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prevalence problems with the elderly

S E Avetisov, V P Erichev, S Yu Petrov, A V Volzhanin
At present, phacoemulsification and trabeculectomy are the most widespread surgery methods in cataract and glaucoma treatment, generally recognized as the gold standard. Among elderly patients, comorbid glaucoma and cataract are extremely prevalent, so the order of the two surgeries and the time interval between them are pivotal choices when planning treatment strategy. The reason for it is that almost any eye surgery is considered a risk factor for long-term trabeculectomy effectiveness. In attempts to solve this problem, numerous studies have been conducted on the impact of cataract surgery on filtration bleb scarring...
2018: Vestnik Oftalmologii
C Ma, Y Jiang, Y Li, Y Zhang, X Wang, S Ma, Y Wang
OBJECTIVES: This article investigates the prevalence of, illness conditions associated with, and reasons for healthcare underutilization among middle-aged and elderly adults in China. It also identifies participants' characteristics associated with healthcare underutilization. STUDY DESIGN: A cross-sectional survey was conducted in Beijing and Henan in August 2016. METHODS: The survey was questionnaire-based. It focused on middle-aged and elderly persons aged 45 years and older...
November 19, 2018: Public Health
D G Balatsouras, G Koukoutsis, A Fassolis, A Moukos, A Apris
Balance disorders, unsteadiness, dizziness and vertigo in the elderly are a significant health problem, needing appropriate treatment. One third of elderly patients with vertigo were diagnosed with benign paroxysmal positional vertigo (BPPV), the most common cause of dizziness in both primary care specialist Neurology and Ear Nose Throat settings. BPPV presents a specific paroxysmal positional nystagmus which can be obtained using the appropriate diagnostic positional test and can be treated effectively using specific therapeutic maneuvers...
2018: Clinical Interventions in Aging
Timra J Bowerman, Jan Zhang, Louise M Waite
Background: Aspiration pneumonia is a common problem in older people with high mortality and increasing prevalence. Objective: The aims of this paper were to systematically review the literature on the antibacterial treatment of aspiration pneumonia in elderly patients and identify the microbiology of aspiration pneumonia. Materials and methods: EMBASE, MEDLINE, and Cochrane databases were systematically searched for studies that examined the clinical efficacy of antibiotic treatment in elderly patients with aspiration pneumonia...
2018: Clinical Interventions in Aging
Chichen Zhang, Yaqing Xue, Huining Zhao, Xiao Zheng, Ruifang Zhu, Yufeng Du, Jianzhong Zheng, Tingzhong Yang
BACKGROUND: In China, aging has become a serious social problem, and the number of empty-nest elderly is on the rise. The aim of this study is to clarify the prevalence of depressive symptoms among empty-nest elderly in Shanxi province and evaluate the effects of sociodemographic factors and health-promoting lifestyles so as to provide a scientific reference for preventing and intervening their depression. METHODS: A cross-sectional study, which used a multi-stage random cluster sampling way, was conducted among 4901 empty-nest elderly in Shanxi...
November 5, 2018: Journal of Affective Disorders
Maike Wolters, Dorothee Volkert, Melanie Streicher, Eva Kiesswetter, Gabriel Torbahn, Eibhlís M O'Connor, Mary O'Keeffe, Mary Kelly, Eileen O'Herlihy, Paul W O'Toole, Suzanne Timmons, Emma O'Shea, Patricia Kearney, Judith van Zwienen-Pot, Marjolein Visser, Isabelle Maitre, Virginie Van Wymelbeke, Claire Sulmont-Rossé, Gabriele Nagel, Marion Flechtner-Mors, Sabine Goisser, Ruth Teh, Antje Hebestreit
BACKGROUND & AIMS: Malnutrition is widespread among older people and related to poor outcome. Reported prevalences vary widely, also because of different diagnostic criteria used. This study aimed to describe prevalences in several populations of older persons in different settings using harmonized definitions. METHODS: Available studies within the Joint Programming Initiative (JPI) Knowledge Hub 'Malnutrition in the Elderly' (MaNuEL) were used to calculate and compare prevalences of malnutrition indicators: low BMI (<20 kg/m2 ; age-specific BMI <20 if age 65-<70 and <22 kg/m2 if age ≥70 years), previous weight loss (WL), moderate and severe decrease in food intake, and combined BMI <20 kg/m2 and/or WL in participants aged ≥65 years...
November 3, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Kelly Lie Nagai, Patricia Sayuri Katayose Takahashi, Lucia Mendes de Oliveira Pinto, Nicolina Silvana Romano-Lieber
Adverse drug reactions (ADRs) can cause illness, disability or death, especially in the elderly. An active search for suspected ADRs was carried out using triggers, which motivated the search of elderly people under care in adult emergency departments (ED). It was a cross-sectional and retrospective study that used an adaptation of the Institute of Health Care Improvement triggers. A total of 287 medical records were analyzed and 38 triggers were found, identifying 7 suspected ADRs. One was found without the use of triggers...
November 2018: Ciência & Saúde Coletiva
Claudio Andre Barbosa de Lira, Henrique Viana Taveira, Weverton Rufo-Tavares, Alexandre Dos Santos Amorim, Lucas Matos Costa Ferreira, Marilia Santos Andrade, Rodrigo Luiz Vancini
BACKGROUND: Aging is related to an increase in the prevalence of noncommunicable diseases and impairments in health-related quality of life. Physical activity is a nonpharmacological intervention that is known to prevent and manage noncommunicable diseases and improve quality of life. OBJECTIVES: To compare the quality of life, as measured by the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), of elderly participants and nonparticipants in a community physical activity program...
