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morbidity in old home age

Anthony de Buck van Overstraeten, Jasper Stijns, Annouschka Laenen, Steffen Fieuws, Albert M Wolthuis, André D'Hoore
AIM: Increased morbidity and mortality could mitigate the positive effect of surgery in elderly patients undergoing colorectal resections. This retrospective study aims to describe early morbidity and mortality together with long-term survival in octogenarians and nonagenarians undergoing colorectal surgery. Predictors for in-hospital mortality will be identified. The predictive value of CR-POSSUM will be assessed. METHOD: Data on consecutive patients of 80 years old or more, undergoing a colorectal resection in our center from 2004 until 2010 were analyzed...
October 7, 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
Israel Mitiku, Fasika Tefera
BACKGROUND: Cervical cancer is one of the leading causes of morbidity and mortality amongst female cancer worldwide, especially in developing countries, including Ethiopia. The level of women's knowledge about cervical cancer is not well documented in Ethiopia. The current study sought to assess women's knowledge about cervical cancer and associated factors. METHODS: A community based cross-sectional survey was conducted with a sample of 620 women aged 15-49 years residing in Dessie town, Northeast Ethiopia...
2016: PloS One
Jérémy Raffin, Jean-Claude Barthelemy, Philippe Terrat, Marie-Christine Diana, Emilie Achour, Paul Calmels, Mathieu Oriol, Thierry Busso, Lallia Hammadi, Claude Montuy-Coquard, Rémi Bouvier, Rémi Poillerat, Frédéric Roche, David Hupin
OBJECTIVE: It is well established that physical activity reduces the physiological effects of ageing. Among them, is the decrease of the autonomic nervous system (ANS) activity, which is associated with the increase of cardiovascular events and morbidities. It has been shown that high intensity cycle training can enhance the ANS activity by 30% in people with the age of 70. However, such trainings were done by old athletes, used to train at intensities that could not be tolerated by sedentary old people, such as nursing home residents...
September 2016: Annals of Physical and Rehabilitation Medicine
Emilia Calvaresi, Mahesh Swaminathan, Janet Jokela
May-Thurner syndrome is the condition of the left common iliac vein being compressed between the right common iliac artery and the associated vertebral body. This condition has been linked to spontaneous episodes of deep vein thrombosis (DVT), especially in women aged 20-50, and it may contribute to the slightly higher tendency to develop left-sided (~56%) versus right-sided DVTs. A 50-year-old morbidly obese (BMI 42.7 kg/m(2)) female presented to the emergency room with acute left leg pain. Past medical history included asthma...
2016: Carle Sel Pap
Masaaki Ryomoto, Masataka Mitsuno, Mitsuhiro Yamamura, Hiroe Tanaka, Shinya Fukui, Tetsuya Kajiyama, Ayaka Satou, Yuji Miyamoto, Domen Kazuhisa
OBJECTIVE: This study aimed to evaluate the efficacy of the Functional Independence Measure to assess preoperative frailty for elderly patients undergoing surgical aortic valve replacement. METHODS: Eighty-five patients >65 years who survived elective isolated aortic valve replacement from January 2008 to October 2015 were included. The mean age at the operation was 78 ± 6 years old (n = 28 males, n = 57 females). The patients were divided into two groups according to their status at discharge: impossible to discharge home or hospitalization for >30 days (compromised group, n = 8), or unaffected (unaffected group, n = 77)...
August 2, 2016: General Thoracic and Cardiovascular Surgery
Kathryn Volpicelli, Alison M Buttenheim
Objectives Diarrheal disease is a significant cause of morbidity among children in Peru. Oral rehydration therapy (ORT) is a cost-effective evidence-based approach to treat diarrhea in young children, yet many Peruvian children in poorer households do not receive this life-saving treatment. This study investigates the social determinants of care-seeking behavior and utilization of appropriate home treatment for diarrheal episodes. Methods We used the nationally-representative 2008 Peru Demographic and Health Survey to: (1) describe the burden of non-bloody diarrheal disease among children <5 years old; and (2) identify socioeconomic correlates of care-seeking behavior and utilization/appropriateness of treatment among mothers of children with recent non-bloody diarrheal episodes (N = 1365)...
