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https://www.readbyqxmd.com/read/27901180/ultrasonographic-assessment-of-thyroid-volume-in-oldest-old-individuals
#1
Glaucia Cruzes Duarte, Lara Miguel Quirino Araujo, Felix Magalhães, Clineu Mello Almada, Maysa Seabra Cendoroglo
Objective: The aim of this study was to describe the relationship between thyroid volume and age, gender, anthropometric characteristics, and echogenicity in oldest-old subjects in an iodine-sufficient area. Subjects and methods: The study included 81 independent elderly individuals aged ≥ 80 years (65 [80.2%] women). We determined these individuals' anthropometric characteristics, body mass index (BMI), and lean body mass, as well as thyroid volume and echogenicity by ultrasonography...
November 24, 2016: Archives of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27832329/burden-of-multimorbidity-and-outcome-in-ambulatory-geriatric-hemodialysis-patients-report-from-the-qin-registry-in-germany
#2
Gabriele Röhrig, Maria Cristina Polidori, Katherine Rascher, Mathias Schaller, Thomas Benzing, Gero von Gersdorff
BACKGROUND: Patients with end-stage renal disease (ESRD) requiring hemodialysis are typically characterized by multimorbidity and increasingly by advanced age; however, there are few data on their geriatric needs. OBJECTIVE: The aim of the study was to evaluate the clinical characteristics of a large cohort of incident patients in ambulatory hemodialysis units with a particular focus on those aged over 80 years in Germany. METHODS: The electronic patient registry of the Board of Trustees (Kuratorium) for Dialysis and Kidney Transplantation (KfH) was searched for all patients who began hemodialysis in 1 of the 191 units between 2007 and 2013 and were 65 years and older...
November 10, 2016: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/27823743/the-debilitating-effects-of-chronic-diseases-among-the-oldest-old-in-china
#3
Nai Peng Tey, Siow Li Lai, Jane K L Teh
OBJECTIVES: The aims of this study were to assess the current sharp rise in chronic diseases and disabilities with advancing age, and to examine the debilitating effects of chronic diseases among the oldest old in China. STUDY DESIGN AND OUTCOME VARIABLES: This study used data from four waves of the Chinese Longitudinal Health and Longevity Survey (CLHLS) conducted in 2002, 2005, 2008 and 2011. The sample comprised 2137 older adults who were interviewed in 2002 and re-interviewed in the following waves...
December 2016: Maturitas
https://www.readbyqxmd.com/read/27816907/new-horizons-in-design-for-autonomous-ageing
#4
REVIEW
Tischa J M van der Cammen, Armagan Albayrak, Ena Voûte, Johan F M Molenbroek
The world is ageing rapidly. Between 2000 and 2050, the number of people aged ≥65 will double as a proportion of the global population, from 7% to 16%, respectively. By 2050, for the first time in human history, there will be more older people than children (aged 0-14 years) in the population. More distinctive is the tremendous increase in the oldest old aged ≥85. This challenges society to adapt, in order to maximise the health and functional capacity of older people as well as their social participation and security...
November 5, 2016: Age and Ageing
https://www.readbyqxmd.com/read/27802772/long-term-predictors-of-loneliness-in-old-age-results-of-a-20-year-national-study
#5
Lena Dahlberg, Lars Andersson, Carin Lennartsson
OBJECTIVES: The understanding of social phenomena is enhanced if individuals can be studied over longer periods. Regarding loneliness in old age, there is a general lack of longitudinal research. The aim of this study was to examine whether there is an association between loneliness in old age and social engagement 20 years earlier, as stated by life course theory and the convoy model. METHOD: Data from the nationally representative Swedish Panel Study of Living Conditions of the Oldest Old (2002 and 2011 data collection waves) and the Swedish Level of Living Survey (1981 and 1991 data collection waves) were used...
November 1, 2016: Aging & Mental Health
https://www.readbyqxmd.com/read/27802082/a-practice-development-initiative-supporting-care-home-staff-deliver-high-quality-end-of-life-care
#6
Jo Hockley, Julie Kinley
BACKGROUND: The global population is changing with an increasing percentage of the oldest old, many of whom in the UK are looked after in care homes. Care homes now provide care for a fifth of the UK population who die each year. However, most nursing care homes are privately owned and not part of the NHS, which exposes staff to a lack of skills/knowledge in relation to end-of-life care. METHODS: To implement the Gold Standards Framework in Care Homes Programme and audit outcomes within nursing care homes across five Clinical Commissioning Groups over a 7-year period using a research-based model of facilitation...
October 2, 2016: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/27791221/the-power-of-serum-uric-acid-in-predicting-metabolic-syndrome-diminishes-with-age-in-an-elderly-chinese-population
#7
J-H Chen, C-H Hsieh, J-S Liu, T-J Chuang, H-W Chang, C-L Huang, P-F Li, D Pei, Y-L Chen
OBJECTIVES: Although serum uric acid (sUA) is not a criterion for diagnosing metabolic syndrome (MetS), many studies have identified a positive association between sUA and MetS in patients of various ages and ethnicities. This association has not been fully established in the very elderly. DESIGN: Cross-sectional and longitudinal study. SETTING AND PARTICIPANTS: A total of 18,906 Chinese elderly aged 65 and older undergoing routine health checkups in Taiwan were enrolled...
