Geriatric Care最新文献_第4页

Role of interleukin-4 and their antagonistic effect in asthma 白细胞介素-4在哮喘中的作用及其拮抗作用

Geriatric Care Pub Date : 2022-03-18 DOI: 10.4081/gc.2022.10150

Muhammad Yasoob Ali Khan, T. Akhtar, Muhammad Yasoob Ali Khan, Muhammad Asif Faheem, M. Faheem, Zari Salahuddin, Nasir Muhammad

引用次数: 0

Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT project 全科医生临床实践中老年人的多维虚弱：SELFY-MPI SIGOT项目

Geriatric Care Pub Date : 2022-03-18 DOI: 10.4081/gc.2022.10388

A. Pilotto, S. Maggi, A. Ferrari, G. Rengo, V. Solfrizzi, S. Zora, O. Brignoli, P. Lora Aprile, Giuseppe Fascella, L. Dominguez, N. Veronese, A. Cella, On behalf of The SELFY-MPI SIGOT Project

{"title":"Multidimensional frailty in older people in general practitioners’ clinical practice: the SELFY-MPI SIGOT project","authors":"A. Pilotto, S. Maggi, A. Ferrari, G. Rengo, V. Solfrizzi, S. Zora, O. Brignoli, P. Lora Aprile, Giuseppe Fascella, L. Dominguez, N. Veronese, A. Cella, On behalf of The SELFY-MPI SIGOT Project","doi":"10.4081/gc.2022.10388","DOIUrl":"https://doi.org/10.4081/gc.2022.10388","url":null,"abstract":"The multidimensional prognostic index (MPI) is a comprehensive geriatric assessment (CGA) tool exploring the multiple domains of older subject. The knowledge and the diffusion of self-assessment tools for identifying frailty in general medicine is still limited. The aim of our study is to determine the prevalence of frailty using a multidimensional frailty screening tool (SELFY-MPI) in a cohort of older adults, belonging to the general practitioner’s (GPs) experience. In the frame of a national educational program organized by the Italian Geriatric Hospital and Community Society (SIGOT), expert geriatricians carried-out local courses addressed to GPs, focused on multidimensional approach in primary care. A cross-sectional study of the SELFY-MPI, based on eight different domains, in the general practitioners’ outpatient clinic was performed among 50 GPs. SELFY-MPI risk score was used for dividing the participants in robust, pre-frail, or frail. A total of 526 participants (mean age: 77.7 years; females=55.3%) fulfilled the SELFY-MPI. The participants were, on average, independent in the activities of daily living, had a good mobility, but they reported some cognitive difficulties, and they can be considered at risk of malnutrition. A high prevalence of comorbidities and polypharmacotherapy was also present. The 20.2% of the sample lived alone, suggesting a potential social frailty. The mean SELFY-MPI score was 0.26 0.17: therefore, 21.67% of the participants were categorized as pre-frail, and 3.99% as frail. Pre-frailty and frailty are common in GPs experience. SELFY-MPI is a feasible screening tool for multidimensional frailty in the GPs clinical practice.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48751926","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

Closeness as a mediator in providing and receiving social support on the social well-being of older persons in Kitui County, Kenya 在肯尼亚基图伊县老年人的社会福利提供和接受社会支持方面发挥密切的中介作用

