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the problem of elderly

Mohamad Adam Bujang, Pei Xuan Kuan, Xun Ting Tiong, Fatin Ellisya Saperi, Mastura Ismail, Feisul Idzwan Mustafa, Abd Muneer Abd Hamid
Aims: This study aims to determine the all-cause mortality and the associated risk factors for all-cause mortality among the prevalent type 2 diabetes mellitus (T2DM) patients within five years' period and to develop a screening tool to determine high-risk patients. Methods: This is a cohort study of T2DM patients in the national diabetes registry, Malaysia. Patients' particulars were derived from the database between 1st January 2009 and 31st December 2009. Their records were matched with the national death record at the end of year 2013 to determine the status after five years...
2018: Journal of Diabetes Research
Makini Chisolm-Straker
Human trafficking was defined in the United States in 2000, with the Trafficking Victims Protection Act (TVPA). Studies demonstrate that clinicians are seeing trafficked persons and emergency departments (ED) are among their most frequented healthcare sites.,, These studies were of survivors reporting their healthcare experiences while being trafficked, some of which occurred before the TVPA; EDs have been serving trafficked persons as patients long before the government named the problem. This is not surprising...
August 16, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Andrea Wilkinson, Tiffany Tong, Atefeh Zare, Marc Kanik, Mark Chignell
New technologies, such as serious games and ambient activities, are being developed to address problems of under-stimulation, anxiety, and agitation in millions of people living with dementia in long term care homes. Frequent interactions with instrumented versions of these technologies may not only be beneficial for long term care residents, but may also provide a valuable new set of multifaceted data relating to health status of residents over time. In this paper, we develop a model of health monitoring in healthcare environments and we report on two studies that show how medically relevant data can be collected from elderly residents and emergency department patients in an unobtrusive way...
August 9, 2018: IEEE Journal of Biomedical and Health Informatics
Vera Moniz-Pereira, Thomas M Kepple, Silvia Cabral, Filipa João, António P Veloso
Falls are a serious problem faced by the elderly. Older adults report mostly to fall while performing locomotor activities, especially the ones requiring stair negotiation. During these tasks, older adults, when compared with young adults, seem to redistribute their lower limb joint moments. This may indicate that older adults use a different strategy to accelerate the body upward during these tasks. The purposes of this study were to quantify the contributions of each lower limb joint moment to vertically accelerate the center of mass during stair ascent and descent, in a sample of community-dwelling older adults, and to verify if those contributions were correlated with age and functional fitness level...
August 4, 2018: Journal of Biomechanics
Angelo Costa, Ester Martinez-Martin, Miguel Cazorla, Vicente Julian
The great demographic change leading to an ageing society demands technological solutions to satisfy the increasing varied elderly needs. This paper presents PHAROS, an interactive robot system that recommends and monitors physical exercises designed for the elderly. The aim of PHAROS is to be a friendly elderly companion that periodically suggests personalised physical activities, promoting healthy living and active ageing. Here, it is presented the PHAROS architecture, components and experimental results...
August 11, 2018: Sensors
Ismail Altintop, Mehmet Tatli
AIM: Elderly physical abuse (EPA) is defined as injury or assault to or the restriction of an elderly person. Although EPA is an important social problem, its diagnosis is difficult because of tendency to cover up the event. In this study, patients aged 65 years and over who presented at the emergency department (ED) for forensic reasons and in whom physical abuse was suspected were examined. The aim of this study was to raise ED awareness of EPA and thereby to contribute to treatment plans for these patients in the ED...
August 13, 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Caner Alparslan, Elif Perihan Öncel, Sinem Akbay, Demet Alaygut, Fatma Mutlubaş, Mansur Tatlı, Martin Konrad, Önder Yavaşcan, Belde Kasap-Demir
Alparslan C, Öncel EP, Akbay S, Alaygut D, Mutlubaş F, Tatlı M, Konrad M, Yavaşcan Ö, Kasap-Demir B. A novel homozygous W99G mutation in CLDN-16 gene causing familial hypomagnesemic hypercalciuric nephrocalcinosis in Turkish siblings. Turk J Pediatr 2018; 60: 76-80. Familial hypomagnesemic hypercalciuric nephrocalcinosis (FHHNC) (OMIM: 248250) is characterized by hypomagnesemia, hypercalciuria and nephrocalcinosis. FHHNC inevitably progresses to end-stage renal disease in decades. Mutations in CLDN-16 and CLDN-19 genes are associated with disrupted magnesium handling in the thick ascending limp of Henle`s loop...
