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Geriatrics

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https://www.readbyqxmd.com/read/29928932/is-increased-neutrophil-lymphocyte-ratio-remarking-the-inflammation-in-sarcopenia
#1
Zeynel Abidin Öztürk, Seval Kul, İbrahim Halil Türkbeyler, Zeynel Abidin Sayıner, Azer Abiyev
OBJECTIVES: Increasing data suggests that chronic inflammation has an essential role on development of muscle dysfunction and progression of sarcopenia in aging population. The aim of the present study was to compare Neutrophil Lymphocyte Ratio (NLR) levels in sarcopenic and non-sarcopenic individuals and to present the correlation between NLR and other inflammatory markers. METHODS: A total of 105 subjects with sarcopenia (male/female: 54/51, mean age 72.8 ± 7...
June 18, 2018: Experimental Gerontology
https://www.readbyqxmd.com/read/29928095/rare-case-of-atypical-femoral-fracture-with-blocked-medullary-canal-associated-with-bisphosphonate-therapy
#2
A Shetty, P Shenoy, A Bari, R Swaminathan
Bisphosphonates are widely used for treatment of osteoporosis and its use is increasing in geriatric population. Atypical femoral fractures are associated with bisphosphonate therapy. We report an unusual case of femoral shaft fracture following bisphosphonate therapy where the femoral canal of the proximal and distal fracture fragments was blocked and its management.
June 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29927729/medication-management-in-older-adults-and-interprofessional-education-a-needs-assessment
#3
Tia Kostas, Randall Knoebel, Stacie Levine
Elderly, multi-morbid patients are at high risk for suffering adverse drug events. Safe medication management is a key process in preventing these adverse events, and requires interprofessional teamwork. We performed a needs assessment survey of graduating medical students and faculty to evaluate student training in medication management, in particular students' preparedness in the three minimum geriatrics competencies pertaining to medication management, interprofessional educational opportunities, and optimal learning methods...
June 21, 2018: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/29924490/guidelines-from-the-japan-geriatrics-society-for-the-decision-making-processes-in-medical-and-long-term-care-for-the-elderly-focusing-on-the-use-of-artificial-hydration-and-nutrition
#4
Yasuyoshi Ouchi, Kenji Toba, Kikuko Ohta, Ichiro Kai, Tetsuro Shimizu, Norio Higuchi, Susumu Shimazono, Setsu Iijima, Sayuri Suwa, Michiyo Nishimura, Hideharu Ninomiya, Kaoruko Aita
No abstract text is available yet for this article.
June 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29923531/quality-of-life-among-geriatric-population-a-cross-sectional-study-in-a-rural-area-of-sepahijala-district-tripura
#5
Nabarun Karmakar, Anjan Datta, Kaushik Nag, Kaushik Tripura
Background: Quality of life (QOL) among elderly is an important area of concern which reflects the health status and well-being of this vulnerable population. Objectives: The objective of this study is to find out different domains of QOL and its association with sociodemographic factors among geriatric population. Methods: A community-based cross-sectional study was done among 76 persons aged 60 years and above from August 2016 to October 2016 in rural areas of Madhupur, Sepahijala district, Tripura...
April 2018: Indian Journal of Public Health
https://www.readbyqxmd.com/read/29923530/a-study-on-prevalence-of-depression-and-associated-risk-factors-among-elderly-in-a-rural-block-of-tamil-nadu
#6
M Buvneshkumar, K R John, M Logaraj
Background: Depression among elderly is an important public health problem responsible for considerable morbidity and disability. Causes of depression are multifactorial and often preventable. As there was dearth of community studies in Tamil Nadu, the present study was undertaken. Objectives: The objective of this study is to estimate the prevalence of depression and to assess the factors which are associated with depression among elderly. Methods: A cross-sectional study was done from July 2014 to July 2015 among elderly in Kattankulathur block with a sample size of 690 by cluster sampling method...
