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Russian Journal of Geriatric Medicine最新文献

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Benign paroxysmal positional vertigo in the older adults 老年人良性阵发性位置性眩晕
Russian Journal of Geriatric Medicine Pub Date : 2022-05-24 DOI: 10.37586/2686-8636-1-2022-37-42
M. V. Zamergrad, S. S. Masueva
{"title":"Benign paroxysmal positional vertigo in the older adults","authors":"M. V. Zamergrad, S. S. Masueva","doi":"10.37586/2686-8636-1-2022-37-42","DOIUrl":"https://doi.org/10.37586/2686-8636-1-2022-37-42","url":null,"abstract":"Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo. The prevalence of the disease increases with age. Course of the disease, clinical manifestations, and treatment approaches at older ages have their own characteristics. Frequent predominance of persistent instability over classic episodes of positional vertigo as well as tendency to chronicity are among the main clinical features of BPPV at advanced age. BPPV in the older adults has a higher frequency of relapses, which is explained by the continuing degenerative processes in the otolith membrane and concomitant diseases that limit physical activity of older patients. The BPPV treatment in the older can be difficult due to the technical problems during canalith repositioning procedures, concomitant diseases and insufficient mobility of patients. Nevertheless, in most cases, the treatment of BPPV in the older adults remains highly effective, which makes early-stage disease detection of great value, even with atypical clinical manifestations. Therefore, it is especially important to perform positional tests in any cases with complaints of dizziness and instability.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132931128","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}
引用次数: 0
Early-stage diagnosis of cognitive disorders as a dementia risk-reducing factor in older adults: opportunities and resources 认知障碍作为老年人痴呆风险降低因素的早期诊断:机会和资源
Russian Journal of Geriatric Medicine Pub Date : 2022-05-24 DOI: 10.37586/2686-8636-1-2022-32-36
V. Savilov, M. Kurmyshev, I. E. Yurchenko, O. Karpenko, G. P. Kostyuk
{"title":"Early-stage diagnosis of cognitive disorders as a dementia risk-reducing factor in older adults: opportunities and resources","authors":"V. Savilov, M. Kurmyshev, I. E. Yurchenko, O. Karpenko, G. P. Kostyuk","doi":"10.37586/2686-8636-1-2022-32-36","DOIUrl":"https://doi.org/10.37586/2686-8636-1-2022-32-36","url":null,"abstract":"The article provides an analysis of underlying problems in diagnosing a cognitive decline and dementia in the early stages among older adults. The reasons for postponing the treatment of patients with cognitive impairment to specialized specialists examined. Indications given of the macrosocial (stigmatization of mental disorders in general and dementia in society particularly, costs of the period until the deinstitutionalization of psychiatry), microsocial (psychological structure in the family) aspects of postponing treatment to a psychiatrist. Using the experience of Moscow memory clinics the principles of psychoeducation implementation described as well as the mechanisms of interaction between psychiatrists and general practitioners analyzed.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"39 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125739534","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}
引用次数: 0
Postcovid syndrome: illusion or reality? covid后综合征:幻觉还是现实?
Russian Journal of Geriatric Medicine Pub Date : 2022-05-24 DOI: 10.37586/2686-8636-1-2022-43-47
K. Eruslanova, A. V. Rozanov, Y. Kotovskaya, O. Tkacheva
{"title":"Postcovid syndrome: illusion or reality?","authors":"K. Eruslanova, A. V. Rozanov, Y. Kotovskaya, O. Tkacheva","doi":"10.37586/2686-8636-1-2022-43-47","DOIUrl":"https://doi.org/10.37586/2686-8636-1-2022-43-47","url":null,"abstract":"A novel coronavirus infection was described in 2019 in Wuhan, China. From the first months of the spread of the infection around the world, evidence began to appear that patients after recovery had various symptoms. Duration, intensity, and variability of symptoms varies among patients and are often not associated with the severity of the most acute illness. Recently the concept of post-COVID syndrome (post-COVID or long-COVID in the English-language literature) has acquired increasingly clear diagnostic criteria. Persistent symptoms and / or the appearance of delayed complications after 4 weeks or more from the onset of symptoms of an acute illness are commonly called post-COVID syndrome. This review provides information on post-COVID syndrome, its pathophysiology and specific organ lesions. Relevant data on the interdisciplinary management of patients who have undergone a new coronavirus infection will be considered and an algorithm for identifying the diagnosis will be proposed.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127422650","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}
