Carla Stenmanns, Helmut Frohnhofen, Henriette Louise Möllmann, Niklas Wergen, Roman Taday, David Latz, Christoph Beyersdorf
{"title":"Postoperative delirium-Case report of successful treatment with daridorexant.","authors":"Carla Stenmanns, Helmut Frohnhofen, Henriette Louise Möllmann, Niklas Wergen, Roman Taday, David Latz, Christoph Beyersdorf","doi":"10.1007/s00391-026-02585-y","DOIUrl":"10.1007/s00391-026-02585-y","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"335-337"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787237","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":"Aktuelle Aspekte der Ernährung im Alter.","authors":"Rainer Wirth, Dorothee Volkert","doi":"10.1007/s00391-026-02603-z","DOIUrl":"https://doi.org/10.1007/s00391-026-02603-z","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"59 4","pages":"267-268"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266688","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":"Prof. Dr. Gerhard Naegele (28. Januar 1948 bis 22. April 2026).","authors":"Andreas Kruse, Gerhard Igl, Christoph Strünck","doi":"10.1007/s00391-026-02597-8","DOIUrl":"10.1007/s00391-026-02597-8","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"350-351"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206801","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":"[Oropharyngeal dysphagia as a neurogeriatric syndrome].","authors":"A Jung, B Labeit","doi":"10.1007/s00391-026-02570-5","DOIUrl":"10.1007/s00391-026-02570-5","url":null,"abstract":"<p><strong>Background: </strong>Oropharyngeal dysphagia is a common geriatric syndrome associated with an increased risk of aspiration pneumonia, malnutrition, functional decline and mortality.</p><p><strong>Objective: </strong>Presentation of the neurogeriatric syndromology of dysphagia by integrating disease-specific neurological and transdiagnostic geriatric aspects, including diagnostic and therapeutic approaches.</p><p><strong>Material and methods: </strong>A literature review and analysis of current clinical guidelines were conducted.</p><p><strong>Results: </strong>Dysphagia presents as a multietiological syndrome with heterogeneous clinical phenotypes identifiable by instrumental assessment, particularly flexible endoscopic evaluation of swallowing (FEES). Besides disease-specific neurological mechanisms, transdiagnostic factors, such as presbyphagia with reduced pharyngeal sensation, sarcopenia and decreased neuroplasticity play a crucial role. Multimodal therapeutic approaches have proven to be effective. In various neurological disorders, disease-specific treatment also leads to an improvement in swallowing function. Across different conditions, protective measures (e.g., nutritional therapy and oral hygiene) as well as rehabilitative interventions have been shown to be effective.</p><p><strong>Discussion: </strong>Geriatric-specific adapted assessment tools and care pathways are required to improve clinical outcomes and quality of life.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"276-282"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147492138","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":"[Dehydration in older persons-Current state of knowledge, trends and challenges].","authors":"Rainer Wirth, Linda Deissler, Lukas Funk","doi":"10.1007/s00391-026-02581-2","DOIUrl":"10.1007/s00391-026-02581-2","url":null,"abstract":"<p><p>Due to comorbidities, medication, lower fat-free mass and the often diminished sense of thirst in old age, older adults are at particularly high risk of developing dehydration. Therefore, dehydration is among the most common diagnoses in older patients. Despite its high prevalence, there are no uniform diagnostic criteria and the diagnosis often remains uncertain. All individual diagnostic criteria have insufficient sensitivity and specificity, so that the diagnosis can only be made by holistic consideration of all symptoms and sometimes only after successful trial treatment. The symptoms of dehydration are frequently nonspecific but its consequences can be severe. In addition to the immediate symptoms, dehydration promotes a variety of other illnesses. Acute treatment is relatively simple, while behavioral approaches for chronic dehydration are less known and barely evaluated.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"288-293"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678119","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}
Miroslava Valentová, Kristin Elisabeth Steinhaus, Mohammed Chebbok
