keyword
https://read.qxmd.com/read/38536680/lower-limb-exoskeletons-appeal-to-both-clinicians-and-older-adults-especially-for-fall-prevention-and-joint-pain-reduction
#1
JOURNAL ARTICLE
Michael Raitor, Sandra Ruggles, Scott L Delp, C Karen Liu, Steven H Collins
Exoskeletons are a burgeoning technology with many possible applications to improve human life; focusing the effort of exoskeleton research and development on the most important features is essential for facilitating adoption and maximizing positive societal impact. To identify important focus areas for exoskeleton research and development, we conducted a survey with 154 potential users (older adults) and another survey with 152 clinicians. The surveys were conducted online and to ensure a consistent concept of an exoskeleton across respondents, an image of a hip exoskeleton was shown during exoskeleton-related prompts...
March 27, 2024: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://read.qxmd.com/read/38536526/pharmacological-and-immunomodulatory-modes-of-action-of-medically-important-phytochemicals-against-arthritis-a-molecular-insight
#2
REVIEW
Aqsa, Shaukat Ali, Muhammad Summer, Saima Yousaf, Laiba Nazakat, Shehzeen Noor
Arthritis is a common illness that affects joints and it may result in inflammation and pain. Even though arthritis usually affects older people, it can also affect children, adults, and both genders. Numerous arthritic mouse models have been developed but the CIA model of rheumatoid arthritis (RA) has received the most attention. With the use of steroids, DMARDs, and NSAIDs, therapy objectives such as reduced disease incidence and better pain management are achieved. Long-term usage of these therapeutic approaches may have negative side effects...
March 27, 2024: Molecular Biology Reports
https://read.qxmd.com/read/38534990/safety-and-diagnostic-yield-of-medical-pleuroscopy-mp-performed-under-balanced-analgosedation-by-a-pneumological-team-compared-to-video-assisted-thoracic-surgery-vats-a-retrospective-controlled-real-life-study-torapo
#3
JOURNAL ARTICLE
Valentino Allocca, Luca Guidelli, Angela Galgano, Lucia Benedetti, Roberto Fabbroni, Andrea Bianco, Piero Paladini, Raffaele Scala
INTRODUCTION: Medical pleuroscopy (MP) is an invasive technique that provides access to the pleural space with a rigid or semi-rigid work instrument, allowing for visualization and the obtaining of bioptic pleural samples. Using pulmonologist-based analgosedation to perform pleuroscopy is still debated for safety reasons. The aim of this real-life study is to demonstrate the safety and diagnostic yield of MP performed under balanced analgosedation by a pulmonologist team with expertise in the management of critically ill patients in the respiratory intensive care unit (RICU) and interventional pulmonology unit as compared to video-assisted thoracic surgery (VATS) performed by a thoracic surgeon team under anesthesiologist-based analgosedation...
March 7, 2024: Diagnostics
https://read.qxmd.com/read/38533881/use-of-compression-therapy-for-cellulitis
#4
JOURNAL ARTICLE
Mia Nielsen, Mette Midttun
INTRODUCTION: Cellulitis is a common infection, especially among the elderly, and compression therapy is often recommended to reduce acute oedema and pain. A previous study showed that compression therapy led to a lower incidence of recurrent cellulitis in lower extremities in patients with chronic oedema. The aim of this study was to describe clinical characteristics of patients with cellulitis. METHODS: This was a retrospective descriptive study reviewing medical records and medicine registrations in patients ≥ 18 years with cellulitis...
February 29, 2024: Danish Medical Journal
https://read.qxmd.com/read/38533435/effects-of-dexmedetomidine-on-postoperative-pain-and-early-cognitive-impairment-in-older-male-patients-undergoing-laparoscopic-cholecystectomy
#5
JOURNAL ARTICLE
Yanlong Fu, Qiang Wei, Zhenliang Wang, Qingtao Zhao, Wenxin Shi
The primary aim of the present study was to investigate the effect of dexmedetomidine (DEX) on postoperative pain and early cognitive impairment in old male patients, who underwent laparoscopic cholecystectomy (LC). A total of 97 old patients, subjected to LC at the 980 Hospital of the Joint Service Support Force of the People's Liberation Army of China, were randomly divided into two groups, namely the DEX and normal saline groups. Patients in the DEX group received an intravenous infusion of 0.8 µg/kg DEX within 10 min following general anesthesia, followed by a maintenance infusion of 0...