引用次数: 0
Pre-dementia cognitive impairment 痴呆前认知障碍
Russian Journal of Geriatric Medicine Pub Date : 2022-05-24 DOI: 10.37586/2686-8636-1-2022-48-57
N. N. Koberskaya, E. A. Mkhitaryan, A. B. Lokshina, D. Grishina
{"title":"Pre-dementia cognitive impairment","authors":"N. N. Koberskaya, E. A. Mkhitaryan, A. B. Lokshina, D. Grishina","doi":"10.37586/2686-8636-1-2022-48-57","DOIUrl":"https://doi.org/10.37586/2686-8636-1-2022-48-57","url":null,"abstract":"Cognitive disorders are one of the most significant problems of older. Special attention should be paid to the diagnosis of early pre-dementia stages of cognitive impairment (CI): subjective, subtle and mild.The aim of this study was to determine the criteria of pre-mild: subjective and subtle cognitive decline (SCD).Material and methods. The study included 602 patients with pre-mild cognitive impairment with a mean age of 63.24±11.24 years and 515 patients with mild cognitive impairment aged 71.2±8.0 years. The indicators of patients were compared with those of 104 healthy people (average age 64.23±8.14 years) who did not complain of memory impairment and had no deviations during clinical and neuropsychological examination.Results and discussion. Groups of patients with subjective and subtle cognitive decline were distinguished, which differed in most characteristics. At the same time, in both groups of patients, deviations in the results of neuropsychological tests did not exceed one standard deviation from the average results for healthy people, which, in fact, allowed them to be attributed to «pre-mild» cognitive decline. The data obtained confirmed the heterogeneity of the «pre-mild» cognitive decline. The study also shows the allocation limitation of pre-mild cognitive impairment only on the basis of a formal approach based on the quantitative characteristics of neuropsychological research with a difference from control groups necessarily exceeding one standard deviation.Conclusion. The analysis showed the heterogeneity of pre-dementia and pre-mild cognitive impairments that are divided according to the degree of changes in objectively assessed cognitive functions with the similarity of subjective complaints. It is proposed to distinguish subjective cognitive decline with completely normal neuropsychological characteristics and subtle cognitive decline in the event of changes in individual indicators evaluating mainly the control functions and memory.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116619414","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}
引用次数: 2
Osteoporosis and cognitive impairment in older adults: what is the link? 骨质疏松症和老年人认知障碍:有什么联系?
Russian Journal of Geriatric Medicine Pub Date : 2022-05-24 DOI: 10.37586/2686-8636-1-2022-24-31
M. Cherdak, E. Dudinskaya
{"title":"Osteoporosis and cognitive impairment in older adults: what is the link?","authors":"M. Cherdak, E. Dudinskaya","doi":"10.37586/2686-8636-1-2022-24-31","DOIUrl":"https://doi.org/10.37586/2686-8636-1-2022-24-31","url":null,"abstract":"Osteoporosis and various cognitive disorders occupy a special place among a number of specific pathological conditions associated with age. Epidemiologically these two conditions are closely related thus the presence of cognitive impairment increases the risk of osteoporosis; and, visa versa, dementia, in particular, caused by Alzheimer's disease, and is more often detected among patients with osteoporosis. Osteoporosis in patients with dementia is an extremely serious problem, since the development of osteoporotic fractures is fraught with a sharp deterioration in cognitive status and a significant increase in disability and mortality. The connection between changes in bone mineral density and cognitive status in older adults is not well understood. The review presents data from non-clinical and clinical studies that describe common genetic and metabolic factors underlying the pathogenesis of the pathological conditions under discussion, which should be taken into account when planning future dementia and osteoporosis clinical trials.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"199 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121879438","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}
引用次数: 1
Management of older and senile patients with a high risk of delirium when providing inpatient care. Clinical protocol 提供住院护理时对谵妄高风险的老年和老年患者的管理。临床协议
Russian Journal of Geriatric Medicine Pub Date : 2022-05-24 DOI: 10.37586/2686-8636-1-2022-17-23
