Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo最新文献

{"title":"[Comparability of comprehensive geriatric assessment and icope methodology for the primary assessment of geriatric status in social protection institutions.]","authors":"E A Voronina, O M Ivko, K M Sheveleva, V V Mikheev, S G Lenkin, A S Ponomarev, V V Bashuk, R K Kasymov, E N Yakusheva","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of the study is to study the issue of comparability of comprehensive geriatric assessment and the methodology of integrated care for the elderly in institutions of the social protection system. The work was carried out on the basis of social protection institutions of the Kemerovo region - Kuzbass, a gerontological examination of 2 708 citizens over 60 years of age - potential recipients of gerontological prevention measures was conducted. In order to assess their functional abilities, an integrated care system for the elderly and a comprehensive geriatric assessment were used, followed by a comparison of the capabilities of both. The geriatric profile of the studied people was characterized by the prevalence of cognitive disorders, decreased motor activity, impaired nutrition and vision, the prevalence of hearing loss and symptoms of depression. The analysis of the results of the functional ability assessment and the results of a comprehensive geriatric assessment showed their reliable comparability in all positions in all groups of recipients of social services, which allows us to recommend the system for implementation in the practice of social work as a screening methodology for assessing the functionality of recipients of gerontological prevention programs (p<0,05). To carry out comprehensive gerontological prevention, it is advisable to use a screening scale for functional impairment and a comprehensive geriatric assessment within the questionnaires and scales available to the competence of social workers to identify the main domains of individual viability.</p>","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"37 6","pages":"744-747"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658891","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":"[Comprehensive strategy of gerontological and cosmetological care for the prevention of premature aging in conditions of ecological and climatic risks: focus on the aesthetic domain of intrinsic capacity.]","authors":"E A Sanches, E V Puzanova, E A Vasil'eva, O M Ivko, M M Dal'saeva, S M Savastyanov, E V Bondarenko, A A Davidian, V V Bashuk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cosmetology and gerontology are two actively developing sciences and areas that are closely related to each other. And if earlier these two directions were connected by research, for the most part, in the field of skin signs of premature aging and its manifestations, today these are larger-scale studies studying the domains of premature aging, the aesthetic domain of intrinsic capacity. And the skin is considered only as part of the aesthetic domain. The development of principles of adaptation and prevention in gerontological cosmetology care in the future is aimed not only at improving the aesthetic domain, but also in general intrinsic capacity.</p>","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"37 6","pages":"799-803"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658893","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":"[Cognitive impairment and age-related eye pathology.]","authors":"A S Khalatyan, Y Yusef, K S Avetisov, A A Plyukhova","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In developed countries age-related macular degeneration (AMD) and glaucoma are the most common diseases of old age that cause irreversible blindness. Alzheimer's disease (AD), the most prevalent cause of dementia among older adults, is often associated with AMD and glaucoma. Features of AD include extracellular accumulation of β-amyloid (Aβ) and intracellular deposits of hyperphosphorylated forms of tau-protein. In addition, neuroinflammation and impaired iron metabolism in the brain are involved in the pathogenesis of AD, which ultimately leads to progressive neuronal death and dementia. It was found that the retina of patients with AMD also accumulates Aβ and iron, as well as Aβ and p-tau in retinal ganglion cells affected by glaucoma, and concomitant inflammation aggravates the pathological process. Patients with AD experience a marked decline in visual function which is thought to develop before the decline in cognitive function. Some are caused by degeneration of the visual cortex, others by retinal ganglion cell loss or retinal degeneration associated with AMD.</p>","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"37 5","pages":"559-565"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915803","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":"[Determination of the goals of therapeutic control of type 2 diabetes mellitus in elderly patients using a digital clinical calculator.]","authors":"N A Pervyshin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>According to the federal register, up to 3,77 million elderly Russians have a confirmed diagnosis of type 2 diabetes mellitus (DM2), the most important criterion for the effectiveness of treatment of which is the achievement of therapeutic control targets. At the same time, the structure of the algorithm for their assessment in elderly patients is quite complex and involves the analysis of many different parameters, including indicators of geriatric status. The aim of the study was to develop a digital clinical calculator for determining individual goals of