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the problem of elderly

Geraldo Bezerra da Silva Junior, José Reginaldo Pinto, Rosa Maria Salani Mota, Roberto da Justa Pires Neto, Elizabeth De Francesco Daher
Background: Chikungunya virus (CHIKV) infection is a current public health problem. The aim of this study was to investigate risk factors for death among patients with CHIKV infection during a large epidemic in northeast Brazil. Methods: This is a cross-sectional study with all registered cases of CHIKV in Ceara, Brazil, during 2016-2017. Data from notification reports were collected, and we have compared non-survivors and survivors. Results: A total of 182 731 cases were reported, with a mean age of 38±19 years, and the majority was female (62%)...
December 14, 2018: Transactions of the Royal Society of Tropical Medicine and Hygiene
Y S Song, Z X Wang, J X, S G Han, W Wang, Y Liu, L E Wang, S S Gong
Objective: To evaluate the operation safety, hearing as well as speech results of cochlear implantation that were applied in patients over 75 years old. Method: A series of patients who were diagnosed as severe to profound sensorineural hearing loss and received cochlear implantation were admitted. The clinical data and rehabilitation effects of the patients who were over 75 years old were summarized. Result: During this period, in which 7(1.31%) patients aged over 75 at implantation. The age ranged from 75 to 88, with an average of 80 years old...
October 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Sandra L Spoelstra, Alla Sikorskii, Laura N Gitlin, Monica Schueller, Margaret Kline, Sarah L Szanton
BACKGROUND/OBJECTIVES: Of older adults, 42% report problems with daily function, and physical function is the most important consideration for aging individuals. Thus, we implemented a model of care focused on improving physical function and examined health and use outcomes and satisfaction. DESIGN: A 3-year participatory, single-group pretrial/posttrial benchmarked to a usual care cohort that was evaluated prior to the study. SETTING: Four Medicaid home and community-based waiver sites in Michigan...
December 13, 2018: Journal of the American Geriatrics Society
Bo Ye, Junling Gao, Hua Fu
BACKGROUND: Frailty represents a public health priority and an increasingly prevalent condition in the ageing population. It is seen as reflecting an interaction among individual factors and a range of environmental elements. This study aims to examine the association between frailty and individual factors, physical and social environments among Chinese older people. METHODS: The data were from the Shanghai Healthy City Survey in 2017, which sampled 2559 older people aged ≥60 years from 67 neighbourhoods...
December 14, 2018: BMC Geriatrics
Rafael Coelho, Paulo Mattos, Rosemary Tannock
Attention-Deficit Hyperactivity Disorder (ADHD) encompasses other symptoms besides inattention, hyperactivity, and impulsivity, such as language problems. ADHD can have a non-remitting course and is also found in older individuals, although there are no studies on language problems in elderly individuals with the disorder. Objective: To investigate the presence of language impairment in older adults with ADHD. Methods: Language impairment was investigated in three older ADHD adults, and compared with two matched control subjects using a narrative discourse task...
October 2018: Dementia & Neuropsychologia
Doukyoung Chon, Yunhwan Lee, Jinhee Kim, Kyung-Eun Lee
Background: The trend of aging society is occurring globally, and with it, one of the health problems that is emerging is frailty. Efforts are being made to account for the increasing prevalence of frailty, and various modifiable factors are being considered in regards to frailty. Because social contact has shown beneficial effects in terms of health in previous studies, it is increasingly being considered in relation to frailty. The purpose of this study was to assess the association of different types of social contact with frailty status...
December 17, 2018: Journal of Korean Medical Science
Mieke H Bakker, Arjan Vissink, Sophie L W Spoorenberg, Harriët Jager-Wittenaar, Klaske Wynia, Anita Visser
As the population ages, the risk of becoming malnourished increases. Research has shown that poor oral health can be a risk factor for malnutrition in institutionalized elderly. However, it remains unclear whether oral health problems, edentulousness and health-related quality of life also pose a risk for malnutrition in community-dwelling older adults. In this cross-sectional observational study, 1325 community-living elderly (≥75 years) were asked to complete questionnaires regarding nutritional status, oral status (edentulous, remaining teeth, or implant-supported overdentures), oral health problems, health-related quality of life (HRQoL), frailty, activities of daily living (ADL) and complexity of care needs...
