Zeitschrift Fur Gerontologie Und Geriatrie最新文献

{"title":"[Assisted suicide in old age as a social phenomenon].","authors":"Kirsten Aner, Walter Hewer","doi":"10.1007/s00391-024-02399-w","DOIUrl":"https://doi.org/10.1007/s00391-024-02399-w","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"58 1","pages":"1-4"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mitteilungen der ÖGGG.","authors":"","doi":"10.1007/s00391-024-02392-3","DOIUrl":"https://doi.org/10.1007/s00391-024-02392-3","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"58 1","pages":"79-80"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Journal Club].","authors":"Peter Dovjak","doi":"10.1007/s00391-024-02390-5","DOIUrl":"10.1007/s00391-024-02390-5","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"64-65"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Dizziness in old age].","authors":"Johannes Trabert","doi":"10.1007/s00391-024-02404-2","DOIUrl":"10.1007/s00391-024-02404-2","url":null,"abstract":"<p><p>Dizziness is a frequent and often multifactorial symptom in older patients that can significantly impair the quality of life. The causes are diverse and differ from younger patients. Polyneuropathy, orthostatic dysregulation, drug-related causes, positional vertigo and bilateral vestibulopathy are more frequent in old age. A detailed and vertigo-specific patient history, including the assessment of risk factors such as frailty, polypharmacy and comorbidities, is essential for the diagnostics. The treatment depends on the underlying cause and includes physiotherapeutic interventions as well as adjustments to the medication.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"55-63"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender-specific improvements in cognitive resources : Impact of a multidimensional exercise program on healthy physically inactive older adults.","authors":"Marlene Krumpolt, David Rahil, Anneke Schumacher, Lucas Sannemann, Kerstin Witte","doi":"10.1007/s00391-024-02405-1","DOIUrl":"https://doi.org/10.1007/s00391-024-02405-1","url":null,"abstract":"<p><strong>Background: </strong>Neuroanatomical parameters deteriorate with age and this process varies among individuals. Gender differences in these parameters have been documented but their effects on cognition remain unclear. Physical activity, continuous learning and social interactions are recognized strategies to prevent cognitive decline.</p><p><strong>Aim: </strong>This study investigated the effects of multidimensional training on selective attention and reaction speed in physically inactive but healthy older adults, exploring gender-specific differences in cognitive abilities.</p><p><strong>Material and methods: </strong>The study employed a pre-post design and included a 24-week exercise program. A total of 60 participants (30 male, 30 female) aged 65-69 years completed the program, which consisted of 90 min of fitness and 90 min of recreational sports each week. Cognitive performance was assessed using the STROOP (a visual test for selective attention) and reaction time (RT) tests administered through the Vienna Test System.</p><p><strong>Results: </strong>Significant gender differences were observed. Women were initially slower than men but significantly improved their reaction speed after the training (p < 0.001, d = 1.144). Conversely, men showed significant improvements in controlled and automated actions (p = 0.021, d = 0.5).</p><p><strong>Discussion: </strong>Multidimensional training enhances cognitive performance in physically inactive older adults. Gender-specific differences in reaction time were confirmed, while differences in other cognitive domains were revealed. The underlying causes of these differences are still unclear, raising the question of whether training programs should be tailored differently for men and women.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Nonagenarians on an emergency department for internal medicine and cardiology : Comparison of comorbidities, disease course and survival with younger patients].","authors":"Lisa-Maria Sow, Claudia Stöllberger, Patrick Lazarevic, Simon Udovica, Franz Weidinger","doi":"10.1007/s00391-024-02389-y","DOIUrl":"https://doi.org/10.1007/s00391-024-02389-y","url":null,"abstract":"<p><strong>Background: </strong>Little is known about how younger and older hospitalized patients differ with respect to reasons for admission, comorbidities, diagnostics, treatment and intercurrent problems.</p><p><strong>Objective: </strong>The aim of the study was to compare the previously named characteristics in the clinical profile of patients > 90 years old (nonagenarians) with a control group of patients 70-75 years old admitted to an emergency hospital department for internal medicine and cardiology.</p><p><strong>Material and method: </strong>The study included all consecutive nonagenarians and gender-matched control patients who were admitted during 2011. The reason for admission, comorbidities, diagnostics, treatment, intercurrent problems and discharge medication were taken from the patient records. Data on 8‑year mortality were obtained by comparison of the death data.