Geriatric Care Pub Date : 2022-03-14 DOI: 10.4081/gc.2021.10293

Kezia Mbuthia, Samuel M Mwangi, George E Owino

{"title":"Closeness as a mediator in providing and receiving social support on the social well-being of older persons in Kitui County, Kenya","authors":"Kezia Mbuthia, Samuel M Mwangi, George E Owino","doi":"10.4081/gc.2021.10293","DOIUrl":"https://doi.org/10.4081/gc.2021.10293","url":null,"abstract":"Research on the social well-being (SWB) of older persons in relation to social support provided and received has generated considerable amount of scholarly debate. Social support received or provided has been found in literature to produce mixed effects (positive and negative) on SWB, necessitating further research. The current study provides Kenyan evidence to a corpus of research mostly focused on European and American studies, contributing to the current discussion on SWB. Thus, the aim of the present study is to investigate how closeness to close network members (CNM) influences older persons’ satisfaction with social support provided and received. The study adopted a descriptive cross-sectional study design and mixed methods approach. Chi-square analyses were conducted, and the results revealed that there was a significant relationship between closeness and satisfaction with providing social support with exact P value of 0.002. In addition, there was a significant relationship between closeness and satisfaction with received social support with exact P value of 0.000 (P<0.05). The research highlights that closeness to CNM enhances SWB when older persons provide or receive social support.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46184063","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

McConnel sign, a simple highly specific sign for identification of a frequent, under diagnosed association: pulmonary embolism and syncope 麦康奈尔征象，一种简单的、高度特异的征象，用于鉴别一种常见的、未被诊断的关联:肺栓塞和晕厥

Geriatric Care Pub Date : 2022-02-09 DOI: 10.4081/gc.2021.10280

L. Pellizzari, Camilla Ferronato, A. Variola, Martina Setti, V. Di Francesco

引用次数: 0

The role of association between the cholinergic precursor choline alphoscerate and sulodexide in vascular dementia 胆碱能前体alphocerate胆碱和舒洛地在血管性痴呆中的作用

Geriatric Care Pub Date : 2022-01-24 DOI: 10.4081/gc.2021.9891

Angelo Di Salvo

{"title":"The role of association between the cholinergic precursor choline alphoscerate and sulodexide in vascular dementia","authors":"Angelo Di Salvo","doi":"10.4081/gc.2021.9891","DOIUrl":"https://doi.org/10.4081/gc.2021.9891","url":null,"abstract":"Dementia is a syndrome of acquired intellectual deficit resulting in significant impairment of social or occupational functioning. Vascular dementia (VaD) is the second most common causes of dementia after Alzheimer’s disease, causing around 15% of cases. However, unlike Alzheimer’s disease an involvement of the cerebral cholinergic system in the pathophysiology of VaD has been hypothesized and there is no standard treatment. In the Vascular Dementia Italian Sulodexide Study (VA.D.I.S.S.) the positive results obtained with the sulodexide are worthy of note. In this study 40 elderly subjects with recent onset (less than 9 month) slight to moderate mental deterioration due to vascular origin were observed for nine months during oral treatment with sulodexide and choline alphoscerate with the aim of analyzing whether therapeutic effects can be enhanced. These preliminary results suggest that the additional therapy of choline alphoscerate with sulodexide represents a way to increase the beneficial effects of cholinergic therapies in the VaD and improve all the different examinate score: mini mental state evaluation (MMSE), basic activities of daily living (ADL), instrumental activities of daily living (IADL).","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48584698","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

Active surveillance of adverse events following ChAdOx1 nCoV-19 immunization in geriatric population: a prospective multi-centric study from Jaipur, Rajasthan, India 对老年人群接种ChAdOx1 nCoV-19疫苗后不良事件的主动监测:来自印度拉贾斯坦邦斋浦尔的一项前瞻性多中心研究

