OBM geriatrics最新文献_第4页

An Interview with Dr. Ines Testoni Ines Testoni博士访谈录

OBM geriatrics Pub Date : 2023-06-27 DOI: 10.21926/obm.geriatr.2302241

Obm Geriatrics Editorial Office

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Polymyalgia Rheumatica Evolved into RS3PE Syndrome. What is the Culprit: Idiopathic or Secondary, Following mRNA-Based COVID-19 Vaccines? A Case Report and Brief Review of the Literature 类风湿性多肌痛演变为RS3PE综合征。什么是特发性或继发性，基于mRNA的新冠肺炎疫苗？病例报告及文献综述

OBM geriatrics Pub Date : 2023-06-27 DOI: 10.21926/obm.geriatr.2302240

M. Turrin, L. Fornasiero, Antonio Navarro

{"title":"Polymyalgia Rheumatica Evolved into RS3PE Syndrome. What is the Culprit: Idiopathic or Secondary, Following mRNA-Based COVID-19 Vaccines? A Case Report and Brief Review of the Literature","authors":"M. Turrin, L. Fornasiero, Antonio Navarro","doi":"10.21926/obm.geriatr.2302240","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2302240","url":null,"abstract":"We describe the clinical case of a 74-year-old male patient who received the second Comirnaty/Pfizer anti-COVID-19 vaccine dose. After 3 weeks he showed the clinical signs of polymyalgia rheumatica. The history included mild chronic normocytic normochromic anemia and hypogammaglobulinemia, osteoarthritis disease, livedo reticularis, hypercholesterolemia, and arterial hypertension. Despite prolonged treatment with NSAIDs and dexamethasone, the disease evolved into remitting seronegative symmetrical synovitis with pitting edema (RS3PE) syndrome. Neoplastic diseases and associated collagen diseases were excluded. The clinical picture recurred, soon after, the booster dose of the Spikevax/Moderna vaccine. The inflammatory indices were high, the radiographs of the hands were free of erosions, the ultrasound investigations revealed bursitis of the shoulders, knee synovitis, marked subcutaneous edema of the lower limbs, hydrocele, bilateral Baker's cyst in the popliteal cavity, hematoma of a calf. The clinical picture, markedly improved, with oral prednisolone and was stabilized with the association of hydroxychloroquine. The finding of persistent hypomagnesemia was related to chronic intake of esomeprazole. The reports of rheumatological reactions in international databases and the rare cases of RS3PE syndrome following the COVID-19 vaccine described in the literature are considered.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48934545","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

Role of Activity Professionals in Applying APIE Model to Enhance Residents’ Activity and Engagement in Long-Term Care Settings 活动专业人员在应用APIE模式以提高长期护理环境中居民的活动和参与方面的作用

OBM geriatrics Pub Date : 2023-06-25 DOI: 10.21926/obm.geriatr.2302239

Xiaoli Li, Kendall Brune, Jean Keller, Jennifer Stelter, S. Ingman

{"title":"Role of Activity Professionals in Applying APIE Model to Enhance Residents’ Activity and Engagement in Long-Term Care Settings","authors":"Xiaoli Li, Kendall Brune, Jean Keller, Jennifer Stelter, S. Ingman","doi":"10.21926/obm.geriatr.2302239","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2302239","url":null,"abstract":"Residents’ activity is a strong contributor to the quality of life in long-term care facilities. Hence, activity professionals have an essential role to play in enhancing residents’ activity engagement. Professional practice model for activity professionals includes Assessment, Planning, Implementation, and Evaluation (APIE model). Although activity professionals have made advances in demonstrating their value, few studies have focused on the APIE model for activity professionals in long-term care facilities. A survey was conducted to help understand the role of activity professionals in using APIE in long-term care. Questionnaires were completed by 195 activity professionals working as activity directors and activity staff in long-term care settings. The major factors studied were job background, certification, and the performance of activity professionals using the APIE model. Findings showed that 11.8% of the activity professionals had a high school education, 12.3% had no certification, and 9.2% of them had unrelated certifications. When examining the APIE model, we found that activity professionals used person-centered approaches when they assessed residents` needs and wants, planned and implemented the activities, but lacked evaluation when measuring the outcomes; 79.5% of the participants were not tracking the number of minutes residents spent on activities; and 72.8% of the respondents did not measure the impact of resident engagement on clinical outcomes such as falls, depression, cognition, and medication use. Lack of professional training and the application meaningful evaluation related to the impact of activities with residents by activity professionals may challenge administrators’ capacity of estimating the need, value, and role of activity professionals within long-term care facilities. The study advocates for applying the APIE process to the delivery of activities and evaluation of the benefits of residents` activity and engagement.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44100884","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