July 23, 2016: Maternal and Child Health Journal
Jair Almeida Carneiro, Gizele Carmem Fagundes Ramos, Ana Teresa Fernandes Barbosa, José Marcio Girardi de Mendonça, Fernanda Marques da Costa, Antônio Prates Caldeira
OBJECTIVE: to investigate the prevalence and factors associated with frailty in non-institutionalized older adults living in northern Minas Gerais, Brazil. METHOD: data were collected in their homes, in 2013, based on a census cluster sampling. Demographic and socioeconomic variables, morbidities, utilization of health care services, and scores on the Edmonton Fragility Scale were analyzed. The adjusted prevalence ratios were obtained using the Poisson regression multiple analysis with robust variance...
June 2016: Revista Brasileira de Enfermagem
Gerald Okanandu Udigwe, George Uchenna Eleje, Eric Chukwudi Ihekwoaba, Onyebuchi Izuchukwu Udegbunam, Richard Obinwanne Egeonu, Ayodele Obianuju Okwuosa
Background. Acute intestinal obstruction during pregnancy is a very challenging and unusual nonobstetric surgical entity often linked with considerable fetomaternal morbidity and mortality. When it is synchronous with abdominal pregnancy, it is even rarer. Case Presentation. A 28-year-old lady in her second pregnancy was referred to Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria, at 27 weeks of gestation due to vomiting, constipation, and abdominal pain. Examination and ultrasound scan revealed a single live intra-abdominal extrauterine fetus...
2016: Case Reports in Obstetrics and Gynecology
Monica Berggren, Michael Stenvall, Undis Englund, Birgitta Olofsson, Yngve Gustafson
BACKGROUND: The poor outcome after a hip fracture is not fully understood. The aim of the study was to describe the prevalence of co-morbidities, complications and causes of death and to investigate factors that are able to predict mortality in old people with femoral neck fracture. METHODS: Data was obtained from a randomized, controlled trial with a 3-year follow-up at Umeå University Hospital, Sweden, which included 199 consecutive patients with femoral neck fracture, aged ≥70 years...
2016: BMC Geriatrics
Lia C H Fernald, Emanuela Galasso, Jumana Qamruddin, Christian Ranaivoson, Lisy Ratsifandrihamanana, Christine P Stewart, Ann M Weber
BACKGROUND: Over half of the world's children suffer from poor nutrition, and as a consequence they experience delays in physical and mental health, and cognitive development. There is little data evaluating the effects of delivery of lipid-based, nutrition supplementation on growth and development during pregnancy and early childhood within the context of a scaled-up program. Furthermore, there is limited evidence on effects of scaled-up, home-visiting programs that focus on the promotion of child development within the context of an existing, national nutrition program...
2016: BMC Public Health
Soheil Saadat, Nima Hafezi-Nejad, Yalda Soleiman Ekhtiari, Afarin Rahimi-Movaghar, Abbas Motevalian, Masoumeh Amin-Esmaeili, Vandad Sharifi, Ahmad Hajebi, Reza Radgoodarzi, Mitra Hefazi, Vahid Eslami, Hasti Karimi, Kazem Mohammad, Vafa Rahimi-Movaghar
BACKGROUND: Fall-related injuries are considered to be a leading cause of morbidity and disability worldwide. The aim of this study was to investigate the incidence of fall-related injuries and its determinants in Iran. METHODS: A cross-sectional household survey of a representative sample of 15-64 years old Iranians was carried out in 2011. A three-stage cluster sampling design was used. Total of 1525 clusters were randomly selected. Six households in each cluster were randomly selected, and one member of each household was interviewed...
July 2016: Injury
Ravi Samuel, Craig S McLachlan, Udaya Mahadevan, Vivian Isaac
AIM: The purpose of the study were a) to screen for cognitive impairment using Mini-Mental Status Examination among three old-age groups based on dwelling types in Chennai, India i.e., residential paid old-age homes, residential free (charitable) homes and home-based community-dwelling residents; b) secondly to investigate factors (demographic, psychological, medical, and disability) associated with cognitive impairment in the these old-age; c) thirdly, to investigate the independent association between cognitive impairment and health-related quality of life (QOL) among elderly across aged care dwelling types...
March 29, 2016: QJM: Monthly Journal of the Association of Physicians
Mohamed Adnane Berdai, Smael Labib, Mustapha Harandou
Wernicke's encephalopathy is caused by severe thiamine deficiency; it is mostly observed in alcoholic patients. We report the case of a 28-year-old woman, at 17 weeks of gestational age, with severe hyperemesis gravidarum. She presented with disturbance of consciousness, nystagmus, ophthalmoplegia, and ataxia. The resonance magnetic imagery showed bilaterally symmetrical hyperintensities of thalamus and periaqueductal area. The case was managed with very large doses of thiamine. The diagnosis of Wernicke's encephalopathy was confirmed later by a low thiamine serum level...