DM2 control in elderly patients based on the principles of evidence-based medicine. The methodology of their assessment is based on the clinical recommendations of the Ministry of Health of the Russian Federation on DM2 and senile asthenia, as well as taking into account the IDF guidelines. Priority attention is given to the assessment of glycemic control indicators. The Calculator matrix allows you to determine 5 response variables: the target range of HbA1c, target LDL and blood pressure levels, the number of risk factors for ASD and the category of functional dependence of an elderly person. The last parameter can be calculated automatically based on the results of processing information entered into the corresponding modules of the Calculator: the questionnaire block «Age is not a hindrance»; an original algorithm for screening for probable sarcopenia according to objective clinical criteria; windows for entering scores on the Bartel, Lawton and Mini-Cog scales. An analysis of the features of the therapeutic management of elderly patients with DM2 and clinical experience in the application of the Calculator led to the conclusion that it is necessary to limit the lower limit of the target range of HbA1c values for people over the age of 60 years, with an emphasis on a digital methodology for weighted risk assessment and the potential benefits of intensifying treatment of DM2, taking into account geriatric status; the results are stored in digital format, which allows you to use They are used for CGO and monitoring the effectiveness of the treatment.</p>","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"37 5","pages":"537-545"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915804","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":"[Markers of cardiovascular system damage as additional criteria for the diagnosis of sarcopenia.]","authors":"Y F Shevchenko, S G Gorelik, K I Praschayeu, K S Bagdasaryan, O N Kurganskaya, Y A Nekrashevich, K G Maslov, D S Mamontov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Sarcopenia is a pathological condition characterized by muscle failure associated with age, in which muscle mass and strength decrease and, as a result, functional status and quality of life decrease. The article discusses and presents the stiffness of the arterial wall and the vascular wall reflection index as markers of damage to the cardiovascular system in elderly and senile women with arterial hypertension; the influence of markers of damage to the cardiovascular system in the development of sarcopenia is considered; an algorithm for the diagnosis of sarcopenia for clinical practice is presented.</p>","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"37 4","pages":"397-403"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628793","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":"[Frailty assessment in geriatric oncology.]","authors":"E S Lapteva, A L Ariev","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A review of the use of comprehensive geriatric assessment and its components in oncology is introduced. The evidence base for the increasing incidence of cancer in the elderly worldwide also presented. The management of older adults with cancer is challenging. Comprehensive Geriatric Assessment (CGA) has been shown by many authors to be a strong predictor of adverse events in geriatric oncology patients. CGA is recommended in oncology practice for many reasons: to identify health problems not usually detected in routine oncologic screening, to perform non-oncologic interventions, and to modify the cancer treatment plan. Comprehensive geriatric assessment is the gold standard in geriatric oncology for identifying patients at high risk for adverse outcomes and optimizing cancer treatment and overall management. Nevertheless, it can be stated that the final point in the search for evidence-based and effective frailty assessment tools in the practice of geriatric oncology has not yet been reached. It is concluded that the development of new scales and index scores, as well as the application of the CGA model in general, can provide adequate care for elderly cancer patients.</p>","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"37 1-2","pages":"87-94"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471247","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":"[Geriatric syndromes: the importance of the problem, controversial issues of terminology.]","authors":"E S Lapteva, A L Ariev, Y A Safonova, D S Diachkova-Gerceva","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The foundation of healthy aging is the prevention of disability. In modern medical usage, a syndrome refers to a collection of symptoms and signs with a single underlying cause that may not yet be known. Geriatric syndromes, on the other hand, refer to multifactorial health conditions and occur when the accumulated effects of impairments in multiple systems make an older person vulnerable to situational changes. The use of the term \"syndrome\" in geriatrics emphasizes the multiple causes of a single manifestation involving an abundance of factors involving multiple organs and systems and is characterized by unique features of common health problems in older adults. It is the geriatric syndromes that can have a significant impact on quality of life and disability. Therefore, early detection of these medical conditions using targeted geriatric assessment is essential in geriatrics. Understanding the essence and feminology of geriatric syndromes, their correct positioning and interpretation is an extremely urgent problem. The main purpose of the presented review is precisely to try to answer these questions. In addition, it has not yet been determined whether geriatric syndromes should be included in the diagnosis (the only exception is sarcopenia syndrome, which was officially included in the 10th International Classification of Diseases in 2016).