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https://www.readbyqxmd.com/read/29623408/-thromboembolism-prophylaxis-in-old-age
#1
Gabriele Röhrig, Gerald Kolb
Anticoagulation in geriatric patients is challenging regarding the risk of bleeding complications and thromboembolic problems. Age, comorbidities, such as renal insufficiency and polymedication have a vital impact on bleeding and thromboembolic risks; however, age is not an exclusion criterion for withholding anticoagulation. Age is the main risk factor for deep vein thrombosis and atrial fibrillation becomes more relevant with aging. Older patients with atrial fibrillation have a particularly high risk of having a stroke...
April 2018: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29500574/-refeeding-syndrome-pathophysiology-risk-factors-prevention-and-treatment
#2
REVIEW
R Wirth, R Diekmann, G Janssen, O Fleiter, L Fricke, A Kreilkamp, M K Modreker, C Marburger, S Nels, M Pourhassan, R Schaefer, H-P Willschrei, D Volkert
Refeeding syndrome is a life-threatening complication that may occur after initiation of nutritional therapy in malnourished patients, as well as after periods of fasting and hunger. Refeeding syndrome can be effectively prevented and treated if its risk factors and pathophysiology are known. The initial measurement of thiamine level and serum electrolytes, including phosphate and magnesium, their supplementation if necessary, and a slow increase in nutritional intake along with close monitoring of serum electrolytes play an important role...
April 2018: Der Internist
https://www.readbyqxmd.com/read/29313875/memo-efficacy-durability-and-effect-of-cognitive-training-and-psychosocial-intervention-in-individuals-with-mild-cognitive-impairment
#3
Sylvie Belleville, Carol Hudon, Nathalie Bier, Catherine Brodeur, Brigitte Gilbert, Sébastien Grenier, Marie-Christine Ouellet, Chantal Viscogliosi, Serge Gauthier
BACKGROUND/OBJECTIVES: There is no consensus on the efficacy of cognitive training in persons with mild cognitive impairment (MCI) because of the paucity of well-designed randomized controlled trials. The objective was to assess the effect of memory training on the cognitive functioning of persons with MCI and its durability and to evaluate whether this effect generalizes to daily life and whether positive effects could be obtained from psychosocial intervention. DESIGN: Single-blind randomized controlled trial...
January 4, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28623410/-50th-anniversary-of-zeitschrift-f%C3%A3-r-gerontologie-und-geriatrie
#4
EDITORIAL
S Denskus, P Herrmann, J Meyer Zu Tittingdorf
No abstract text is available yet for this article.
July 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28433120/additional-cost-because-of-pneumonia-in-nursing-home-residents-results-from-the-incidence-of-pneumonia-and-related-consequences-in-nursing-home-resident-study
#5
MULTICENTER STUDY
Nadège Costa, Emiel O Hoogendijk, Michael Mounié, Robert Bourrel, Yves Rolland, Bruno Vellas, Laurent Molinier, Matteo Cesari
OBJECTIVES: Pneumonia is a frequent condition in older people. Our aim was to examine the total healthcare cost related to pneumonia in nursing home (NH) residents over a 1-year follow-up period. DESIGN: This was a prospective, longitudinal, observational, and multicenter study that was a part of the Incidence of Pneumonia and related Consequences in Nursing Home Resident study. SETTING: Thirteen NHs located in Languedoc Roussillon and Midi-Pyrénées regions in France were included...
May 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28211177/visual-impairment-in-older-institutionalised-canadian-seniors-with-dementia
#6
Estefania Chriqui, Caroline Law, Marie-Jeanne Kergoat, Bernard-Simon Leclerc, Hélène Kergoat
PURPOSE: To estimate the prevalence of visual impairment (VI) in a sub-population of Canadian long-term care facilities, i.e. residents affected by dementia. METHODS: This study was conducted in the long-term care facility units at the Institut universitaire de gériatrie de Montréal. All residents ≥65 years old (y.o.), having a clinical diagnosis of dementia, and able to understand French or English, were eligible for participation in the study. All residents participating in the study received a complete eye exam by an experienced optometrist...
March 2017: Ophthalmic & Physiological Optics: the Journal of the British College of Ophthalmic Opticians (Optometrists)
https://www.readbyqxmd.com/read/28130649/abstracts-40e%C3%A2-wintermeeting-belgische-vereniging-voor-gerontologie-en-geriatrie-2017
#7
(no author information available yet)
No abstract text is available yet for this article.
