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https://www.readbyqxmd.com/read/29453605/enhanced-recovery-after-surgery-eras-principles-practice-and-feasibility-in-the-elderly
#1
Olle Ljungqvist, Martin Hubner
This is a short overview of the principles of a novel development in surgery called enhanced recovery after surgery (ERAS) programs. This is an evidence-based approach to perioperative care that has shown to reduce complications and recovery time by 30-50%. The main mechanism is reduction of the stress reactions to the operation. These principles have been shown to be particularly well suited for the compromised patient and hence very good for the elderly people who often have co-morbidities and run a higher risk of complications...
February 16, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29451419/physical-exercise-nutrition-and-hormones-three-pillars-to-fight-sarcopenia
#2
Paolo Sgrò, Massimiliano Sansone, Andrea Sansone, Stefania Sabatini, Paolo Borrione, Francesco Romanelli, Luigi Di Luigi
BACKGROUND: Sarcopenia is a pathophysiological condition diffused in elderly people; it represents a social issue due to the longer life expectancy and the growing aging population. It affects negatively quality of life and it represents a risk factor for other pathologies, such as diabetes, cardiovascular disease, and obesity. No silver bullet exists to hinder sarcopenia, but it may be counteracted by physical exercise, nutrition, and a proper endocrine milieu. Indeed, we aim to analyze the scientific literature to give to clinician effective advices to counteract sarcopenia...
February 16, 2018: Aging Male: the Official Journal of the International Society for the Study of the Aging Male
https://www.readbyqxmd.com/read/29451092/driving-comfort-enjoyment-and-acceptance-of-automated-driving-effects-of-drivers-age-and-driving-style-familiarity
#3
Franziska Hartwich, Matthias Beggiato, Josef F Krems
Automated driving has the potential to improve the safety and efficiency of future traffic and to extend elderly peoples' driving life, provided it is perceived as comfortable and joyful and is accepted by drivers. Driving comfort could be enhanced by familiar automated driving styles based on drivers' manual driving styles. In a two-stage driving simulator study, effects of driving automation and driving style familiarity on driving comfort, enjoyment, and system acceptance were examined. Twenty younger and twenty older drivers performed a manual and four automated drives of different driving style familiarity...
February 16, 2018: Ergonomics
https://www.readbyqxmd.com/read/29450736/health-and-quality-of-life-differ-between-community-living-older-people-with-and-without-remaining-teeth-who-recently-received-formal-home-care-a-cross-sectional-study
#4
A R Hoeksema, L L Peters, G M Raghoebar, H J A Meijer, A Vissink, A Visser
OBJECTIVE: To assess oral health, health, and quality of life (QoL) of care-dependent community-living older people with and without remaining teeth who recently received formal home care. MATERIALS AND METHODS: For this cross-sectional observational study, community-living older people (≥ 65 years), who recently (< 6 months) received formal home care, were interviewed with validated questionnaires and underwent an oral examination. Oral health, general health, medicines usage, frailty (Groningen Frailty Indicator), cognition (Minimal Mental State Examination), QoL (RAND 36), and oral health-related QoL (Oral Health Impact Profile-14) were assessed...
February 15, 2018: Clinical Oral Investigations
https://www.readbyqxmd.com/read/29449943/aging-like-physiological-changes-in-the-skin-of-japanese-obese-diabetic-patients
#5
Ai Ibuki, Shoko Kuriyama, Yukiko Toyosaki, Misaki Aiba, Moeko Hidaka, Yoshiko Horie, Chihiro Fujimoto, Fumiyuki Isami, Eriko Shibata, Yasuo Terauchi, Tomoko Akase
Objective: Obesity-associated diabetes causes aging-like changes to skin physiology in animal models, but there have been no clinical studies focusing on human obese diabetic patients. The purpose of this study was to examine the hypothesis that obesity-associated diabetes accelerates aging-like skin changes in Japanese people. Methods: This cross-sectional study enrolled obese-diabetes patients (body mass index ≥ 25 kg m-2) and healthy volunteers (body mass index < 25 kg m -2 ) as controls...
