Journal of the Indian Academy of Geriatrics最新文献_第7页

Risk factors for falls in older adults with cognitive impairment 认知障碍老年人跌倒的危险因素

Journal of the Indian Academy of Geriatrics Pub Date : 2022-01-01 DOI: 10.4103/jiag.jiag_4_22

Mamta Saini, M. Subramanian, N. Soni, Vishwajeet Singh, A. Chakrawarty, P. Chatterjee, A. Dey

{"title":"Risk factors for falls in older adults with cognitive impairment","authors":"Mamta Saini, M. Subramanian, N. Soni, Vishwajeet Singh, A. Chakrawarty, P. Chatterjee, A. Dey","doi":"10.4103/jiag.jiag_4_22","DOIUrl":"https://doi.org/10.4103/jiag.jiag_4_22","url":null,"abstract":"Background: Falls are one of the leading causes of disability among older people. The risk factors of falls widely vary among the older populations, including the different stages of cognitive impairment. We aim to identify the risk factors for falls among cognitively impaired older adults. Materials and Methods: In a cross-sectional study, older adults attending the memory clinic were screened for falls and their risk factors. A total of 112 subjects who satisfied the inclusion criteria and provided informed consent were subjected to a semi-structured interview and comprehensive geriatric assessment. Cognitive impairment was graded by the Clinical Dementia Rating (CDR). Subjects were divided into fallers and nonfallers. A multivariable logistic regression analysis was done to identify the independent risk factors of falls. Results: The prevalence of falls was 39.28% in the study population. Gender (adjusted odds ratio [aOR] [95% confidence interval (CI)]: 2.21 [0.690–7.117]), body mass index (aOR [95% CI]: 0.89 [0.773–1.028]), socioeconomic status (middle-class aOR [95% CI]: 0.34 [0.077–1.526], lower-class aOR [95% CI]: 2.44 [0.349–17.160]), multimorbidity (aOR [95% CI]: 19.39 [1.043–360.373]), depression (mild aOR [95% CI]: 2.90 [0.896–9.429] and moderate aOR [95% CI]: 4.77 [0.967–23.597]), and impairment in hobbies and home (aOR [95% CI]: 24.78 [6.251–98.294]) part of CDR were the independent predictors of falls. Conclusion: Older adults with cognitive impairment are at high risk of falling with definitive risk factors. Regular screening will help to identify older adults at risk of falls and enable fall prevention to reduce morbidity and dependency.","PeriodicalId":350641,"journal":{"name":"Journal of the Indian Academy of Geriatrics","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123307483","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

Study the co-relation between SpO2 and radiological and biochemical markers with the severity and outcome in geriatric Covid-19 patients 研究老年Covid-19患者SpO2及影像学生化指标与病情严重程度及转归的相关性

Journal of the Indian Academy of Geriatrics Pub Date : 2022-01-01 DOI: 10.4103/jiag.jiag_26_21

S. Sumathi, S. Ramalingam, Jayalakshmi Ramasamy, Getrude Banumathy, S. Solomon, P. Veer

{"title":"Study the co-relation between SpO2 and radiological and biochemical markers with the severity and outcome in geriatric Covid-19 patients","authors":"S. Sumathi, S. Ramalingam, Jayalakshmi Ramasamy, Getrude Banumathy, S. Solomon, P. Veer","doi":"10.4103/jiag.jiag_26_21","DOIUrl":"https://doi.org/10.4103/jiag.jiag_26_21","url":null,"abstract":"Background: Pandemics are natural calamities, which humans have been encountering since time im-memorial. The world has witnessed and endured several pandemics like from Justinian Plague to Spanish Flu. The 21st century has already witnessed three major pandemics like Severe Acute Respiratory Syndrome in 2002, Middle East Respiratory syndrome in 2012 and at present COVID-19. The first case of COVID-19 was reported in Wuhan, Hubein Province in Dec 2019. The first case of COVID-19 was reported in Kerala on 30th January 2020. COVID-19 virus is a single stranded RNA Virus and resembles SARS -2 virus and hence the name SARS -COV 2. There has been a report of around 34 million cases with 1 million deaths. Majority of the deaths occur in the elderly population as they have immunosenescence and multiple comorbidities. Hence a study aiming at analysis of correlation between SpO2, radiological and biochemical markers is essential in management of COVID 19 in elderly. Aims & Objectives: To study the correlation between SpO2 and radiological features in X ray and CT Chest and biochemical markers with the severity and outcome in geriatric patients. Study Period: April 2020 to September 2020, Duration: 6 months. Study Centre: Chengalpattu Medical College, Tamilnadu. Inclusion Criteria: RT PCR positive Covid 19 patients more than 60 years of age. Exclusion Criteria: Covid 19 patients less than 60 years, RT PCR Negative patients. Materials and Methods: Retrospective analysis of records of 300 Covid 19 patients, aged more than 60 years hospitalized in Chengalpattu Medical College during April to September 2020 was done and biochemical parameters mentioned below were corelated with features in CXR and CT Chest RTPCR positive spo2 and analysis with severity of disease and outcome was done. Results and Discussion: On retrospective analysis of records of elderly Covid 19 patients, it was observed that the elderly could be graded as mild, moderate and severe based on clinical criteria. Radiological parameters co-relating in the same group classified as mild, moderate and severe could be derived and could be used for assessment of patients. Similarly, it was observed that the biochemical parameters of D- Dimer, C reactive protein, Neutrophil Lymphocyte Ratio correlated most significantly in that order with the clinical severity of disease and hence could be used as useful tools for assessment of severity of patients and the ranges corelating with severity could be derived. Conclusion: Analyzing SpO2, radiological features, biochemical parameters individually and in combination with clinical severity and outcome in elderly patients helps in deriving biochemical and radiological parameters to predict severity which in turn helps in a holistic approach and right management at the right time preventing or reducing mortality due to Covid 19 in the elderly.","PeriodicalId":350641,"journal":{"name":"Journal of the Indian Academy of Geriatrics","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132642865","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 Seva Rathna Awards 2022 by Dr. V.S.Natarajan Geriatric Foundation 由Dr. V.S.Natarajan老年基金会颁发的2022年老年Seva Rathna奖

