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37° Congresso nazionale SIGOT | Catanzaro, 4-6 ottobre 2023 37°SIGOT国民大会| 2023,10月4 - 6日卡坦扎罗
Geriatric Care Pub Date : 2023-10-03 DOI: 10.4081/gc.2023.11913
The Editors
{"title":"37° Congresso nazionale SIGOT | Catanzaro, 4-6 ottobre 2023","authors":"The Editors","doi":"10.4081/gc.2023.11913","DOIUrl":"https://doi.org/10.4081/gc.2023.11913","url":null,"abstract":"Abstract Book of the 37° SIGOT National Congress | Catanzaro, 4-6 October 2023.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135738841","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
Hospital territorial integration in the National Recovery and Resilience Plan era: if not now, when? 国家恢复和应变计划时代的医院区域整合:如果不是现在，还会是什么时候?
Geriatric Care Pub Date : 2023-09-20 DOI: 10.4081/gc.2023.11482
Nicola Vargas, Anna Marro
{"title":"Hospital territorial integration in the National Recovery and Resilience Plan era: if not now, when?","authors":"Nicola Vargas, Anna Marro","doi":"10.4081/gc.2023.11482","DOIUrl":"https://doi.org/10.4081/gc.2023.11482","url":null,"abstract":"Integrating hospital and territorial services is essential, particularly for elderly patients, as they are at risk of yearly hospitalizations for multimorbidity, frailty, and complex diagnostic procedures. The emergency room organization aims to focus mainly on acute time-dependent diseases and cannot meet the needs of older patients. The authors present the preliminary results of an integration protocol between the hospital’s services and those of the territorial elderly home care unit in Avellino, Italy.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136313398","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
Symmetrical peripheral gangrene in a patient with septic shock and a multi-drug resistant Klebsiella pneumoniae infection 感染性休克合并多重耐药肺炎克雷伯菌感染的对称外周坏疽1例
Geriatric Care Pub Date : 2023-08-28 DOI: 10.4081/gc.2023.11377
Giovanni Carbone, Immacolata Sepe, Maria Rosaria Fiorentino, Elisa Salsano, Federico Ruggiero, M. Schiavone, Dalila Bruno, F. Micillo, Nicola Vargas
{"title":"Symmetrical peripheral gangrene in a patient with septic shock and a multi-drug resistant Klebsiella pneumoniae infection","authors":"Giovanni Carbone, Immacolata Sepe, Maria Rosaria Fiorentino, Elisa Salsano, Federico Ruggiero, M. Schiavone, Dalila Bruno, F. Micillo, Nicola Vargas","doi":"10.4081/gc.2023.11377","DOIUrl":"https://doi.org/10.4081/gc.2023.11377","url":null,"abstract":"Symmetrical peripheral gangrene (SPG) can sometimes occur without definite disseminated intravascular coagulation. The differential diagnosis comprises the exclusion of many non-infectious diseases and the effort to isolate the microbic agent in the case of septic shock. Between bacterial causes, Klebsiella pneumoniae is one of the bacteria that can trigger SPG through hypervirulence and hypercoagulopathy mechanisms. We report a case of SPG associated with septic shock and a multi-drug resistant K. pneumoniae infection.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46293992","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
Prolonged liver transplantation survival and aging successfully 成功延长肝移植存活率和衰老
Geriatric Care Pub Date : 2023-05-08 DOI: 10.4081/gc.2023.11066
Francesco Pollicino, L. Dominguez, M. Barbagallo
{"title":"Prolonged liver transplantation survival and aging successfully","authors":"Francesco Pollicino, L. Dominguez, M. Barbagallo","doi":"10.4081/gc.2023.11066","DOIUrl":"https://doi.org/10.4081/gc.2023.11066","url":null,"abstract":"The traditional definition of successful aging as the absence of disease, disability, and cognitive impairment is not always applicable to patients with long survival despite complex multimorbidity. This case report details the situation of an 87-year-old man, currently partially self-sufficient and partially autonomous, without cognitive impairment, who has been affected with recurrent right knee osteomyelitis since the age of 6. A diagnosis of hepatitis C virus (HCV)-related liver cirrhosis at 41 led to liver transplantation at 56. The immunosuppressive anti-rejection therapy caused a relapse of chronic osteomyelitis and HCV infection, a major cause of graft loss and shortened survival in HCV liver transplant recipients. Other pathologies were also diagnosed during his lifetime. This patient is an example of aging successfully despite complex multimorbidity and disproves the traditional concept of successful aging formerly described in the literature.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49141723","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
Reactive systemic vasculitis in the course of a coronavirus OC43 infection: a case report 冠状病毒OC43感染过程中的反应性全身性血管炎1例
Geriatric Care Pub Date : 2023-05-08 DOI: 10.4081/gc.2023.11295
Benjamin Jacquet, V. Curiale, H. Mangeard, Émilie Ferrer, S. Chaillou