May 2024: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/38532993/insomnia-symptoms-and-related-factors-in-a-community-based-population-the-yamagata-cohort-study
#6
JOURNAL ARTICLE
Miho Suzuki, Natsuko Suzuki, Kaori Sakurada, Norihiko Tsuchiya, Yoshiyuki Ueno, Tsuneo Konta
OBJECTIVE/BACKGROUND: Insomnia is prevalent and is a risk factor for the development of lifestyle-related diseases and early death. To improve insomnia, it is necessary to identify the factors that affect it. This study investigated the associations between insomnia symptoms and mental, physical, and environmental factors in the general Japanese population. PATIENTS/METHODS: The study participants were 7,873 individuals who responded to the Health and Lifestyle Survey questionnaire that included sleep-related items between December 2021 and March 2022...
March 30, 2024: Heliyon
https://read.qxmd.com/read/38532698/examining-the-impact-of-far-infrared-technology-on-quality-of-life-in-older-adults
#7
JOURNAL ARTICLE
Melanie Homan, Shavonnye U L Rath, Virginia L S Green, Jennifer Hutson, Marcie J Myers, Joshua D Guggenheimer
The purpose of this study was to examine the effects of far-infrared (FIR) heat on quality of life (QOL) in older adults. Participants were assigned to either a convective heat group (CON) or a convective and FIR group. Participants received six, 30-min heat sessions over the course of three weeks. Pre- and post-assessments included physical measures such as range of motion, gait speed, Timed Up and Go, and hand grip strength. Standardized questionnaires were used to determine pain severity and its interference with daily life, and the impact pain had on overall QOL...
March 27, 2024: International Journal of Aging & Human Development
https://read.qxmd.com/read/38532422/cost-effectiveness-and-cost-utility-of-the-ball-and-socket-trapeziometacarpal-prosthesis-compared-to-trapeziectomy-and-ligament-reconstruction-study-protocol-for-a-randomized-controlled-clinical-trial
#8
JOURNAL ARTICLE
Serafín Lirola-Palmero, Guillem Salva-Coll, Aina María Yáñez-Juan, Eduardo Sánchez-Iriso
BACKGROUND: Trapeziometacarpal (TMC) osteoarthritis (OA) is a common cause of pain and weakness during thumb pinch leading to disability. There is no consensus about the best surgical treatment in unresponsive cases. The treatment is associated with costs and the recovery may take up to 1 year after surgery depending on the procedure. No randomized controlled trials have been conducted comparing ball and socket TMC prosthesis to trapeziectomy with ligament reconstruction. METHODS: A randomized, blinded, parallel-group superiority clinical trial comparing trapeziectomy with abductor pollicis longus (APL) arthroplasty and prosthetic replacement with Maïa® prosthesis...
March 27, 2024: Trials
https://read.qxmd.com/read/38531826/epidemiology-of-spondylolisthesis-a-nationwide-study-from-2001-to-2016-in-the-italian-population
#9
JOURNAL ARTICLE
Umile Giuseppe Longo, Sergio De Salvatore, Luca Denaro, Alessandro Mazzola, Ilaria Piergentili, Vincenzo Denaro
STUDY DESIGN: Epidemiological study. OBJECTIVE: This study aimed to evaluate the annual incidence of spondylolisthesis requiring surgery in Italy and the epidemiological characteristics of the patients. BACKGROUND: The health care system continues to incur considerable costs as a result of low-back pain. Segmental instability of the lumbar spine has attracted significant interest from researchers as a potential mechanism leading to mechanical low back pain...
March 27, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38529017/tizanidine-advances-in-pharmacology-therapeutics-and-drug-formulations
#10
REVIEW
Ling-Ling Zhu, Yan-Hong Wang, Quan Zhou
BACKGROUND: Skeletal muscle relaxants (SMRs) are widely used in treating musculoskeletal conditions. All SMRs, with the exception of baclofen and tizanidine, are on the list of 2023 American Geriatrics Society Beers Criteria® for potentially inappropriate medication use in older adults. In our geriatric practice, off-label use of tizanidine as preemptive analgesia drove us to find recent advances in its pharmacology and therapeutics. An update review of tizanidine was thus presented, aiming to bring the latest knowledge to clinicians and promote further research and practical exploration...