Journal of the Indian Academy of Geriatrics Pub Date : 2022-01-01 DOI: 10.4103/0974-3405.343687

引用次数: 0

Lethologica in aging: An analytical study 衰老的生理学:一项分析性研究

Journal of the Indian Academy of Geriatrics Pub Date : 2022-01-01 DOI: 10.4103/jiag.jiag_32_21

P. Girija, N. Shahal, Nayana Narayanan

{"title":"Lethologica in aging: An analytical study","authors":"P. Girija, N. Shahal, Nayana Narayanan","doi":"10.4103/jiag.jiag_32_21","DOIUrl":"https://doi.org/10.4103/jiag.jiag_32_21","url":null,"abstract":"Introduction: Lethologica is a phenomenon that is an early sign of aging. Lethologica refers to the inability to retrieve a specific word as a response to a visual, auditory, or tactile presentation. Need: Even though it is known that aging has a strong impact on cognitive language functions, it is not yet clear which aspect is most affected. Since naming is an important element of language functions, analysis of this aspect would aid in understanding the nature of deterioration of cognitive‒linguistic functions with age. Aim: The aim is to analyze the impact of aging on naming abilities in neurotypical individuals. Methods: One hundred and fifty neurotypical individuals of 30 individuals from each group between 30 and 80 years of age, i.e., 31–40 years, 41–50 years, 51–60 years, 61–70 years, and 71–80 years participated in the study. A tool was developed in Malayalam language to assess confrontation naming, responsive naming, generative naming, and contextual naming. A score of 1 was given for each correct response. Results: As age advances, all the naming abilities deteriorated. The effect was most prominent in the generative naming task as it demands the most cognitive involvement. The neuronal areas governing these cognitive aspects mainly include the prefrontal cortical regions which are highly susceptible to the aging process. Responsive naming and contextual naming were least affected as it gained the advantage of crystallized intelligence. The age-related decline is more prominent after the age of 60 years. Conclusion: Naming skills, even though being a language element also have strong foundations within the cognitive domain. Hence, any age-related neurobiological alterations can impact naming functions.","PeriodicalId":350641,"journal":{"name":"Journal of the Indian Academy of Geriatrics","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125174996","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

Prevention of falls 预防跌倒

Journal of the Indian Academy of Geriatrics Pub Date : 2022-01-01 DOI: 10.4103/0974-3405.343686

S. Deepa

引用次数: 0

RESEARCH WING IAG BEST THESIS AWARD 2021 2021年最佳论文奖

Journal of the Indian Academy of Geriatrics Pub Date : 2021-10-01 DOI: 10.4103/0974-3405.332861

引用次数: 0

Integrated care for older people (ICOPE) 老年人综合护理(ICOPE)

Journal of the Indian Academy of Geriatrics Pub Date : 2021-10-01 DOI: 10.4103/0974-3405.332858

M. Sharda

引用次数: 193

Journal of the Indian Academy of Geriatrics Pub Date : 2021-09-01 DOI: 10.4103/jiag.jiag_29_21

