International Journal of Geriatrics and Gerontology最新文献

{"title":"A Cox’s Proportional Model to Assess Survival Prognostic Factors in Patients Over 85 Years of Age Undergoing Heart Surgery","authors":"Corona Alberto, Catena Emanuele, Savi Claudio Federico","doi":"10.29011/2577-0748.100040","DOIUrl":"https://doi.org/10.29011/2577-0748.100040","url":null,"abstract":"Introduction: “The progressive and growing prevalence of octuagenarians (O) and over-octuagenarians (>O), susceptible to cardiac surgery has generated an ethical and economic reflection on the usefulness and opportunity to use the limited resources of intensive care for these patients. Methods: The primary end point of the study has been highlight any difference in post-operative and ICU mortality between patients (O) and (>O) by setting a Cox’s proportional hazard model. Results: The 6.9% of the population studied were 85 years of age or older; therefore the over 85 yrs sub-group (≥ 85 yrs.) was 889 patients and the under 85 yrs sub-group 11966. Hospital mortality was found to be significantly higher (+4.3%) in the over 85 yrs. Factors significantly associated with postoperative hospital survival of over 85 yrs. were found to be: (i) male gender, arterial disease, COPD, pathology of the aortic and mitral valve; (ii) interaction unstable angina and common trunk obstruction, the value of the CCS scale; (iii) RBC and FFP transfusions, together with total blood loss; (iv) post-operative septic shock, acute renal failure, cerebral stroke, mechanical ventilation, ventilator associated pneumonia, and tracheostomy. Conclusions: Our data suggest the importance of the age variable as well as the fact that the two populations are distinct and different. A further and future multivariate analysis will be conducted with the use of propensity score matching.","PeriodicalId":195412,"journal":{"name":"International Journal of Geriatrics and Gerontology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133698217","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":"Lifestyle Changes and Perception of Elderly: A Study of the Old Age Homes in Pune City, India","authors":"Priyanka V Janbandhu, Santosh Phad, Dhananjay W. Bansod","doi":"10.29011/2577-0748.100038","DOIUrl":"https://doi.org/10.29011/2577-0748.100038","url":null,"abstract":"The increase in old age homes and its residents mandates attention to the living condition of elderly at these institutions. The study is based on the information collected from 500 residents of 23 old age homes of Pune city in India. A multistage random sampling used for the selection of samples. A semi-structured interview schedule was adopted to gather the information from the respondents, the interview schedule was approved by the research ethical board of the institute. To strengthen the study qualitative insights are also gathered using case studies and key informant interviews. About half of the respondents were having issues while adjusting at old age home and similar percent has reported that their life has considerably changed after joining the old age home. Over half (52%) of these have experienced negative impact, such as homesickness, feeling of left alone (abandoned) by family members, feeling of staying at a hostel, follow certain schedule, elderly have to adjust in their daily life","PeriodicalId":195412,"journal":{"name":"International Journal of Geriatrics and Gerontology","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124588773","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 Project Vorarlberg: Report on a Multidisciplinary Development","authors":"Rizza K. Int, J. Geriatr","doi":"10.29011/2577-0748.100036","DOIUrl":"https://doi.org/10.29011/2577-0748.100036","url":null,"abstract":") Palliative","PeriodicalId":195412,"journal":{"name":"International Journal of Geriatrics and Gerontology","volume":"221 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122931884","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":"Variations in the Treatment of Coronary Syndromes in Nonagenarians","authors":"C. Gasperetti","doi":"10.29011/2577-0748.100035","DOIUrl":"https://doi.org/10.29011/2577-0748.100035","url":null,"abstract":"Recent studies have examined the results of treatment of nonagenarians with percutaneous coronary intervention (PCI) and found promising survival benefits for patients treated with PCI. Despite these benefits, there continue to be large variations in patient selected for PCI based on such factors as frailty, gender, chronic disease, and age. These factors and other patient presentations form the basis for wide variation in treatment and underscore that future studies may increase understanding of patient