2018: SAGE Open Medicine
https://www.readbyqxmd.com/read/29449892/possible-correlation-between-gut-microbiota-and-immunity-among-healthy-middle-aged-and-elderly-people-in-southwest-china
#6
Xi Shen, Junjie Miao, Qun Wan, Shuyue Wang, Ming Li, Fangfang Pu, Guoqing Wang, Wei Qian, Qian Yu, Francesco Marotta, Fang He
Background: The present study was conducted to investigate the possible association between gut microbes and immunity among healthy middle-aged and elderly individuals in southwest China. A total of 148 healthy adults aged ≥ 50 years were divided into two age groups: middle-aged group (50-59 years; n = 67, 54.13 ± 3.32) and elderly group (≥ 60 years; n = 81, 64.70 ± 3.93). Blood samples were collected to measure serum immune and biochemical indices. Gut microbiota compositions of the groups were characterized on the basis of faecal DNA using 16S rRNA gene sequencing...
2018: Gut Pathogens
https://www.readbyqxmd.com/read/29449351/regional-variation-and-predictors-of-over-registration-in-english-primary-care-in-2014-a-spatial-analysis
#7
Patrick Burch, Tim Doran, Evangelos Kontopantelis
BACKGROUND: There are more people registered with a general practice in England than are estimated to be resident in the country. The reasons behind this are not fully understood. We investigated the levels of over-registration (or under-registration) in English primary care, their regional variability and their association with population and geographical characteristics. METHODS: This was a cross-sectional study using mid-year population estimates for 2014 and general practice populations for the same year...
February 15, 2018: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/29449058/-epidemiology-of-lower-extremity-artery-disease
#8
Victor Aboyans, Marie-Antoinette Sevestre, Ileana Désormais, Philippe Lacroix, Gerry Fowkes, Michael H Criqui
It is estimated that more than 200 million individuals are affected by lower extremity artery disease (LEAD) worldwide. This prevalence has increased between 2000 and 2010 by 25%, especially in low/middle income countries. In France, about one million people are affected by this condition. Almost two-thirds of patients with LEAD are asymptomatic. This explains the interest of the measurement of the ankle-brachial index (ABI), an objective and harmless diagnostic tool. An ABI≤0.90 is considered as diagnostic for LEAD...
February 12, 2018: La Presse Médicale
https://www.readbyqxmd.com/read/29448237/the-effect-of-multimorbidity-on-the-gap-between-global-and-age-comparative-self-rated-health-scores-among-the-korean-elderly
#9
Namsoo Kim, Hyun-Jun Nam, Juhwan Noh, Eun-Cheol Park
Most of the behavior change models regard perceived health status as a motivation for healthy behaviors or chronic disease self-management. The aim of this study was to examine the association between the number of chronic diseases and the difference between global and age-comparative self-rated health scores (GSRH and ASRH). We used national representative survey data pertaining to the elderly in 2011 from the Korea Institute for Health and Social Affairs. In total, 10,003 participants (≥60 years old) were selected from those who had completed the survey in 2008...
January 3, 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29446115/iatrogenic-risk-factors-associated-with-hospital-readmission-of-elderly-patients-a-matched-case-control-study-using-a-clinical-data-warehouse
#10
C Schwab, V Korb-Savoldelli, J B Escudie, C Fernandez, P Durieux, O Saint-Jean, B Sabatier
WHAT IS KNOWN: Hospital readmission within 30 days of patient discharge has become a standard to judge the quality of hospitalizations. It is estimated that 14% of the elderly, people over 75 years old or those over 65 with comorbidities, are at risk of readmission, of which 23% are avoidable. It may be possible to identify elderly patients at risk of readmission and implement steps to reduce avoidable readmissions. OBJECTIVE: The aim of this study was to identify iatrogenic risk factors for readmission...
