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problems with the elderly

Giovanna Elizabeth Cisneros, Berta Ausín
Anxiety is an emotional problem that causes discomfort and suffering to those that suffer from it. Anxiety disorders can affect the functioning in different facets of a person's life. Studies on the prevalence of anxiety disorders in people over 65 years show variable results, ranging between 0.1% and 17.2%. Most of these studies include samples of the general population, in which the population of people over 65 years is under-represented. These studies evaluate older people with the same diagnostic tools used to assess anxiety disorders in people under 65 years, and collect data from people between 65 and 75 years old, leaving out people aged 75 and over...
October 16, 2018: Revista Española de Geriatría y Gerontología
Roderik F Viergever, Nicki Thorogood, Judith Rlm Wolf, Mary Alison Durand
Smaller groups of victims of violence, abuse, neglect or exploitation - such as male victims of intimate partner violence (IPV), victims of elder abuse, victims of abuse by carers, victims of parent abuse, victims of human trafficking, girls and boys below 18 years engaging in sex work, victims of sexual exploitation by gangs or groups and victims of honour based violence (such as forced marriages and female genital mutilation) - are often in contact with the health care system without being identified as such and frequently do not receive appropriate treatment...
October 19, 2018: BMC International Health and Human Rights
Erni J Nelwan
Dengue viral infection remains a major public health problem. As many as 400 million people are infected yearly. Even though the vaccine is available, the use of dengue vaccine is still limited due to some concerns. Among patient infected with dengue viral infection, early recognition of the virus and prompt supportive treatment are important to avoid complication and mortality.The clinical spectrum of dengue viral infection is diverse ranging from undifferentiated fever to dengue shock syndrome characterized by plasma leak and hemoconcentration...
July 2018: Acta Medica Indonesiana
David Burnes, Ron Acierno, Melba Hernandez-Tejada
Objectives: The vast majority of elder abuse (EA) victims remain hidden from formal institutional response systems. Guided by the Behavioral Model of Health Services Use, this study examined factors that facilitate or impede formal help-seeking among victims of elder emotional abuse, physical abuse, and sexual abuse. Method: Data came from a national, population-based EA study in the U.S. with a representative sample (n=304) of past-year victims. Gold-standard strategies were used to assess EA subtypes...
October 17, 2018: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
Lea Kauffmann, Stephanie Heinemann, Wolfgang Himmel, Olaf Hußmann, Thilo Schlott, Vivien Weiß
Non-pharmacological treatment of hospital patients with sleeping problems - the nurse perspective Abstract. BACKGROUND: Elderly patients suffer from sleep disturbances during hospitalization. These patients often receive hypnotics and sedatives; despite of the known risks and although non-pharmacological treatments are available. AIM: The study investigates the experiences of nurses when using non-pharmacological treatments for elderly patients with sleeping problems...
October 16, 2018: Pflege
Namiko A Goto, Marije E Hamaker, Hanna C Willems, Marianne C Verhaar, Mariëlle H Emmelot-Vonk
PURPOSE: The aim of the current study was to evaluate the association between a decreased estimated glomerular filtration rate (eGFR) and accidental falling in elderly patients who visited the day clinic of the department of geriatric medicine of the University of Medical Center Utrecht (UMCU). STUDY DESIGN: A cross-sectional analysis with people aged ≥ 65 years of the Utrecht Cardiovascular Cohort was performed. Patients were stratified into different stages of kidney disease (< 45, 45-59, and ≥ 60 ml/min per 1...
October 15, 2018: International Urology and Nephrology
Maham Tariq, Junaid Khalid, Hafiza Suqaina Sania, Sunniya Sarfraz, Zeeshan Aslam, Laiba Qamar Butt
A cross sectional study was conducted in the Medical wards of Services Hospital Lahore from 17th May 2017 to 12th June 2017 to study the morbidity profile of chronic diseases in geriatric patients. Semi-structured questionnaires were used which were translated into the local language. In all 601 morbidities were documented by 171 subjects, with mean number of morbidities per person as 3.51±1.69. The most prevalent disease observed was Hypertension 105(61.4%), 42(50.6%) in males and 63(71.6%) in females. The 2nd most common was anaemia 80(46...
