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Elderly people with urinary disturbances

Yuki Nagata, Akiyoshi Hirayama, Satsuki Ikeda, Aoi Shirahata, Futaba Shoji, Midori Maruyama, Mitsunori Kayano, Masahiko Bundo, Kotaro Hattori, Sumiko Yoshida, Yu-Ichi Goto, Katsuya Urakami, Tomoyoshi Soga, Kouichi Ozaki, Shumpei Niida
Background: Alzheimer's disease (AD) is a most common dementia in elderly people. Since AD symptoms resemble those of other neurodegenerative diseases, including idiopathic normal pressure hydrocephalus (iNPH), it is difficult to distinguish AD from iNPH for a precise and early diagnosis. iNPH is caused by the accumulation of cerebrospinal fluid (CSF) and involves gait disturbance, urinary incontinence, and dementia. iNPH is treatable with shunt operation which removes accumulated CSF from the brain ventricles...
2018: Biomarker Research
Wang Ling, Wu Yu, Haoyuan Sun, Meiyue Lv
PURPOSE: To study risk factors associated with renal injuries in elderly patients with multiple myeloma. METHODS: From January 2012 to January 2015 135 elderly patients with multiple myeloma who were treated in Xuzhou No.1 People's Hospital were enrolled in this study. Risk factors associated with their renal function, such as gender, serum levels of hemoglobin, uric acid, serum calcium and phosphorus, serum and urinary levels of β2 microglobulin, diastolic blood pressure and light chain protein distribution were assessed before and after relative treatments...
May 2017: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
David Hoza, Aleš Vlasák, Daniel Hořínek, Martin Sameš, Alex Alfieri
Normal pressure hydrocephalus (NPH) is a clinical syndrome characterized by gait disturbances, urinary incontinence and dementia. Clinical presentation overlaps with Alzheimer disease (AD). Early recognition thus early intervention (shunting) is important for successful treatment, but lack of a diagnostic test with sufficient sensitivity and specificity complicates the diagnosis. We performed literature search and composed a structured review of imaging biomarkers of NPH. Morphometric studies are not sufficient to diagnose NPH...
April 2015: Neurosurgical Review
Kazuki Sonohara, Koichi Kozaki, Masahiro Akishita, Kumiko Nagai, Hiroshi Hasegawa, Masafumi Kuzuya, Koutaro Yokote, Kenji Toba
AIM: White matter lesions (WML) are common findings on magnetic resonance imaging (MRI) in elderly persons. In this study, we analyzed the relation of WML with global cognitive function, depression, vitality/volition, and 19 symptoms of geriatric syndrome in Japanese elderly patients who attended three university geriatric outpatient clinics. METHODS: Two hundred and eighty-six subjects (103 men and 183 women; mean +/- standard deviation age, 74.5 +/- 7.8 years) were included in this study...
June 2008: Geriatrics & Gerontology International
Anna Poggesi, Giovanni Pracucci, Hugues Chabriat, Timo Erkinjuntti, Franz Fazekas, Ana Verdelho, Michael Hennerici, Peter Langhorne, John O'Brien, Philip Scheltens, Marieke C Visser, Milita Crisby, Gunhild Waldemar, Anders Wallin, Domenico Inzitari, Leonardo Pantoni et al.
OBJECTIVES: To investigate, in a cohort of nondisabled elderly people, the association between urinary complaints and severity of age-related white matter changes (ARWMC). DESIGN: Cross-sectional data analysis from a longitudinal multinational study. SETTING: The Leukoaraiosis And DISability Study, assessing ARWMC as an independent predictor of the transition from functional autonomy to disability in elderly subjects. PARTICIPANTS: Six hundred thirty-nine subjects (288 men, 351 women, mean age 74...
September 2008: Journal of the American Geriatrics Society
Michal L Melamed, Carolyn Bauer, Thomas H Hostetter
Reporting estimated glomerular filtration rate (eGFR) with serum creatinine simply provides the information for which the serum creatinine was ordered in the first place. Mass or universal screening is not the purpose of eGFR reporting. Furthermore, such mass screening does not seem justified. Rather, testing of high-risk groups with eGFR and urinary albumin is useful. Population estimates of the prevalence of chronic kidney disease in the United States that use the Kidney Disease Outcomes Quality Initiative staging system lead to disturbingly high estimates...
September 2008: Clinical Journal of the American Society of Nephrology: CJASN
G Rotolo, V Sarakatsianou, F Figlioli, G Taormina, A Racalbuto, D Mangiaracina, D Gullotti
AIM: Hyponatremia, an electrolyte disturbance, can be due to loss of solutes or to an increase of ''free'' water concentration, predominantly caused by excessive antidiuretic hormone (ADH) secretion. When acute, hyponatremia is threatening, because it can cause cell swelling and severe neuromuscular symptoms (central pontine myelinolysis). METHODS: In a sample of 220 subjects with hyponatremia (123 males, 97 females) aged from 47 to 83, hospitalized in the Department of Clinic Medicines and Emergent Pathologies, from 2000 till today, age, serum and urinary sodium concentration, urine specific gravity, signs, symptoms and causes of electrolyte disturbance were evaluated...