Geriatric Care Pub Date : 2022-01-24 DOI: 10.4081/gc.2021.9908

A. Bhandari, SuryaPratap Singh Tiwari, M. Rathore, L. Sharma, Smita Jain

{"title":"Active surveillance of adverse events following ChAdOx1 nCoV-19 immunization in geriatric population: a prospective multi-centric study from Jaipur, Rajasthan, India","authors":"A. Bhandari, SuryaPratap Singh Tiwari, M. Rathore, L. Sharma, Smita Jain","doi":"10.4081/gc.2021.9908","DOIUrl":"https://doi.org/10.4081/gc.2021.9908","url":null,"abstract":"India launched its coronavirus disease 2019 (COVID-19) vaccination drive starting with healthcare workers. The aim of the study was to evaluate adverse events following immunization (AEFI) amongst the Geriatric population associated with two doses of ChAdOx1 nCoV-19 vaccine. We also evaluated association of AEFI according to gender and elderly age groups. An observational study, conducted among 437 individuals vaccinated at multiple community healthcare centers in Jaipur, of AEFIs associated with both doses of ChAdOx1 nCoV-19 vaccine, via telephonic interviews on the day of vaccination-Day 0, Day 7 and Day 15 from vaccination. 463 vaccinated individuals who responded for first dose AEFIs, and 437 (94.3% 437/463) responded to the telephone interview regarding the second dose. Of these, 5.5% (24/437) reported AEFIs for the second dose. Among 60 respondents who reported AEFI (both doses) fever (26) and fatigue (22) were the most reported systemic AEFI. Local AEFIs were injection site soreness (23). The AEFIs (both systemic and local) in respondents mostly lasted for 1-2 days. AEFI reported by respondents in the age group 60- 70 years was higher than those above 70 years. Female respondents were associated with higher AEFI than the males. The AEFIs of both the doses were observed in the first 2 days predominantly. Symptoms were minor, short lived and selflimiting. No serious adverse events attributable to vaccines were reported in our study. Adverse event following immunization is independent of gender and age distribution for both the doses.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44744462","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 use of eHealth and digital technologies in the Italian geriatric practice: a survey of the Italian Geriatric Society (SIGOT) 电子健康和数字技术在意大利老年医学实践中的应用：意大利老年医学协会（SIGOT）的调查

Geriatric Care Pub Date : 2021-12-21 DOI: 10.4081/gc.2021.10301

A. Cella, Erica Volta, J. Demurtas, R. Zaccaria, M. Ceci, A. Pilotto, V. Boccardi, A. Castagna, C. Custodero, Francesco Vetta, Marina Barbagelata, N. Veronese, A. Pilotto

{"title":"The use of eHealth and digital technologies in the Italian geriatric practice: a survey of the Italian Geriatric Society (SIGOT)","authors":"A. Cella, Erica Volta, J. Demurtas, R. Zaccaria, M. Ceci, A. Pilotto, V. Boccardi, A. Castagna, C. Custodero, Francesco Vetta, Marina Barbagelata, N. Veronese, A. Pilotto","doi":"10.4081/gc.2021.10301","DOIUrl":"https://doi.org/10.4081/gc.2021.10301","url":null,"abstract":"e-Health technologies may potentially improve healthcare assistance for frail elderly subjects. However, despite the interest and potential benefits of the field, research highlighted that several challenges remain, such as scarce wide spreading of information and communication technology technologies among the elderly and infrastructural difficulties. The aim of this survey was to assess to what extent digital technologies are widespread and used among Italian geriatricians. We conducted an online survey addressed to geriatricians, from the SIGOT (The Italian Geriatric Society) website, collecting the 78 completed questionnaires. We then analyzed with descriptive statistics the data. Results showed a still scarce use of digital technologies in geriatric practice in Italy. However, more than 60% of the SIGOT geriatricians who participated in the survey responded that the use of digital technology had increased significantly due to COVID-19 pandemic and for 80% of the members, the priority areas for the use of technologies for the care and treatment of the elderly are the management of chronic diseases and the prevention of hospitalization.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48788901","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

Elderly with refractory chronic severe hyponatremia and anesthesia management dilemma: a case report with literature review 老年人难治性慢性重度低钠血症及麻醉管理困境1例报告并文献复习