June 2018: JPMA. the Journal of the Pakistan Medical Association
A Maamari
INTRODUCTION: The proportion of the world's population over 60 years-old will double between the years 2000 and 2050, from about 11 to 22 %. Good oral hygiene, prevention and dental care play a key role in slowing down our functional abilities. MATERIAL AND METHODS: Literature analysis is conducted using the Pubmed and Google Scholar databases and the key words " Oral care and pneumonia, functional capacity and dental health, geriatric odontology, oral health care by the non- institutionalized and institutionalized elderly, bisphosphonate osteonecrosis, oral health problems and diet quality, caries and periodontal disease, caries risk assessment, xerostomia, Oral status and nutrition "...
2018: Revue Médicale de Bruxelles
Abbas Sedighinejad, Bahram Naderi Nabi, Hossein Ettehad, Ahmadreza Mirbolook, Zahra Atrkarroushan, Samaneh Ghazanfar Tehran, Gelareh Biazar, Mohammad Haghighi
Background: Hip fracture is one of the most common problems in elderly that needs surgical repair. As, the majority of these patients have chronic diseases, they are at increased risk of peri-operative mortality and morbidity. The purpose of this study was to evaluate spinal anesthesia with bupivacaine vs bupivacaine in combination with lidocaine in terms of hemodynamic changes in patients undergoing hip fracture surgery. Methods: This double-blind clinical trial was conducted on 292 patients undergoing surgery for hip fracture under spinal anesthesia...
September 2018: Archives of Bone and Joint Surgery
Selma Kahraman, Hülya Karataş
Background: We aimed to determine the existing state analysis of children on the street and also attending to a school. The children's ages were between 13-18 yr, attending grades between 7-12th grade. Methods: The sample group was 54,928 students in Sanliurfa, Turkey. The data were analyzed using Chi-square test ( P <0.05). Results: 82.8% of working children were male. 92.5% were elder than 12 yr old and 85.8 % had more than 4 siblings...
September 2018: Iranian Journal of Public Health
Hasan Kweder, Housam Eidi
Introduction: Vitamin D (VD) deficiency is a major public health problem worldwide. In spite of its high prevalence, particularly among elderly people, VD deficiency is still underestimated by many physicians. Increasingly, VD deficiency is associated with several known geriatric syndromes. Methods: The study sample consisted of 125 patients, aged 75 years and older, admitted to the acute geriatric unit. The plausible association between the serum 25-hydroxyvitamin D [25(OH)D] level and patient age, sex, body mass index, renal function, cholecystectomy history, and the prescribed drugs had been investigated...
October 2018: Avicenna Journal of Medicine
Mahbobeh Faramarzi, Maryam Zarin Kamar, Farzan Kheirkhah, Ahmad Karkhah, Ali Bijani, Seyed Reza Hosseini
Objective: Cognitive impairment is a major public health problem among elderly population. The aim of this study was to assess some psychosocial predictors of cognitive impairment (age, education, living alone, smoking, depression and social support) in the Iranian elderly population. Method : A total of 1612 elderly (over 60 years) were enrolled in this cross-sectional study. Cognitive function was assessed using Mini Mental State Examination (MMSE). In addition, data from psychological tests and demographic characteristics were analyzed...
July 2018: Iranian Journal of Psychiatry
Danielle M van der Laan, Petra J M Elders, Christel C L M Boons, Giel Nijpels, Liset van Dijk, Jacqueline G Hugtenburg
Introduction: Non-adherence to medication is a complex health care problem. In spite of substantial efforts, up till now little progress has been made to effectively tackle the problem with adherence-enhancing interventions. The aim of this study was to investigate the effectiveness of a patient-tailored, pharmacist-led and theory-driven intervention program aimed to enhance self-reported adherence to antihypertensive medication. Materials and Methods: A parallel-group randomized controlled trial in 20 community pharmacies with nine months follow-up was conducted...
