Journal of gerontology and geriatric research最新文献

{"title":"Successful Treatment of Dieulafoyôs Gastric Lesion in a Critical ElderlyPatient","authors":"Jordana de Melo Silva, E. Moura, Élida Lorena Leal Reis, M. Maia, F. Ejima","doi":"10.4172/2167-7182.1000428","DOIUrl":"https://doi.org/10.4172/2167-7182.1000428","url":null,"abstract":"Dieulafoy's lesion is a rare cause of upper gastrointestinal bleeding. Due to the exceptional nature of its diagnosis and severity of clinical presentation in the critically ill patients, brevity of the treatment is essential. This report describes the treatment of an elderly patient during his stay in the Intensive Care Unit.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117072992","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 Role of Aspirin in Alzheimer’s Disease","authors":"Qingcheng Du","doi":"10.4172/2167-7182.1000427","DOIUrl":"https://doi.org/10.4172/2167-7182.1000427","url":null,"abstract":"Dementia is a common disease in the elderly characterized by memory loss, cognitive dysfunction, disturbance of consciousness, selfcare ability and social activities decline or even loss. According to its cause is divided into the following three class: Alzheimer's disease dementia, vascular dementia, mixed dementia [1]. The incidence of dementia increases with age. International estimated that there will be 11500000 people suffering from Alzheimer's disease/dementia in 2050 and a large part from developing regions or countries, such as Africa, India, Latin America, China, south Asia and the western Pacific region, Ferri et al. [2,3]. Dementia, a devastating as well costly disorder, is the leading causes of disability and mortality in old people. Dementia has a serious threat to the health of the elderly, which makes a serious burden on the state, society and family. Thus, it is an urgent need for effective interventions of treating dementia. Aspirin is a commonly drug which is used to treat headache and fever in daily life. In current, there is a few trials about the role of aspirin in Alzheimer’s disease. The role of aspirin in Alzheimer’s disease is still unclear. Therefore, I had searched some evidence about the role of aspirin in Alzheimer’s disease in order to provide doctors or patients with some useful information.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123091129","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":"Colitis Due to Campylobacter jejuni/coli: Ceftriaxone is Not Effective","authors":"S. Emonet, Betim Redzepi, A. Riat, A. Cherkaoui, Benjamin A Lipsky, F. Ris, J. Schrenzel","doi":"10.4172/2167-7182.1000426","DOIUrl":"https://doi.org/10.4172/2167-7182.1000426","url":null,"abstract":"Background: Ceftriaxone is often prescribed empirically for patients hospitalized with abdominal pain and fever. If stools culture from such a patient yields Campylobacter jejuni or Campylobacter coli (C. jejuni/coli), clinicians ask about its susceptibility to ceftriaxone, to which it is not routinely tested. We report a case of colitis that raised this question. As we couldn’t find the answer in the published literature, we investigated the sensitivity of strains of C. jejuni/coli to ceftriaxone in our hospital. \u0000Methods: We conducted a retrospective study of all strains of C. jejuni and C. coli isolated from specimens of infected patients seen in our tertiary care university-affiliated hospital in Switzerland between March 2009 and December 2010. Campylobacter strains were identified to the species level with matrix-assisted laser desorption ionization - time of flight (MALDI-TOF) mass spectrometry and antimicrobial susceptibilities were determined by Etest. \u0000Results: Among 108EšC. jejuni and 14EšC. coli isolates, only 1.6% were fully susceptible to ceftriaxone. Overall, 95.9% of our strains were susceptible to erythromycin but 52.5% of C. jejuni/coli were resistant to ciprofloxacin. \u0000Conclusion: Our results suggest that ceftriaxone should be considered ineffective for the treatment of Campylobacter jejuni/coli infections, the major cause of gastro-enteritis in Europe. In the light of increasing resistance to fluoroquinolones, cases of severe Campylobacter colitis or bacteraemia may require a short course of macrolides.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127996323","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 Coherence between Fear of Falling and Dynamic Postural Capability","authors":"T. Wolfsegger, T. Oertzen, B. Pischinger","doi":"10.4172/2167-7182.1000425","DOIUrl":"https://doi.org/10.4172/2167-7182.1000425","url":null,"abstract":"Objectives: In the context of fear of falling (FoF) and fall-related self-efficacy have a significant impact on the functional performance in gait mobility, postural function and activities of daily living. In this study, we analysed the relation between FoF with the 7-item version Fall Efficacy Scale-International (short FES-I) and biomechanical measurements of balance. \u0000Methods: 25 geriatric patients with increased short FES-I Score (18.5 CI 14.0-24.1; Cut-off ≥ 10/28 points) carried out fourteen different stance and gait tasks to objective the complex postural capability (Sway StarTM System Specific Body Control Index (BCI) compared trunk sway (°, °/s) and time to go with an age and sex matched control group. Correlation between short FES-I and biomechanical parameters were calculated \u0000Results: Increased short FES-I score do not correlate with BCI and major single tasks trunk sway parameters (° and °/s), but correlate significantly positive with time to go tasks. \u0000Discussion: FoF and lower fall self-efficacy does not necessarily lead to a higher postural instability. However, gait was reduced in speed but not necessarily instable (i.e. increased trunk sway amplitudes). Increasing data in diagnostic procedures will cause more complex recommendations in therapeutic strategies.