Annals of Geriatric Education and Medical Sciences最新文献

{"title":"Conducting virtual geriatric medicine final professional examination during COVID-19 pandemic","authors":"A. Rao, Meenal Thakral, Bhrigu Jain, N. Soni, Mujtaba Waris, A. Dey, Vijay Kumar","doi":"10.18231/J.AGEMS.2021.007","DOIUrl":"https://doi.org/10.18231/J.AGEMS.2021.007","url":null,"abstract":"Medical education is witnessing severe disruption worldwide due to the ongoing COVID-19 pandemic. But at the same time, it is important to provide continuity of teaching and timely certification assessment. Overcoming the obstacles to conduct the professional examination due to SARS-CoV-2 spread, we conducted the MD Geriatric medicine final professional examination in a hybrid virtual format. In addition to creating case repository for single system cases, we included geriatric cases with multiple combination of geriatric syndromes. The examinees were assessed by the external examiners virtually through a video conferencing platform. The end results were well appreciated by all key stake holders. The concerns, logistics and experience of conducting the MD Geriatric medicine examination in a virtual format are summarized here.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116379246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing frailty index and correlation with crp and serum albumin and clinical outcome in terms of length of hospital stay","authors":"Shilpa Avarebeel, Akash Durgakar, Pratibha Pereira, T. Varsha, Mahesh Poojari, S. Meenakshi","doi":"10.18231/J.AGEMS.2021.005","DOIUrl":"https://doi.org/10.18231/J.AGEMS.2021.005","url":null,"abstract":"Frailty is defined as “a clinically recognizable state of increased vulnerability, resulting from aging associated decline in reserve and function across multiple A Hospital based descriptive cross-sectional study in tertiary care hospital. Atotal of 294 patients admitted in the Medicine/Geriatric Ward, were included in stressors is compromised”. It is a robust and powerful risk factor for disability. With this background, study was conducted at a tertiary centre with objectives to assess the frailty in elderly patients and to assess the correlation of frailty with Serum Albumin and CRP physiologic systems, such that the ability to cope with every day or acute and evaluate the clinical outcome in terms of length of hospital stay. The study. Demographic details and details of known comorbidities were recorded. Cognition score of all patients were assessed using mini mental scale examination. Investigations like Serum Albumin and CRP were done. The data was analyzed using statistical software.Our results show that in hospitalized patients frailty is seen in both gender. The presence of co-morbidities worsens the frailty. 30 second chair test is very good indicator for frailty and risk of fall and we observed reduced duration in the Pre-Frail group. The cognition score decreased along with the increase in age groups. When compared with the Frailty index, it was more in the Pre-Frail group. The duration of hospital stay was more in Frail group. The mean serum albumin level is important marker to identify early frailty.Assessment of frailty in elderly patients is necessary and identifying Pre-Frailgroup is very important. 30 second chair stand test and serum albumin are very important early markers in the assessment of frailty. Cognitive function is also very important to identify early frailty. Our study shows that the length of hospital stay is more in the Frail group. Frailty is important aspect of elderly. It should be included in routine clinical assessment of all elderly patients.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"163 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127521594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Person-centred care in dementia: Philosophy and challenges in implementation","authors":"P. T. Nandimath","doi":"10.18231/J.AGEMS.2021.003","DOIUrl":"https://doi.org/10.18231/J.AGEMS.2021.003","url":null,"abstract":"Health care concept is increasingly moving away from medical, task oriented and professional driven model towards a holistic model of health care which values the needs of the persons and centred on the needs of the patients. This shift is described as person centred care. Despite the wide availability of literature, philosophy and evidence on the outcomes of the person centred care, barely it is an ideal in reality. This present article throws light on the philosophy and challenges of person centred care and tries to raise the awareness and understanding about person centred care for people with dementia and explores on the challenges underpinning person-centred care in dementia.Person centred care means, being “respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions”. Each individual has unique history, personality, values, right to dignity, respect and right to participation. PCC framework emphasises on the assumptions made about the people with dementia, care givers attitude, models and care practices, factors at organisational level, cultural factors as well as structural elements such as lighting and flooring. It is a holistic philosophy across the continuum of services which takes into account the specific needs of each person. The philosophy of person centred care focuses on “the abilities and strength of the