{"title":"Reactive systemic vasculitis in the course of a coronavirus OC43 infection: a case report","authors":"Benjamin Jacquet, V. Curiale, H. Mangeard, Émilie Ferrer, S. Chaillou","doi":"10.4081/gc.2023.11295","DOIUrl":"https://doi.org/10.4081/gc.2023.11295","url":null,"abstract":"This case report details a severe systemic failure following a coronavirus OC43 (HCoV-OC43) infection. A 78-year-old man, who had been vaccinated against SARS-CoV-2, was hospitalized for a flu-like infection and abdominal pain, revealing bilateral hemorrhagic adrenal infarctions with secondary adrenal failure. Imagery examinations showed adrenal necrosis and multiple ischemic cerebral strokes. A multiplex retro-transcriptase polymerase chain reaction (RT-PCR) became positive for HCoV-OC43. Cardio-vascular, infectious, and auto-immune exams were negative. A steroid medication finally allowed clinical improvement, and the diagnosis of reactional vasculitis was retained. An unknown pathogenicity of HCoV-OC43 is possible, considering that RT-PCR research is rarely made. The hypothesis of cross-reactions with SARS-CoV-2 antivaccine antibodies is also feasible. At last, the possible former virulence of HCoV-OC43 is being researched, in the event that this virus is connected to the 1889 Russian influenza pandemic. The development of multiplex RT-PCR would enable the study of other HCV-OC43 infections.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43103912","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
A preliminary cross-sectional study to investigate the presence of sarcopenic dysphagia in a Portuguese geriatric population 葡萄牙老年人群中肌萎缩性吞咽困难的初步横断面研究
Geriatric Care Pub Date : 2023-05-08 DOI: 10.4081/gc.2023.10972
Susana Portinha, P. Sá-Couto, M. Matos
{"title":"A preliminary cross-sectional study to investigate the presence of sarcopenic dysphagia in a Portuguese geriatric population","authors":"Susana Portinha, P. Sá-Couto, M. Matos","doi":"10.4081/gc.2023.10972","DOIUrl":"https://doi.org/10.4081/gc.2023.10972","url":null,"abstract":"The objective of this study is to investigate the presence of sarcopenia and the risk of oropharyngeal dysphagia (OD) in a geriatric population and to analyze the relationship between the factors associated with sarcopenic dysphagia. The cross-sectional study was carried out in two nursing homes. The presence of OD was screened using the gugging swallowing screen, and sarcopenia was assessed according to the European working group on sarcopenia in older people criteria. The sample (N=36; 23 women, 13 men) presents a mean age of 88.0±5.6, with 55.6% being at risk of OD, 52.8% with sarcopenia, and 36.1% with probable sarcopenic dysphagia. The score of the simple questionnaire to rapidly diagnose sarcopenia (SARC-F)≥4 was a significant predictor (odds ratio=9.0; confidence interval 95%=1.285-63.025) for the risk of having sarcopenic dysphagia. It was observed that sarcopenia was associated with higher odds of being at risk of OD. Also, an increase in age, poorly fitting prostheses, a higher level of dependence during activities of daily living, and a risk of malnutrition or malnourishment raised the potential of having probable sarcopenic dysphagia. We suggest including a speech and language therapist in the multidisciplinary geriatric teams to improve the prevention of sarcopenic dysphagia and to avoid its consequences.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49318792","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
Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient setting 营养状况和认知能力下降之间的关系在非机构的老年患者评估在老年门诊设置
Geriatric Care Pub Date : 2023-05-08 DOI: 10.4081/gc.2023.11021
Raffaele Pagliuca, Stefano Cacciatore, Mario Virgilio Papa, Eugenio Boccalone, Mena Ilaria Pagliuca, F. Papa, A. Gambardella
{"title":"Association between nutritional status and cognitive decline in non-institutionalized elderly patients evaluated in a geriatric outpatient setting","authors":"Raffaele Pagliuca, Stefano Cacciatore, Mario Virgilio Papa, Eugenio Boccalone, Mena Ilaria Pagliuca, F. Papa, A. Gambardella","doi":"10.4081/gc.2023.11021","DOIUrl":"https://doi.org/10.4081/gc.2023.11021","url":null,"abstract":"This study aims to assess the relationship between nutritional status and cognitive decline in a population of non-institutionalized elderly patients evaluated in a geriatric outpatient setting. Data from 144 patients admitted to the general geriatric outpatient services of Luigi Vanvitelli University Hospital (Naples, Italy) and San Felice a Cancello Hospital (San Felice a Cancello, Italy) were collected between January 1 and December 31, 2017. Cognitive function was evaluated through the mini-mental state examination and nutritional status was assessed through mini nutritional assessment. Logistic regression was used to assess the association between clinical characteristics and nutritional status, and it is reported as unadjusted, adjusted for age and sex, and adjusted for other potential confounding factors. In the unadjusted model, poor nutritional status was associated with a worse cognitive deficit (odds ratio (OR)=2.36; 95% confidence interval (CI)=1.77-3.55). The association remained significant after adjusting for age and sex (OR=2.36; 95% CI=1.77-3.55) and in the fully adjusted model (OR=2.92; 95% CI=1.90-5.64). In patients with dementia, malnutrition represents a significant burden that grows heavier as the disease progresses.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43574476","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