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124039244","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":"Use of Drugs Prolonging QT Interval in Patients at the Time of Admission to Geriatric Department","authors":"P. Mikuš, Š. Krajčík, P. Ciutti","doi":"10.4172/2167-7182.1000424","DOIUrl":"https://doi.org/10.4172/2167-7182.1000424","url":null,"abstract":"The usage of drugs prolonging QT interval is common issue in old age. They were used by 67.5% of patients being admitted to geriatric department. Use of these drugs was associated with a higher 3-month mortality rate (36.6% versus 16.7%). This mortality rate was significantly higher in patients using 3 and more of these drugs. Patients, who did not survive 3 months used QT interval prolonging drugs significantly more often (83.3 % versus 67. 5%).The most frequently used group of drugs were diuretics used by 36% of patients. The most often used drug was furosemide, used by 32.5% of patients. The second most used group were antipsychotic drugs which were used by 24% of patients. The second most frequently used medicament was pantoprazole used by 22.5% patients. Antidepressants were used by 15.4% of patients. The most often used antidepressant was citalopram, which belongs to drugs with a high risk of QT interval prolongation. It was used by 6.1% of patients.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116915480","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":"Exploring the Relationship of Older Adults with the Physical Environment through Active Learning","authors":"Burçak Altay","doi":"10.4172/2167-7182.1000422","DOIUrl":"https://doi.org/10.4172/2167-7182.1000422","url":null,"abstract":"I share the key features of student learning about older people in relation to their home environments. The application of active learning methods has encouraged the students to co-create knowledge regarding lived spatial experience, present them through visuals and narratives, and apply them in their designs.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131364657","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":"Aging and Negligence in Bangladesh","authors":"S. Rahman","doi":"10.4172/2167-7182.1000423","DOIUrl":"https://doi.org/10.4172/2167-7182.1000423","url":null,"abstract":"Bangladesh is the eighth largest and one of the most densely populated countries (164,320,556 in 2017; 1266 per Km2; based on the latest United Nations estimates) having 2.19% of the total world population is located in the northeastern part of South Asia. At present, Bangladesh is in top twelve developing countries and not an exception from the global phenomenon of demographic aging.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127605246","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":"Prevalence and Impact of Anemia Among Elderly Population in Qatar: A Cross Sectional Study","authors":"Maryam Al Obaidely, Navas Nadukk, iyil, M. Asim, F. Najma, H. A. Hamad, E. M. Sulaiti","doi":"10.4172/2167-7182.1000421","DOIUrl":"https://doi.org/10.4172/2167-7182.1000421","url":null,"abstract":"Background: Anemia is a most common condition in the older population, and the prevalence of anemia increases with advanced age. The present study is conducted to estimate the prevalence of anemia in elderly population and to identify the potential predictive factors associated with the etiology and disease progression. \u0000Methods: A retrospective chart review was conducted to include all geriatric patients (≥60 years) with anemia admitted at the geriatrics facilities (Rumailah hospital, skilled nursing facility and home healthcare services) in the state of Qatar between January 2013 and December 2013. Data include demographics, principle diagnosis, laboratory findings hemoglobin, hematocrit value, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), reticulocyte count, iron profile, serum folate, serum Creatinine other co-morbidities, medication, and assessment. Charlson’s comorbidity index, activity of daily living (ADL) and Bergs Balance Scoring level was compared with severity of anemia. Analysis was also performed for gender based on different age groups. \u0000Results: Prevalence of anemia was analysed according to severity. A total of 522 elderly patients were found to be anemic with mean age of 78.2 ± 8.6 years; of which 66.7% were females. The majority