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https://www.readbyqxmd.com/read/29143769/senescent-nephropathy-the-new-renal-syndrome
#1
REVIEW
Florencia Aiello, Eliana P Dueñas, Carlos G Musso
Chronic kidney disease (CKD) is a condition characterized by progressive and irreversible deterioration of renal function due to the reduction of nephron mass for a period of at least three months. The prevalence of CKD is roughly 10% in the general population but increases with age, affecting more than one-third of people older than 65. Frailty is a condition usually found in elderly people, characterized by weakness, motility, and balance issues, with a declined ability to resist stressors leading to increased risks of adverse health outcomes including falls, fracture, hospitalization, institutionalization, disability, dependence, dementia, poor quality of life, and death...
October 28, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29139651/the-risk-for-fall-and-functional-dependence-in-polish-adults-60%C3%A2-87-years-old
#2
Jaroslaw Domaradzki, Slawomir Koziel, Zofia Ignasiak, Teresa Sławińska, Anna Skrzek, Małgorzata Kołodziej
The constantly rising percentage of the elderly (60+), who are particularly at risk of the dangerous consequence of falls, results not only in the loss of independence in daily life, but also in a serious threat to health and life. Therefore, many authors emphasize the necessity of conducting prophylaxis and prevention among senior citizens. The most important aspect of fall prophylaxis is care about the optimum level of agility. Exercise should focus on increasing muscular strength, balance and dexterity. The aim of the present study is to determine the relationship between functional fitness and the risk for falls of older people in the light of maintaining physical independence...
March 2017: Collegium Antropologicum
https://www.readbyqxmd.com/read/29139186/factors-associated-with-home-hazards-findings-from-the-malaysian-elders-longitudinal-research-study
#3
Muhammad H Romli, Maw P Tan, Lynette Mackenzie, Meryl Lovarini, Shahrul B Kamaruzzaman, Lindy Clemson
AIM: Previous studies have investigated home hazards as a risk factor for falls without considering factors associated with the presence of home hazards. The present study aimed to determine patterns of home hazards among urban community-dwelling older Malaysians, and to identify factors contributing to home hazards. METHODS: Cross-sectional data from the initial wave of the Malaysian Elders Longitudinal Research study were used. Basic demographics were obtained from the Global Questionnaire...
November 15, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29137820/does-acute-care-for-the-elderly-ace-unit-decrease-the-incidence-of-falls
#4
Ahmed Abdalla, Mehul Adhaduk, Raad A Haddad, Yanal Alnimer, Carlos F Ríos-Bedoya, Ghassan Bachuwa
To determine whether acute care for the elderly (ACE) units decrease the incidence of patient falls compared to general medical and surgical (GMS) units, a non-concurrent prospective study included individuals aged 65 and older admitted to ACE or GMS units over a 2-year span was done. There were 7069 admissions corresponded to 28,401 patient-days. A total of 149 falls were reported for an overall incidence rate (IR) of 5.2 falls per 1000 patient-days, 95% CI, 4.4/1000-6.1/1000 patient-days. The falls IR ratio for patients in ACE unit compared to those in non-ACE units after adjusting for age, sex, prescribed psychotropics and hypnotics, and Morse Fall Score was 0...
November 11, 2017: Geriatric Nursing
https://www.readbyqxmd.com/read/29135297/-vitamin-d-and-calcium-supplementation-in-elderly-patients-with-hip-fracture
#5
Antal Salamon, Erzsébet Toldy, Csaba Biró, Ákos Mátrai, Tibor Balassa, Zoltán Lőcsei
Vitamin D plays an important role in maintaining calcium and bone metabolism, a risk factor of osteoporosis, fall and fracture in old age. Reduction in D-vitamin levels associated with compensatory increased level of parathyroid hormone causes significant loss of bone matrix, so substitutions of vitamin D and calcium are very important. Many authors publish their recommended doses used for prevention of hip fracture during the last years. Some authors are satisfied only with vitamin D supplementation while others have better experiences with vitamin D and calcium substitution...
October 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/29132661/-the-occupational-therapist-and-the-assessment-of-the-elderly-person-s-home
#6
Claire Schonheit, Quentin Rousselle, Isabelle Cara, Valentine Curtis, Anthony Mézière
The falls of elderly people in their home are frequently related to the environment. Plans and photographs of the home provided by the patient's relatives are useful and constitute relevant assessment tools. The home visit is even more effective as it helps to identify areas which pose a high risk of falling which cannot be picked up by the other tools.
November 2017: Soins. Gérontologie
https://www.readbyqxmd.com/read/29132658/-elderly-hospitalised-people-and-walking-capacities
#7
Camille Castel, Pascale Lescure, Gilles Loggia, Rémi Morello, Rémi De Mil, Guillaume Saint-Lorant
Falls in the elderly are frequent. A study carried out over 6 months in a university hospital's acute geriatric unit highlighted the real walking capacities of hospitalised elderly people. It also changed the perception of caregivers, doctors and nurses with regard to the real physical aptitudes of these patients enabling the risk of falls to be reduced in preparation for their return home or to a residential care home.