The Geriatric Impact in the Management of Complex Cancer Patients: A Monocenter Experience 老年对复杂癌症患者管理的影响:单中心经验

OBM geriatrics Pub Date : 2023-06-13 DOI: 10.21926/obm.geriatr.2302238

A. Bellieni, Beatrice Di Capua, E. Villani, L. Tagliaferri, D. Fusco, M. Gambacorta, Francesco Presta, S. Bracci, V. Valentini, F. Landi, G. Colloca

{"title":"The Geriatric Impact in the Management of Complex Cancer Patients: A Monocenter Experience","authors":"A. Bellieni, Beatrice Di Capua, E. Villani, L. Tagliaferri, D. Fusco, M. Gambacorta, Francesco Presta, S. Bracci, V. Valentini, F. Landi, G. Colloca","doi":"10.21926/obm.geriatr.2302238","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2302238","url":null,"abstract":"New technologies, aging-related changes, and evolution in patients' needs have led to a new scenario in all oncological fields in front of which we have to move on. Technological progress has made it possible to increase the number of patients treated, including elderly patients and generally those at higher risk of toxicity. However, this scenario has led to new problems requiring new skills to be addressed. For this reason, Gemelli-ART (Advanced Radiation Therapy) of Fondazione Policlinico Universitario A. Gemelli IRCCS – Rome, Italy, started a collaboration with a team of geriatricians trained in geriatric oncology to manage the growing number of elderly patients and to deal with treatment-related toxicity and supportive care to complete planned treatment. This study evaluates the impact of geriatric oncology intervention performed by a geriatrician with particular expertise in managing complex cancer patients admitted to an Oncology Unit. The number of complex patients admitted to the Radiation Oncology Unit raised from 90 in 2016 to 226 in 2018 (+151.1%). 63.4% of complex patients underwent treatment, with a curative goal in 43.7% of cases. Among all admitted patients, the treatment discontinuation rate was 14%. The treatment discontinuation rate was 5.5% in patients over 80 years old with planned admission, versus 27.0% in patients admitted from the emergency room. Our data suggest that geriatric expertise in an Oncology Unit helps personalize patients' treatment and allows for treating an increasing number of complex patients. Identifying frail and complex patients is essential to manage these situations effectively and efficiently, optimize healthcare resources, avoid over and under-treatment, and provide the best care.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44771073","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

The Global Malnutrition Composite Score Quality Measure-Seize this Opportunity to Benefit Older Adult Care and Health Equity! 全球营养不良综合评分质量测量——抓住这个机会，促进老年人护理和卫生公平!

OBM geriatrics Pub Date : 2023-05-25 DOI: 10.21926/obm.geriatr.2302237

P. Brown, Dana Buelsing Sowards, M. Pittman, Gisele Leger, Susan Manns

{"title":"The Global Malnutrition Composite Score Quality Measure-Seize this Opportunity to Benefit Older Adult Care and Health Equity!","authors":"P. Brown, Dana Buelsing Sowards, M. Pittman, Gisele Leger, Susan Manns","doi":"10.21926/obm.geriatr.2302237","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2302237","url":null,"abstract":"In August 2022, the Centers for Medicare and Medicaid Services (CMS) adopted its first-ever nutrition electronic clinical quality measure (eCQM), known as the Global Malnutrition Composite Score (GMCS) as part of the Inpatient Hospital Quality Reporting (IQR) Program. Starting in January 2024, hospitals can self-select to include the GMCS as one of three optional eCQMs for reporting. This article focuses on the importance of addressing malnutrition to improve the overall health of the aging population, reduce preventable healthcare expenditures and achieve greater health equity. A detailed explanation of the development of the GMCS, its components, its utility, and the critical role of registered dietitian nutritionists (RDNs) in promoting its adoption are discussed. The successful implementation of malnutrition quality measures and their positive impact on patient care and business operations is exemplified through the experience of the Novant Health New Hanover Regional Medical Center of Southeastern North Carolina. A recommended process for RDNs to pursue to secure the adoption of the GMCS at their respective hospitals and supporting resources are reviewed.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47838712","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