February 14, 2018: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/29446019/evaluation-of-vulnerable-pm-2-5-exposure-individuals-a-repeated-measure-study-in-an-elderly-population
#11
Haiyan Chu, Junyi Xin, Qi Yuan, Xu Zhang, Wang Pan, Xinying Zeng, Yaoyao Chen, Gaoxiang Ma, Yuqiu Ge, Mulong Du, Na Tong, Xiaobo Li, Zhengdong Zhang, Meilin Wang
Numerous studies have shown that elderly people are susceptible to high-level particles with aerodynamic diameter ≤ 2.5 μm (PM 2.5 ) exposure. However, not all elderly people exposed to PM 2.5 suffer from diseases. In this study, we aim to establish a method to predict the vulnerable PM 2.5 -exposure individuals among elderly population. Fourteen elderly people were recruited from May 8 to July 4, 2016, in Nanjing, China. Ten physiological indicators were repeatedly measured for 15 times. Liner mixed-effects model, principal component analysis (PCA), and PM 2...
February 14, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29445830/bone-health-assessment-in-older-people-with-or-without-muscle-health-impairment
#12
M Locquet, C Beaudart, O Bruyère, J A Kanis, L Delandsheere, J-Y Reginster
This study investigated the relationship between muscle and bone status in elderly individuals. Our results suggested links between sarcopenia and osteoporosis; impairment in muscle status (i.e., muscle mass, muscle strength, and physical performance) is associated with deterioration in bone mass and texture subsequently leading to an increased risk of fracture. INTRODUCTION: Accumulating evidence has shown associations between sarcopenia and osteoporosis, but existing studies face inconsistencies in the clinical definition of both conditions...
February 14, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29445432/recurrent-intracerebral-hemorrhage-after-exercise-in-a-young-patient-presenting-with-sporadic-cerebral-amyloid-angiopathy-in-a-young-patient
#13
Muhammad Taimur Malik, Corey Myers, Syed Jaffar Kazmi, Ramin Zand
Cerebral Amyloid Angiopathy (CAA) is one of the significant causes of lobar intracerebral hemorrhage (ICH) mainly among elderly people. Sporadic cases of CAA have been linked to genetic polymorphisms with an increased risk of disease, an earlier presentation, and an accelerated pathology [1]. Here, we present a patient with no significant risk factors who had a recurrent intracerebral hemorrhage secondary to CAA probably induced by exercise.
December 2017: Journal of Vascular and Interventional Neurology
https://www.readbyqxmd.com/read/29444785/longitudinal-changes-in-intraocular-pressure-and-association-with-systemic-factors-and-refractive-error-lingtou-eye-cohort-study
#14
Xiaotong Han, Tangjian Yang, Jian Zhang, Sha Yu, Xinxing Guo, William Yan, Yin Hu, Mingguang He
OBJECTIVES: To investigate the longitudinal changes in intraocular pressure (IOP) and its associations with refractive error and systemic determinants in a Chinese geriatric population. DESIGN: Prospective cohort study. SETTING: Guangzhou Government Servant Physical Check-up Center, Guangzhou, China. PARTICIPANTS: 4413 government employees aged no less than 40 years (41.9% female) attending annual physical and eye examinations were included in this study...
February 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29443923/on-the-comparison-of-wearable-sensor-data-fusion-to-a-single-sensor-machine-learning-technique-in-fall-detection
#15
Panagiotis Tsinganos, Athanassios Skodras
In the context of the ageing global population, researchers and scientists have tried to find solutions to many challenges faced by older people. Falls, the leading cause of injury among elderly, are usually severe enough to require immediate medical attention; thus, their detection is of primary importance. To this effect, many fall detection systems that utilize wearable and ambient sensors have been proposed. In this study, we compare three newly proposed data fusion schemes that have been applied in human activity recognition and fall detection...