person than the losses” and on “the person than on the condition”.Lack of clarity in understanding person centred care in dementia, lack of research evidence, not valuing the views and needs of people with dementia, organisational culture, task centred care culture, lack of resources. : To improve quality of life of people with dementia and for the better functioning of the people with dementia there is a need for greater implementation of person centred care. However the challenges in the implementation of person centred care are masking the achievements and positive aspects of the person centred care approach. The challenge ahead for dementia experts is to advocate and raise the awareness and understanding and to provide evidence based solutions in practically implementing person centred care and making it more real in practice than keeping it ideal in literature.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134629584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facial angioedema in young elderly: Rare complication of rare drug","authors":"S. Khan, Sunil Kumar, D. Talwar, Akhilesh Annadata, A. Dubey","doi":"10.18231/J.AGEMS.2021.006","DOIUrl":"https://doi.org/10.18231/J.AGEMS.2021.006","url":null,"abstract":"Angioedema is an intense often disfiguring but temporary swelling of a localized area which usually involves superficially lying structures like skin, mucosa along with subcutaneous tissues. Areas which are often affected by angioedema have a wide range starting from the face, lips, tongue, pharynx, the supraglottic area and rarely, the subglottic area. It might also effect the gastrointestinal mucous membranes, genitalia, hands and feet. There maybe variety of causes for development of angioedema including various drug intake, insect bites or stings and certain types of food products particularly nuts, milk and eggs. Levamisole is known to have anthelminthic and immunomodulatory properties and is a common contaminant in cocaine due to its mood stimulatory action. Here we report a case of a 60-year-old female who presented with angioedema following ingestion of a drug known as levamisole for its anthelminthic activity.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132787424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteoporosis: A silent disease fraught with fragility fractures in geriatric population","authors":"A. Vashisht","doi":"10.18231/J.AGEMS.2021.004","DOIUrl":"https://doi.org/10.18231/J.AGEMS.2021.004","url":null,"abstract":"As per the Population Census2011, the elderly (aged 60 years or above) population in India was about 104 million (53 million females and 51 million males). As per United Nation Population Fund and Help Age India report speculated this number to rise to 173 million by 2026. The purpose of this article is to review the available literature regarding the different ways at hand for osteoporosis evaluation and diagnosis, various therapeutic modalities available for treatment and how they can be utilized for prevention of fractures due to insufficiency of bones in consequence of osteoporosis. The recommendations and conclusions have been evolved after the thorough review of various literatures on osteoporosis. The evidence based recommendations are based on systemic reviews, meta-analysis and randomized controlled trials (RCTs), wherever available. The evidences and recommendations extracted after extensive review of literature has been provided for diagnosis, assessment of risks for fractures, pharmacological therapies with life style modifications, treatment duration of bisphosphonate therapy. The evidences and recommendations extracted after extensive review of literature helped in formulating guidelines to provide a concised but complete overview of all aspects of osteoporosis that will definitely help all healthcare professionals.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122740280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi modal targets in Psoriasis","authors":"S. Chaudhry","doi":"10.18231/J.AGEMS.2020.009","DOIUrl":"https://doi.org/10.18231/J.AGEMS.2020.009","url":null,"abstract":"Psoriasis is a life-long disease that requires long-term treatment. The long-term use of conventional systemic treatments is limited mostly by poor tolerability and cumulative toxicity. Psoriasis significantly impairs the quality of life of patients .In contrast, the long-term use of biologics is more advisable, because of better tolerability and safety, although their cost hinders their clinical usage Evidence suggests that PASI 100 (i.e., complete clearance of psoriasis) may be achievable for many patients with moderate-to\u0000severe psoriasis using biologics in development brodalumab and ixekizumab or secukinumab that inhibit interleukin (IL)-17.\u0000\u0000Keywords: Psoriasis, Inflammation, TCell Activation biologics.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125502923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caring of the elderly in the pandemic era- A Viewpoint","authors":"N. Pandey","doi":"10.18231/J.AGEMS.2020.012","DOIUrl":"https://doi.org/10.18231/J.AGEMS.2020.012","url":null,"abstract":"Summary: The threat of coronavirus disease (COVID-19) and its massive adverse impact across the globe has forced us to consider course of interventions for betterment of the community dwelling at-risk population. One of the most vulnerable populations of the society is elderly, who are facing numerous challenges and issues. This manuscript discusses the impact of present pandemic on older adults and highlights major challenges, issues of this segment of population as well as strategies and ways for managing the same.