2018: Turkish Journal of Pediatrics
Huong Thi Thu Nguyen, Mackenzie Pi Moir, Thanh Xuan Nguyen, Anh Phuong Vu, Long Hoang Luong, Tam Ngoc Nguyen, Long Hoang Nguyen, Bach Xuan Tran, Tung Thanh Tran, Carl A Latkin, Melvyn Wb Zhang, Roger Cm Ho, Huyen Thanh Thi Vu
Background: Health-related quality of life (HRQoL) is an important indicator for designing care and treatment services for patients with diabetes. This is especially true given its rapid increase among the elderly population in Vietnam. HRQoL data in elderly diabetic Vietnamese are currently limited. This study aimed to 1) measure the HRQoL of elderly patients with type 2 diabetes (T2DM) in Vietnam and 2) identify related factors and their relationship with HRQoL. Patients and methods: A cross-sectional study was conducted...
2018: Patient Preference and Adherence
Arritxu Etxeberria, Josune Iribar, Rafael Rotaeche, Kalliopi Vrotsou, Iosu Barral
BACKGROUND AND OBJECTIVE: Several interventions have been shown to reduce polypharmacy and potentially inappropriate prescription (PIP). The objective of the study was to evaluate the number of drugs and PIP before and after an educational intervention with the Primary Care physician (PCP), with electronic identification of PIP and structured medication review, in elderly patients with excessive polypharmacy (≥10 drugs). MATERIAL AND METHODS: A before-after intervention study was conducted in the Gipuzkoa district of Osakidetza (Basque Country Health System), in a random sample of patients older than 80 years taking ≥ 10 drugs, and whose PCP attended training sessions...
August 7, 2018: Revista Española de Geriatría y Gerontología
Paola C Sacco, Paolo Maione, Giovanni Palazzolo, Cesare Gridelli
Lung cancer is predominantly a disease that affects the elderly; about 30-40% of lung cancers are diagnosed in patients aged 70 or more. The increasing number of elderly patients over the next decades is generating a new social and health problem; despite that, these patients are under-represented in clinical trials and under-treated in clinical practice. Areas covered: The main difficulty in treating elderly patients is to maximize the therapy benefits while minimizing the treatment risk. Elderly patients show a vulnerable clinical profile due to the higher prevalence of comorbid disease, higher polypharmacy interactions and aged organ dysfunction that increase the risk of mortality and toxicity with cancer treatments compared to younger patients...
August 9, 2018: Expert Review of Respiratory Medicine
Ruth Prieto, Xavier Santander, José Manuel Naranjo, Esperanza Marín, Cesáreo Corbacho
BACKGROUND: Dumbbell-shaped schwannomas involving the spinal canal, the intervertebral foramen and the thoracic cavity are rare lesions. Their surgical treatment represents a challenge and there is no consensus regarding their ideal management. Two major surgical routes have been used: a combined laminectomy and open thoracotomy, or a posterolateral extrapleural approach with wide bone removal. This report describes a relatively easy surgical strategy, the combined laminectomy and thoracoscopy, which allows a safe resection under an adequate view with low risk of spinal instability, pain or respiratory problems...
August 6, 2018: World Neurosurgery
Fernanda Rossi Paolillo, Vicente Silva Mattos, André Orlandi de Oliveira, Francisco Eduardo Gontijo Guimarães, Vanderlei Salvador Bagnato, Jarbas Caiado de Castro Neto
Diabetes is a complex metabolic disease and has chronic complications. It has been considered a serious public health problem. The aim of the current study was to evaluate skin glycated proteins through fluorescence and Raman techniques. One hundred subjects were invited to participate in the study. Six volunteers did not attend due to exclusion criteria or a change of mind about participating. Therefore, ninety four volunteers were grouped according to age range (20 to 80 years), health condition (non-diabetic, with insulin resistance (IR) and/or diabetic) and Fitzpatrick skin type (I to VI)...
August 9, 2018: Journal of Biophotonics
I-Hsuan Lin, Junn-Liang Chang, Kate Hua, Wan-Chen Huang, Ming-Ta Hsu, Yi-Fan Chen
BACKGROUND: Aging leads to decreased skeletal muscle function in mammals and is associated with a progressive loss of muscle mass, quality and strength. Age-related muscle loss (sarcopenia) is an important health problem associated with the aged population. RESULTS: We investigated the alteration of genome-wide transcription in mouse skeletal muscle tissue (rectus femoris muscle) during aging using a high-throughput sequencing technique. Analysis revealed significant transcriptional changes between skeletal muscles of mice at 3 (young group) and 24 (old group) months of age...