A. Debnath, H. Bhattacharjya

{"title":"Health-related quality of life of the geriatric population living in rural areas of West Tripura district of India: A cross-sectional study","authors":"A. Debnath, H. Bhattacharjya","doi":"10.4103/jiag.jiag_29_21","DOIUrl":"https://doi.org/10.4103/jiag.jiag_29_21","url":null,"abstract":"Background: Growing life expectancy is challenging the quality of healthcare for elderly. Information regarding health-related quality of life (QOL) may help policymakers to design need-based health programs for this population. Objectives: The objective of this study is to estimate health-related QOL of the geriatric population living in rural areas of West Tripura district and to compare it between ethnic and nonethnic populations with respect to important domains. Methodology: This community-based cross-sectional study was conducted between February 1, 2019, and March 31, 2020, among 225 geriatric subjects of rural West Tripura district chosen by multistage sampling. The World Health Organization's QOL–BREF scale was used for data collection. Results: Among the study population, 46.2% had overall good health-related QOL. About 52.9% had good QOL in environment, and 37.3% had good QOL in social relationship domains. Marginally higher proportion of the subjects from ethnic origin had better QOL than the nonethnic, but it was not significant. A higher proportion of the Muslim subjects had better QOL than the rest, but it was also not significant. Bivariate analysis showed significant associations between QOL with age, sex, literacy, financial condition, socioeconomic status, and type of family. Multivariate analysis identified male sex, younger age, and living with spouse as the significant predictors of good QOL. Conclusion: Overall health-related QOL of the geriatric people living in rural areas of West Tripura district is poor, but younger male subjects of ethnic origin and living with spouses may enjoy relatively better QOL.","PeriodicalId":350641,"journal":{"name":"Journal of the Indian Academy of Geriatrics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132574773","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

Online course in geriatrics for final-year medical students 老年病学在线课程，专为医学院最后一年的学生开设

Journal of the Indian Academy of Geriatrics Pub Date : 2021-04-01 DOI: 10.4103/jiag.jiag_17_21

Arun N. Bhatt, G. Ganesh, P. Adhikari, A. Ganesh

{"title":"Online course in geriatrics for final-year medical students","authors":"Arun N. Bhatt, G. Ganesh, P. Adhikari, A. Ganesh","doi":"10.4103/jiag.jiag_17_21","DOIUrl":"https://doi.org/10.4103/jiag.jiag_17_21","url":null,"abstract":"Background: The new competency-based MBBS undergraduate curriculum articulates 24 competencies in geriatrics. Acknowledging the dearth of faculty in the country, a group of geriatricians developed and conducted an online modular course for final-year medical students. Methods: This 6-week online course included 13 modules and the study materials were developed through a two-stage vetting process. The course was advertised to potential students through social media and was delivered over Google classroom platform. Students' learning was assessed by multiple-choice questions (MCQs), and the course was evaluated with comparison of pretest and posttest, feedbacks from students with both structured and open-ended questionnaires. Results: Out of 200 eligible students from 38 medical colleges who applied, 142 students joined the course. Out of 142 students joined, 98 (69%) completed the course with 80% attendance; 91 (64.1%) secured scores above 50%; and 46 (32.4%) secured scores above 80% in MCQ test. Posttest scores were significantly higher than pretest scores (P < 0.001) with medium Cohen's effect size. Median scores of feedbacks on 20-point Likert scale for all modules were 15 or 16. Content analysis of qualitative feedback showed appreciation for the structure and content of the course, praise for the expertise and commitment of the faculty in delivering it effectively, scope for further improvement, and positive change in attitude toward discipline of geriatrics. Conclusions: This endeavor shows that short online course will be helpful for motivated medical students to expand their knowledge in geriatrics.","PeriodicalId":350641,"journal":{"name":"Journal of the Indian Academy of Geriatrics","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117046647","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

Ageing agony: Rape against elderly women 老年痛苦:对老年妇女的强奸

Journal of the Indian Academy of Geriatrics Pub Date : 2021-04-01 DOI: 10.4103/jiag.jiag_7_21

Mamta Patel

{"title":"Ageing agony: Rape against elderly women","authors":"Mamta Patel","doi":"10.4103/jiag.jiag_7_21","DOIUrl":"https://doi.org/10.4103/jiag.jiag_7_21","url":null,"abstract":"Introduction: Rape is a type of sexual assault and brutal, demeaning, cruel act perpetrated without concern. Despite extensive research on rape, especially in India, there exists an important gap in knowledge around elderly victims. The rapist has been considered by many clinicians as the victim of uncontrollable urges or the recipient of a disordered personality. Objective: The objective of this study was to examine the situation during the commission of the crime and what was the relationship between the victim and the offender in committing the heinous crime. Methods: In this research, data were obtained from print media and electronic media from 2004 to 2018. A total number of 49 cases were found reported during this period of work. This study is based on quantitative findings using the unobtrusive method of content analysis. The elderly women aged 60 and above were taken for the study. Results: The results show that cruelty was involved in more than one-fourth of the cases. In most of the cases, victims were targeted as they were alone in their homes. In some cases, the offenders were found in a state of inebriation at the time of the crime. The crime was committed mostly by the impulsive type rapist. Conclusions: The findings challenge the social norms and have implications for future research, policy, and practice.","PeriodicalId":350641,"journal":{"name":"Journal of the Indian Academy of Geriatrics","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124334827","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