2024: Journal of Pain Research
https://read.qxmd.com/read/38528477/frequency-and-predictors-of-headache-in-the-first-12-months-after-traumatic-brain-injury-results-from-center-tbi
#11
JOURNAL ARTICLE
Emilie Isager Howe, Nada Andelic, Cathrine Brunborg, Marina Zeldovich, Eirik Helseth, Toril Skandsen, Alexander Olsen, Silje C R Fure, Alice Theadom, Katrin Rauen, Benedikte Å Madsen, Bram Jacobs, Joukje van der Naalt, Maria Carmela Tartaglia, Cathrine Elisabeth Einarsen, Gøril Storvig, Erling Tronvik, Cathrine Tverdal, Nicole von Steinbüchel, Cecilie Røe, Torgeir Hellstrøm
BACKGROUND: Headache is a prevalent and debilitating symptom following traumatic brain injury (TBI). Large-scale, prospective cohort studies are needed to establish long-term headache prevalence and associated factors after TBI. This study aimed to assess the frequency and severity of headache after TBI and determine whether sociodemographic factors, injury severity characteristics, and pre- and post-injury comorbidities predicted changes in headache frequency and severity during the first 12 months after injury...
March 25, 2024: Journal of Headache and Pain
https://read.qxmd.com/read/38527456/daily-pain-severity-but-not-vertebral-fractures-is-associated-with-lower-physical-activity-in-postmenopausal-women-with-back-pain
#12
JOURNAL ARTICLE
Gallin Montgomery, Jon H Tobias, Zoe Paskins, Tarnjit K Khera, Cameron J Huggins, Sarah J Allison, Daniel Abasolo, Emma M Clark, Alex Ireland
Back pain lifetime incidence is 60%-70%, while 12%-20% of older women have vertebral fractures (VFs), often with back pain. We aimed to provide objective evidence, currently lacking, regarding whether back pain and VFs affect physical activity (PA). We recruited 69 women with recent back pain (age 74.5 ± 5.4 years). Low- (0.5 < g < 1.0), medium- (1.0 ≤ g < 1.5), and high-impact (g ≥ 1.5) PA and walking time were measured (100 Hz for 7 days, hip-worn accelerometer)...
March 23, 2024: Journal of Aging and Physical Activity
https://read.qxmd.com/read/38525806/perspectives-on-approaching-pain-management-in-patients-with-dementia
#13
REVIEW
Lisa Attrill, Pat Schofield
This paper presents a review of the latest literature and guidance regarding the assessment and management of pain in older adults with dementia. The size and nature of the problem will be presented, in terms of the increasing aging population across the globe and potential for a significant increase in adults with dementia, along with the reduction in younger counterparts who will be available to provide care in the future. We will present the latest recommendations regarding how to assess pain and which tools are recommended for use underpinned by the strongest evidence...
March 25, 2024: Pain Management
https://read.qxmd.com/read/38525486/mediation-of-the-association-between-physical-exercise-and-depressive-anxiety-symptoms-by-pain-and-sleep-problems-among-older-adults
#14
JOURNAL ARTICLE
Namkee G Choi, Bryan Y Choi, C Nathan Marti
In this study, based on the 2022 National Health and Aging Trend Study ( N  = 5,593, age 65+), we examined direct associations between moderate and vigorous physical exercise (PE) and depressive/anxiety symptoms as well as bothersome pain and sleep problems. We then examined if the association between PE and depressive/anxiety symptoms would be partially mediated by the effects of PE on bothersome pain and sleep problems. Results from a path model showed that controlling for sociodemographic and health statuses, PE was negatively associated with depressive/anxiety symptoms and bothersome pain, but it was not significantly associated with sleep problems...
2024: Gerontology & Geriatric Medicine
https://read.qxmd.com/read/38525440/factors-associated-with-the-delay-in-informed-consent-procedures-of-patients-with-st-segment-elevation-myocardial-infarction-and-its-influence-on-door-to-balloon-time-a-nationwide-retrospective-cohort-study
#15
JOURNAL ARTICLE
Mailikezhati Maimaitiming, Junxiong Ma, Xuejie Dong, Shuduo Zhou, Na Li, Zheng Zhang, Shijuan Lu, Lianglong Chen, Likun Ma, Bo Yu, Yitong Ma, Xingsheng Zhao, Zhaofen Zheng, Hong Shi, Zhijie Zheng, Yinzi Jin, Yong Huo
BACKGROUND AND OBJECTIVES: ST-segment elevation myocardial infarction (STEMI) is the deadliest and most time-sensitive acute cardiac event. However, failure to achieve timely informed consent is an important contributor to in-hospital delay in STEMI care in China. We investigated the factors associated with informed consent delay in patients with STEMI undergoing percutaneous coronary intervention (PCI) and the association between the delay and door-to-balloon time. METHODS: We conducted a nationally representative retrospective cohort study using patient data reported by hospital-based chest pain centers from 1 January 2016 to 31 December 2020...
