MOJ Gerontology & Geriatrics最新文献

{"title":"Cold agglutinins - a common clinical or laboratory problem. clinical case","authors":"M. Yordanova","doi":"10.15406/MOJGG.2020.05.00227","DOIUrl":"https://doi.org/10.15406/MOJGG.2020.05.00227","url":null,"abstract":"Introduction: The examination of the blood picture is an initial stage in the diagnostic process, both in anaemic and inflammatory conditions. Agglutination of erythrocytes and platelets, as well as hemolysis, can lead to “wrong” values when automatically enumerated with haematology analysers. Purpose: We present a case of in vitro erythrocyte agglutination caused by cold agglutinins as a result of viral pneumonia with the etiologic agent influenza B. Material and methods : This is a man entering a pulmonary ward with pneumonia. The examined blood picture shows abnormal values of the red blood row. The analysis was performed on a Sysmex XN1000 haematology analyzer. The flags and cell cytograms of the apparatus were examined. The morphology of the cellular elements (erythrocytes, leukocytes-DCL and platelets) of stained blood smear was examined microscopically. A saline test was applied to differentiate the in vitro agglutination. We determined the biochemical markers for hemolysis (free haemoglobin in plasma, LDH, Haptoglobin of Olympus AU 640 analyser), the titer of cold agglutinins. Virological serological studies have been appointed. Results: CPC values were monitored from admission to patient discharge and at the end of the first month. The biochemical markers for hemolysis are poorly expressed. The saline test and the erythrocyte morphology give direction to in vitro agglutination. A virological examination found antibodies against influenza type B and Coxiella burnetii (Q fever). Conclusion: A good knowledge of artificially occurring in vitro phenomena resulting from erythrocyte agglutination can avoid a number of misunderstandings or misinterpretations .","PeriodicalId":163225,"journal":{"name":"MOJ Gerontology & Geriatrics","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127814154","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":"Medication safety in elderly patients","authors":"A. Ahuja","doi":"10.15406/MOJGG.2020.05.0022","DOIUrl":"https://doi.org/10.15406/MOJGG.2020.05.0022","url":null,"abstract":"The present manuscript describes health problems that commonly affect elderly patients and explain which and why some drugs increase the risk of having problems related to drugs. The physiological changes that occur with ageing and how these impact on drug therapy are also explained. A brief detail of drugs that commonly cause adverse drug reactions (ADR’s) are covered along with a plan for preventing them and improving the quality of life. compensatory mechanisms (homeostasis). Postural hypotension results from impaired baroreceptor function reduced compensatory tachycardia and vasoconstriction in response to hypotension and failure of cerebral blood flow autoregulation. Patients with impaired cardiac output and taking diuretics are especially vulnerable.","PeriodicalId":163225,"journal":{"name":"MOJ Gerontology & Geriatrics","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133943502","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":"Palliative care and public health an issue to be held","authors":"Bruno Bastos Godoi, L. Freitas, Alice Assis Chaves, Barbara Machado Alfradique, Isabella Ferreira Brugiolo, Maria Fernanda Nobre Leão, Giovana Amaral Cordeiro, Fabiana Souza Máximo Pereira","doi":"10.15406/MOJGG.2020.05.00224","DOIUrl":"https://doi.org/10.15406/MOJGG.2020.05.00224","url":null,"abstract":"Palliative Care (PC) is underdeveloped in most parts of the world. PC is based on knowledge inherent to the various specialties, possibilities of clinical and therapeutic intervention in the various areas of medical science knowledge and specific knowledge. The practice of PC should be adapted to each country or region according to relevant aspects such as availability of material and human resources, type of existing health planning, cultural and social aspects of the population served. PC has received very little attention in the field of public health. The probable reasons are that public health’s primary focuses are to prevent illness and premature deaths, and public health professionals may also believe that end-of-life issues are a health system problem rather than a priority to be addressed through population health efforts. With the rapidly aging world population and the associated increase of multiple ‘‘noncommunicable’’ diseases, the need for palliative care will increase dramatically over the next 50 years. Although palliative care services may start in one or more health care organizations that will become centers of PC excellence, it is always important to keep in mind the vision that the process to implement palliative care within a country is striving to integrate palliative care into all levels of the society from the community level upward and from the palliative care expert in the health care system downward. Given this, the creation of Palliative Care teams should be among the priorities of managers, due to the demographic transition and the high demand for palliative care due to the growth of morbidities secondary to chronic degenerative diseases.","PeriodicalId":163225,"journal":{"name":"MOJ Gerontology & Geriatrics","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133682633","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":"Vestibular rehabilitation therapy in elderly with benign paroxysmal positional vertigo","authors":"Yeny Concha Cisternas, E. Guzmán-Muñoz","doi":"10.15406/mojgg.2020.05.00222","DOIUrl":"https://doi.org/10.15406/mojgg.2020.05.00222","url":null,"abstract":"The vestibular system contributes to the maintenance of the bipedal posture and balance. Peripheral vestibular alterations such as paroxysmal positional benign vertigo have high prevalence in elderly, being responsible for a large number of falls, which can cause disability and death. It has been shown that repositioning maneuvers and physical therapy aimed at restoring balance have good results in reducing symptoms, and also improve the quality of life of elderly.","PeriodicalId":163225,"journal":{"name":"MOJ Gerontology & Geriatrics","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122090499","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 between elderly and adults of jequitinhonha valley: treatment adherence and prevalence of comorbidities","authors":"Pedro Henrique de Almeida Andrade, Maria Isabel Menezes Guedes, Mariana América Gonçalves, Bruno Souto Rangel de Castro, Gabriel Junqueira Lopes, Gustavo Antunes Rodrigues Duarte, Gustavo Couto Pereira da Silva, Hugo Pimenta Ferreira, Juliana Toledo Mesquita, Maria Carolina Padovani Guerra, Mateus Pinto Ribeiro, Rafael Las Casas, Rebeca Carolina Campos e Almeida Silva, Vitor Barbosa Abrantes, A. P. Real, Fernanda Mendes Amorim, Lívia Pires Calastri, Lucas Bastos Pereira Carneiro, Nathanna Fernandes Maciel, Fernando Henrique Pereira, Bruno Cézar Lage Cota, Luís Felipe José Ravic de Miranda","doi":"10.15406/mojgg.2019.04.00219","DOIUrl":"https://doi.org/10.15406/mojgg.2019.04.00219","url":null,"abstract":"The aims of this work are to verify the prevalence of the main comorbidities of the population in the city of Ponto dos Volantes, Minas Gerais; to assess the patients knowledge degree in relation to their diseases; to verify the association between knowledge of comorbidities, schooling, socioeconomic level and adherence to treatment; and to foster volunteering in the UFMG medical students. Eighty-seven patients, males and females, were selected from elderly and adults in the city of Ponto dos Volantes. The data collection was done by students of the Faculty of Medicine of the UFMG, allocated in outpatient clinics in the urban and rural area, during the visits, from July 24th to 29th, 2017. It was verified the adherence through the 8-item Morisky Medication Adherence Scale (MMAS-8). Statistical analysis was performed using the SPSS 18, Shapiro-Wilk, Student's T and Mann-Whitney tests. According to the national literature, arterial hypertension (75.3%) and diabetes mellitus (27.1%) are the most prevalent morbidities in the sample. Regarding the knowledge of the prescription and the meaning of the disease, 40.2% of patients did not understand the prescription and 49.4% of them did not understand the disease itself. Although there was no statistically significant difference, we identified low adherence in 24.4% of the elderly and in 14.3% of adults. The study was useful to evaluate the sociodemographic and comorbid profile of the population of Ponto dos Volantes, besides promoting health education and volunteering among students.","PeriodicalId":163225,"journal":{"name":"MOJ Gerontology & Geriatrics","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125136520","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":"Do mole-rats follow the same rules in their longevity and aging in nature?","authors":"G. Montero, E. Silva, R. Mansilla, JM Nieto