2016: Case Reports in Critical Care
Aymen Elsous, Mahmoud Ouda, Samah Mohsen, Mohammed Al-Shaikh, Siham Mokayad, Nafiz Abo-Shaban, Abed Al-Rahman Hamad
BACKGROUND: Burns are serious health problems and leading causes of mortality and morbidity in the Eastern Mediterranean Region. This study aimed to overview the epidemiological profile and to present outcomes among hospitalized burn patients in AL Alamy burn center in Gaza. METHODS: This was a cross-sectional retrospective study of medical records of hospitalized patients from July 2013 to June 2014. Descriptive analysis for studied variables was applied and P ≤ 0...
January 2016: Ethiopian Journal of Health Sciences
Lucy Victoria Pocock, Alex Ives, Andy Pring, Julia Verne, Sarah Purdy
AIMS/OBJECTIVES: to study associations between the likelihood of hospital death with patient demographics, cause of death and co-morbidities for people aged ≥85 at death who have been previously admitted (within 12 months of death) to hospital. METHODS: a cross-sectional study, using death registration data and hospital episode statistics, for 671,178 England residents who had been admitted to hospital during the 12 months before death and were aged 85 or over at death during 2008-12...
May 2016: Age and Ageing
Sandra Zampieri, Simone Mosole, Stefan Löfler, Hannah Fruhmann, Samantha Burggraf, Ján Cvečka, Dušan Hamar, Milan Sedliak, Veronica Tirptakova, Nejc Šarabon, Winfried Mayr, Helmut Kern
Sarcopenia is the age-related loss of muscle mass and function, reducing force generation and mobility in the elderlies. Contributing factors include a severe decrease in both myofiber size and number as well as a decrease in the number of motor neurons innervating muscle fibers (mainly of fast type) which is sometimes accompanied by reinnervation of surviving slow type motor neurons (motor unit remodeling). Reduced mobility and functional limitations characterizing aging can promote a more sedentary lifestyle for older individuals, leading to a vicious circle further worsening muscle performance and the patients' quality of life, predisposing them to an increased risk of disability, and mortality...
August 24, 2015: European Journal of Translational Myology
A Jiménez de Domingo, E Rubio García, R Marañon Pardillo, V Arias Constanti, L A Frontado Haiek, M Soriano Arola, F Ripoll Oliveras, C Remón García, G Estopiña Ferrer, J Lorente Romero
OBJECTIVES: To describe the epidemiological characteristics of unintentional injuries due to falls in children under one year and to analyse the risk factors associated with severe injuries. PATIENTS AND METHODS: This multicentre, observational and cross-sectional study included all children less than one year treated for unintentional fall in the Emergency Departments of 8 Spanish Hospitals, belonging to the «Unintentional Paediatric Injury Workshop» of the Spanish Paediatric Emergency Society, between March 1st, 2014 and February 28th, 2015...
February 8, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Karla Cristina Giacomin, Josélia Oliveira Araújo Firmo
Aging of the population profoundly changes the scope of action of public health, altering the profile of morbidity-mortality and increasing the demand for chronic care. In the aging population, disability serves as an indicator of health and a guideline for actions and policies. This enquiry, with a qualitative approach, based on interpretative anthropology and the emic perspective, aims to understand the way of thinking and acting of old people in the face of 'old age with disability' and their relationships with public health...
December 2015: Ciência & Saúde Coletiva
Meghan M Cirulis, Mitchell T Hamele, Chris R Stockmann, Tellen D Bennett, Susan L Bratton
OBJECTIVES: The new Centers for Disease Control and Prevention paradigm for ventilator-associated events is intended to simplify surveillance of infectious and noninfectious complications of mechanical ventilation in adults. We assessed the ventilator-associated events algorithm in pediatric patients. DESIGN: A retrospective observational cohort study. SETTING: This single-center study took place in a PICU at an urban academic medical facility...
February 2016: Pediatric Critical Care Medicine
Serawit Lakew, Erdaw Tachbele, Terefe Gelibo
BACKGROUND: In Ethiopia, about 20,000 women die each year from complications of pregnancy and child birth with many more maternal morbidities occurring for each maternal deaths. This makes Ethiopia one of the highest countries for maternal deaths in the developing world. This study attempted to assess women's skilled assistance seeking behaviour for pregnancy complications among those who gave birth. METHOD: A cross-sectional community based study was conducted among women who gave birth within one year regardless of their delivery place...
2015: Reproductive Health
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