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Elderly and falls

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https://www.readbyqxmd.com/read/28923660/factors-influencing-short-term-outcomes-for-older-patients-accessing-emergency-departments-after-a-fall-the-role-of-fall-dynamics
#1
Caterina Trevisan, Patrizia Di Gregorio, Eugenio Debiasi, Martina Pedrotti, Mario La Guardia, Enzo Manzato, Giuseppe Sergi, Albert March
BACKGROUND: While the relevance of falls in raising the risk of fractures, hospitalization and disability in older age is well recognized, the factors influencing the onset of fractures and the need for ward admission after a fall have yet to be fully elucidated. We investigated which factors and fall dynamics were mainly associated with fall-related injuries and hospitalization among elderly persons accessing the Emergency Department (ED) following a fall. METHODS: The study involved 2144 older subjects who accessed the ED after a fall...
September 13, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28918198/are-we-missing-hypoglycaemia-elderly-patients-with-insulin-treated-diabetes-present-to-primary-care-frequently-with-non-specific-symptoms-associated-with-hypoglycaemia
#2
Suzy V Hope, Phil J Taylor, Beverley M Shields, Andrew T Hattersley, Willie Hamilton
INTRODUCTION: We assessed if patients with known hypoglycaemia present on other occasions with non-specific symptoms associated with (but not diagnosed as) hypoglycaemia, potentially representing missed hypoglycaemia. METHODS: 335 primary care records (5/2/12-4/2/13) from patients aged >65 (79 on insulin, 85 on sulphonylureas, 121 on metformin only, 50 without diabetes) were assessed for hypoglycaemia episodes and consultations with non-specific symptoms, "hypo clues"...
September 11, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28917333/-nursing-homes-and-fall-in-the-consumption-of-psychotropic-medications
#3
Régis Giet, Claudine Bonet
The consumption of psychotropic drugs in elderly people remains a concern in France, including in nursing homes. A comparative analysis of prescriptions for psychotropic medication in nursing homes in 2013 and 2015 based on the computer system of the French national health insurance scheme shows a significant reduction in the prescribing of these medications. Example of a nursing home in Dijon.
September 2017: Soins. Gérontologie
https://www.readbyqxmd.com/read/28916557/study-of-fall-risk-increasing-drugs-in-elderly-patients-before-and-after-a-bone-fracture
#4
Mónica Beunza-Sola, Ángel M Hidalgo-Ovejero, Jon Martí-Ayerdi, José Germán Sánchez-Hernández, Miguel Menéndez-García, Serafín García-Mata
BACKGROUND: Accidental falls have a significant economic and human impact. The use of certain drugs is one of the modifiable risk factors associated with these events. OBJECTIVE: The aim of this study was to determine the prevalence of use and to explore changes in treatment with fall-related drugs in patients over 65 years of age admitted as a result of a fall-related fracture. METHODS: Observational and prospective study performed in a tertiary level hospital...
September 15, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28914864/-hyponatremia-a-clinical-approach
#5
D Yu Shchekochikhin, N L Kozlovskaya, F Yu Kopylov, A L Syrkin, E M Shilov
Hyponatremia is the most common electrolyte metabolic abnormality in clinical practice. The unfavorable course of many diseases is associated with hyponatremia. Acute severe hyponatremia is life-threatening because cerebral edema may develop. Less obvious chronic hyponatremia increases the risk of balance problems, falls and fractures, especially in elderly patients. In any occasion, hyponatremia should not be now regarded only as a laboratory phenomenon in critically ill patients, but it necessitates a thorough clinical analysis of each individual case and appropriate therapy...
2017: Terapevticheskiĭ Arkhiv
https://www.readbyqxmd.com/read/28913991/seasonal-cycle-and-relationship-of-seasonal-rhino-and-influenza-virus-epidemics-with-episodes-of-asthma-exacerbation-in-different-age-groups
#6
Seung Won Lee, Shinhae Lee, Youn Ho Sheen, Eun Kyo Ha, Sun Hee Choi, Min Suk Yang, Sohyun Hwang, Sung Soon Kim, Jang Hoon Choi, Man Yong Han
PURPOSE: Seasonal variations in asthma exacerbation (AE) are associated with respiratory virus outbreaks and the return of children to school after vacation. This study aims to elucidate the period, phase, and amplitude of seasonal cycles of AE in 5 different age groups with regard to rhino- and influenza virus epidemics in Korea. METHODS: The number of daily emergency department (ED) visits for AE in all age groups of Korea and the nationwide weekly incidence of rhino- and influenza virus, were obtained for 2008-2012...