August 8, 2018: BMC Genetics
Girliani Silva de Sousa, Jaqueline Galdino Albuquerque Perrelli, Everton Sougey Botelho
OBJECTIVE: To analyze the specialized literature regarding the risk factors in nursing diagnosis for suicide risks in elderly. METHOD: This is an integrative literature review carried out during June 2015 in the following databases with no time limit: MEDLINE, PsycINFO and CINAHL. RESULTS: A total of 80 full papers were analyzed. It was suggested the inclusion of 23 risk factors in NANDA-I taxonomy: apathy; unrest; low self esteem; carelessness with medication; Inability to ask for help; Inability to express feelings; suicidal plan; rigidity; functional disability; visual problems; sadness; hostility; anxiety; failure; frustration; unhappiness; dishonor; frequent visits to a physician with unclear symptoms; social deprivation; social devaluation; psychological violence; Interfamilial violence; and financial violence...
August 2, 2018: Revista Gaúcha de Enfermagem
Carlos K B Ferrari
The objective of this work was to update Brazilian experiences on implementation research (IR)regarding promotion of healthy lifestyles to decrease the risk of chronic non-communicable diseases (CNCD). Some Brazilian governmental activities for promotion of healthy lifestyles have been adopted around the world such as the case of the "World Physical Activity Day" and the"Walking for health program". Following the example of many other developing and developed countries, Brazilian government has been sponsored leisure-time physical activity and healthy eating programs which still were not capable of promoting massive participation, especially from workers, elderly and people from the less privileged socioeconomic classes...
2018: Health Promotion Perspectives
Rino Scuccato
The falls frequently occurring as a result of impaired postural reflexes, due to degenerative changes that accompany the aging process, have a great impact on quality of life in the elderly. Falls and the fear of falling can trigger restraints and limits to freedom, ultimately leading to definitive care from professional or other. In nursing homes, security regulations often predominate over any other consideration and become a source of suffering and oppression. Pharmacological or "medical" management of this condition is effective in only a small proportion of elderly individuals...
July 2018: Recenti Progressi in Medicina
Sandra C Fuchs, Erno Harzheim, Cirano Iochpe, Caroline N de David, Marcelo R Gonçalves, Guilhermo P Sesin, Cassio M Costa, Leila B Moreira, Flavio D Fuchs
BACKGROUND: Hypertension is a growing problem worldwide, markedly in low- and middle-income countries, where the rate of control slightly decreased. The overall prevalence of hypertension in Brazil is 28.7% among adult individuals and 68.9% in the population aged 60 years and older, and less than a third of patients have controlled blood pressure (BP). The use of technologies-mobile phones and the internet-to implement interventions to reduce blood pressure can minimize costs and diminish cardiovascular risk...
August 7, 2018: JMIR Research Protocols
Cecilia Lenander, Åsa Bondesson, Nina Viberg, Anders Beckman, Patrik Midlöv
BACKGROUND: Drug use among the elderly population is generally extensive and the use of potentially inappropriate medications (PIMs) is common, which increases the risk for drug-related problems (DRP). Medication reviews are one method to improve drug therapy by identifying, preventing and solving DRPs. The aim of this study was to evaluate the effect of medication reviews on total drug use and potentially inappropriate drug use in elderly patients, as well as describe the occurrence and types of drug-related problems...
August 7, 2018: BMC Health Services Research
Shinji Takahashi, Masatoshi Hoshino, Hiroyuki Yasuda, Hidetomi Terai, Kazunori Hayashi, Tadao Tsujio, Hiroshi Kono, Akinobu Suzuki, Koji Tamai, Shoichiro Ohyama, Hiromitsu Toyoda, Sho Dohzono, Fumiaki Kanematsu, Yusuke Hori, Hiroaki Nakamura
STUDY DESIGN: Propensity score matching study OBJECTIVE.: To assess the cost effectiveness of balloon kyphoplasty (BKP) in Japan. SUMMARY OF BACKGROUND DATA: Osteoporotic vertebral fracture (OVF) is a common disease in elderly people. In Japan, the incidence of painful OVF in 2008 was estimated as 880,000, and approximately 40% of patients with painful OVF are hospitalized due to the severity of pain. Japan is the front runner among super-aged societies and rising health care costs are an economic problem...
August 6, 2018: Spine
Qinqiuzi Yi, Junko Honda, Naohiro Hohashi
BACKGROUND: The older adult population is increasing in number, and elder abuse is expected to become a more pressing problem. Developing tools to assess the presence and severity of elder abuse is important to both effectively prevent this abuse and provide increased support for families. PURPOSE: This study was intended to test the validity of an assessment tool for domestic elder abuse (ATDEA). The items that constitute this tool were derived from a literature review...
August 7, 2018: Journal of Nursing Research: JNR
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