selection and predict nonagenarians who benefit most from treatment","PeriodicalId":195412,"journal":{"name":"International Journal of Geriatrics and Gerontology","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121661705","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":"Drug Interaction in Institutionalized Elderly People","authors":"Marcos Aparecido, Sarria Cabrera, Marcelo Gasparin Mansur, Giovana Reis Coelho, Guilherme Faria Cabrera","doi":"10.29011/2577-0748.100033","DOIUrl":"https://doi.org/10.29011/2577-0748.100033","url":null,"abstract":"Introduction : The observation of drug interactions should be essential in geriatric pharmacotherapy, especially in frail elderly individuals. Objective : This study aims to analyze the drug interactions among elderly residents of a long-term care facility (LTCF). Method: This was an observational, cross-sectional and descriptive study of a philanthropic LTCF. All institutionalized residents were included, and daily prescriptions of continuous medications were observed. The possible interactions (major, moderate and minor) were identified using the drugs.com platform. The most frequent drug interactions were described","PeriodicalId":195412,"journal":{"name":"International Journal of Geriatrics and Gerontology","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124289195","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":"Mindfulness and its Application for Older Adults with Chronically Painful Osteoarthritis","authors":"R. Marks","doi":"10.29011/2577-0748.100031","DOIUrl":"https://doi.org/10.29011/2577-0748.100031","url":null,"abstract":"Osteoarthritis, a chronic condition resulting in considerable disability, particularly in later life, not only impacts life quality significantly and severely, but is associated with intense bouts of chronic pain and pain flares. The first aim of this review article was to summarize, synthesize, and examine the research base concerning the nature of osteoarthritis, followed by evidence that mindfulness as applied to aging adults with this condition, is likely to be highly efficacious for improving their life quality and joint status in general. A second aim was to provide directives for health educators and others who work or are likely to work with this population at this time and in the near future in the event no effective cure or approach is forthcoming. The article specifically focuses on examining the idea and possible efficacy of various forms of mindfulness as an adjunctive intervention strategy for minimizing arthritis disability, and for fostering independence and life quality. To this end, the author attempted to include a broad overview of all relevant articles published in the English language on the topic, rather than any systematic review. Collectively, these data reveal that while more research may be helpful, mindfulness practiced widely in Asia for many centuries-may be a useful intervention strategy for older adults in the community diagnosed as having osteoarthritis. They specifically suggest health educators and others working with people diagnosed as having osteoarthritis can safely recommend this approach to most people with this condition with the expectation that consistent practices will be protective in multiple ways, as well as heightening their life quality and overall health status.","PeriodicalId":195412,"journal":{"name":"International Journal of Geriatrics and Gerontology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116442227","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":"Experiences of Healthcare Providers in Care Delivery to Older Persons","authors":"S. Ganorkar, Harshad Thakur, Nasreen Rustomfram, Zarina, Nahar Kabir","doi":"10.29011/2577-0748.100029","DOIUrl":"https://doi.org/10.29011/2577-0748.100029","url":null,"abstract":"of","PeriodicalId":195412,"journal":{"name":"International Journal of Geriatrics and Gerontology","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122248949","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 Usefulness of Rowland Universal Dementia Assessment Scale in Oman: A Cross Sectional Study","authors":"S. Al-Jadidi, Maryam Alharrasi, Mandhar Almaqbali, Faiza, Alkharusi, Naila Al Kharusi, Nura Al-Tai, Ahmed AlHanashi, A. Alnabhani","doi":"10.29011/2577-0748.100028","DOIUrl":"https://doi.org/10.29011/2577-0748.100028","url":null,"abstract":"Dementia is decline in multiple cognitive domains and considered as a major cause of disability among elderly. Cognitive assessment is an essential part in evaluating patients attending geriatric clinic such as Mini-Mental State Examination (MMSE). However, this tool requires, individual to be at certain level of