2018: Frontiers in Pharmacology
Barbara J Boucher
Vitamin D deficiency is common, world-wide, but vitamin D repletion throughout life, and into older age, has accepted health benefits for bone. Many mechanisms through which vitamin D also benefits soft tissues are understood, and clinical evidence of such benefits is now accumulating, especially following re-analyses of trial data, which are revealing previously missed health benefits with correction of deficiency. Areas covered: The sources of vitamin D, its activation, mechanistic effects; problems of trials of supplementation for reducing health risks, the benefits shown for mortality, cardiovascular disease, infection and cancer; the global problem of vitamin D deficiency; age-related reductions in vitamin D efficacy, and currently recommended intakes...
October 5, 2018: Expert Review of Endocrinology & Metabolism
A Ayala, R Pujol, A Abellán
OBJECTIVE: The number of older people with functional or other problems that prevent them from going out of doors is unknown. The objective of this study was to estimate the prevalence of homebound status in Spain and to determine their main characteristics. MATERIAL AND METHODS: The Classification of Functioning, Disability and Health was used. Homebound status was defined according to the declared difficulty with regard to mobility outside the home: completely homebound (not able to leave home), semi-homebound (have serious difficulties but can leave with help), and the individuals without problems that were not homebound...
October 10, 2018: Semergen
Leif Mattisson, Alicja Bojan, Anders Enocson
BACKGROUND: Hip fractures are a major worldwide public health problem and includes two main types of fractures: the intracapsular (cervical) and the extracapsular (trochanteric and subtrochanteric) fractures. The aim of this study on patients with trochanteric and subtrochanteric hip fractures was to describe the epidemiology, treatment and outcome in terms of mortality within the context of a large register study. METHODS: A descriptive epidemiological register study including patients registered in the national Swedish Fracture Register from January 2014 to December 2016...
October 12, 2018: BMC Musculoskeletal Disorders
Agnieszka Bukowska-Damska, Elzbieta Skowronska-Jozwiak, Beata Peplonska
Osteoporosis is an important public health problem worldwide. Among the countries with a very high population risk of fractures, there are those with the highest level of economic development. Osteoporotic fractures are the main cause of disability among elderly people, and the resultant disabilities require particularly large financial support associated not only with the direct treatment of the fracture but also with the necessity for long-term rehabilitation and care for the disabled person. Many well-established factors can have impact on bone mass and fracture risk...
October 12, 2018: Chronobiology International
C W Barclay, S Jawad, E Foster
Although the edentulous population in the UK is falling, those that are rendered edentulous are becoming edentate later in life and with significantly resorbed ridges. This creates a challenge because the management of such patients and their ability to adapt to new dentures is impaired later in life. Despite widespread endorsement of two implants to retain lower complete dentures, the inability to comply has resulted in elderly patients with compromised ability to function and unable to eat a healthy diet...
October 11, 2018: European Journal of Prosthodontics and Restorative Dentistry
Gabriella Caleres, Åsa Bondesson, Patrik Midlöv, Sara Modig
BACKGROUND: Discharge summary with medication report effectively counteracts drug-related problems among elderly patients due to insufficient information transfer in care transitions. However, this requires optimal transfer and use of the discharge summaries. This study aimed to examine information transfer with discharge summaries from hospital to primary care. METHODS: A descriptive study with data consisting of discharge summaries of 115 patients, 75 years or older, using five or more drugs, collected during one week from 28 different hospital wards in Skåne county, Sweden...
October 11, 2018: BMC Health Services Research
Young Eun Kim, Han-Joon Kim, Ji Young Yun, Woong-Woo Lee, Hui-Jun Yang, Jong-Min Kim, Beomseok Jeon
OBJECTIVE: Musculoskeletal problems are more common in patients with Parkinson's disease (PD) than in normal elderly, but the impact of musculoskeletal problems on health-related quality of life (HRQoL) in patients with PD is unknown. METHODS: Four hundred consecutive patients with PD were enrolled for the evaluation of musculoskeletal problems and HRQoL. HRQoL was assessed by the 36-Item Short Form Health Survey, which comprised physical health and mental health...
September 2018: Journal of Movement Disorders
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