April 2008: Minerva Medica
Atsushi Sone, Norio Kondo, Tatsuya Kobayashi, Takao Koide, Yoji Furukaw, Keigo Kinugawa, Masaaki Morioka, Keijiro Shuto, Atsushi Nagai
OBJECTIVE: In addition to overactive bladder (OAB) and sleep disorders (disturbance of additional sleep induction), nocturnal polyuria has been reported as an etiology of nocturia in elderly people. To investigate the influence of heart function on nocturnal polyuria in elderly people, we examined the association with nocturnal polyuria using brain natoriuretic peptide (BNP), which are useful for evaluating the prognosis of heart failure. PATIENTS AND METHODS: The patients were 128 patients (92 males, 36 females) who were treated for nocturia in Kohsei general hospital and other relative hospital between October 2002 and September 2005...
March 2007: Nihon Hinyōkika Gakkai Zasshi. the Japanese Journal of Urology
Katharina Pils, Friederike Neumann
BACKGROUND: The aim of the study was to evaluate health associated attitudes of elderly individuals taking part in a community based health promotion programme. It was of interest to focus on mobility, hypertension and urinary incontinence, problems frequently observed in geriatrics. METHODS: Participants in the health promotion programme were asked to answer a standardized questionnaire about their individual risk factors and habits concerning some of the main risk factors in the elderly: social isolation, immobility, hypertension, urinary incontinence...
March 2006: Wiener Medizinische Wochenschrift
Rosimeire Ferreira Santana, Iraci dos Santos, Célia Pereira Caldas
The care provided by caregivers to elderly people with dementia is investigated having as objectives: to describe the characteristics of sixteen elderly and their caregivers in attendence at the neurogeriatrical ambulatory of Rio de Janeiro during 2004; to identify nursing and care diagnosis used by caregivers, through EDG, MEEM, AIVDs and AVDs applied in nursing assessments. The quantitative descriptive method was employed, as a study of each case, obtaining the results: in the client- Disorientation, aggressiveness, skin drought, urinary incontinence, disturbance in the family relationship; In the caregivers- inefficient caregiver/elderly communication, physical fatigue, lack of knowledge about care; accomplished types of care--feeding, medication and hygiene...
January 2005: Revista Brasileira de Enfermagem
Jacques Philippon
Normal pressure hydrocephalus (NPH) or, more precisely, chronic adult hydrocephalus, is a complex condition. Even if the basic mechanism is found in an impediment to CSF absorption, the underlying pathology is heterogeneous. In secondary NPH, the disruption of normal CSF pathways, following meningitis or sub-arachnoid haemorrhage, is responsible for ventricular dilatation. However, in about half of the cases, the etiology remains obscure. NPH is more frequently found in elderly people, probably in relation with the increased incidence of cerebrovascular disease...
March 2005: Psychologie & Neuropsychiatrie du Vieillissement
Susan M Friedman, Donald M Steinwachs, Paul J Rathouz, Lynda C Burton, Dana B Mukamel
PURPOSE: This study determined overall risk and predictors of long-term nursing home admission within the Program of All-Inclusive Care for the Elderly (PACE). DESIGN AND METHODS: DataPACE records for 4,646 participants aged 55 years or older who were enrolled in 12 Medicare- and Medicaid-capitated PACE programs during the period from June 1, 1990, to June 30, 1998, were obtained. Participants were enrolled for at least 30 days and had baseline evaluations within 30 days of enrollment...
April 2005: Gerontologist
Leonardo Pantoni, Anna Maria Basile, Giovanni Pracucci, Kjell Asplund, Julien Bogousslavsky, Hugues Chabriat, Timo Erkinjuntti, Franz Fazekas, José M Ferro, Michael Hennerici, John O'brien, Philip Scheltens, Marieke C Visser, Lars-Olof Wahlund, Gunhild Waldemar, Anders Wallin, Domenico Inzitari
Age-related white matter changes (ARWMC) on brain MRI have been associated with cognitive, motor, mood and urinary disturbances. These factors are known to contribute to disability in elderly people, but the impact of ARWMC and of their progression on the transition to disability is not determined. The LADIS (Leukoaraiosis and Disability in the Elderly) study aims at assessing the role of ARWMC as an independent predictor of the transition to disability in initially nondisabled elderly (65-84 years). Subjects who are not impaired or impaired on only 1 item of the Instrumental Activity of Daily Living (IADL) scale, presenting with different grades of ARWMC severity, were enrolled...
