Journal of the Indian Academy of Geriatrics最新文献_第2页

Orthostatic hypotension in the elderly: Effective solutions 老年人体位性低血压:有效的解决方法

Journal of the Indian Academy of Geriatrics Pub Date : 2023-04-01 DOI: 10.4103/jiag.jiag_19_23

Tarun Kumar Suvvari, Aditya Lopinti

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Annular pigmented actinic keratosis mimicking lentigo maligna melanoma in a 75-year-old female: An unusual presentation 75岁女性的环形色素光化性角化病，类似黄斑恶性黑色素瘤:一种不寻常的表现

Journal of the Indian Academy of Geriatrics Pub Date : 2023-01-01 DOI: 10.4103/jiag.jiag_1_23

H. Pathave

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Functional limitation among older adults in a rural area in South Kerala and its associated factors 喀拉拉邦南部农村地区老年人的功能限制及其相关因素

Journal of the Indian Academy of Geriatrics Pub Date : 2023-01-01 DOI: 10.4103/jiag.jiag_6_23

Rahul Pillai, S. Paul

{"title":"Functional limitation among older adults in a rural area in South Kerala and its associated factors","authors":"Rahul Pillai, S. Paul","doi":"10.4103/jiag.jiag_6_23","DOIUrl":"https://doi.org/10.4103/jiag.jiag_6_23","url":null,"abstract":"Background: A person is said to have a functional limitation when he/she does not have the physical or cognitive ability to independently perform the routine activities of daily living. If recognized at an early stage, these can often be improved greatly, helping them regain their functional abilities and independence. Objective: The objective of the study was to determine the prevalence of functional limitations among older adults in a rural area in south Kerala. Materials and Methods: The cross-sectional study was conducted among older adults residing in the field practice area of a rural health training center of a medical college in south Kerala for 3 months from October 2019 to December 2019. Data were collected by interview of the participants by the investigator. The modified Barthel Index for activities of daily living was used to determine the prevalence of functional limitations. Results: The overall prevalence of functional limitations among older adults in a rural area in south Kerala was 35.9%. The most common functional limitation experienced by the participants was difficulty in climbing stairs. Functional limitation was found to be significantly associated with the age, socioeconomic status, and type of family of the participants. Conclusion: There is an urgent need to focus on the functional limitation among older adults, especially among the oldest old and those in lower socioeconomic status with emphasis on the need to strengthen the health-care facilities for them, with respect to early identification and management of their functional limitations.","PeriodicalId":350641,"journal":{"name":"Journal of the Indian Academy of Geriatrics","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116028123","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

Approach to geriatric anemia 老年性贫血的治疗方法

Journal of the Indian Academy of Geriatrics Pub Date : 2023-01-01 DOI: 10.4103/jiag.jiag_68_22

M. Jalal, Riyas Basheer

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Thymoma: A rare presentation as recurrent pericardial effusion 胸腺瘤:复发性心包积液的罕见表现

Journal of the Indian Academy of Geriatrics Pub Date : 2023-01-01 DOI: 10.4103/jiag.jiag_2_23

Dipesh Jha, Prakash Tendulkar, Minakshi Dhar, B. Shah, Khusbhoo Bisht

引用次数: 0

Psychiatric presentations and factors associated with suspected organicity in elderly attending a tertiary care facility in South India 在印度南部三级医疗机构的老年人精神病表现和疑似有机物相关因素

Journal of the Indian Academy of Geriatrics Pub Date : 2023-01-01 DOI: 10.4103/jiag.jiag_5_23

B. Srisudha, M. Nandyal, Naveen Kolloju, Rachna Joseph, R. Karuppusami, S. Kurian

{"title":"Psychiatric presentations and factors associated with suspected organicity in elderly attending a tertiary care facility in South India","authors":"B. Srisudha, M. Nandyal, Naveen Kolloju, Rachna Joseph, R. Karuppusami, S. Kurian","doi":"10.4103/jiag.jiag_5_23","DOIUrl":"https://doi.org/10.4103/jiag.jiag_5_23","url":null,"abstract":"Objectives: The objectives were to determine the proportion of elderly among the new psychiatry outpatient attendees, identify their sociodemographic profile and clinical presentations, and determine risk factors associated with suspected organic conditions in patients presenting with acute onset and chronic presentations. Methodology: This retrospective cross-sectional study focused on the elderly presenting with psychiatric symptoms to a psychiatric setting. The onset of symptoms at presentation was divided into acute and chronic conditions. Clinical symptom clusters and the risk factors associated with organic conditions were identified. The Chi-square and Fisher's exact test were used to find an association between factors and outcome (organic/functional). Results: Elderly seeking consultation constituted < 10% of total new case registration. Acute onset was seen in one-third and chronic presentation constituted nearly two-thirds of the group. The common clinical presentations with acute onset were acute psychosis, altered sensorium, and psychosis due to an organic etiology. The most common clinical presentation with chronic course was chronic psychosis. Nearly 40% had suspected organicity. Increasing age, structural abnormality in brain imaging, and the presence of stressors were risk factors for the onset of psychiatric presentation in the elderly (P = 0.001). Conclusion: Early detection of the clinical syndrome, identification of organic conditions, and appropriate and prompt referral to the general physician should be the rule for the care of the elderly presenting to a psychiatric facility.","PeriodicalId":350641,"journal":{"name":"Journal of the Indian Academy of Geriatrics","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131774890","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