December 12, 2018: Nutrients
Vera H Buss, Kayla Lee, Mark Naunton, Gregory M Peterson, Sam Kosari
The prolongation of the QT interval is a relatively rare but serious adverse drug reaction. It can lead to torsade de pointes, which is potentially life-threatening. The study's objectives were: determine the use of QT interval-prolonging drugs in an elderly community-dwelling population at risk of medication misadventure and identify recommendations regarding the risk of QT interval prolongation made by pharmacists when performing medication reviews. In a retrospective evaluation, 500 medication review reports from Australian pharmacists were analysed...
December 10, 2018: Journal of Clinical Medicine
Yoshimasa Takase, Kaori Okuyama, Motohiro Nozawa, Katsuyoshi Mizukami
A 94 year old woman with a late-onset paraphrenia was referred to our clinic from a community care center. The patient showed symptoms of paranoia and auditory hallucination. The patient was in conflict with her neighbors regarding noise-related problems and was experiencing loss of appetite. Because the patient had a strong aversion to outpatient treatment due to difficulty in commuting, home visits were commenced. Improvements were observed after administration of 2.5 mg per day of olanzapine.In home medical care, precise definitive diagnosis and determination of treatment approach is necessary under limited time and resources...
2018: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
Claudia Alejandra Pereda, María Betina Nishishinya, Emilio J A Roldan
BACKGROUND: Almeria is a region in southeast Spain with optimal sunlight levels, along with low pluvial and pollution rates. If exposure to sunlight is sufficient to maintain adequate levels of vitamin D (25OHD), this population should display high serum levels. OBJECTIVES: To describe 25OHD serum status in women from Almeria and evaluate the impact of long sunlight exposure along the seasons on 25OHD. METHODS: Cross-sectional study, performed in women consecutively recruited from an outpatient rheumatology clinic...
December 9, 2018: Endocrinología, Diabetes y Nutrición
Tiantian Gu, Lingzhi Li, Dezhi Li
BACKGROUND: As the proportion of elderly residents living in large-scale affordable housing communities (LAHCs) increases in China, serious problems have become apparent related to the spatial allocation of elderly healthcare facilities (EHFs), e.g., insufficient provision and inaccessibility. To address these issues, this study developed a location allocation model for EHFs to ensure equitable and efficient access to healthcare services for the elderly in LAHCs. METHODS: Based on discrete location theory, this paper develops a two-stage optimization model for the spatial allocation of EHFs in LAHCs...
December 12, 2018: International Journal for Equity in Health
Nahathai Wongpakaran, Tinakon Wongpakaran, Thanitha Sirirak, Rewadee Jenraumjit, Surin Jiraniramai, Peerasak Lerttrakarnnon
BACKGROUND: Polypharmacy is a geriatric syndrome defined variously as the use of potentially inappropriate drugs and/or the concurrent use of multiple medications including prescription and over-the-counter drugs. An association has been shown between polypharmacy and physical health, increased morbidity and increased mortality. However, there is little information regarding the association between polypharmacy and physical disease, personality trait and mental health problems in elderly...
December 12, 2018: BMC Geriatrics
Hermina Harnagea
Accelerated ageing of the population results in an ever-increasing number of functionally dependent elderly persons. Even healthy older people experience self-care deficits due to decreased mobility, endurance and sensory loss. Residents in long-term care centres depend on caregivers for the majority of their activities of daily living.Dental services for functionally dependent seniors generally remain inadequate. Several factors may explain this situation, including the absence of government guidelines and the lack of initial and continuing training of both dental and non-dental personnel...
May 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Viviane Kovess Masfety, Carlijn Aarnink, Roy Otten, Adina Bitfoi, Zlatka Mihova, Sigita Lesinskiene, Mauro Giovanni Carta, Dietmar Goelitz, Mathilde Husky
PURPOSE: To evaluate the associations between the presence of a grand parent at home that is three-generation household, with children mental health in diverse countries whether this situation is frequent or not. METHODS: Data from the School Children Mental Health in Europe cross-sectional survey in six countries (n = 4582) were used to examine the association between three-generation households and child mental health across Europe. The parent and teacher Strengths and Difficulties Questionnaire was combined to assess child mental clinical problems...