April 2018: Indian Journal of Public Health
https://www.readbyqxmd.com/read/29923472/the-ad8-dementia-screening-interview-is-a-valid-and-reliable-screening-scale-not-only-for-dementia-but-also-for-mild-cognitive-impairment-in-the-turkish-geriatric-outpatients
#7
Cansu Usarel, Ozge Dokuzlar, Ali Ekrem Aydin, Pinar Soysal, Ahmet Turan Isik
ABSTRACTIntroduction:There is still a need for short, practical, and daily-appropriate scales to distinguish between normal cognitive aging, mild cognitive impairment (MCI), or dementia for patients with memory complaints. This study aimed to determine validity and reliability of AD8 (Dementia Screening Interview) to detect both MCI and dementia in Turkish geriatric outpatients. METHODS: Comprehensive geriatric assessment was performed in 334 patients, who attended with their informants to the geriatric outpatient clinic for memory complaints...
June 20, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/29922079/the-cost-of-dysphagia-in-geriatric-patients
#8
Signe Westmark, Dorte Melgaard, Line O Rethmeier, Lars Holger Ehlers
Objectives: To estimate the annual cost at the hospital and in the municipality (social care) due to dysphagia in geriatric patients. Design: Retrospective cost analysis of geriatric patients with dysphagia versus geriatric patients without dysphagia 1 year before hospitalization. Setting: North Denmark Regional Hospital, Hjørring Municipality, Frederikshavn Municipality, and Brønderslev Municipality. Subjects: A total of 258 hospitalized patients, 60 years or older, acute hospitalized in the geriatric department...
2018: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/29922047/relationship-between-high-sensitivity-cardiac-troponin-t-and-the-prognosis-of-elderly-inpatients-with-non-acute-coronary-syndromes
#9
Wei Wu, Dong-Xia Li, Qing Wang, Ying Xu, Yun-Jing Cui
Objective: Low-level high-sensitivity cardiac troponin T (hs-cTnT) increases in elderly population. In this study, the relationship between hs-cTnT level and all-cause death of elderly inpatients with non-acute coronary syndrome (non-ACS) after discharge from the hospital was investigated. Materials and methods: Non-ACS patients aged >65 years admitted in the General Practice Wards and Department of Geriatrics of Fuxing Hospital Affiliated to Capital Medical University were enrolled in the study...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29922046/usual-gait-speed-is-associated-with-frailty-status-institutionalization-and-mortality-in-community-dwelling-rural-older-adults-a-longitudinal-analysis-of-the-aging-study-of-pyeongchang-rural-area
#10
Hee-Won Jung, Il-Young Jang, Chang Ki Lee, Sang Soo Yu, Jae Kyoon Hwang, Chawoong Jeon, Young Soo Lee, Eunju Lee
Purpose: We aimed to describe the age- and sex-specific distributions of gait speed and to evaluate associations with longitudinal outcomes in Korean rural community-dwelling older adults. Patients and methods: A total of 1,348 people (mean age: 76 years, 55% women) in the population-based, prospective cohort of Aging Study of Pyeongchang Rural Area (ASPRA) between October 2014 and June 2017. All participants underwent a comprehensive geriatric assessment, including 4-m usual gait speed, and were followed annually...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29921540/poor-nutritional-status-among-low-income-older-adults-examining-the-interconnection-between-self-care-capacity-food-insecurity-and-depression
#11
Seung Eun Jung, Seoyoun Kim, Alex Bishop, Janice Hermann
BACKGROUND: Understanding of the mechanisms of how food insecurity and poor physical and mental health status are interrelated with nutritional status among older adults is needed due to their unique health and social needs. OBJECTIVE: To examine the complex relationships between self-care capacity, depressive symptoms, food insecurity, and nutritional status among low-income older adults. DESIGN: The cross-sectional study was conducted from February 2017 to May 2017...