February 2017: Tijdschrift Voor Gerontologie en Geriatrie
https://www.readbyqxmd.com/read/28070675/-refeeding-syndrome-in-geriatric-patients-a-frequently-overlooked-complication
#8
Rainer Wirth, Rebecca Diekmann, Olga Fleiter, Leonhardt Fricke, Annika Kreilkamp, Mirja Katrin Modreker, Christian Marburger, Stefan Nels, Rolf Schaefer, Heinz-Peter Willschrei, Dorothee Volkert
The refeeding syndrome is a life-threatening complication that can occur after initiation of a nutrition therapy in malnourished patients. If the risk factors and pathophysiology are known, the refeeding syndrome can effectively be prevented and treated, if recognized early. A slow increase of food intake and the close monitoring of serum electrolyte levels play an important role. Because the refeeding syndrome is not well known and the symptoms may vary extremely, this complication is poorly recognized, especially against the background of geriatric multimorbidity...
January 2018: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/27651007/position-paper-for-management-of-elderly-patients-with-pacemakers-and-implantable-cardiac-defibrillators-groupe-de-rythmologie-et-stimulation-cardiaque-de-la-soci%C3%A3-t%C3%A3-fran%C3%A3-aise-de-cardiologie-et-soci%C3%A3-t%C3%A3-fran%C3%A3-aise-de-g%C3%A3-riatrie-et-g%C3%A3-rontologie
#9
REVIEW
Laurent Fauchier, Christine Alonso, Frédéric Anselme, Hugues Blangy, Pierre Bordachar, Serge Boveda, Nicolas Clementy, Pascal Defaye, Jean-Claude Deharo, Patrick Friocourt, Daniel Gras, Franck Halimi, Didier Klug, Jacques Mansourati, Benjamin Obadia, Jean-Luc Pasquié, Dominique Pavin, Nicolas Sadoul, Jérôme Taieb, Olivier Piot, Olivier Hanon
Despite the increasingly high rate of implantation of pacemakers (PM) and cardioverter-defibrillators (ICD) in elderly patients, data supporting their clinical and cost-effectiveness in this age stratum are ambiguous and contradictory. We reviewed the data regarding the applicability, safety, and effectiveness of the conventional pacing, ICD and cardiac resynchronization therapy (CRT) in elderly patients. Although peri-procedural risk may be slightly higher in the elderly, the procedure of implantation of PMs and ICDs is still relatively safe in this age group...
September 1, 2016: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/27595465/position-paper-for-management-of-elderly-patients-with-pacemakers-and-implantable-cardiac-defibrillators-groupe-de-rythmologie-et-stimulation-cardiaque-de-la-soci%C3%A3-t%C3%A3-fran%C3%A3-aise-de-cardiologie-and-soci%C3%A3-t%C3%A3-fran%C3%A3-aise-de-g%C3%A3-riatrie-et-g%C3%A3-rontologie
#10
Laurent Fauchier, Christine Alonso, Frederic Anselme, Hugues Blangy, Pierre Bordachar, Serge Boveda, Nicolas Clementy, Pascal Defaye, Jean-Claude Deharo, Patrick Friocourt, Daniel Gras, Franck Halimi, Didier Klug, Jacques Mansourati, Benjamin Obadia, Jean-Luc Pasquié, Dominique Pavin, Nicolas Sadoul, Jerome Taieb, Olivier Piot, Olivier Hanon
Despite the increasingly high rate of implantation of pacemakers (PMs) and implantable cardioverter defibrillators (ICDs) in elderly patients, data supporting their clinical and cost-effectiveness in this age stratum are ambiguous and contradictory. We reviewed the data regarding the applicability, safety and effectiveness of conventional pacing, ICDs and cardiac resynchronization therapy (CRT) in elderly patients. Although periprocedural risk may be slightly higher in the elderly, the implantation procedure for PMs and ICDs is still relatively safe in this age group...
October 2016: Archives of Cardiovascular Diseases
https://www.readbyqxmd.com/read/27570904/-assessing-motor-cognition-interaction-of-patients-with-cognitive-disorders-clinical-aspects
#11
REVIEW
R Schniepp, M Wuehr, F Schöberl, A Zwergal
BACKGROUND: Difficulties of walking and deficits of cognitive functions appear to be associated in the elderly. Thus, clinical assessment in geriatry and neurology should focus on: (1) diagnostic approaches covering both domains of everyday functioning; (2) therapeutic interventions that take into account possible interactions and synergies of both domains. DISCUSSION: In order to assess the capability for motor-cognitive interactions in the elderly it is recommended to investigate walking patterns during dual-tasks (e...
August 2016: Fortschritte der Neurologie-Psychiatrie
https://www.readbyqxmd.com/read/27550881/the-proportion-of-orthostatic-hypotension-and-its-relationship-with-hba1c-levels-in-elderly-patients-with-diabetes
#12
Catarina Budyono, Siti Setiati, Dyah Purnamasari, Cleopas M Rumende
AIM: to obtain information on the proportion of orthostatic hypotension in elderly patients with diabetes and its relationship with HbA1c levels. METHODS: this is a cross-sectional study on 350 patients with diabetes mellitus (DM) aged 60 years old who sought treatment at outpatient clinic of Geriatry and Diabetes Division at Cipto Mangunkusumo Hospital between January and March 2016. Orthostatic hypotension was defined as a decrease in systolic blood pressure 20 mmHg and/or diastolic pressure 10 mmHg within 3 minutes after changing position from lying to standing...