2016: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/27778336/hospital-costs-of-colorectal-cancer-surgery-for-the-oldest-old-a-dutch-population-based-study
#8
Johannes A Govaert, Marc J P M Govaert, Marta Fiocco, Wouter A van Dijk, Rob A E M Tollenaar, Michel W J M Wouters
: Background Due to increasing healthcare costs, discussions regarding increased hospital costs when operating on high-risk patients is rising. Therefore, the aim of this study was to analyze if oldest-old colorectal cancer patients have a greater impact on hospital costs than their younger counterparts. METHODS: All colorectal cancer procedures performed in 29 Dutch hospitals between 2010 and 2012 and listed in the Dutch Surgical Colorectal Audit were analyzed...
October 25, 2016: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27774078/the-relationship-between-sleep-complaints-depression-and-executive-functions-on-older-adults
#9
Katie M de Almondes, Mônica V Costa, Leandro F Malloy-Diniz, Breno S Diniz
Aim: In this manuscript, we report data on the association between executive functions screened by Frontal Assessment Battery, Five Digit Test and Digit Span with self-reported depressive symptoms and sleep complaints in non-demented older adults. Methods: A total sample of 95 non-demented older adults performed Geriatric Depression Scale short version, Frontal Assessment Battery, Five Digit Test, Digit Span, and clinical interview. We split participants in groups stratified by age according to: young-old (60-69 years of age), old-old (70-79 years), and oldest-old (>80 years) and compared these three groups on the sociodemographic characteristics and executive functions performance...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27761759/caring-for-critically-ill-oldest-old-patients-a-clinical-review
#10
Nicola Vargas, Loredana Tibullo, Emanuela Landi, Giovanni Carifi, Alfonso Pirone, Antonio Pippo, Immacolata Alviggi, Renato Tizzano, Elisa Salsano, Francesco Di Grezia, Maria Vargas
Despite technological advances, the mortality rate for critically ill oldest old patients remains high. The intensive caring should be able to combine technology and a deep humanity considering that the patients are living the last part of their lives. In addition to the traditional goals of ICU of reducing morbidity and mortality, of maintaining organ functions and restoring health, caring for seriously oldest old patients should take into account their end-of-life preferences, the advance or proxy directives if available, the prognosis, the communication, their life expectancy and the impact of multimorbidity...
October 19, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27760234/limitations-in-activities-of-daily-living-in-community-dwelling-people-aged-75-and-over-a-systematic-literature-review-of-risk-and-protective-factors
#11
Anne van der Vorst, G A Rixt Zijlstra, Nico De Witte, Daan Duppen, Andreas E Stuck, Gertrudis I J M Kempen, Jos M G A Schols
BACKGROUND: Most older people wish to age in place, for which functional status or being able to perform activities of daily living (ADLs) is an important precondition. However, along with the substantial growth of the (oldest) old, the number of people who develop limitations in ADLs or have functional decline dramatically increases in this part of the population. Therefore, it is important to gain insight into factors that can contribute to developing intervention strategies at older ages...
2016: PloS One
https://www.readbyqxmd.com/read/27753999/db-02-1-strict-control-of-hypertension-in-the-frail-elderly-is-it-beneficial-pro
#12
Kwang-Il Kim
With the life-expectancy increased, the older population expected to grow all around the world. Especially, the increase of elderly population leads to increase of vulnerable or frail elderly people, who require special consideration in caring and managing chronic medical condition. Considering the substantial diversity in the prevalence of chronic medical conditions and functional impairment, elderly people are often highly heterogeneous and their physiological ability and vulnerability vary widely even in same chronological age...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753941/os-06-06-prevalence-and-consequence-of-orthostatic-hypertension-in-community-dwelling-85-and-90-year-olds
#13
Michael Bursztyn, Aliza Hammerman-Rozenberg, Jeremy Jacobs, Jochanan Stessman
OBJECTIVE: To investigate the prevalence, characteristics, and association with mortality of orthostatic hypertension (OHYPER) amongst the oldest old. DESIGN AND METHOD: Two waves from the Jerusalem Longitudinal Study of community dwelling residents born in 1920-21 were examined at age of 85 (n = 1004), and 90 (n = 437). Sitting blood pressure (BP) was measured three times on two occasions, averaged and compared to 1 minute standing BP. OHYPER, orthostatic hypotension (OHYPO) or normotension (ONT) were classified if the difference of standing-sitting SBP either increased or decreased by ≥20mmHg, or not...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27726955/cognitive-outcomes-of-cardiovascular-surgical-procedures-in-the-old-an-important-but-neglected-area
#14
Hannah A D Keage, Ashleigh Smith, Tobias Loetscher, Peter Psaltis
Older individuals can now undergo invasive cardiovascular procedures without serious concern about mortality, and the numbers and proportions of the over 65s and 85s doing so in Australia has been increasing over the last 20 years. There is overwhelming evidence linking cardiovascular conditions to late-life (65 years and over) cognitive impairment and dementia including Alzheimer's Disease, primarily due to impaired cerebrovascularisation and cascading neuropathological processes. Somewhat paradoxically, these cardiovascular interventions, carried out with the primary aim of revascularisation, are not usually associated with short- or long-term improvements in cognitive function in older adults...