Villar","doi":"10.15406/mojgg.2019.04.00217","DOIUrl":"https://doi.org/10.15406/mojgg.2019.04.00217","url":null,"abstract":"","PeriodicalId":163225,"journal":{"name":"MOJ Gerontology & Geriatrics","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127510424","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":"Colpocleisis surgery in the treatment of pelvic organ prolapse in elderly women","authors":"A. Marchesini, Antunes Jr A, Gusmão Lc, Luz Lb, Gollop Tr","doi":"10.15406/mojgg.2019.04.00211","DOIUrl":"https://doi.org/10.15406/mojgg.2019.04.00211","url":null,"abstract":"With increasing life expectancy of the population the age-related diseases also become more frequent and require special attention. Prolapse of pelvic organs (POP) is a common condition among elderly women, with a prevalence of 25 to 40% in multiparous women.1,2 Symptomatic patient will need some treatment because the anatomical damage causes self-image distortion, affecting their quality of life, and may also cause urinary and bowel disorders.3","PeriodicalId":163225,"journal":{"name":"MOJ Gerontology & Geriatrics","volume":"125 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123717751","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":"The elderly and implications of their biopsychosocial needs for health care in Latin America","authors":"A. Yañez, María Patricia Masalan Apip, Gerald L Kellogg","doi":"10.15406/mojgg.2019.04.00210","DOIUrl":"https://doi.org/10.15406/mojgg.2019.04.00210","url":null,"abstract":"The elderly population is growing worldwide. In 2017 there were 962 million people over 60 years old, and according to projections for 2050, it is expected to double to 2100 million. Europe in 2017 registered the highest percentage of the population aged 60 or over (25%) compared to the rest of the world. In that same year in Latin America there were 77 million older adults. According to the data, the pace of aging in developing countries is faster than in developed countries. Therefore, Latin America will have less time to adapt to the consequences of population aging, which include dependence on other people, socio-economic impact, and multiple manifestations and consequences of the aging process.1","PeriodicalId":163225,"journal":{"name":"MOJ Gerontology & Geriatrics","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124198884","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":"The elderly and the digital inclusion: A brief reference to the initiatives of the European union and Portugal","authors":"H. Gil","doi":"10.15406/mojgg.2019.04.00209","DOIUrl":"https://doi.org/10.15406/mojgg.2019.04.00209","url":null,"abstract":"Abbreviations: AAL, ambient assisted living; ENILD, national strategy for inclusion and digital literacy; HCI, human-computer interaction; TRA, theory of reasoned action; TAM, technology acceptance model; MM, motivational model; TPB, theory of planned behavior; CTPB-TAM, combined theory of planned behavior/ technology acceptance model; MPCU, model of pc utilization; IDT, innovation diffusion theory; SCT, social cognitive theory; UTAUT, unified theory of acceptance and use of technology","PeriodicalId":163225,"journal":{"name":"MOJ Gerontology & Geriatrics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131021117","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":"Health investment management based on patient satisfaction with the primary care doctor in the Spanish national health service context. A gender perspective","authors":"María del Carmen Valls Martínez, I. Oller","doi":"10.15406/mojgg.2019.04.00208","DOIUrl":"https://doi.org/10.15406/mojgg.2019.04.00208","url":null,"abstract":"Public management of a national health system (NHS) is a major challenge for policy makers. It is due to, on the one hand, the ageing of the population in developed countries, what leads to an increasing demand for health services. And, on the other hand, to the increase in the citizens’ expectations, who are increasingly demanding and require higher quality services. All this adds to the increase costs of technology and limited economic resources.1 Providing a high service quality is the goal of a NHS,2 since the health sector is a sector where low quality has serious consequences.3 Quality is a precursor of patient satisfaction and there is a positive correlation between the two, so that more quality implies more satisfaction.4,5","PeriodicalId":163225,"journal":{"name":"MOJ Gerontology & Geriatrics","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132691528","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}