June 16, 2018: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/29921533/orthogeriatric-co-management-managing-frailty-as-well-as-fragility
#12
Giulio Pioli, Chiara Bendini, Paolo Pignedoli, Andrea Giusti, David Marsh
A high proportion of patients with fragility fracture, mainly hip fracture, have a variable degree of comorbidity and show some degree of dependence in basic or more complex activities of daily living. Evaluating these patents following the geriatric concept of frailty, about one third of hip fracture patients may be categorised as frail with high risk of poor outcomes and prolonged length of stay, one third as not frail, and about one third with an intermediate condition. Due to the high vulnerability, combined with the hip fracture event and surgical repair procedures, a multidisciplinary approach that includes geriatric competencies becomes essential to improve short and long-term outcomes after hip fracture...
April 20, 2018: Injury
https://www.readbyqxmd.com/read/29916566/-chronicity-and-aging-in-cardiology-geriatric-cardiology-cardiac-rehabilitation-or-care-related-cardiogeriatric-rehabilitation-delle-cure-correlate
#13
Roberto F E Pedretti
OBJECTIVES: The population of elderly adults is constantly increasing and age is a strong determinant of the development of chronic diseases, especially cardiovascular diseases; therefore old subjects represent a very high proportion of cardiac patients. Since cardiology is progressively more and more involved in the care of aged patients, a new area of Cardiology has been identified, the Geriatric Cardiology (GC). METHODS: On the other hand, Cardiac Rehabilitation (CR) and GC show a wide overlap, and GC seems to be the application in the aged cardiac patient of the core-components that CR has already tested in younger cardiac patients...
February 2018: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
https://www.readbyqxmd.com/read/29916329/teaching-and-learning-from-case-studies-the-added-value-of-using-a-nursing-conceptual-model-to-construct-cases
#14
Jennifer Hackel, Jacqueline Fawcett
The purpose of this paper is to discuss the influence of applying Orem's self-care framework practice methodology on the content and comprehensiveness of a case study about a woman who denied having self-care deficits. The discussion begins with presentation of the case as it might have been found in a classroom or health professions journal and contrasts this with application of Orem's self-care framework practice methodology to illustrate how much more comprehensive the content of the case study is and how well it highlights the role of the primary care nurse practitioner in complex geriatric care...
July 2018: Nursing Science Quarterly
https://www.readbyqxmd.com/read/29916139/contribution-of-patient-interviews-as-part-of-a-comprehensive-approach-to-the-identification-of-drug-related-problems-on-geriatric-wards
#15
Dominik Stämpfli, Fabienne Boeni, Andy Gerber, Victor A D Bättig, Kurt E Hersberger, Markus L Lampert
BACKGROUND: Inappropriate prescribing is linked to increased risks for adverse drug reactions and hospitalisation. Combining explicit and implicit criteria of inappropriate prescribing with the information obtained in patient interviews seems beneficial with regard to the identification of drug-related problems (DRPs) in hospitalised patients. OBJECTIVE: We aimed to investigate the inclusion of pharmacist interviews as part of medication reviews (including the use of explicit and implicit criteria of inappropriate prescribing) to identify DRPs in older inpatients...
June 19, 2018: Drugs & Aging
https://www.readbyqxmd.com/read/29916025/short-term-weight-loss-reverses-obesity-induced-microvascular-endothelial-dysfunction
#16
Tamas Csipo, Gabor A Fulop, Agnes Lipecz, Stefano Tarantini, Tamas Kiss, Priya Balasubramanian, Anna Csiszar, Zoltan Ungvari, Andriy Yabluchanskiy
Obesity is one of the major risk factors for cardiovascular diseases and its prevalence is increasing in all age groups, with the biggest impact observed in middle-aged and older adults. A critical mechanism by which obesity promotes vascular pathologies in these patients involves impairment of endothelial function. While endothelial dysfunction in large vessels promotes atherogenesis, obesity-induced microvascular endothelial dysfunction impairs organ perfusion and thereby is causally related to the pathogenesis of ischemic heart disease, chronic kidney disease, intermittent claudication, exercise intolerance, and exacerbates cognitive decline in aging...