December 8, 2018: Social Psychiatry and Psychiatric Epidemiology
Yuan-Yuei Chen, Tung-Wei Kao, Chung-Ching Wang, Ying-Jen Chen, Chen-Jung Wu, Wei-Liang Chen
Dysmobility syndrome (DMS) was considered as a comprehensive approach to evaluate the condition of musculoskeletal system and adverse health problems in older population. The objective of our study was to examine the association between metabolic syndrome (MetS) and DMS in a U.S. adult population. 1760 eligible participants from the National Health and Nutrition Examination Survey (NHANES) 1999-2002 were enrolled in the study. The criteria of DMS consisted of six domains including increased body fat, declined muscle mass, reduced muscle strength, osteoporosis, slow gait speed, and balance problem...
2018: PloS One
Anne Postler, Andres Luque Ramos, Jens Goronzy, Klaus-Peter Günther, Toni Lange, Jochen Schmitt, Angela Zink, Falk Hoffmann
Objective: Osteoarthritis (OA) is highly prevalent throughout the world, especially in the elderly population, and is strongly associated with patients' frailty. However, little is known about the prevalence and treatment of OA in elderly patients in routine clinical care in Germany. Materials and methods: As a part of Linking Patient-Reported Outcomes with CLAIms Data for Health Services Research in Rheumatology (PROCLAIR), a cross-sectional study using claims data from a large Germany statutory health insurance (BARMER) was conducted...
2018: Clinical Interventions in Aging
Veera Bobrova, Jyrki Heinämäki, Outi Honkanen, Shane Desselle, Marja Airaksinen, Daisy Volmer
BACKGROUND: Multi-dose dispensing (MDD) of medications is a health technology designed to promote medication adherence and patient safety. MDD has been used as an alternative to ordinary prescription dispensing for patients, mostly elderly with high medication use. OBJECTIVE: To evaluate the initiation phase of the MDD service to older adults ≥65 years and assess wheter the medication use of the new MDD patients is appropriate in terms of drug related problems...
November 14, 2018: Research in Social & Administrative Pharmacy: RSAP
Mayke Oosterloo, Emilia K Bijlsma, Sander Mj van Kuijk, Floor Minkels, Christine Em de Die-Smulders
BACKGROUND: The frequency of late-onset Huntington's disease (>59 years) is assumed to be low and the clinical course milder. However, previous literature on late-onset disease is scarce and inconclusive. OBJECTIVE: Our aim is to study clinical characteristics of late-onset compared to common-onset HD patients in a large cohort of HD patients from the Registry database. METHODS: Participants with late- and common-onset (30-50 years)were compared for first clinical symptoms, disease progression, CAG repeat size and family history...
November 29, 2018: Parkinsonism & related Disorders
Carmelo Lafuente-Lafuente, Christel Oasi, Joël Belmin
Vitamin-K antagonists (VKA) have been the standard for oral anticoagulation. However, they carry several problems in older patients: frequent bleeding complications, complex management, risk of interactions with multiple drugs. Two classes of direct oral anticoagulants (DOA) are currently available in France: (a) direct thrombin inhibitors: dabigatran; and (b) direct factor Xa inhibitors: rivaroxaban, apixaban and others. Their management is easier: quickly effective after administration, they are given at fixed doses and do not need regular laboratory monitoring...
December 7, 2018: La Presse Médicale
Francesca Gay, Alessandra Larocca
Multiple myeloma (MM) is a neoplastic disease typical of the elderly. Many steps forward have been made in the characterization of patients, and new treatment strategies are available today. Clinical trials represent a major point in the definition of standard treatment, although they usually include fit patients, while frail patients are commonly excluded. Therefore, frail patients may receive treatments that may be too toxic, thus jeopardizing the beneficial effects of therapy. A careful patient assessment is crucial to better characterize patients and consequently to appropriately select treatment...
December 2018: European Journal of Internal Medicine
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