education, which may be difficult to perform among illiterate people. Moreover, the illiteracy rate in Oman was estimated to be 6% of the population Aim: The aim of this study is to assess the usability of Rowland Universal Dementia Assessment Scale (RUDAS) as assessment tool for dementia in Oman. Objective To establish the usefulness of the Rowland universal dementia assessment scale (RUDAS) in comparison with Mini -Mental State Examination (MMSE ) and validating a simple and portable tool to screen for dementia among Omani population. Methods: Cross-Sectional study conducted at Al-Masarra hospital Geriatric unit OPD services from July 2020 to January 2021 to those who attending the OPD. Results: The RUDAS tool sensitivity was 95.3% and the specificity was 40.7%. While the MMSE sensitivity was 98% and the specificity was 32.7%. There is significant difference in both the sensitivity and specificity of both screening tools (p<0.05). RUDAS was more specific than the MMSE. Conclusion RUDAS is useful in assessing dementia in Omani population. International Journal of Geriatrics and Gerontology Al-Jadidi S, et al. Int J Geriatr Gerontol 6: 128. www.doi.org/10.29011/2577-0748.100028 www.gavinpublishers.com Introduction Dementia is decline in multiple cognitive domains and considered as a major cause of disability among elderly [1]. Cognitive assessment is an essential part in evaluating patients attending geriatric clinic. Folstein Mini-Mental State Examination (MMSE) is a widely used tool to screen for cognitive impairment and to assess the severity of dementia [2]. However, MMSE score is influenced by age, gender, educational level, country of birth and language of the interview [3]. Furthermore, literal translation of the MMSE may produce items of different connotations and levels of difficulties [4]. In Oman, the illiteracy rate was estimated Citation: Al-Jadidi S, Alharrasi M, Almaqbali M, Alkharusi F, Al Kharusi N, et al. (2022) The Usefulness of Rowland Universal Dementia Assessment Scale in Oman: A Cross Sectional Study. Int J Geriatr Gerontol 6: 128. DOI: 10.29011/2577-0748.100028 2 Volume 6; Issue 01 Int J GeriatrGerontol, an open access journal ISSN: 2577-0748 to be 6% of the population (UNESCO institute for statistics 2015). Moreover, in geriatric population in Oman is 6% more in females, with present more than 80%, while in elderly men equaled to 22% [5]. In Oman, increase presentation of illiteracy in elderly due to lack of schools and other education resources before 1970. Hence, cognitive assessment of this age group requires a good screening tool with cross-cultural, linguistic and psychometric properties. In Oman: AlMasarra ","PeriodicalId":195412,"journal":{"name":"International Journal of Geriatrics and Gerontology","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133481570","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":"Multiple System Atrophy: An Update Review","authors":"J. Reuck","doi":"10.29011/2577-0748.100027","DOIUrl":"https://doi.org/10.29011/2577-0748.100027","url":null,"abstract":"Multiple system atrophy is a progressive fatal neurodegenerative disease, characterized alpha-sunucleine accumulation mainly in oligodendroglial cells of the white matter and to a lesser degree in neurons. Autonomic and urogenital failures are the dominant clinical features. The disease is subdivided in a predominant parkinsonian type and in a predominant cerebellar atactic type. The parkinsonian type represents 80% of the patients while the cerebellar type is found in 20% of the cases. Smoking is less frequent in patients with the parkinsonian type of multiple system atrophy. On magnetic resonance imaging middle cerebellar peduncle atrophy and hyper intensity, putaminal hypointensity and hyperintense putaminal rim in addition to pons hot bun sign and atrophy are the main features. No protective treatment is available. Only supportive measures can be proposed. International Journal of Geriatrics and Gerontology De Reuck J. Int J Geriatr Gerontol 5: 127. www.doi.org/10.29011/2577-0748.100027 www.gavinpublishers.com","PeriodicalId":195412,"journal":{"name":"International Journal of Geriatrics and Gerontology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133876925","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":"Synthetic Cannabinoid Receptor Agonists Abuse in Older Adults","authors":"","doi":"10.29011/2577-0748.100025","DOIUrl":"https://doi.org/10.29011/2577-0748.100025","url":null,"abstract":"","PeriodicalId":195412,"journal":{"name":"International Journal of Geriatrics and Gerontology","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114074009","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}