April 2016: Acta Medica Indonesiana
https://www.readbyqxmd.com/read/27459843/-not-available
#13
Giovanni Galeoto, Rita De Santis, Alessandra Marcolini, Alfonso Cinelli, Rossana Cecchi
UNLABELLED: The legislative developments that led to the Three-year Degree of the Health Professions poses any health professional in the position of having to comply with the ethical and legal duty to obtain valid informed consent from the patient prior to treatment. In the present work, attention was focused on the figure of the occupational therapist. MATERIALS AND METHODS: Informed consent forms have been developed according to the specific disease from which the patient undergoing occupational therapy is affected...
April 2016: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/26946701/-geriatry
#14
Pierre-olivier Lang, Sylvain Nguyen, Nabila Ferahta, Kristof Major, Christophe Büla, Gabriel Gold
n 2015, several studies about hypertension and TAVI emphasize the importance of individualizing treatment goals in very old or vulnerable patients. The anti-pneumococcal conjugate vaccine has demonstrated its effectiveness in community-acquired pneumonia and the arsenal against shingles is extended by a subunit vaccine. A clinical trial confirms the ineffectiveness of testosterone supplementation in arteriosclerotic disease but not its safety. Regarding dementia, a rigorous study shows that a multimodal approach can reduce the risk of cognitive decline...
January 13, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/26882049/the-importance-of-monitoring-adverse-drug-reactions-in-elderly-patients-the-results-of-a-long-term-pharmacovigilance-programme
#15
Carla Carnovale, Marta Gentili, Ida Fortino, Luca Merlino, Emilio Clementi, Sonia Radice, ViGer Group
OBJECTIVE: To recognise and prevent ADRs (including DDIs) in the elderly through a 4-year post-marketing active pharmacovigilance programme. The programme was designed to enhance high quality spontaneous reporting of ADRs in elderly patients by sampling the Italian population and was termed 'Pharmacovigilance in Geriatry (ViGer)'. METHODS: ADRs were collected for adults aged over 65 years of age treated in nursing homes, continuing care retirement communities and territorial health services in Lombardy...
2016: Expert Opinion on Drug Safety
https://www.readbyqxmd.com/read/26707553/-gerontology-and-geriatry-in-africa
#16
EDITORIAL
Alain Franco
No abstract text is available yet for this article.
December 2015: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/26559216/-the-history-of-geriatric-psychiatry-at-the-university-of-montreal-pioneers-milestones-and-future-outlook
#17
Isabelle Paquette, Arthur Amyot, Geneviève Létourneau
OBJECTIVES: Geriatric psychiatry became an official psychiatric subspecialty in Canada in 2009. The first board examinations from the Royal College of Physicians and Surgeons of Canada (RCPSC) took place in 2013. Geriatric Psychiatry focuses on the assessment, diagnosis, and treatment of complex mental disorders in late life, a time when the interface between physical and mental health issues often adds a new level of complexity.Little has been written on the history of geriatric psychiatry in Québec and in Canada...
2015: Santé Mentale Au Québec
https://www.readbyqxmd.com/read/25786424/-triage-risk-screening-tool-trst-in-screening-elderly-patients-requiring-the-intervention-of-a-mobile-geriatric-team-results-of-a-pilot-study
#18
Sophie Duc, Catherine Fernandez, Bahman Moheb, Van Mô Dang, Frederic Bloch, Marie Floccia, Marie-Neige Videau, Sandrine Tournier Louvel, Laure Ducastaing, Pascal Couturier, Nathalie Salles
Improving care and health course for hospitalized elderly patients is one of the tasks set out in the "Rapport du parcours de santé des PAERPA" (elderly people with or at risk of functional decline). Identification of the needs of a mobile geriatric team (MGT) intervention for the patients remain difficult in emergency department and in medical surgical units. A screening tool is needed and should be simple and fast to use. Its implementation implies that it is efficient and previously validated. The aim of our study was to evaluate the validity and predictive performances of the Triage risk stratification tool (TRST) for identify patients aged over 75 years, requiring the intervention of the MGT...
March 2015: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/25786417/-medical-education-and-training-in-geriatrics-the-challenge-for-the-future
#19
Jean Petermans, Regina Elisabeth Roller
No abstract text is available yet for this article.
March 2015: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/25600000/abstracts-winter-meeting-belgische-vereniging-voor-gerontologie-en-geriatrie-2015
#20
(no author information available yet)
No abstract text is available yet for this article.
February 2015: Tijdschrift Voor Gerontologie en Geriatrie
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