November 2017: Soins. Gérontologie
https://www.readbyqxmd.com/read/29132579/the-tragically-hip-trauma-in-elderly-patients
#8
REVIEW
Katrin Hruska, Toralph Ruge
Old age is a risk factor for poor outcome in trauma patients, as a result of undertriage and the presence of occult life-threatening injuries. The mechanisms of injury for geriatric trauma differ from those in younger patients, with a much higher incidence of low-impact trauma, especially falls from a low height. Frailty is a risk factor for severe injury after minor trauma, and caring for these patients require a multidisciplinary team with both trauma and geriatric expertise. With early recognition and aggressive management, severe injuries can still be associated with good outcomes, even in very elderly patients...
February 2018: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/29125861/identification-of-hospitalized-elderly-patients-at-risk-for-adverse-in-hospital-outcomes-in-a-university-orthopedics-and-trauma-surgery-environment
#9
Janine Gronewold, Christian Dahlmann, Marcus Jäger, Dirk M Hermann
BACKGROUND: As a consequence of demographic changes, hospitals are confronted with increasing numbers of elderly patients, who are at high risk of adverse events during hospitalization. Geriatric risk screening followed by comprehensive geriatric assessment (CGA) and treatment has been requested by geriatric societies and task forces to identify patients at risk. Since empirical evidence on factors predisposing to adverse hospital events is scarce, we now prospectively evaluated implications of geriatric risk screening followed by CGA in a university hospital department of orthopedics and trauma surgery...
2017: PloS One
https://www.readbyqxmd.com/read/29125269/direct-oral-anticoagulants-use-in-elderly-patients-with-non-valvular-atrial-fibrillation-state-of-evidence
#10
Giulia Benedetti, Matteo Neccia, Luciano Agati
Non-valvular atrial fibrillation (NVAF) increases the risk of stroke by three- to five-fold, especially in elderly patients, creating a huge burden on medical system as well as a negative impact on patients lives. Balancing efficacy and bleeding risk is a challenge when considering anticoagulation therapy in elderly patients, because of their frequent high risk of both stroke and bleeding. Real world data reveal the underuse of anticoagulation in the elderly, especially due to physicians' fear of bleeding, often neglecting the thromboembolic risk...
November 10, 2017: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/29121033/identification-of-seniors-at-risk-scale-as-a-simple-tool-of-elderly-patients-assessment-in-an-acute-hospital-department
#11
Anna Gałuszewska, Barbara Gryglewska, Stanisław Górski, Anna Kańtoch, Tomasz Grodzicki
INTRODUCTION: e aim of the study was to evaluate the usefulness of Identification of Seniors at Risk (ISAR) scale among elderly patients admitted to the department of internal medicine. MATERIAL AND METHODS: The ISAR score was performed among patients aged >59 years a er admission to the hospital ward. Data from medical history about diseases, taken medicines, falls, length of hospital stay and mortality were compared in patients with ISAR score of 0-1 and over 1 and in subjects with and without history of falls...
2017: Folia Medica Cracoviensia
https://www.readbyqxmd.com/read/29116377/-effectiveness-of-preventive-house-visits-for-elderly-people-systematic-assessment-of-current-literature
#12
REVIEW
Jörg-Christian Renz, Matthias Meinck
BACKGROUND: Preventive home visits (PHV) document health resources and risks in the domestic environment in order to derive preventive recommendations. An earlier review did not yield reliable proof of their efficacy for the elderly; however, PHV are used increasingly more as a municipal service in Germany. OBJECTIVE: This article evaluates the efficacy of PHV by means of evidence-based criteria. MATERIAL AND METHODS: Independent of the reason, randomized controlled studies (RCT) and systematic reviews on PHV in the elderly (60+ years) that were published after 2004 were identified by means of searching pertinent literature databases...
November 7, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29115205/falls-in-elderly-patients-are-not-treated-according-to-national-recommendations
#13
Marie Lillevang-Johannsen, Johannes Grand, Maurice Lembeck, Ann-Kristine Giger, Joanna Drozdowska, Jolanta Zajworoniuk-Wlodarczyk, Anna Gaj, Ellen Holm
INTRODUCTION: The aim of this study was to evaluate health professionals' compliance with recommendations from the Danish Health Authority (DHA) concerning falls, to study the prevalence of acute hospital visits due to falls, and to compare characteristics of fall patients in two geographically and socioeconomically different areas of Denmark. METHODS: The study was conducted in the emergency departments (ED) of Slagelse Hospital (SH) and Nykøbing Falster Hospital (NFH), both located in Denmark...