</p>","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"37 1-2","pages":"60-66"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471249","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":"[Priority needs of the older generation in social (digital) services.]","authors":"M I Ravchik, I A Grigoryeva","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The social service approach for the elderly that emerged in the USSR in the late 1980s and was introduced within the framework of a federal law in 1995 was oriented towards care and service provision. However, various authors have noted that the needs of the elderly and the availability of services often do not coincide, and this gap is growing with the change of generations of the elderly. The modern approach, the founder of which was the Polish demographer E.Rosset, reflected in a number of international documents, prioritizes supporting employment and maintaining independence for the elderly for as long as possible. However, there is still little research clarifying the specific services needed by the elderly themselves. The aim of this article is to demonstrate that the needs and capabilities of the «older generation» are changing noticeably, and the existing approach to the provision of social services, which largely took shape in the 1990s, is outdated. Our research question is: do the digital ecosystems (services) being developed by the Information and Analytical Center of St. Petersburg Government correspond to the needs of the elderly on the one hand, and the provisions enshrined in the Madrid Plan on the other? The study employed qualitative methods: an analysis of a pilot survey of users of the «Active Longevity» service and the opinions of participants in a focus group (age of informants 60-75 years) of elderly individuals conducted on 16.03.2024.</p>","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"37 3","pages":"170-176"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976835","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":"[Peptide regulation of cellular aging.]","authors":"O M Ivko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cellular aging is the inability of structures to proliferate (further division) and repair damage while maintaining metabolic activity. The key well-known factors of cellular aging are the processes of DNA damage, telomere shortening, the development of oxidative stress and epigenetic changes. The above factors provoke the development of a pro-inflammatory environment, leading to errors in gene expression and metabolic dysregulation, thereby affecting the development of age-related diseases that contribute to pathological changes in the functions of tissues and organs. Modern pharmacotherapy approaches aimed at slowing down the processes of cellular aging are mainly focused on three key strategies: influencing the signaling pathways that cause cellular aging, as well as specific factors of the cell cycle (protein structures - receptors, carrier proteins, bioregulators, and so on), improving the elimination of cellular debris by the immune systern pharmacotherapy approaches aimed at slowing down the processes of cellular aging are mainly focused on three key strategies: influencing the signaling pathways that cause cellular aging, as well as specific factors of the cell cycle (protein structures - receptors, carrier proteins, bioregulators, and so on), improving the elimination of cellular debris by the immune system. In the elderly, the regulation of various processes of the cell cycle is disrupted, and the use of polypeptide complexes helps to maintain normal body functions by stimulating the synthesis of proteins-markers of cell functional activity.</p>","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"37 5","pages":"508-515"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915819","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":"[Influence of essential oils of plants on mental performance of elderly people.]","authors":"A M Yarosh, I A Batura, V V Tonkovtseva, A V Sinitsyn, E S Koval, E E V Ogarkova","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effect of essential oils (EOs) of 22 species and varieties of essential oil plants on the mental performance of elderly people when they inhaled air containing EOs in a gaseous state at a concentration of 1 mg/m3 of air was studied. For the study, a word recognition test with missing letters and a proofreading test were used. It has been established that recognition of words with missing letters is stimulated for a short (10-20 min) duration of exposure to EOs, and then the effect fades away. On the contrary, the greatest increase in the pace of performing the correction test occurs during the 30-minute period of exposure to EOs. EOs of rosemary, garden savory, catnip, small marigolds, peppermint varieties Udaychanka and Ukrainian, and cloves accelerate both the recognition of words with missing letters (with short-term exposure to EO) and the speed of completing the proofreading test (with long-term exposure to EO).</p>","PeriodicalId":35293,"journal":{"name":"Advances in gerontology = Uspekhi gerontologii / Rossiiskaia akademiia nauk, Gerontologicheskoe obshchestvo","volume":"37 5","pages":"572-579"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915816","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}