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https://www.readbyqxmd.com/read/29677664/age-induced-changes-in-the-lower-limb-muscle-activities-during-uphill-walking-at-steep-grades
#1
Sonja Th Kwee-Meier, Alexander Mertens, Sabina Jeschke
BACKGROUND: Uphill walking is particularly challenging for elderly persons. However, there is a lack of age-differentiated studies investigating the underlying differences in muscle activation when walking on sloped surfaces. These studies are needed, e.g., for planning of evacuations of large modern cruise ships with long walking distances on often inclined surfaces. METHODS: An age-differentiated, gender-balanced study with 26 young (20-30 years) and 26 elderly people (60-77 years) was therefore conducted, investigating uphill walking at 7° and at 14° contrasted to level walking on a treadmill...
April 12, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29659145/ocular-trauma-in-the-finnish-elderly-helsinki-ocular-trauma-study
#2
Ahmad Sahraravand, Anna-Kaisa Haavisto, Juha M Holopainen, Tiina Leivo
PURPOSE: To describe epidemiology, causes, treatments and outcomes of all ocular injuries in southern Finland among people aged 61 and older. METHODS: All new ocular trauma patients, admitted to the Helsinki University Eye Hospital, during 1 year in 2011-2012. The data were from hospital records and prospectively from patient questionnaires. The follow-up time was 3 months. RESULTS: The incidence for ocular injuries among the elderly was 38/100 000/year...
April 16, 2018: Acta Ophthalmologica
https://www.readbyqxmd.com/read/29652898/tooth-loss-and-pneumonia-mortality-a-cohort-study-of-japanese-dentists
#3
Shino Suma, Mariko Naito, Kenji Wakai, Toru Naito, Masaaki Kojima, Osami Umemura, Makoto Yokota, Nobuhiro Hanada, Takashi Kawamura
Although associations between oral health and pneumonia have been reported in previous studies, particularly in the institutionalized elderly, few prospective studies have investigated the association between oral condition and pneumonia among community-dwelling people and whether the findings among inpatients or patients in nursing homes are applicable to the general population is still unclear. The oral bacteria propagated in the periodontal regions may drop into the lung and increase the risk of pneumonia...
2018: PloS One
https://www.readbyqxmd.com/read/29619542/incidence-and-outcomes-of-humeral-fractures-in-the-older-person
#4
M Q Wang, T Youssef, P Smerdely
Humeral fractures are not well understood and thus we examined the incidence and outcomes of elderly humeral fractures at a single institution over a 3-year period. We found increasing incidence in humeral fractures with increasing age and negative outcomes comparable to hip fractures. INTRODUCTION: In this study, we report the incidence of humeral fractures in the older patient and their outcomes, including new nursing homes discharges and mortality, residing in the metropolitan referral area of a Sydney tertiary referral hospital...
April 4, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29605539/integrated-flow-mediated-vasodilation-response-predicts-cardiovascular-events-in-elderly-patients-with-cardiovascular-risk-factors-the-japan-morning-surge-home-blood-pressure-study
#5
Tomoyuki Kabutoya, Satoshi Hoshide, Kazuomi Kario
The integrated flow-mediated vasodilation (FMD) response has been associated with cardiovascular (CV) risk factors, but the association between the integrated FMD response and subsequent CV events has been unclear. We enrolled 555 patients who had at least one CV risk factor (hypertension, dyslipidemia, diabetes, or smoking). We measured the peak percentage change in diameter (ΔFMD), and integrated FMD response calculated as the area under the dilation curve over a 120-second dilation period (FMD-AUC120 )...
March 21, 2018: Journal of the American Society of Hypertension: JASH
https://www.readbyqxmd.com/read/29603568/community-activities-predict-disability-and-mortality-in-community-dwelling-older-adults
#6
Mika Okura, Mihoko Ogita, Miki Yamamoto, Toshimi Nakai, Tomoko Numata, Hidenori Arai
AIM: With aging, it is important to maintain older community dwellers' regular engagement with familiar community activities (CA) engaged in close to home to protect them from frailty. Thus, the present study aimed to examine whether CA items or CA score were associated with mortality or the need for care under the new long-term care insurance service requirements over 3 years among community-dwelling older Japanese adults. METHODS: We analyzed cohort data for older adults from a prospective cohort study in Kami town, Japan...
March 30, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29599947/an-elderly-care-system-based-on-multiple-information-fusion
#7
Zhiwei He, Dongwei Lu, Yuxiang Yang, Mingyu Gao
With the development of social economy in the 21st century, and the rising of medical level, the aging of population have become a global trend. However lots of elderly people are in "empty nest" state. In order to solve the problem of high risk of daily life in this group, this paper proposed a method to integrate the information of video images, sound, infrared, pulse, and other information into the elderly care system. The whole system consists of four major components, that is, the main control board, the information acquisition boards, the server, and the client...