June 18, 2018: GeroScience
https://www.readbyqxmd.com/read/29915736/evaluation-of-treatment-satisfaction-efficacy-and-safety-of-dipeptidyl-peptidase-4-inhibitors-in-geriatric-patients-with-type-2-diabetes-mellitus-a-cross-sectionalcomparative-study
#17
Harmanjit Singh, Avinash Chakrawarti, Harjit Singh, P Guruprasad, Yogendra Kumar Gupta
Introduction: Dipeptidyl peptidase 4 (DPP4) inhibitors are attractive agents to be used in the elderly patients with Type 2 diabetes mellitus (T2DM) because of their beneficial effects. Methods: In this cross-sectional, observational study, we evaluated and compared the treatment satisfaction using Diabetes Treatment Satisfaction Questionnaire (DTSQ) in two groups (i.e., regimens containing DPP4 inhibitors vs. other regimens). Efficacy was evaluated by assessing and comparing the glycosylated hemoglobin (HbA1c) values and the percentage of patients who achieved the glycemic control (HbA1c <7%)...
January 2018: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29915439/%C3%AF-editors-choice%C3%AF-practice-management-for-elderly-patients-with-breast-cancer-findings-from-a-survey-by-the-japan-breast-cancer-study-group
#18
Masataka Sawaki, Kenji Tamura, Akihiko Shimomura, Yumiko Taki, Fumio Nagashima, Hiroji Iwata
Information on patterns of clinical care for elderly breast cancer patients is lacking. The aims of this study are two-fold, firstly, to clarify daily practice treatments for elderly breast cancer patients in Japan, and secondly, to plan a prospective clinical trial to address unresolved clinical questions. We investigated practice care of elderly breast cancer patients in 38 institutions of the Japan Clinical Oncology Group (JCOG). Questionnaires asked: (1) definition of "elderly" for each treatment, (2) clinical standard anti-HER2 therapy in each age-group, (3) recommended docetaxel dose in each age-group, (4) considerations for future clinical trials, and (5) other information about geriatric oncology concerning breast cancer...
May 2018: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/29915256/geriatric-influenza-death-gid-score-a-new-tool-for-predicting-mortality-in-older-people-with-influenza-in-the-emergency-department
#19
Jui-Yuan Chung, Chien-Chin Hsu, Jiann-Hwa Chen, Wei-Lung Chen, Hung-Jung Lin, How-Ran Guo, Chien-Cheng Huang
Although influenza may cause death in the geriatric population, the best method for predicting mortality in this population is still unclear. We retrospectively recruited older people (≥65 yr) with influenza visiting the emergency department (ED) of a medical center between January 1, 2010, and December 31, 2015. We performed univariate and multivariate logistic regression to identify independent mortality predictors and then developed a prediction score. Four hundred nine older ED patients with a nearly equal sex ratio were recruited...
June 18, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29914902/case-of-posterior-cortical-atrophy-pca-evolved-to-pca-cbs
#20
Nicola Salvadori, Mirella Russo, Leonardo Biscetti, Katia D' Andrea, Massimo Eugenio Dottorini, Lucilla Parnetti
A 68-year-old lawyer developed insidious disturbances in topographic orientation and apraxia. He underwent a geriatric evaluation, only documenting slight cognitive disturbances, and a 18F-fluorodeoxyglucose positron emission tomography (FDG-PET), showing mild right-lateralised frontoparietal hypometabolism. After 1 year, because of worsening in spatial orientation and the onset of dressing apraxia, he was referred to our memory clinic. The neuropsychological evaluation documented proeminent visuospatial, praxis deficits and dysgraphia...
June 17, 2018: BMJ Case Reports
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