September 23, 2016: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/27725358/a-study-of-the-maxillary-sinus-volume-in-elderly-persons-using-japanese-cadavers
#15
Yusuke Takahashi, Takao Watanabe, Akira Iimura, Osamu Takahashi
In this paper, using full-body CT images of elderly and advanced elderly Japanese cadavers, we measure maxillary and other paranasal sinus volumes in order to examine the effects of age, sex, presence or absence of maxillary molars, and other factors on changes to maxillary sinus volume. The research subjects consisted of 77 of 95 cadavers donated to the Kanagawa Dental University between 2012 and 2014, which average age was 82.6 ± 10 years (33 were male, average age 79.3 ± 8.3 years, and 44 were female, average age 85...
2016: Okajimas Folia Anatomica Japonica
https://www.readbyqxmd.com/read/27722790/the-impact-of-an-ostomy-on-older-colorectal-cancer-patients-a-cross-sectional-survey
#16
N M Verweij, M E Hamaker, D D E Zimmerman, Y T van Loon, F van den Bos, A Pronk, I H M Borel Rinkes, A H W Schiphorst
BACKGROUND: Ostomies are being placed in 35 % of patients after colorectal cancer surgery. As decision-making regarding colorectal surgery is challenging in the older patients, it is important to have insight in the potential impact due to ostomies. METHODS: An internet-based survey was sent to all members with registered email addresses of the Dutch Ostomy Patient Association. RESULTS: The response rate was 49 %; 932 cases were included of whom 526 were aged <70 years old ("younger respondents"), 301 were aged between 70 and 79 years old ("the elderly"), and 105 were aged ≥80 years old ("oldest old")...
October 8, 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/27716182/self-perceived-uselessness-is-associated-with-lower-likelihood-of-successful-aging-among-older-adults-in-china
#17
Danan Gu, Bethany L Brown, Li Qiu
BACKGROUND: Plenty of evidence has shown that self-perceived uselessness among older adults is negatively associated with successful aging in terms of good health in Western societies. It is unclear whether these findings are valid in China where living into older age is more selective due to high mortality at younger ages. METHODS: Using five waves (2000, 2002, 2005, 2008/2009 and 2011/2012) of a large nationally representative survey in China with 29,954 observations from 19,070 older adults aged 65 and older, this study aimed to investigate the association between self-perceived uselessness and successful aging...
October 6, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27712084/hope-and-social-support-in-elderly-patients-with-cancer-and-their-partners-an-actor-partner-interdependence-model
#18
Gil Goldzweig, Lea Baider, Elisabeth Andritsch, Yakir Rottenberg
AIM: Assess relationships between oldest-old (minimum 86 years) patients' perceived social support to their own and their spousal caregivers' hope through application of the actor-partner interdependence model (APIM). PATIENTS & METHODS: 58 dyads of patients and their spousal caregivers completed standardized self-report measures of depression, distress, hope and social support. RESULTS: Patients presented high distress levels. Among patients and spouses, perceived social support was positively correlated to their own level of hope (β = 0...
October 7, 2016: Future Oncology
https://www.readbyqxmd.com/read/27702839/information-and-communication-technology-use-is-related-to-higher-well-being-among-the-oldest-old
#19
Tamara Sims, Andrew E Reed, Dawn C Carr
OBJECTIVES: Older adults often prioritize socially meaningful goals over informational goals. Thus, we predicted that using information and communication technology (ICT) in service of socially meaningful versus informational goals relates to higher well-being among the oldest-old. METHOD: We surveyed 445 adults aged 80+ (mean = 84, range = 80-93; 64% female; 26% non-White) online or via telephone. Participants reported motivations for ICT use (connect with others, learn new information) and rated their psychological and physical well-being (i...
October 4, 2016: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/27694212/professionals-perspectives-towards-health-promotion-in-residential-aged-care-an-explorative-study-in-austria
#20
Benjamin Marent, Christina C Wieczorek, Karl Krajic
Following the trend in most developed countries, in Austria the oldest old are the fastest growing population group. Among this group, there is a high prevalence of multimorbidity, functional impairment, dementia and psychiatric conditions. While health promotion (HP) has been considered relevant in coping with the challenges of an aging population, it has so far been viewed as a foreign concept in relation to the oldest old, especially those living in residential aged care (RAC) facilities. Although there is an acknowledgement that HP should be integrated into routine nursing, there has been little research on how professionals working with RAC interpret and implement HP...
September 30, 2016: Health Promotion International
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