2018: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29590725/nutritional-issues-and-nutrition-support-in-older-home-care-patients-in-the-city-of-zagreb
#8
Darija Vranešić Bender, Marta Kovačević, Miro Hanževački, Božena Vrabec, Vanesa Benković, Viktor Domislović, Željko Krznarić
Population aging is a global demographic trend showing continuous growth and among its consequences is a rise in malnutrition that is characteristic for the elderly. The objective of this study was to evaluate nutritional status of elderly home care patients immediately after hospital discharge and to determine factors that affect nutritional status using questionnaires based on validated tools (NRS-2002, DETERMINE checklist) and basic medical history data. The study involved 76 elderly individuals (51.3% of them older than 70) living in the City of Zagreb...
December 2017: Acta Clinica Croatica
https://www.readbyqxmd.com/read/29588578/investigating-the-role-of-perception-of-aging-and-associated-factors-in-death-anxiety-among-the-elderly
#9
Ali Mohammadpour, Leila Sadeghmoghadam, Habib Shareinia, Somayeh Jahani, Fahimeh Amiri
Background and objectives: The world's growing elderly population highlights the necessity for further attention to the psychological problems of the elderly, such as death anxiety. Analysis of the elderly's perception of aging and associated factors can contribute to prediction of their future physical and mental health. The purpose of this study was to determine the relationship of perception of aging, and a group of demographic factors, with death anxiety in the elderly living in Gonabad, Iran...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29584483/injury-analysis-of-patients-according-to-impact-patterns-involved-in-pedestrian-traffic-crashes
#10
Hee Young Lee, Hyun Youk, Jeong Ii Lee, Chan Young Kang, Joon Seok Kong, Sil Sung, In Hye Kang, Jung Hun Lee, Oh Hyun Kim, Woo Jin Jung, Kang Hyun Lee, Young Han Youn, Jong Chan Park
OBJECTIVES: In cases of car-to-person pedestrian traffic crashes (PTCs), the principal issue is determining at what point the car collided with the pedestrian. Accordingly, the objective of the present study was to use the medical records of patients injured in PTCs to investigate the characteristics of crash types and the areas and injury severity and to determine whether there are differences in injuries due to the angle, motion, and position at the point of impact. METHODS: The present study examined 231 PTC patients admitted to the emergency room (ER) between January and December 2014...
February 28, 2018: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29581229/low-level-of-knowledge-of-heart-attack-symptoms-and-inappropriate-anticipated-treatment-seeking-behaviour-among-older-chinese-a-cross-sectional-survey
#11
Pui Hing Chau, Gordon Moe, Siu Yin Lee, Jean Woo, Angela Y M Leung, Chi-Ming Chow, Cecilia Kong, Wing Tung Lo, Ming Hay Yuen, Julie Zerwic
BACKGROUND: Prehospital delay of acute myocardial infarction (AMI) is common globally, and Hong Kong-home of a rapidly ageing Chinese population-is not an exception. Seeking emergency medical care promptly is important for patients. Treatment-seeking behaviours have been shown to be associated with knowledge of AMI symptoms and specific cultural beliefs. This study aimed to assess the level of knowledge of AMI symptoms and expected treatment-seeking behaviour among older Chinese in Hong Kong...
March 26, 2018: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/29569563/the-decision-making-capacity-of-elderly-hospitalized-patients-validation-of-a-test-on-their-choice-of-return-home
#12
Mouna Romdhani, Rachid Abbas, Cécile Peyneau, Pierre Koskas, Nadège Houenou Quenum, Sandrine Galleron, Olivier Drunat
Elderly hospitalized patients have uncertain or questionable capacity to make decisions about their care. Determining whether an elderly patient possesses decision-making capacity to return at home is a major concern for geriatricians in everyday practice. To construct and internally validate a new tool, the dream of home test (DROM-test), as support for decision making hospitalization discharge destination for the elderly in the acute or sub-acute care setting. The DROM-test consists of 10 questions and 4 vignettes based upon the 4 relevant criteria for decision-making: capacity to understand information, to appreciate and reason about medical risks and to communicate a choice...
March 1, 2018: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/29550658/association-of-sarcopenia-with-depressive-symptoms-and-functional-status-among-ambulatory-community-dwelling-elderly
#13
Asli Kilavuz, Reci Meseri, Sumru Savas, Hatice Simsek, Sevnaz Sahin, Derya Hopanci Bicakli, Fulden Sarac, Mehmet Uyar, Fehmi Akcicek
OBJECTIVE: Sarcopenia, functional disability, and depression are common problems in the elderly. Sarcopenia is associated with physical disability, functional impairment, depression, cardiometabolic diseases, and even mortality. This study aims to determine the association of sarcopenia with depression and functional status among ambulatory community-dwelling elderly aged 65 years and older. MATERIALS AND METHOD: The sample of this cross-sectional study consisted of 28,323 people, aged 65 years and older, living in Bornova, Izmir...
March 15, 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29545136/long-term-functional-recovery-and-health-related-quality-of-life-of-elderly-out-of-hospital-cardiac-arrest-survivors
#14
Emily Andrew, Eric Mercier, Ziad Nehme, Stephen Bernard, Karen Smith
INTRODUCTION: Understanding the prognosis of elderly out-of-hospital cardiac arrest (OHCA) patients is vital to informing resuscitation and advanced care planning decisions. However, short-term outcomes such as survival to hospital discharge do not account for post-arrest quality of life. We describe the 12-month functional recovery and health-related quality of life (HR-QOL) of elderly OHCA survivors, including those arresting in aged care facilities. METHODS: We conducted a retrospective analysis of Victorian Ambulance Cardiac Arrest Registry data for all OHCA survivors to hospital discharge aged ≥65 years between 1 January 2010 and 30 June 2016...