Geriatric co-management 老年共管

Journal of the Indian Academy of Geriatrics Pub Date : 2023-01-01 DOI: 10.4103/0974-3405.371899

A. Mathur

引用次数: 0

Angiolymphoid hyperplasia with eosinophilia: A report of a rare entity in an elderly male 血管淋巴样增生伴嗜酸性粒细胞增多:一罕见老年男性病例报告

Journal of the Indian Academy of Geriatrics Pub Date : 2023-01-01 DOI: 10.4103/jiag.jiag_3_23

A. Aggarwal, Sharang Gupta, D. Chopra, Raina Arora

引用次数: 0

Cognitive decline among older adults who developed acute coronary syndrome during hospitalization for non-cardiac illness 非心脏疾病住院期间发生急性冠状动脉综合征的老年人认知能力下降

Journal of the Indian Academy of Geriatrics Pub Date : 2023-01-01 DOI: 10.4103/jiag.jiag_63_22

P. Vijayakumar, A. David, M. Vijayakumar

{"title":"Cognitive decline among older adults who developed acute coronary syndrome during hospitalization for non-cardiac illness","authors":"P. Vijayakumar, A. David, M. Vijayakumar","doi":"10.4103/jiag.jiag_63_22","DOIUrl":"https://doi.org/10.4103/jiag.jiag_63_22","url":null,"abstract":"Background: Atypical presentations of acute coronary syndrome (ACS) delay its recognition and treatment in the elderly patients. Functional decline and delirium which are common to the elderly during hospitalization, leads to cognitive impairment and poor health outcomes. Steps taken for its prevention is usually not considered the top priority by the cardiologist. The present study was conducted to identify cognitive decline among elderly patients who developed ACS during hospitalization for noncardiac illness and their outcome. Materials and Methods: Three hundred and ten elderly patients above 60 years of age with ACS were included from June 26, 2020 to October 13, 2020. Subjects were divided into those admitted primarily due to an ACS (Group I, n = 94) and those developing ACS following admission for noncardiac illness (Group II, n = 216). Co-morbidities, medications, investigations, management, clinical outcome, and Montreal Cognitive Assessment scale were compared between the two groups at the time of admission, after 30 days and after 6 months. Results: Majority of the subjects were admitted due to acute kidney injury (27.1%) in Group II and had a non-ST elevation ACS (90.2%). Optimum management was given to a lesser extent due to the clinical condition of these patients. Poor clinical outcome, cognitive impairment during hospitalization and cognitive decline during follow-up was more in Group II. Conclusion: Clinicians must be vigilant for the development of cognitive impairment and cognitive decline when an elderly patient is admitted to the hospital, as early detection and optimum management provides better clinical and cognitive outcome.","PeriodicalId":350641,"journal":{"name":"Journal of the Indian Academy of Geriatrics","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116025284","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

Prognostic value of serum albumin and C-reactive protein levels in the elderly for assessing morbidity and mortality in a tertiary care center 血清白蛋白和c反应蛋白水平对三级保健中心老年人发病率和死亡率评估的预后价值

Journal of the Indian Academy of Geriatrics Pub Date : 2023-01-01 DOI: 10.4103/jiag.jiag_60_22

T. James, SanjoK John, N. Padmaja, IV. Ramachandra Rao, S. Priya, CentinaRose John

{"title":"Prognostic value of serum albumin and C-reactive protein levels in the elderly for assessing morbidity and mortality in a tertiary care center","authors":"T. James, SanjoK John, N. Padmaja, IV. Ramachandra Rao, S. Priya, CentinaRose John","doi":"10.4103/jiag.jiag_60_22","DOIUrl":"https://doi.org/10.4103/jiag.jiag_60_22","url":null,"abstract":"Introduction: There is an increased population of elderly globally due to advancement of technology in health care. Elderly individuals are susceptible to various diseases, owing to deficits in nutrition or healthy lifestyle. Serum albumin and C-reactive protein (CRP) are found to be sensitive to nutritional status as well as inflammation. This study is an attempt to analyze the prognostic value of CRP and serum albumin and analyze its usefulness as a prognostic marker in assessing morbidity and mortality in elderly patients. Methodology: One hundred patients above the age of 65 years and were admitted to the emergency care facilities of our tertiary care center were recruited for the study. Serum albumin and CRP estimation was done on the day of admission along with Charlson Comorbidity Index (CCI), and was follow-up till discharge. Statistical analysis was performed to evaluate relationship between the serum values and CCI scores. Results: It was observed that 83.3% (10/12) of deaths occurred in those with low serum albumin levels, and 91.6% (11/12) with high CRP levels. The hazard ratio shows a 6% increased probability of death with one unit increase in CRP, whereas a one unit increase in serum albumin value decrease the probability of death. Conclusion: The present study concludes that low serum albumin and high CRP levels at the time of admission in the elderly population are associated with high CCI scores, longer hospital stay, and increased risk of mortality, demanding their estimation in the elderly in emergency and acute care facilities.","PeriodicalId":350641,"journal":{"name":"Journal of the Indian Academy of Geriatrics","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125015553","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