November 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/29100833/isolated-orbital-fractures-are-severe-among-geriatric-patients
#14
Miika Toivari, Anna Liisa Suominen, Satu Apajalahti, Christian Lindqvist, Johanna Snäll, Hanna Thorén
PURPOSE: The purpose of the present study was to clarify the reasons for, types of, and degree of involvement of the orbital wall and the severity of orbital fractures in geriatric patients and to compare the differences between geriatric and younger adult patients. MATERIALS AND METHODS: A retrospective case-control study of geriatric patients aged at least 65 years (n = 72) and younger controls aged 20 to 50 years (n = 58) with a diagnosis of a unilateral isolated orbital fracture was designed and implemented...
October 9, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29096135/use-of-antiepileptic-drugs-and-risk-of-falls-in-old-age-a-systematic-review
#15
REVIEW
Ylva Haasum, Kristina Johnell
OBJECTIVE: The aim of this study is to systematically review the scientific literature to investigate if use of antiepileptic drugs (AEDs) is associated with falls and/or recurrent falls in old age. METHOD: We searched the literature for relevant articles in PubMed and Embase published up until 3rd December 2015. Studies on people aged 60 years and over with an observational design assessing the risk of fall in people exposed to AEDs compared to people not exposed to AED were included...
October 30, 2017: Epilepsy Research
https://www.readbyqxmd.com/read/29078983/an-analysis-of-escalator-related-injuries-in-metro-stations-in-china-2013-2015
#16
Yingying Xing, Sunanda Dissanayake, Jian Lu, Sijin Long, Yuexin Lou
In order to reduce the probability and severity of escalator-related injuries and enhance the safety of passengers, this study analyzed 950 escalator-related injuries in Guangzhou metro stations to identify the characteristics and the risk factors associated with escalator-related injuries in China. The data extracted from Management Information System of Guangzhou Metro covers the site and time of the accident, age and gender of the victims, escalator condition and injury information. The results from the statistical analysis indicated that the majority of the escalator-related injuries was caused by failing to stand firm (287 cases, 30...
October 24, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29063490/effect-of-somatosensory-and-neurofeedback-training-on-balance-in-older-healthy-adults-a-preliminary-investigation
#17
Atefeh Azarpaikan, Hamidreza Taheri Torbati
The aim of this study was to assess the effectiveness of balance training with somatosensory and neurofeedback training on dynamic and static balance in healthy, elderly adults. The sample group consisted of 45 healthy adults randomly assigned to one of the three test groups: somatosensory, neurofeedback, and a control. Individualization of the balance program started with pre-tests for static and dynamic balances. Each group had 15- and 30-min training sessions. All groups were tested for static (postural stability) and dynamic balances (Berg Balance Scale) in acquisition and transfer tests (fall risk of stability and timed up and go)...
October 23, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29060728/linear-sigmoidal-modelling-of-accelerometer-features-and-tinetti-score-for-automatic-fall-risk-assessment
#18
Massimo W Rivolta, Roberto Sassi
Falling in elderly is a worldwide major problem and it can lead to severe injuries or death. Despite the effort made to ensure home environments safe and foster healthy lifestyles, it is still necessary to provide methodologies that can be used at home for detect risk factors associated with falls. In this study, we proposed a new simple non-linear model, i.e., Linear-Sigmoidal model (LS), easy to fit and simple to interpret, used to model accelerometer features and outcome of the clinical scale Tinetti (clinical scale for fall risk prediction)...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29060638/fall-detection-using-smart-floor-sensor-and-supervised-learning
#19
Ludovic Minvielle, Mounir Atiq, Renan Serra, Mathilde Mougeot, Nicolas Vayatis
Falls are a major risk for elderly people's health and independence. Fast and reliable fall detection systems can improve chances of surviving the accident and coping with its physical and psychological consequences. Recent research has come up with various solutions, all suffering from significant drawbacks, one of them being the intrusiveness into patient's life. This paper proposes a novel fall detection monitoring system based on a sensitive floor sensor made out of a piezoelectric material and a machine learning approach...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29057630/femur-fractures-in-parkinsonism-analysis-of-a-national-sample-cohort-in-south-korea
#20
Soo Jeong An, Seung Hwan Lee, Seo Young Lee, Jae Woo Kwon, Seung Joon Lee, Young Ju Kim
BACKGROUND AND PURPOSE: Falling with a femur fracture is a serious event that negatively affects the quality of life of elderly individuals as well as patients with parkinsonism. This study investigated the association between parkinsonism and femur fracture and compared the risk of femur fracture between subjects with and without parkinsonism. METHODS: This study examined a population-based matched cohort constructed using the National Sample Cohort data set, which comprises approximately one million subscribers to medical insurance and aid in South Korea...
October 2017: Journal of Clinical Neurology
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