March 12, 2018: Resuscitation
https://www.readbyqxmd.com/read/29538570/-high-prevalence-of-abdominal-obesity-among-the-elderly-and-its-association-with-diabetes-hypertension-and-respiratory-diseases
#15
Erika Aparecida Silveira, Liana Lima Vieira, Jacqueline Danesio de Souza
Rapid population aging and abdominal obesity (AO) are worldwide public health problems among the elderly and have been insufficiently investigated. This article sets out to identify the prevalence of AO among the elderly, its association with different morbidities, sociodemographic variables, and lifestyle according to sex. It is a cross-sectional study with a representative sample of elderly people resident in Goiânia, Brazil. Home visits were conducted to measure weight, height, waist circumference (WC), blood pressure, and to fill out a standardized form...
March 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29530286/-the-suitability-of-sending-nursing-home-residents-over-75-to-emergency-departments
#16
Anne Dang, Stéphane Sanchez, Michèle Collart, Rachid Mahmoudi, David Laplanche
The care provided to elderly people aged over 75 must be specific and multidisciplinary. An emergency department, which is seeing increasing numbers of patients passing through its doors, notably with the provision of an ambulatory care service, would not appear to be a suitable place for this fragile population, often with multiple pathologies. A study is looking at the suitability of the emergency department for nursing home residents, who have regular access to medical care, unlike elderly people living at home...
March 2018: Soins. Gérontologie
https://www.readbyqxmd.com/read/29523088/an-increasing-number-of-hand-injuries-in-an-elderly-population-a-retrospective-study-over-a-30-year-period
#17
Hans-Eric Rosberg, Lars B Dahlin
BACKGROUND: Both the number and the proportion of elderly people in the society increase. The number of elderly subjects with a disability due to a disease has decreased resulting in more active elderly. Therefore, an increase in numbers of injury in the elderly population can be expected; a hypothesis that was investigated in the present study. METHODS: Two-hundred sixteen patients with an age of > 65 years, and admitted to a hand surgery ward with a hand injury, were retrospectively collected at four different 2-years periods over a 30 years time (1980-81 to 2010-11)...
March 9, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29520334/a-tablet-based-retinal-function-test-in-neovascular-age-related-macular-degeneration-eyes-and-at-risk-fellow-eye
#18
Chi Yun Doreen Ho, Zhichao Wu, Andrew Turpin, David J Lawson, Chi D Luu, Allison M McKendrick, Robyn H Guymer
Purpose: To determine the feasibility of a tablet-based application to detect changes in retinal sensitivity and correlations with underlying pathology in neovascular age-related macular degeneration (nAMD) eyes undergoing treatment and in at-risk fellow eyes. Method: Participants with nAMD in at least one eye were recruited, examined, and imaged using spectral-domain optical coherence tomography (SD-OCT). Retinal sensitivity was measured within the central 5° at 12 locations using a customized test delivered on an iPad...
March 2018: Translational Vision Science & Technology
https://www.readbyqxmd.com/read/29514676/the-effects-of-home-based-primary-care-on-medicare-costs-at-spectrum-health-priority-health-grand-rapids-mi-usa-from-2012-present-a-matched-cohort-study
#19
Stephen A Stanhope, Mary C Cooley, Linda F Ellington, Gregory P Gadbois, Andrew L Richardson, Timothy C Zeddes, Jay P LaBine
BACKGROUND: In the United States, home-based primary care (HBPC) is increasingly proposed as a means of enabling frail elders to remain at home for as long as possible, while still receiving needed medical care. However, there are relatively few studies of either the medical outcome effects or cost benefits of HBPC. In this paper, we examine medical cost and mortality outcomes for enrollees in the HBPC program offered by Spectrum Health/Priority Health (SH/PH), a not-for-profit integrated health care/health insurance system located in Grand Rapids, MI, USA...
March 7, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29505150/home-parenteral-nutrition-in-adult-patients-with-chronic-intestinal-failure-catheter-related-complications-over-4-decades-at-the-main-danish-tertiary-referral-center
#20
Christopher Filtenborg Brandt, Siri Tribler, Mark Hvistendahl, Rahim M Naimi, Per Brøbech, Michael Staun, Palle Bekker Jeppesen
BACKGROUND/AIMS: Catheter-related complications (CRCs) cause mortality and morbidity in patients dependent on parenteral support at home (HPN) due to intestinal failure (IF). This study describes the incidences of CRCs in an adult IF cohort over 40 years. It illustrates the evolution and consequences of CRCs, their association to demographic characteristics, and potential risk factors in an effort to provide the rationale for preventive precautions to the relevant patients with IF at risk...
January 2018: JPEN. Journal of Parenteral and Enteral Nutrition
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