November 2017: Allergy, Asthma & Immunology Research
https://www.readbyqxmd.com/read/28912809/the-biphasic-effect-of-vitamin-d-on-the-musculoskeletal-and-cardiovascular-system
#7
REVIEW
Armin Zittermann
This narrative review summarizes beneficial and harmful vitamin D effects on the musculoskeletal and cardiovascular system. Special attention is paid to the dose-response relationship of vitamin D with clinical outcomes. In infants and adults, the risk of musculoskeletal diseases is highest at circulating 25-hydroxyvitamin D (25OHD) concentrations below 25 nmol/L and is low if 40-60 nmol/L are achieved. However, evidence is also accumulating that in elderly people the risk of falls and fractures increases again at circulating 25OHD levels > 100 nmol/L...
2017: International Journal of Endocrinology
https://www.readbyqxmd.com/read/28910753/fall-prevalence-time-trend-and-its-related-risk-factors-among-elderly-people-in-china
#8
Hong Wu, Peng Ouyang
OBJECTIVES: To study the fall prevalence, time trends and related risk factors among elderly people in the Chinese mainland from 2011 to 2013. METHODS: Our data were from China Health and Retirement Longitudinal Study in 2011 and 2013. The population sample included people aged 60 years and over. Whether the person had experienced fall accident in the last two years was used to measure fall incidence. The time trend and age groups were investigated through the chi-square test...
September 1, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28902149/highly-portable-sensor-based-system-for-human-fall-monitoring
#9
Aihua Mao, Xuedong Ma, Yinan He, Jie Luo
Falls are a very dangerous situation especially among elderly people, because they may lead to fractures, concussion, and other injuries. Without timely rescue, falls may even endanger their lives. The existing optical sensor-based fall monitoring systems have some disadvantages, such as limited monitoring range and inconvenience to carry for users. Furthermore, the fall detection system based only on an accelerometer often mistakenly determines some activities of daily living (ADL) as falls, leading to low accuracy in fall detection...
September 13, 2017: Sensors
https://www.readbyqxmd.com/read/28901958/pilot-study-of-the-tart-cherry-juice-for-the-treatment-of-insomnia-and-investigation-of-mechanisms
#10
Jack N Losso, John W Finley, Namrata Karki, Ann G Liu, Alfredo Prudente, Russell Tipton, Ying Yu, Frank L Greenway
BACKGROUND: Insomnia is common in the elderly and is associated with chronic disease, but use of hypnotics increases the incidence of falls. Montmorency tart cherry juice has improved insomnia by self-report questionnaire. STUDY QUESTION: Is insomnia confirmed by polysomnography and is tryptophan availability a potential mechanism for treating insomnia? STUDY DESIGN: A placebo-controlled balanced crossover study with subjects older than 50 years and insomnia were randomized to placebo (2 weeks) or cherry juice (2 weeks) (240 mL 2 times/d) separated by a 2-week washout...
March 27, 2017: American Journal of Therapeutics
https://www.readbyqxmd.com/read/28899731/combined-physical-cognitive-training-enhances-postural-performances-during-daily-life-tasks-in-older-adults
#11
Rabeb Laatar, Hiba Kachouri, Rihab Borji, Haithem Rebai, Sonia Sahli
Physical-cognitive interventions seem promising to improve balance and gait performances and prevent falls in the elderly. Although these beneficial effects, it is still not clear whether these physical-cognitive training modalities leads to more general non-specific adaptations that can be transferred to some measures reflecting every day abilities. This randomized controlled trial examined postural (center of pressure oscillations), physical (lower body strength, gait speed, functional mobility, dynamic balance) and cognitive performances (reaction time) and postural performance during daily life tasks (walking while conversing on a phone and maintaining an upright standing posture while buttoning a shirt) in older adults (66...
September 9, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28898800/texting-during-stair-negotiation-and-implications-for-fall-risk
#12
Rami Hashish, Megan E Toney-Bolger, Sarah S Sharpe, Benjamin D Lester, Adam Mulliken
BACKGROUND/AIM: Walking requires the integration of the sensory and motor systems. Cognitive distractions have been shown to interfere with negotiation of complex walking environments, especially in populations at greater risk for falls (e.g. the elderly). With the pervasiveness of mobile messaging and the recent introduction of augmented reality mobile gaming, it is increasingly important to understand how distraction associated with the simultaneous use of a mobile device impacts navigation of the complex walking environments experienced in daily life...
September 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28895917/uwb-monitoring-system-for-aal-applications
#13
Jerzy Kolakowski, Vitomir Djaja-Josko, Marcin Kolakowski
Independent living of elderly persons in their homes requires support that can be provided with modern assistive technologies. Monitoring of elderly persons behaviour delivers valuable information that can be used for diagnosis and detection of health problems as well as triggering alerts in emergency situations. The paper includes a description of the ultra wideband system developed within Networked InfrasTructure for Innovative home Care Solutions (NITICS) Active and Assisted Living (AAL) project. The system can be used as a component of AAL platforms...