Geriatric Care Pub Date : 2021-11-30 DOI: 10.4081/gc.2021.9911

Manish Keshwani, H. Karim, Suresh Nagalikar, Deepak Kumar Biswal, Samarjit Dey

{"title":"Elderly with refractory chronic severe hyponatremia and anesthesia management dilemma: a case report with literature review","authors":"Manish Keshwani, H. Karim, Suresh Nagalikar, Deepak Kumar Biswal, Samarjit Dey","doi":"10.4081/gc.2021.9911","DOIUrl":"https://doi.org/10.4081/gc.2021.9911","url":null,"abstract":"Hyponatremia is a common electrolyte disorder, especially in the frail elderly population. With the increasing number of surgeries in the aging population, hyponatremia is frequently encountered by anesthesiologists and surgeons. Unfortunately, management of hyponatremia is often complex in the elderly population as it is often multifactorial, and they are physiologically susceptible. While it is well known that preoperative hyponatremia is associated with increased perioperative morbidity and mortality, a lack of recommendations or guidelines adds to the dilemma in managing such cases. The most common cause of chronic hyponatremia in the elderly is the syndrome of inappropriate antidiuretic hormone (SIADH), which can be resistant to conventional treatment. On the other hand, paraneoplastic SIADH leading to hyponatremia is rare, and surgery may be the only option available for its correction. We present a case of a 78- years-gentleman to highlight such a dilemma. He was diagnosed with renal cell carcinoma and had chronic refractory severe hyponatremia despite treatment with fluid restriction, low dose hydrocortisone, tolvaptan, and 3% sodium chloride.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42571400","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

Macroglossia reveals multiple myeloma 大舌骨显示多发性骨髓瘤

Geriatric Care Pub Date : 2021-11-25 DOI: 10.4081/gc.2021.10007

M. Bonvicini, D. Crapanzano, S. Fenu, M. Giordano, L. Palleschi

引用次数: 0

An evaluation of the appropriateness of prescribing and frailty in elderly patients using STOPP criteria and Frailty Index in tertiary care teaching hospital 应用STOPP标准和衰弱指数评价三级教学医院老年患者的处方适宜性和衰弱程度

Geriatric Care Pub Date : 2021-11-25 DOI: 10.4081/gc.2021.9845

S. Nariya, A. Pillai, Sneha Agravat

{"title":"An evaluation of the appropriateness of prescribing and frailty in elderly patients using STOPP criteria and Frailty Index in tertiary care teaching hospital","authors":"S. Nariya, A. Pillai, Sneha Agravat","doi":"10.4081/gc.2021.9845","DOIUrl":"https://doi.org/10.4081/gc.2021.9845","url":null,"abstract":"People above 65 years of age would amount to 10.7% of total population of India by 2021. India has acquired the label of ‘an ageing nation’ with 7.7% of its population being more than 60 years old. Geriatric patients are exposed to potentially inappropriate medications (PIMs) thus strategies to improve quality of life and safety of prescribing is needed. One such explicit criteria tool is ‘Screening Tool of Older person’s Potentially inappropriate Prescriptions’ (STOPP) criteria. For older individuals, frailty plays a decisive role. Frailty assessment is useful for identification of risk stratifications to assist in clinical decision makings. Hence, this study is aimed to assess the percentage of PIM using STOPP criteria and correlation between PIMS and Frailty Index (FI) in elderly patients in our setting. An observational study was done in 60 patients in department of medicine at tertiary care teaching hospital. Demographic details, diagnosis and current medications were recorded in Microsoft excel 2016. PIMs based on STOPP criteria version 2 and FI suggested by Searle et al. was calculated and analyzed. Spearman rank correlation test was used to check the correlation between FI and PIM. Out of 60 prescriptions, 21 prescriptions with PIM were found. Most common drugs prescribed as PIM were Aspirin, calcium, ceftriaxone, multivitamin B complex and furosemide. FI was analyzed by using 34 variables. Value of FI was between 0.03 to 0.17. Spearman Rank correlation test showed direct low degree of significant correlation between FI and PIM with correlation (r) value of 0.1602 (P value=0.02). 35% of prescriptions were having at least one PIM in our study and we found that there was direct association between FI and PIM which will help us to reduce potential medication errors, drug interactions and adverse reactions.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42131818","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