November 9, 2018: Value in Health Regional Issues
Tuo-Yu Chen, Soomi Lee, Margeaux M Schade, Yasuhiko Saito, Angelique Chan, Orfeu M Buxton
The association of sleep with pain is well documented among adult populations. Even though both sleep problems and pain are prevalent in older adults, the longitudinal and bidirectional relationship between sleep deficiency (i.e., insufficient and poor sleep) and pain is less well established. This study investigated the association between sleep deficiency and pain among community-dwelling adults aged 65 years and older across a 2-3 year period. We analyzed cross-country data from the Nihon University Japanese Longitudinal Study of Aging (N = 2888) and the Panel on Health and Aging of Singaporean Elderly (N = 2111)...
November 12, 2018: Sleep
Suleiman I Sharif, Alaa B Al-Harbi, Alaa M Al-Shihabi, Dana S Al-Daour, Rubian S Sharif
Background: Falls in elderly people can lead to serious health problems. There is limited knowledge about the prevalence of falls, risk factors and causes of falls in the United Arab Emirates. Objective: To assess the prevalence of falls among older adults aged 60 years and above and to determine the risk factors associated with falls. Methods: This cross-sectional study was conducted using an anonymous, 20-item questionnaire which was developed in English and Arabic to be delivered as a semi-structured interview...
July 2018: Pharmacy Practice
Ruth van Nispen, Hilde van der Aa, Frank Timmermans, Nikki Meijer, Nicole Koster, Jos de Blok, Jan Keunen, Ger van Rens
PURPOSE: To investigate the prevalence of potential age-related eye conditions in elderly who are assisted by home healthcare nurses. The number of referrals to the general practitioner (GP), feasibility of screening and associations between vision loss and health outcomes were also studied. METHODS: Cross-sectional study in which trained home healthcare nurses screened the eyes of 151 patients [mean age 80 (50-96 years)] using their available correction, with VISION 2020 Netherlands screeners (e...
October 27, 2018: Acta Ophthalmologica
Gian Marco Rosa, Riccardo Scagliola, Paola Ghione, Alberto Valbusa, Claudio Brunelli, Federico Carbone, Fabrizio Montecucco, Fiammetta Monacelli
BACKGROUND: Heart failure (HF) is a major public health problem and represents the only cardiac disease continuing to increase in prevalence, in particular among elderly patients. The frequent re-hospitalizations have a negative impact on quality of life of patients with HF, constituting a substantial cost for patients and the health system. The aim of this review is to look into biochemical, echocardiographic and socio-economical parameters as predictors of clinical outcomes and re-hospitalizations...
October 28, 2018: European Journal of Clinical Investigation
Robabeh Soleimani, Somayeh Shokrgozar, Mahnaz Fallahi, Hashem Kafi, Maryam Kiani
Introduction: The escalating rate of old people with a functional impairment in Iran and the weakness of the family support due to the diminishing of family size have increased the demand for long-term care for the elderly with cognitive impairment (CI). Objective: The purpose of this research is to explore the frequency of cognitive impairment in the elderly and its association with their daily functional impairment and disability. Method: This is a cross-sectional and descriptive-analytic study conducted in 2016-2017...
July 2018: Journal of Medicine and Life
M Cañadas-Garre, K Anderson, J McGoldrick, A P Maxwell, A J McKnight
BACKGROUND: Chronic kidney disease (CKD) is recognised as a global public health problem, more prevalent in older persons and associated with multiple co-morbidities. Diabetes mellitus and hypertension are common aetiologies for CKD, but IgA glomerulonephritis, membranous glomerulonephritis, lupus nephritis and autosomal dominant polycystic kidney disease are also common causes of CKD. MAIN BODY: Conventional biomarkers for CKD involving the use of estimated glomerular filtration rate (eGFR) derived from four variables (serum creatinine, age, gender and ethnicity) are recommended by clinical guidelines for the evaluation, classification, and stratification of CKD...
October 25, 2018: Journal of Translational Medicine
E Y Andreenko, I S YAvelov, M M Loukianov, A N Vernohaeva, O M Drapkina, S A Boytsov
Ischemic heart disease (IHD) occurring at age less than 55 in men and less than 65 years in women is designated as premature IHD. However, in different studies these age limits vary from 35 years to 65 years. Among the population of working age in the Russian Federation mortality from IHD is several times higher than in the US and Europe. Patients with premature IHD differ from the elderly in structure of risk factors, clinical manifestations and prognosis. Smoking, obesity and family history of premature IHD are more common in young patients with IHD while diabetes and hypertension are less common...
October 2018: Kardiologiia
Do-Yang Park, Hyun Jun Kim, Chang-Hoon Kim, Jae Yong Lee, Kyungdo Han, Ji Ho Choi
Olfactory dysfunction and tinnitus are age-related otorhinolaryngological disorders with a high prevalence in the elderly population and share several common clinical features. However, there is no study investigating the relationship between these two diseases. We studied the prevalence of olfactory dysfunction and tinnitus among Koreans and studied the relationship between these two diseases based on the Korean National Health and Nutrition Examination Survey. The subjects of this study were enrolled from the Fifth Korean National Health and Nutrition Examination Survey (2010-2012, n = 25,534)...
2018: PloS One
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
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
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
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