February 14, 2018: Sensors
https://www.readbyqxmd.com/read/29442538/serum-cystatin-c-level-is-associated-with-locomotive-syndrome-risk-and-can-be-an-early-predictor-in-community-living-people-the-yakumo-study
#16
Satoshi Tanaka, Kei Ando, Kazuyoshi Kobayashi, Tetsuro Hida, Kenyu Ito, Mikito Tsushima, Masayoshi Morozumi, Masaaki Machino, Kyotaro Ota, Taisuke Seki, Koji Suzuki, Yoshihiro Nishida, Naoki Ishiguro, Yukiharu Hasegawa, Shiro Imagama
OBJECTIVES: The locomotive syndrome (LS) risk has been recently proposed as a criterion for evaluating physical ability. Serum cystatin C level is an early renal function marker and a cardiovascular disease predictor. This study aimed to evaluate the relationship between serum cystatin C level and LS risk. METHODS: We enrolled 54 participants and conducted the two-step test, stand-up test, 25-question geriatric locomotive function scale, LS risk test, Timed Up and Go test, back muscle strength, grip strength, blood test, and serum cystatin C level measurement...
February 14, 2018: Modern Rheumatology
https://www.readbyqxmd.com/read/29441517/association-between-knee-pain-impaired-function-and-development-of-depressive-symptoms
#17
Keiko Sugai, Fujimi Takeda-Imai, Takehiro Michikawa, Takahiro Nakamura, Toru Takebayashi, Yuji Nishiwaki
OBJECTIVES: To examine the association between knee pain and function and depressive symptoms in older Japanese adults. DESIGN: Community-based prospective cohort study. SETTING: Kurabuchi Town, Gumma Prefecture, Japan. PARTICIPANTS: Individuals aged 65 and older (N = 573; n = 260 men, n = 313 women) without depressive symptoms participated in baseline examinations in 2005 and 2006; 95.6% participated in follow-up interviews (2007-08)...
February 14, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29440471/clinical-and-demographic-characteristics-associated-with-suboptimal-primary-stroke-and-transient-ischemic-attack-prevention-retrospective-analysis
#18
Grace M Turner, Melanie Calvert, Max G Feltham, Ronan Ryan, Samuel Finnikin, Tom Marshall
BACKGROUND AND PURPOSE: Primary prevention of stroke and transient ischemic attack (TIA) is important to reduce the burden of these conditions; however, prescribing of prevention drugs is suboptimal. We aimed to identify individual clinical and demographic characteristics associated with potential missed opportunities for prevention therapy with lipid-lowering, anticoagulant, or antihypertensive drugs before stroke/TIA. METHODS: We analyzed anonymized electronic primary care records from a UK primary care database that covers 561 family practices...
February 13, 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29440009/u-shaped-association-between-serum-uric-acid-levels-with-cardiovascular-and-all-cause-mortality-in-the-elderly-the-role-of-malnourishment
#19
Wei-Cheng Tseng, Yung-Tai Chen, Shuo-Ming Ou, Chia-Jen Shih, Der-Cherng Tarng
BACKGROUND: The link between elevated serum uric acid (SUA) levels and cardiovascular disease (CVD)-related mortality in the elderly population remains inconclusive. Nutritional status influences both SUA and CVD outcomes. Therefore, we investigated whether SUA-predicted mortality and the effect-modifying roles of malnourishment in older people. METHODS AND RESULTS: A longitudinal Taiwanese cohort including 127 771 adults 65 years and older participating in the Taipei City Elderly Health Examination Program from 2001 to 2010 were stratified by 1-mg/dL increment of SUA...
February 10, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29439425/inappropriate-use-of-medication-by-elderly-polymedicated-or-multipathological-patients-with-chronic-diseases
#20
REVIEW
Virtudes Pérez-Jover, José J Mira, Concepción Carratala-Munuera, Vicente F Gil-Guillen, Josep Basora, Adriana López-Pineda, Domingo Orozco-Beltrán
The growth of the aging population leads to the increase of chronic diseases, of the burden of multimorbility, and of the complexity polypharmacy. The prevalence of medication errors rises in patients with polypharmacy in primary care, and this is a major concern to healthcare systems. This study reviews the published literature on the inappropriate use of medicines in order to articulate recommendations on how to reduce it in chronic patients, particularly in those who are elderly, polymedicated, or multipathological...
February 10, 2018: International Journal of Environmental Research and Public Health
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