</p><p><strong>Results: </strong>Nonagenarians (n = 117; 81 females) had a mean age of 92 ± 2.5 years and the control patients 72 ± 1.6 years. Nonagenarians were hospitalized more often because of neurological symptoms (19% vs. 7%), suffered more from kidney failure (85% vs. 67%), heart failure (35% vs. 21%), malignancies (29% vs. 8%), dementia (28% vs. 4%) and stroke (15% vs. 6%), developed confusion more often (27% vs. 7%) and fell more often (15% vs. 0%) than control patients. Control patients had a higher body mass index (29 ± 5.3 vs. 24 ± 4.1). Nonagenarians received fewer diagnostic measures (1.6 vs. 2.3), more often intravenous fluid (77% vs. 51%), diuretics (31% vs. 18%) and physiotherapy (24% vs. 8%). Polypharmacy (> 5 medications) in the discharge letter was frequent in both groups (67% vs. 75%). The yearly mortality of the nonagenarians was 27% and of the control group 6%.</p><p><strong>Conclusion: </strong>Acute internal diseases in nonagenarians are frequently manifested with neurological symptoms. In hospitalized nonagenarians, prevention of falls and delirium are of clinical relevance. Polypharmacy is a relevant problem in nonagenarians as well as in control patients.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Update ortho-geriatrics].","authors":"H J Heppner, C Schöneberg, M Knobe","doi":"10.1007/s00391-024-02354-9","DOIUrl":"https://doi.org/10.1007/s00391-024-02354-9","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"57 8","pages":"601-602"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Digitalization and care relationships of people living alone in old age: a critical analysis of policy documents].","authors":"Rafaela Werny, Marie Reich, Miranda Leontowitsch, Frank Oswald","doi":"10.1007/s00391-024-02309-0","DOIUrl":"10.1007/s00391-024-02309-0","url":null,"abstract":"<p><p>Digitalization is transforming social life and relationships. New cultural ideas of care, cooperation and reciprocity are emerging that can create challenges for older people. These are particularly poignant for older people living alone, who use digital devices less frequently and rely on support to manage the increasing number of digital tasks (appointments, bookings, financial matters). This article explores the relationship between digitalization and care relationships among older people living alone using a critical document analysis approach according to Bacchi. This approach makes it possible to look at the understanding behind the terms living alone, care relationships, and digitalization, each in relation to older people and in interaction as well as to render gaps visible. The analysis of laws and social policies as well as of political and civil society orientated documents leads to two key findings: Firstly, an individual responsibility to deal with needs arising from gaining access to and handling of digitalization is expected of older people and their social networks. This is striking as digitalization is presented as a means of dealing with the large-scale social challenges, such as demographic change and shortage of care staff. Secondly, the analysis shows that legal documents that set out the structure for policies do not focus on digitalization in later life. With older people not being a target group of policy of digitalization, fewer strategies are put into practice.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"639-644"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Geriatric assessment goes digital-Possible applications in the emergency department setting].","authors":"Georg Pinter","doi":"10.1007/s00391-024-02360-x","DOIUrl":"10.1007/s00391-024-02360-x","url":null,"abstract":"<p><p>The geriatric assessment is a basic requirement and a key quality parameter in geriatric care. An increasing number of older patients are presenting to emergency or central admission departments and discharge units in hospitals. For this reason, and in view of the time-critical decision-making requirements in this setting, digital applications of basic geriatric assessment data are becoming increasingly more important for the high-quality follow-up care of geriatric patients.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"623-625"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Risk assessment in geriatric traumatology : Crucial role of anesthesiology].","authors":"Cynthia Olotu","doi":"10.1007/s00391-024-02381-6","DOIUrl":"10.1007/s00391-024-02381-6","url":null,"abstract":"<p><p>The postoperative outcome of older people is significantly influenced by individual age-related risk factors. Therefore, factors such as frailty, cognitive impairment and functional dependency should be routinely included in the preoperative anesthesiological assessment of older patients. The approach recommended in the catalogue of criteria for geriatric trauma centers of the German Society for Trauma Surgery (DGU®) includes screening to identify geriatric patients, determination of frailty, assessment of cognitive impairment and delirium screening even in the emergency department. In addition, a basic geriatric assessment should be performed at the latest in the early postoperative phase to determine the need for further supportive therapy. Anesthesiologists work closely with geriatricians and trauma surgeons in the geriatric traumatological treatment. The recommendations for action and the nature of interdisciplinary collaboration are defined in standard operating procedures. It would be desirable to develop comparable concepts for the perioperative care of all older people beyond the field of geriatric traumatology.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"603-608"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}