{"title":"[Heart failure with preserved ejection fraction in old age : Diagnostic strategies in clinical practice].","authors":"Miroslava Valentová, Kristin Elisabeth Steinhaus, Mohammed Chebbok","doi":"10.1007/s00391-026-02594-x","DOIUrl":"10.1007/s00391-026-02594-x","url":null,"abstract":"<p><p>Heart failure with preserved ejection fraction (HFpEF) is characterized by diastolic dysfunction of the left ventricle in the presence of preserved systolic function (LVEF ≥ 50%). The leading symptom is exertional dyspnea, which is often the only clinical manifestation, particularly in older patients. The diagnostic algorithm follows a structured, stepwise approach. First, a basic assessment is performed including the medical history, physical examination, resting electrocardiography (ECG), measurement of natriuretic peptides and chest X‑ray. In the next step, transthoracic echocardiography is performed, enabling assessment of diastolic function as well as detection of structural cardiac abnormalities. For an objective interpretation of the findings, the HFA-PEFF score can be applied. Further advanced imaging or invasive diagnostics are reserved for cases with diagnostic uncertainty or for etiological clarification once HFpEF has been established.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"321-332"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976768","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}
Anamaria Depner, Anna Wanka, Marion Scheider-Yilmaz, Helen Klein, Thibauld Moulaert
{"title":"[\"Je regarde l'espace différemment maintenant\". An ecogerontological participative approach in German-French dialogue].","authors":"Anamaria Depner, Anna Wanka, Marion Scheider-Yilmaz, Helen Klein, Thibauld Moulaert","doi":"10.1007/s00391-025-02529-y","DOIUrl":"10.1007/s00391-025-02529-y","url":null,"abstract":"<p><strong>Background: </strong>Gerontological theories, terms and concepts often cross disciplinary and national boundaries and change or adapt in that process. Accordingly, literature-based studies show that the theoretical understanding of space and ageing differs in the German and French contexts.</p><p><strong>Research question: </strong>From a lifeworld-oriented perspective, we ask to what extent differences in older people's everyday experience of space can be found in the two countries and what dynamics between the relationship to as well as the personal experience of space and ageing become apparent in each case.</p><p><strong>Methods: </strong>Based on the Photovoice method the relationship between space and ageing was explored across linguistic, national and disciplinary boundaries through participatory research with older adults.</p><p><strong>Results: </strong>Thanks to the participation of older co-researchers in the collection and analysis of the material and the development of theory, it became visible that spatial relationships and spatial perception are not linked to national cultural influences but more to aspects such as milieu-specific or generational affiliation. The results show a homogeneity of spatial perceptions and practices across national borders and illustrate how (shared) memories, social transformation processes and biographical transitions shape and change them.</p><p><strong>Discussion: </strong>Participatory approaches have the potential to open up new perspectives and theoretical approaches to ageing and space that are better suited to the new generation of older adults. In addition, research-based collaboration between scientists and older adults enables transformative learning experiences on both sides.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"308-313"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13275560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642194","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":"[Identity work among aged members of religious orders : Qualitative study with Jesuits and Sacré-Cœur sisters].","authors":"Ruth Mächler, Rosa Maria Erlenberg, Eckhard Frick","doi":"10.1007/s00391-025-02480-y","DOIUrl":"10.1007/s00391-025-02480-y","url":null,"abstract":"<p><strong>Background: </strong>Aged members of religious orders talked about their lives.</p><p><strong>Aim of the study: </strong>The aim of this study is to describe how identity work is manifested in old age among members of religious orders.</p><p><strong>Material and methods: </strong>Narrative interviews were conducted. Transcripts were analyzed using thematic analysis and communicatively validated in group discussions by the interviewees.</p><p><strong>Results: </strong>Interviews with 21 people aged 80-98 years were analyzed. It was found that the majority of the aged members of religious orders were concerned with questions of their own identity. An important area of their identity work is faith. They reflect on who God is for them and develop new images of God and themselves.