September 12, 2017: Sensors
https://www.readbyqxmd.com/read/28894077/-experience-of-frailty-in-korean-elderly-a-phenomenological-study-utilizing-the-colaizzi-method
#14
Jin Kyoung Park
PURPOSE: This study attempts to explore the subjective experience of frailty among elderly individuals in Korea. METHODS: From June to August in 2014, 11 elderly persons who had experienced frailty in a community were interviewed. For data analysis, the method suggested by Colaizzi was applied as a phenomenological method. RESULTS: According to the analysis, the study participants' frailty process was structured in seven categories: (a) 'natural phenomenon with ageing,' (b) 'life force comes to an end,' (c) 'the light in my heart turns off,' (d) 'unavoidable situation,' (e) 'continuous and connected vicious cycle,' (f) 'the limit of recovery energy already passes,' and (g) 'life is supported by someones help...
August 2017: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/28893187/does-dual-task-training-improve-walking-performance-of-older-adults-with-concern-of-falling
#15
B Wollesen, S Schulz, L Seydell, K Delbaere
BACKGROUND: Older adults with concerns of falling show decrements of gait stability under single (ST) and dual task (DT) conditions. To compare the effects of a DT training integrating task managing strategies for independent living older adults with and without concern about falling (CoF) to a non-training control group on walking performance under ST and DT conditions. METHODS: Single center parallel group single blind randomized controlled trial with group-based interventions (DT-managing balance training) compared to a control group (Ninety-five independent living older adults; 71...
September 11, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28888685/predictive-factors-of-hospital-stay-mortality-and-functional-recovery-after-surgery-for-hip-fracture-in-elderly-patients
#16
T Pareja Sierra, I Bartolomé Martín, J Rodríguez Solís, L Bárcena Goitiandia, M Torralba González de Suso, M D Morales Sanz, M Hornillos Calvo
OBJECTIVES: Due to its high prevalence and serious consequences it is very important to be well aware of factors that might be related to medical complications, mortality, hospital stay and functional recovery in elderly patients with hip fracture. MATERIAL AND METHODS: A prospective study of a group of 130 patients aged over 75 years admitted for osteoporotic hip fracture. Their medical records, physical and cognitive status prior to the fall, fracture type and surgical treatment, medical complications and functional and social evolution after hospitalization were evaluated...
September 6, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/28886736/what-do-we-know-about-the-needs-and-challenges-of-health-systems-a-scoping-review-of-the-international-literature
#17
Federico Roncarolo, Antoine Boivin, Jean-Louis Denis, Rejean Hébert, Pascale Lehoux
BACKGROUND: While there is an extensive literature on Health System (HS) strengthening and on the performance of specific HSs, there are few exhaustive syntheses of the challenges HSs are facing worldwide. This paper reports the findings of a scoping review aiming to classify the challenges of HSs investigated in the scientific literature. Specifically, it determines the kind of research conducted on HS challenges, where it was performed, in which health sectors and on which populations...
September 8, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28886493/the-elderly-and-falls-factors-associated-with-quality-of-life-a-cross-sectional-study-using-large-scale-national-data-in-korea
#18
Jin-Won Noh, Kyoung-Beom Kim, Ju Hyun Lee, Byeong-Hui Lee, Young Dae Kwon, Seon Heui Lee
OBJECTIVE: To investigate the factors of fall injury and measuring the relationship between health-related quality of life in the elderly. METHODS: We analyzed the data on 38,627 persons of aged 65 years or older who have experienced falls drawn from the Korean Community Health Survey 2011. Binomial logistic regression analysis was performed with crude and adjusted odds ratios and 95% confidence intervals. RESULTS: It was found that sex (OR: 1...
September 1, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28884108/characteristics-and-clinical-aspects-of-patients-with-spinal-cord-injury-undergoing-surgery
#19
João Simão de Melo-Neto, Lara Eduarda Leite Vidotto, Fabiana de Campos Gomes, Dionei Freitas de Morais, Waldir Antonio Tognola
OBJECTIVE: To identify the characteristics of patients with spinal cord injury (SCI) undergoing surgery. METHODS: Previously, 321 patients with SCI were selected. Clinical and socio-demographic variables were collected. RESULTS: A total of 211 patients were submitted to surgery. Fall and injuries in the upper cervical and lumbosacral regions were associated with conservative treatment. Patients with lesions in the lower cervical spine, worse neurological status, and unstable injuries were associated with surgery...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28878544/proximal-humerus-fracture-dislocation-leading-to-axillary-artery-injury-in-an-young-adult-case-report-of-an-unusual-presentation
#20
Jeya Venkatesh Palanisamy, Aruljothi Vaithilingam, Arkesh M, Saubhik Das, Vivek Trikha
Proximal humerus fractures constitute five percent of all fracture cases. Though rare, severely comminuted proximal humerus fractures can cause injury to neurovascular structure. Majority of these injuries reported in literature were in elderly age group from low velocity injury owing to loss of elasticity of vessel wall. We report a case of proximal humerus fracture dislocation associated with axillary artery injury in a young male due to fall of heavy iron object. Timely exploration and removal of impinging bone fragment restored the blood supply...
August 2017: Journal of Clinical Orthopaedics and Trauma
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