\u0000\u0000Keywords: COVID19 elderly care challenges and strategies.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127157258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimising multi pronged drug intercepts in AMD","authors":"S. Chaudhry","doi":"10.18231/J.AGEMS.2020.010","DOIUrl":"https://doi.org/10.18231/J.AGEMS.2020.010","url":null,"abstract":"Age-related macular degeneration (AMD) is the most common cause of blindness in the elderly population worldwide. The clinical spectrum of AMD comprises of drusen, hyperplasia of the retinal pigment epithelium (RPE), atrophy and choroidal neovascularization (CNV). These changes affect the macula of the retina and subsequently may affect central or reading visual acuity. The pharmacological therapies include photodynamic therapy (PDT), steroids, vascular endothelial growth factor (VEGF) inhibitors, extracellular matrix(ECM) modifiers, gene therapy and nutrition supplements.\u0000\u0000Keywords: Agerelated macular degeneration (AMD), ie2 (Tyrosineprotein kinase) anti VEGF ranibizumab bevacizumab aflibercept.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131290273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study on impact of pictorial drug labelling on medication compliance among elderly","authors":"Shilpa Avarebeel, N. Nikita, Pratibha Pereira","doi":"10.18231/j.agems.2020.005","DOIUrl":"https://doi.org/10.18231/j.agems.2020.005","url":null,"abstract":"Introduction: The elderly population has been increasing steadily with a proportionate rise in comorbidities and polypharmacy. Increased pill burden makes it difficult for the elderly to take the medications correctly and thus ending with poor symptom control, recurrent hospitalization and even death. Every patient should be made aware of their medication, timings, desired effects, side effects, and precautions. As most of the medications come with instructions that are written at a high readability level, the elderly with low literacy are unaware of the drugs being taken appropriately leading to mishaps. Many of the physicians are unable to communicate effectively with the elderly patient due to various reasons like time constraints and high patient load. The role of the pharmacist is limited solely to dispensing medicines and effective pharmaceutical care is limited to few. With this background, an observational study was conducted to evaluate the compliance to medication in 108 elderly patients before and after the use of pictogram pouches in Geriatric OPD at JSS Medical College Hospital, Mysore, Karnataka funded\u0000by ICMR. \u0000\u0000Materials and materials : This was a prospective observational study carried out from May 2019 to July 2019 in the Geriatric OPD, JSS Medical College Hospital, Mysore, Karnataka. Ethical clearance was obtained from the Institutional ethical committee. Written informed consent was taken from willing patients before handing out separate pictogram labeled pouches.108 elderly patients who had Polypharmacy and met inclusion criteria were included in the study. After obtaining written consent, these patients were introduced to a pre-test questionnaire and given 3 separate pictorial pouches illustrating morning, afternoon and night time with before and after food pictures. After a month of using pictogram pouches, the patients were contacted and data from posttest questionnaire were noted and analyzed.\u0000Result : It was seen that the","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126158303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Problems of geriatric patients in dental setup","authors":"S. Hassan, Dental, S. Bhateja, Francis Prathyusha","doi":"10.18231/j.agems.2020.002","DOIUrl":"https://doi.org/10.18231/j.agems.2020.002","url":null,"abstract":"Oral health is an integral part of public health and influence physical and mental well-being and quality of life of the elderly person. dental care for geriatric patients has increased at this time. Treatment and diagnosis of geriatrics that challenging patients, as these patients have both systemic and oral problems. There is a systemic disease with oral manifestations related to the patient is unaware condition. It can be diagnosed or speculate with doctor after examination and investigation. Edentulousness and lack of rehabilitation prosthodontics prevent frail elders of choosing the food they like and reject they love to eat, which is a prerequisite for feeling of well being. oral mucosal diseases and lesions which is common in older people. Lichenoid mucosal lesions can also be caused by a variety of common medications prescribed to older patients. The biggest challenge is to providing affordable, accessible, and equitable health care for this population. Oral health is an important part of the general health and affects the physical and mental well-being and quality life of older people.","PeriodicalId":129502,"journal":{"name":"Annals of Geriatric Education and Medical Sciences","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126331641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}