RESUMEN
The study showed that ulcer disease in patients with metabolic syndrome is characterized by painless clinical course, bowel disorders in the form of constipation, enhanced appetite, unmotivated requirement for hypoglycemic therapy predisposition to complications along with activation of the inflammatory process in duodenal mucosa, high H. pylori count. The data obtained were used to develop the age-specific strategy for the treatment of elderly patients with duodenal ulcer and concomitant metabolic syndrome.
Asunto(s)
Comorbilidad , Úlcera Duodenal/fisiopatología , Síndrome Metabólico/fisiopatología , Polifarmacia , Factores de Edad , Anciano , Úlcera Duodenal/tratamiento farmacológico , Úlcera Duodenal/epidemiología , Humanos , Masculino , Síndrome Metabólico/tratamiento farmacológico , Síndrome Metabólico/epidemiología , Persona de Mediana EdadRESUMEN
Effects of pirebedil used to prevent falls in elderly patients with metabolic syndrome are discussed. A prospective controlled study showed that therapy with pirebedil significantly decreases the frequency of falls, reduces severity of pro-inflammatory and pro-oxidative activities, improves cognitive abilities. Prevention of falls by virtue of improved cognitive abilities is a new clinical effect of pirebedil and gives reason to recommend it for the treatment of geriatric patients with metabolic syndrome.
Asunto(s)
Accidentes por Caídas/prevención & control , Encefalopatías Metabólicas , Diabetes Mellitus Tipo 2 , Competencia Mental , Piribedil , Anciano , Encefalopatías Metabólicas/tratamiento farmacológico , Encefalopatías Metabólicas/etiología , Encefalopatías Metabólicas/fisiopatología , Encefalopatías Metabólicas/psicología , Diabetes Mellitus Tipo 2/complicaciones , Diabetes Mellitus Tipo 2/metabolismo , Agonistas de Dopamina/administración & dosificación , Agonistas de Dopamina/farmacocinética , Femenino , Evaluación Geriátrica/métodos , Humanos , Masculino , Persona de Mediana Edad , Nootrópicos/administración & dosificación , Nootrópicos/farmacocinética , Piribedil/administración & dosificación , Piribedil/farmacocinética , Estudios Prospectivos , Resultado del TratamientoRESUMEN
At present, the ever-increasing number of persons of elderly and senile age does not receive from health and social care agencies sufficient volume of health services and social care they require. This article reveals the essence of such a concept as the phenomenon of senile asthenia. It also describes the characteristic of the algorithm of the specialized geriatric examination of elderly patients, which includes not only traditional but also very important for an elderly person special part, in particular, balance and gait assessment, identification of nutritional status to objectify the syndrome of malnutrition, assessment of mental function, activity level of an elderly person, the state of movement, a detailed identification of the social features of life of an elderly person, the quality of his life. The application of this algorithm will significantly improve the quality of geriatric care provided through the objectification of the pathology in the elderly person and assessment of the volume of medical and social care he needs.
Asunto(s)
Envejecimiento , Astenia/diagnóstico , Evaluación Geriátrica/métodos , Examen Físico/métodos , Anciano , Anciano de 80 o más Años , Diagnóstico Diferencial , HumanosRESUMEN
This article presents data about criteria of quality of hospital aid for aged patients with otorhinolaryngologic pathology worked out by the authors basing on analyses of 708 cases. The criteria of effectiveness, adequacy and satisfaction of aged patients are described.