February 2024: Journal of Translational Internal Medicine
https://read.qxmd.com/read/38524864/multisite-pain-and-intensity-were-associated-with-history-fall-among-older-adults-a-cross-sectional-study
#16
JOURNAL ARTICLE
Saud M Alrawaili, Khalid M Alkhathami, Mohamed G Elsehrawy, Sakher M Obaidat, Norah A Alhwoaimel, Aqeel M Alenazi
PURPOSE: This study examined the independent associations among multisite pain, pain intensity, and the risk of falls, including a history of falls in the previous 12 months and frequent falls (≥ two falls vs one or two falls) among community-dwelling older adults. METHODS: A cross-sectional design from Wave 2 of the National Social Life, Health, and Aging Project was used. Data on pain intensity and location (45 sites) over the past 4 weeks were collected...
2024: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/38524719/diagnosis-and-prevention-of-periprosthetic-joint-infections-by-staphylococcus-aureus-after-hip-fracture-a-systematic-review-of-the-literature
#17
JOURNAL ARTICLE
Bianca Gabriella de Oliveira, Victor Hugo Ruis da Costa, Igor Rodrigues Gama, Murilo Halberstadt Beskow, Elisson Rafael Silva Dos Santos
Hip arthroplasties are surgical procedures widely performed all over the world, seeking to return functionality, relieve pain, and improve the quality of life of patients affected by osteoarthritis, femoral neck fractures, osteonecrosis of the femoral head, among other etiologies. Periprosthetic joint infections are one of the most feared complications due to the high associated morbidity and mortality, with a high number of pathogens that may be associated with its etiology. The aim of the present study was to analyze aspects correlated with the occurrence of infection, diagnosis and prevention of periprosthetic joint infections in the hip associated with Staphylococcus aureus after corrective surgery for hip fractures...
February 2024: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/38524507/safety-and-efficacy-comparison-of-remimazolam-and-propofol-for-intravenous-anesthesia-during-gastroenteroscopic-surgery-of-older-patients-a-meta-analysis
#18
JOURNAL ARTICLE
Fang-Zhuo Li, Cheng Zhao, Yi-Xun Tang, Ji-Tong Liu
BACKGROUND: Remimazolam is characterized by rapid action and inactive metabolites. It is used as the general anesthetic for many clinical surgeries. In this study, we performed a meta-analysis to evaluate whether remimazolam is superior to propofol for gastroenteroscopy in older patients. AIM: To compare the adverse events and efficacy of remimazolam and propofol during gastroenteroscopy in older adults. METHODS: The PubMed, Web of Science, the Cochrane Library databases were queried for the relevant key words "remimazolam," "and propofol," "and gastrointestinal endoscopy or gastroscopy...
March 6, 2024: World Journal of Clinical Cases
https://read.qxmd.com/read/38524243/profile-of-caregiving-activities-and-association-with-physical-health-among-dementia-spousal-caregivers
#19
JOURNAL ARTICLE
Jinmyoung Cho, Laura P Sands, Alan B Stevens, Heather G Allore, Molly J Horstman
BACKGROUND AND OBJECTIVES: This study aims to identify patterns of caregiving intensity and assess associations between caregiving intensity and multidimensional physical health indicators and health behaviors among spousal caregivers of persons with Alzheimer's disease and related dementia. RESEARCH DESIGN AND METHODS: Using data from 152 spousal caregivers aged 65 and older, the intensity of their caregiving experience was measured as the number and frequency of health- and medical-related helping activities for their care recipient...
2024: Innovation in Aging
https://read.qxmd.com/read/38523940/an-unusual-case-of-non-typhoidal-salmonella-bacteremia-causing-life-threatening-aortitis
#20
Fawwad A Ansari, Stefan Gafoor, Mubashira Aftab, Zola Nlandu
Non-typhoidal Salmonella typically presents with gastroenteritis. However, an invasive Salmonella infection, which may be typically seen in immunocompromised patients, has a propensity for aortic involvement, especially in patients with risk factors for atherosclerosis. Here we present a 60-year-old female with multiple comorbid conditions and currently on immunosuppressants for rheumatoid arthritis, who presented with nausea, vomiting, and fever of three weeks duration and was found to have Salmonella bacteremia...
February 2024: Curēus
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