</p><p><strong>Discussion: </strong>The results of the study suggest that even people with a high degree of life course continuity question their identity in old age and engage intensively in exploratory processes.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"314-320"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976411","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":"Effect of anticholinergic burden on cardiac functions in older patients.","authors":"Hakan Fotbolcu, Pınar Soysal","doi":"10.1007/s00391-026-02606-w","DOIUrl":"https://doi.org/10.1007/s00391-026-02606-w","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the detrimental effects of a high anticholinergic burden on both myocardial systolic-diastolic functions and electrical functions in older adults.</p><p><strong>Methods: </strong>A total of 24 patients with a high anticholinergic burden and 26 control patients were enrolled. The anticholinergic burden was assessed using the anticholinergic burden (ACB) scale. An ACB of ≥ 2 was categorized as high anticholinergic burden, while those with an ACB score of 0 were included in the control group. Each participant's diastolic and systolic functions were evaluated using transthoracic two-dimensional, conventional and tissue Doppler echocardiography. Heart rate and corrected QT interval (cQT) were also measured to assess electrophysiological changes.</p><p><strong>Results: </strong>The mean age was 72.5 ± 6.6 years. Biventricular systolic and diastolic functions were impaired in the high ACB patients. Systolic function parameters such as lateral‑S (8.04 ± 1.43 vs. 9.54 ± 1.82, p = 0.003), septal‑S (7.33 ± 0.64 vs. 8.27 ± 1.31, p = 0.007) and tricuspid‑S (12.42 ± 1.72 vs. 14.31 ± 3.17, p = 0.025) values were lower in the ACB patients compared to the control group. The indicator of left ventricular (LV) filling pressure (E/E') was higher in ACB patients than in the controls (11.61 ± 2.89 vs. 8.83 ± 1.68, p < 0.001). There was no significant difference in terms of heart rate and cQT. Serum albumin levels were lower in ACB patients comparing to controls (4.08 ± 0.33 vs. 4.38 ± 0.27, p = 0.001).</p><p><strong>Conclusion: </strong>A high anticholinergic burden is associated with moderately impaired systolic and diastolic functions, yet on its own, it does not sufficiently explain the increased hospitalization and mortality observed in older adults.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370617","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":"[Communication in later life under institutional conditions : Professional perspectives on communication of ageing people with profound intellectual and multiple disabilities].","authors":"Timo Dins, Alina Meierjohann, Tobias Bernasconi","doi":"10.1007/s00391-026-02604-y","DOIUrl":"https://doi.org/10.1007/s00391-026-02604-y","url":null,"abstract":"<p><strong>Background: </strong>For people with (profound) intellectual and multiple disabilities verbal language is often not the primary means of communication. Communication is closely tied to familiar persons and the interpretation of individual forms of expression. In later life health-related changes, the loss of social relationships and institutional transitions can substantially impair communication.</p><p><strong>Objective: </strong>Based on group interviews with professionals this paper examines the significance of communication partners, the professional and institutional prerequisites for successful communication in later life and the institutional embedding of augmentative and alternative communication.</p><p><strong>Methods: </strong>In this study seven group interviews were conducted with professionals working in disability support services. Data were analyzed using structured qualitative content analysis.</p><p><strong>Results: </strong>Professionals describe social relationships in later life as fragile and communication partners as often confined to institutional settings, which increases the importance of familiar caregivers for successful communication. They further emphasize experiential and specialist knowledge, resources and knowledge transfer across interfaces. Augmentative and alternative communication appears sustainable especially where it is institutionally embedded.</p><p><strong>Conclusion: </strong>In later life communicative participation among this group appears less as a matter of individual competence than as an organizational and knowledge-related task: it requires both preserving biographically developed interpretive knowledge and institutionally embedded augmentative and alternative communication.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347080","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}