of patients were Qatari nationals (79.7%). \u0000The mean index hemoglobin level was 11.04 ± 1.6 and lowest hemoglobin level was 9.7 g/dl ± 1.6 g/dl. The severity of anemia was classified as mild deficiency (17.4%), \u0000moderate (60.3%) and severe anemia (21.8%). The severity in the hemogram values among patients showed significant difference for hematocrit (p=0.001), serum Iron (p=0.001) and serum Ferritin (p=0.001). Co-morbidities such as chronic kidney disease (p=0.001), and Gastrointestinal bleeding (p=0.03) were also were higher in severe group. There was significant negative correlation between hemoglobin level and creatinine level (p=0.001) among elderly patients. Patients with severe anemia were more likely to receive clopidogril (p=0.01), H2 blocker (p=0.04) and calcium (p=0.01). Severe anemia was observed more in patients with advanced age (≥ 80 years) while, elderly <80 years suffered frequently with mild-to-moderate anemia. The common type of anemia was diagnosed as normocytic normochromic anemia (73.6%) than microcytic anemia (26.8%). \u0000Conclusion: The present study identified a high prevalence of anemia among geriatric population in Qatar, with a higher frequency of comorbidities such as diabetes mellitus, hypertension and chronic kidney disease. An appropriate clinical approach is essential to treat anemia in elderly that can improve the quality of life and minimize the needs and costs of long-term healthcare facilities.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121935773","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":"Angiotensin Converting Enzyme Inhibitors and Sartans in a Geriatric Setting: Impact of Therapeutic Interchange","authors":"H. Javelot, Anne Marquis, B. Michel, Jean Gr, Idier","doi":"10.4172/2167-7182.1000419","DOIUrl":"https://doi.org/10.4172/2167-7182.1000419","url":null,"abstract":"Background: Therapeutic interchange is widely used in geriatric settings, such as angiotensin enzyme converting inhibitors and angiotensin II receptor antagonists and angiotensin receptor blockers (sartans). \u0000Objective: we evaluate the clinical impact (efficacy and tolerance) of a therapeutic interchange program for noncomplicated hypertension. \u0000Method: 13 patients receiving angiotensin enzyme converting inhibitors and 7 patients under sartans were followed-up during 6 months after a therapeutic interchange to a first line drug: Ramipril and valsartan, respectively. \u0000Results: all the substitutions were well tolerated and no significant difference was observed for diastolic and systolic pressure after therapeutic interchange. \u0000Conclusion: therapeutic interchange on angiotensin enzyme converting inhibitors and sartans in the context of hypertension seem safe based on our clinical data.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"26 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116179271","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":"Effects of an Arginine-Enriched Oral Nutritional Supplement on the Healing of Chronic Wounds in Non-Malnourished Patients; A Multicenter Case Series from the Netherlands and Hungary","authors":"J. Neyens, E. Cereda, I. Rozsos, A. Molnár, Armand Rondas, M. V. Leen, J. Schols","doi":"10.4172/2167-7182.1000420","DOIUrl":"https://doi.org/10.4172/2167-7182.1000420","url":null,"abstract":"Aim: To explore the effects of a specific arginine-enriched oral nutritional supplement on the healing of chronic wounds in non-malnourished patients. \u0000Method: A case series using a prepared and Medically Ethically approved evaluation template. Out of three clinical centres in the Netherlands and one in Hungary, 27 patients with arterial leg ulcers, venous leg ulcers, diabetic foot ulcers, and pressure ulcers participated. They consumed a specific ready to drink arginine-enriched oral nutritional supplement daily, in addition to their regular diet and standard wound care, for a maximum of 12 weeks. Main outcome measures were wound healing progress, patients’ compliance and rating of the specific nutritional supplement. \u0000Results: Seventeen females and twelve males with a mean age of 73.7 years were included. Within 2 to 12 weeks, complete healing occurred in eight ulcers, thirteen ulcers showed clear signs of healing through decreased wound surface area ranging from 25% to 88% reduction, and three ulcers kept unchanged. Overall, the daily oral nutritional supplements, on average two servings per day (= 400 ml), were almost fully consumed (99.5%), and the patients’ rating of the oral nutritional supplement was good. \u0000Conclusion: Extra nutritional support with a specific ready to drink arginine-enriched oral nutritional supplement seems to be beneficial for the healing of different types of chronic wounds. The patients’ compliance with the product was very high, and they rated it as good. Further research, especially prospective randomised controlled studies on arginine-enriched oral nutritional supplements in patients with chronic wounds are necessary.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125656240","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}