential risk factors for loss of bone mass and calcified plaques in the arteries. METHODS: Eligible patients (≥60 years old) who received treatment in our hospital from January 2016 to December2016 were included in this study. Bone mineral density (BMD) was measured by dual-energy X-ray absorptiometry (DXA). Multivariate regression model was used to analyze the correlation of osteoporosis and loss of bone mass with the risk of calcified plaques in the carotid and coronary arteries...
April 24, 2018: Minerva Medica
Francesco Ciro Tamburrelli, Maria Concetta Meluzio, Giulia Masci, Andrea Perna, Aaron Burrofato, Luca Proietti
Spinal epidural hematoma (SEH) is a rare cause of nerve root or cord compression; its pathogenesis is not always clearly recognizable. The aim of this paper was to investigate possible etiopathological factors in a consecutive series of patients affected by traumatic SEH treated at our institution. Seven patients with neurologic impairment due to traumatic SEH were retrospectively analyzed after diagnosis and surgical treatment. Thoracic localization was found in 5 cases, and lumbar and cervical localization were found in 1 patient each...
March 2018: Neurospine
Austin John Maddy, Antonella Tosti
The elderly population is growing, lifespans are increasing, and a greater emphasis on geriatric care is being implemented in hospital systems. With a higher percentage of the population living longer, hair and nail diseases associated with the advanced stages of life are becoming more prevalent. Common hair diseases in the elderly include androgenetic alopecia, senile alopecia, frontal fibrosing alopecia, and erosive pustular dermatosis of the scalp. Nail diseases associated with advanced age include onychomycosis, brittle nails, onychocryptosis, onychoclavus, onychogryphosis, subungual hematomas, subungual exostosis, myxoid cysts, and malignancies...
March 2018: Clinics in Dermatology
Qing-Feng Shen, Xin Wen, Sheng-Wu Yang, Xin Chen, Wei-Xing Fan, Guo-Zhu Xu, Fang-Zheng Yu, Jun-Yi Zhu, Jian Wang
OBJECTIVE: To compare the clinical efficacy of minimally invasive percutaneous plate osteosynthesis(MIPPO)and open reduction and internal fixation (ORIF) in treating senile NEER IIproximal humerus fractures. METHODS: From March 2014 to March 2016, 46 elderly patients with Neer II proximal humerus fractures were retrospectively reviewed. Among them, 20 patients in MIPPO group included 9 males and 11 females with an average age of (70.4±4.4) years old; while 26 patients in ORIF group included 11 males and 15 females with an average age of (70...
February 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Ai-Jing Luo, Wei-Fu Chang, Zi-Rui Xin, Hao Ling, Jun-Jie Li, Ping-Ping Dai, Xuan-Tong Deng, Lei Zhang, Shao-Gang Li
AIM: To figure out the contributed factors of the hospitalization expenses of senile cataract patients (HECP) and build up an area-specified senile cataract diagnosis related group (DRG) of Shanghai thereby formulating the reference range of HECP and providing scientific basis for the fair use and supervision of the health care insurance fund. METHODS: The data was collected from the first page of the medical records of 22 097 hospitalized patients from tertiary hospitals in Shanghai from 2010 to 2012 whose major diagnosis were senile cataract...
2018: International Journal of Ophthalmology
Xiaojuan Ren, Wei Liu, Yi Liu
With overuse of the broad-spectrum antibiotics, the pulmonary fungal infection increasingly becomes the most common complication associated with senile pulmonary tuberculosis (TB) and attracts intensive attentions from clinicians. Here we presented the retrospective analysis of impact of fluconazole treatment on the clinical outcome and immune response in fungal co-infected tuberculosis patients. A randomized, double-blind, placebo-controlled trial of fluconazole (100 mg per day for consecutive weeks) in fungal-positive senile tuberculosis patients was conducted in our hospital...
April 2018: Microbial Pathogenesis
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