Stewart-Treves syndrome: a case report of lymphedema-related angiosarcoma Stewart-Treves综合征:淋巴水肿相关血管肉瘤1例报告
Geriatric Care Pub Date : 2023-04-04 DOI: 10.4081/gc.2022.11065
Agnese Di Prazza, L. Dominguez, G. Badalamenti, M. Barbagallo
{"title":"Stewart-Treves syndrome: a case report of lymphedema-related angiosarcoma","authors":"Agnese Di Prazza, L. Dominguez, G. Badalamenti, M. Barbagallo","doi":"10.4081/gc.2022.11065","DOIUrl":"https://doi.org/10.4081/gc.2022.11065","url":null,"abstract":"Stewart-Treves syndrome (STS) is an angiosarcoma associated with lymphedema deriving more often from radical mastectomy and longstanding lymphedema, first described in 1948. Irradiation is also commonly associated with chronic lymphedema of extremities. It generally occurs about 10 years after the mastectomy and/or radiotherapy. The prognosis is very poor with a mean survival of 20 months from the diagnosis especially when radical surgery is not possible. We present the case of STS in an 89-year-old female who underwent left upper outer quadrantectomy for invasive ductal carcinoma in 2009 followed by axillary lymphadenectomy, radiotherapy, and hormonal therapy until 2014. She presented swollen upper left limb associated with hemorrhagic red papular lesions. Skin biopsy revealed the presence of lymphedema-associated angiosarcoma. Radical surgery was not possible, so she underwent conservative therapy with pazopanib, a tyrosine kinase inhibitor, with benefit. Long-term follow-up of these patients is crucial to intercept this condition at an early stage.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42784240","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
Severe hypercalcemia in elderly patient with asymptomatic pulmonary tuberculosis: a case report 老年无症状肺结核患者重度高钙血症1例
Geriatric Care Pub Date : 2023-03-20 DOI: 10.4081/gc.2022.10812
Manoela Barros, Sarah Francisco, J. Vieira, R. Costa, L. Motta, C. Barros, Decio Sesquim, Alessandra Tieppo, C. Pupim, Renato Lirio Morelato
{"title":"Severe hypercalcemia in elderly patient with asymptomatic pulmonary tuberculosis: a case report","authors":"Manoela Barros, Sarah Francisco, J. Vieira, R. Costa, L. Motta, C. Barros, Decio Sesquim, Alessandra Tieppo, C. Pupim, Renato Lirio Morelato","doi":"10.4081/gc.2022.10812","DOIUrl":"https://doi.org/10.4081/gc.2022.10812","url":null,"abstract":"Hypercalcemia presents itself as a challenging disorder in clinical practice, with hyperparathyroidism and malignancies accounting for 90% of the causes. The case report describes a married 78-year-old white rural male worker with low level of education. Given the social isolation brought on by the COVID-19 pandemic, the patient initially received antidepressants for a history of adynamia, muscle weakness, and inappetence for a year. Four months before admission, he had an aggravation of the clinical picture, presenting mental confusion, and becoming dependent for all daily life activities. He was hospitalized with adynamia and intense fatigue, muscle weakness, inappetence with weight loss, splenomegaly and severe hypercalcemia (15.9 mg/mL; corrected by serum albumin - reference value: 8.8 to 10.3 mg/dL) and low parathyroid hormone level. This is a rare case of severe hypercalcemia in an elderly patient with asymptomatic pulmonary tuberculosis with late diagnosis and renal impairment, possibly aggravated by hypercalcemia.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44150140","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
Does a steroid dementia syndrome really exist? A brief narrative review of what the literature highlights about the relationship between glucocorticoids and cognition 类固醇痴呆综合症真的存在吗?简要回顾一下关于糖皮质激素与认知之间关系的文献
Geriatric Care Pub Date : 2023-03-15 DOI: 10.4081/gc.2022.10975
C. Manzo, A. Castagna, Carmen Ruberto, G. Ruotolo
{"title":"Does a steroid dementia syndrome really exist? A brief narrative review of what the literature highlights about the relationship between glucocorticoids and cognition","authors":"C. Manzo, A. Castagna, Carmen Ruberto, G. Ruotolo","doi":"10.4081/gc.2022.10975","DOIUrl":"https://doi.org/10.4081/gc.2022.10975","url":null,"abstract":"Glucocorticoids (GCs) may cause cognitive impairment through complex pathways involving specific receptors. In the human brain, hippocampal CA1 neurons exhibit the highest level of GCs receptors. Even the elderly expressed these receptors. The purpose of this brief review is to concentrate on the relationship between GCs and cognition in order to discuss the effects of the so-called steroid dementia in routine clinical practice.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43042033","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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