R. I. Isaev, O. Tkacheva, N. Runikhina, N. Sharashkina, E. Mkhitaryan, M. Cherdak, T. M. Manevich, N. Yakhno
{"title":"Management of older and senile patients with a high risk of delirium when providing inpatient care. Clinical protocol","authors":"R. I. Isaev, O. Tkacheva, N. Runikhina, N. Sharashkina, E. Mkhitaryan, M. Cherdak, T. M. Manevich, N. Yakhno","doi":"10.37586/2686-8636-1-2022-17-23","DOIUrl":"https://doi.org/10.37586/2686-8636-1-2022-17-23","url":null,"abstract":"Delirium is an acute, life-threatening condition manifested by disturbance in consciousness, attention and cognition, which has a multifactorial genesis, severe consequences and commonly seen in older and senile people inpatient. Clinical experience in domestic practice shows that delirium diagnosis in older and senile patients is often missed, and its signs may be considered as manifestations of other diseases, while the state of delirium is often perceived only as an alcohol withdrawal. The article presents a clinical protocol developed and based on the firsthand experience and modern ideas by a multidisciplinary team of the Russian Gerontology Research and Clinical Centre, in which the delirium in older and senile people is considered as a geriatric syndrome. The article shows the latest diagnostic criteria according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the main diagnostic tools are given — Confusion assessment method (CAM), diagnostic and differential diagnostic algorithms; clinical subtypes, management tactics, non-drug and drug approaches to treatment, as well as principles for the prevention of geriatric delirium are described.","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116996028","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}
引用次数: 0
Comprehensive interdisciplinary and interdepartmental program for prevention, early detection, diagnosis and treatment of cognitive disorders in older and senile people 预防、早期发现、诊断和治疗老年人认知障碍的综合跨学科和跨部门项目
Russian Journal of Geriatric Medicine Pub Date : 2022-05-23 DOI: 10.37586/2686-8636-1-2022-6-16
N. Yakhno, O. Tkacheva, S. Gavrilova, O. Levin, A. N. Bogolepova, E. Mkhitaryan, M. Cherdak, I. Kolykhalov, V. G. Rotshtein, A. Sidenkova
{"title":"Comprehensive interdisciplinary and interdepartmental program for prevention, early detection, diagnosis and treatment of cognitive disorders in older and senile people","authors":"N. Yakhno, O. Tkacheva, S. Gavrilova, O. Levin, A. N. Bogolepova, E. Mkhitaryan, M. Cherdak, I. Kolykhalov, V. G. Rotshtein, A. Sidenkova","doi":"10.37586/2686-8636-1-2022-6-16","DOIUrl":"https://doi.org/10.37586/2686-8636-1-2022-6-16","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117258970","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}
引用次数: 7
Experience in organizing medical and social interdisciplinary online support for seniors during COVID-19 infection 在COVID-19感染期间组织老年人医疗和社会跨学科在线支持的经验
Russian Journal of Geriatric Medicine Pub Date : 2022-03-26 DOI: 10.37586/2686-8636-4-2021-435-443
T. Alenskaya
{"title":"Experience in organizing medical and social interdisciplinary online support for seniors during COVID-19 infection","authors":"T. Alenskaya","doi":"10.37586/2686-8636-4-2021-435-443","DOIUrl":"https://doi.org/10.37586/2686-8636-4-2021-435-443","url":null,"abstract":"","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126107409","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}
引用次数: 0
The current state of geriatric care to the population of Moscow 莫斯科人口老年护理的现状
Russian Journal of Geriatric Medicine Pub Date : 2022-03-26 DOI: 10.37586/2686-8636-4-2021-420-424
N. Runikhina, A. V. Trukhanov, I. V. Babenko
{"title":"The current state of geriatric care to the population of Moscow","authors":"N. Runikhina, A. V. Trukhanov, I. V. Babenko","doi":"10.37586/2686-8636-4-2021-420-424","DOIUrl":"https://doi.org/10.37586/2686-8636-4-2021-420-424","url":null,"abstract":"","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125768680","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}
引用次数: 0
Algorithms for managing patients over 60 years old with chronic joint and back pain 管理60岁以上慢性关节和背部疼痛患者的算法
Russian Journal of Geriatric Medicine Pub Date : 2022-03-26 DOI: 10.37586/2686-8636-4-2021-444-450
A. Naumov, N. O. Khovasova, V. I. Moroz
{"title":"Algorithms for managing patients over 60 years old with chronic joint and back pain","authors":"A. Naumov, N. O. Khovasova, V. I. Moroz","doi":"10.37586/2686-8636-4-2021-444-450","DOIUrl":"https://doi.org/10.37586/2686-8636-4-2021-444-450","url":null,"abstract":"","PeriodicalId":256357,"journal":{"name":"Russian Journal of Geriatric Medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131234534","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}
引用次数: 0
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