The Effects of Loneliness on the Aged: A Review 孤独对老年人的影响:综述

OBM geriatrics Pub Date : 2023-05-17 DOI: 10.21926/obm.geriatr.2302236

A. Rokach

引用次数: 0

Older People and the Construction of Virtual Identities in the Digital Culture 老年人与数字文化中的虚拟身份建构

OBM geriatrics Pub Date : 2023-05-10 DOI: 10.21926/obm.geriatr.2302235

Ondřej Roubal

{"title":"Older People and the Construction of Virtual Identities in the Digital Culture","authors":"Ondřej Roubal","doi":"10.21926/obm.geriatr.2302235","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2302235","url":null,"abstract":"This research study addresses certain theoretical issues surrounding the relationship between digital technologies, the aging population, and identity. At the same time, it offers a conceptual proposal of indicators of the social inclusion of older people in the digital culture of society as a potential starting point for further empirical research. The progressive trend of a growing proportion of older people is a demographic reality in many economically and technologically advanced societies. This demographic aging of populations raises several economic, sociopolitical, medical, cultural, social, and psychological issues. One of the most important and oft-overlooked sets of issues is the active participation of older people in the digital culture environment and the use of information and communication technologies as an alternative source of social interaction in constructing and affirming their own identity. Aging is often associated with a natural decline in professional activity, poorer health, reduced physical activity, reduced social contacts, and sometimes isolation and loneliness. The active participation of older people in the digital environment of communication and virtual interactions can buffer these negative factors to a certain extent and offer an adequate alternative for fulfilling the need for social relationships, self-actualization, and affirmation of identity. Of course, digital culture does have an ambivalent character. On the one hand, there are obvious positive effects on social life, subjective experience, and consciousness of one's own identity derived from real and virtual social interactions. On the other hand, digitalizing life generates unseen risks in invading an accelerated pace of life, superficiality, and the deepening of social inequalities.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47034612","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

Emerging Roles of Signal Transduction Pathways in Neurodegenerative Diseases. Hunting New Possible Therapeutic Molecular Targets 信号转导通路在神经退行性疾病中的新作用。寻找新的可能的治疗分子靶点

OBM geriatrics Pub Date : 2023-05-05 DOI: 10.21926/obm.geriatr.2302234

V. L. Lo Vasco

{"title":"Emerging Roles of Signal Transduction Pathways in Neurodegenerative Diseases. Hunting New Possible Therapeutic Molecular Targets","authors":"V. L. Lo Vasco","doi":"10.21926/obm.geriatr.2302234","DOIUrl":"https://doi.org/10.21926/obm.geriatr.2302234","url":null,"abstract":"Illnesses following the degeneration of the nervous system can occur due to aging or genetic mutations and represent a clinical concern. In neurodegenerative diseases, loss of neuronal structure and functions mainly causes cognitive impairment, representing an increasing social burden. In neurodegenerative diseases, the progressive loss of vulnerable populations of neurons in specific regions of the central nervous system was traced to different pathological events, such as misfolded proteins’ accumulation, abnormalities in proteasomes or phagosomes, as well as anomalies in lysosomes or mitochondria. Many research efforts identified important events involved in neurodegeneration, but the complex pathogenesis of neurodegenerative diseases is far from being fully elucidated. More recently, insights into the signal transduction pathways acting in the nervous system contributed to unveiling some molecular mechanisms triggering neurodegeneration. Abnormalities in the intra- or inter-cellular signaling were described to be involved in the pathogenesis of neurodegenerative disease. Understanding the signal transduction pathways that impact the nervous system homeostasis can offer a wide panel of potential targets for modulating therapeutic approaches. The present review will discuss the main signal transduction pathways involved in neurodegenerative disorders.","PeriodicalId":74332,"journal":{"name":"OBM geriatrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49201006","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

Use of Artificial Intelligence in Skin Aging 人工智能在皮肤老化中的应用

OBM geriatrics Pub Date : 2023-04-17 DOI: 10.21926/obm.geriatr.2302233

Minh Chung, V. Jiminez, Mohammad Saleem, N. Yusuf

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Driving Safety in Healthy Aging and Age-Related Diseases 健康老龄化和年龄相关疾病中的驾驶安全

OBM geriatrics Pub Date : 2023-04-04 DOI: 10.21926/obm.geriatr.2302232

M. Falkenstein, Ute Brüne-Cohrs

引用次数: 0