2005: Neuroepidemiology
C van der Horst, K P Jünemann
Micturition disorders in elderly people result from the interaction between several different factors such as medication, mobility, metabolism and physical as well as psychological health. Senile incontinence may occur as a single form but is often a mixture of various forms. With increasing knowledge on the pathophysiology of incontinence, prevention and therapy may become more efficient. Age-dependent structural alterations to the urinary bladder are predominantly due to functional disturbances. Neurophysiological studies have led to modified recommendations for micturition behaviour other than double micturition in cases of residual urine or bladder over-expansion in the elderly...
May 2004: Der Urologe. Ausg. A
K Fujikawa, M Kasahara, Y Matsui, H Takeuchi
BACKGROUND: Nocturia is one of the major problems of elderly people. The possible causes of nocturia include irritation of lower urinary tract obstruction, disturbance of the fluid balance, and sleep disturbance. In a significant proportion of patients, the mechanism of nocturia is still unclear and a definitive method of treatment has yet to be determined. This study investigated how to treat nocturia. MATERIALS AND METHODS: We analyzed 51 patients who visited Kobe City General Hospital between January 1998 and June 1999 with nocturia (three or more nocturnal voidings) and no daytime urological problems...
September 2001: Scandinavian Journal of Urology and Nephrology
S Maggi, N Minicuci, J Langlois, M Pavan, G Enzi, G Crepaldi
BACKGROUND: Urinary incontinence (UI) is a common problem in elderly people, due mainly to functional impairments and concurrent medical diseases. Few studies, however, have assessed the prevalence of UI in noninstitutionalized individuals. The objectives of the present work were to estimate the prevalence of UI in a community-based population of elderly Italians and to determine the associated physical, social, and psychological factors. METHODS: A random sample of noninstitutionalized men (n = 867) and women (n = 1531), aged 65 years and older, from the Veneto region of northeastern Italy, were interviewed at home, using an extensive multidisciplinary questionnaire, to assess their quality of life and social, biological, and psychological correlates...
January 2001: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
J L Zozaya
Metabolism of Na+, Ca+ and Zn+ cations is clearly disturbed and involved in the development and maintenance of a hypertensive condition. These changes are closely related to each other; therefore, when their effects on primary hypertension (PH) are studied, they should always be globally (and not separately) considered. These changes of the aforementioned electrolytes in PH maintain a close, but unclear, relationship with various hormonal systems, mainly with the renin-angiotensin-aldosterone system. Daily control in the intake of these electrolytes (especially Na+ and Ca++) remains a cornerstone in the adjuvant treatment of PH...
April 2000: Journal of Human Hypertension
F Mantovani, E Patelli, G Zanetti, A Ceresoli
Incontinence isn't itself a disease but the feature of possible urinary tract alterations or outside of it. Incontinence is frequent above all in the elderly but it can be on charge of both sexes at every age. In Italy, according to recent evaluations, people affected with this disease would be more than 4 millions. Incontinence is therefore an important failure for its health aspects but also for economic and social ones. The problem is to evaluate if incontinence can't be prevented and as consequence needs only an assistance management, or it can be considered a preventable disease able to be cured, as we deeply believe, suggested also by the positive results of new therapeutical procedures, in association with traditional surgery and rehabilitation such as injectables or mini-invasive quick operations such as colpocleisis or percutaneous vaginal colposuspension (PVC), matters of this presentation and always performed according to correct diagnosis and indication...
June 1998: Archivio Italiano di Urologia, Andrologia
W Koyama, A Koyanagi, S Mihara, S Kawazu, T Uemura, H Nakano, Y Gotou, M Nishizawa, A Noyama, C Hasegawa, M Nakano
In Japan, elderly disorders and diseases have markedly increased in recent years, because of rapid aging and an increasing number of older persons. The situation is creating serious social and community problems. These disorders, particularly dysuria and urinary incontinence (UI), disturb the quality of life (QOL) in latelife. Few reports on UI have been published, but precise investigation into the community level remains to be made. Our presentation is the development, implementation and evaluation of elderly UI in Kumamoto Prefecture...
June 1998: Methods of Information in Medicine
Y Sugiyama
We report 3 cases of parkinsonism (ages ranging between 79 and 86) induced by propiverine hydrochloride (P-4), an anticholinergic drug with a direct effect on the smooth muscle of the bladder, used for the treatment of patients with urinary frequency and/or incontinence. An 87-year-old man with no neurological disorders developed parkinsonism for the first time soon after administration of P-4. In two other patients already diagnosed with parkinsonism, the disease condition worsened after administration of P-4...
October 1997: Rinshō Shinkeigaku, Clinical Neurology
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