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1.
Rev Med Suisse ; 16(676-7): 37-40, 2020 Jan 15.
Artigo em Francês | MEDLINE | ID: mdl-31961081

RESUMO

Up-dated recommendations published in 2019 about inappropriate medications in older persons and management for type 2 diabetes mellitus are discussed. New evidence has also been published regarding the benefits of physical activity in secondary prevention for falls as well as in the prevention of cognitive decline and dementia, independent of genetic and vascular risk profile. SPRINT MIND study reports a significant 19 % decreased risk of minor neurocognitive impairment with intensive BP treatment. A meta-analysis about prevention of delirium with antipsychotics report benefits only in cardiac and orthopedic post-operative settings, whereas another meta-analysis about delirium treatment did not find any benefits from antipsychotics.


Assuntos
Antipsicóticos , Delírio , Demência , Diabetes Mellitus Tipo 2 , Geriatria , Idoso , Idoso de 80 Anos ou mais , Geriatria/tendências , Humanos , Metanálise como Assunto
2.
Adv Exp Med Biol ; 1216: 149-152, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31894554

RESUMO

Frailty is a clinical concept which is gaining increased momentum not only in geriatrics, but in all specialties treating adult patients. In these Future Perspectives, the following roles of frailty in the field of cardiovascular diseases (CVD) will be discussed as a narrative review: (1) Frailty as an adjunct to assess CVD patients in addition to traditional risk scores; (2) bidirectional relationship between frailty and CVD; (3) widening the scope of endpoints in CVD trials-inclusion of frailty; (4) finally, the relationship between geriatrics and cardiology will be shortly discussed.


Assuntos
Doenças Cardiovasculares/complicações , Idoso Fragilizado , Fragilidade/complicações , Idoso , Cardiologia , Geriatria , Humanos , Narração
3.
Emerg Med Clin North Am ; 38(1): 15-29, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31757248

RESUMO

Appropriate recognition of the physiologic, psychological, and clinical differences among geriatric patients, with respect to orthopedic injury and disease, is paramount for all emergency medicine providers to ensure they are providing high-value care for this vulnerable population.


Assuntos
Gerenciamento Clínico , Avaliação Geriátrica , Geriatria/métodos , Procedimentos Ortopédicos/métodos , Ortopedia/métodos , Ferimentos e Lesões/terapia , Idoso , Humanos , Ferimentos e Lesões/diagnóstico
4.
Adv Gerontol ; 32(4): 652-657, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31800196

RESUMO

This study examines older adults' perceptions about their participation in vigorous physical activity (VPA) and the association between VPA and self-related health. A total of 686 older adults responded to self-reported questionnaires, and Pearson's ꭓ2 test and binary logistic regression were used to present findings. About 74% of older adults reported experiencing dislocations, fractures, or/and other forms of injury in intense physical activities lasting 30 minutes or more a day. After controlling for relevant socio-demographic factors, older adults who participated in VPA for 30 or more minutes a day were less likely (OR=0,129; p=0,000) to report good health compared with those who participated in VPA for less than 30 minutes. It is concluded that VPA in older populations can result in casualties that may compel older adults to underrate their health, which can discourage active living habits in older populations and discredit PA/health promotion programs.


Assuntos
Exercício , Geriatria , Promoção da Saúde , Ferimentos e Lesões , Idoso , Exercício/psicologia , Geriatria/tendências , Promoção da Saúde/estatística & dados numéricos , Promoção da Saúde/tendências , Humanos , Luxações Articulares/psicologia , Autoimagem , Autorrelato , Inquéritos e Questionários , Ferimentos e Lesões/psicologia
5.
Soins Gerontol ; 24(140): 46-48, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31806180
6.
Kardiologiia ; 59(12): 54-63, 2019 Dec 11.
Artigo em Russo | MEDLINE | ID: mdl-31849312

RESUMO

Increase in life expectancy during the second part of the 20th century is accompanied by increase in proportion of elderly and senile age population. However, despite the increase in life expectancy, the prevalence of most chronic diseases and functional impairments rises with age. Elderly and senile age is associated with the risk of cardiovascular diseases (CVD), therefore the problem of managing elderly patients with CVD becomes especially urgent.


Assuntos
Cardiologia , Doenças Cardiovasculares , Geriatria , Idoso , Doença Crônica , Humanos , Expectativa de Vida
7.
Soins ; 64(841): 26-29, 2019 Dec.
Artigo em Francês | MEDLINE | ID: mdl-31864508

RESUMO

The ageing of the French population and the high occurrence of cancers in the population of patients aged over 75 has resulted in the convergence of the competences of two specialties, oncology and geriatrics, in order to optimise the quality of the care provided. Geriatric oncology care must be adapted to the medical, psychological and social situation of each patient.


Assuntos
Geriatria/organização & administração , Oncologia/organização & administração , Neoplasias/terapia , Idoso , França/epidemiologia , Humanos , Neoplasias/epidemiologia , Qualidade da Assistência à Saúde
8.
Br Dent J ; 227(9): 803, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31705097
10.
Rev Lat Am Enfermagem ; 27: e3212, 2019.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-31664416

RESUMO

OBJECTIVE: to analyze the relation between resilience and demographic variables, quality of life and symptoms of depression in elderlies attended at a Geriatric Outpatient Clinic. METHOD: analytical cross-sectional study, conducted with 148 elderlies, with a questionnaire of sociodemographic and health characterization, the Resilience Scale, the World Health Organization Quality of Life Bref, the World Health Organization Quality of Life Old, and the Center for Epidemiologic Survey - Depression Scale. Descriptive statistics, Student's t-test and Pearson correlation were used for data analysis. RESULTS: there was a positive correlation between resilience and schooling (r = 0.208; p = 0.010), income (r = 0.194; p = 0.017), the World Health Organization Quality of Life Bref (r = 0.242; p = 0.003), and the World Health Organization Quality of Life Old (r = 0.522; p <0.001), and negative correlation regarding symptoms of depression (r = -0.270; p = 0.001). CONCLUSION: Resilience presented relation to schooling, income, quality of life and symptoms of depression in the elderly. These results are expected to help the multidisciplinary team plan actions aimed at developing resilience towards the promotion of health and good quality of life in old age.


Assuntos
Instituições de Assistência Ambulatorial/organização & administração , Depressão/psicologia , Geriatria/organização & administração , Qualidade de Vida , Idoso , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dinâmica Populacional , Fatores Socioeconômicos , Inquéritos e Questionários
11.
12.
Wiad Lek ; 72(9 cz 1): 1667-1670, 2019.
Artigo em Polonês | MEDLINE | ID: mdl-31586980

RESUMO

As UN research indicates, populations in approx. 40% of the world's countries presently meet the criteria of demographic old age. It is estimated that by 2050, those criteria will have applied to 84% of them, out of which 65% will have entered an advanced stage. Data current for 2017 put the estimated number of seniors around the world at approx. 962 million, i.e. 13% of the world's population. Population ageing process has already reached its top dynamics in Poland. Both international studies, and our own research experience imply that only an interdisciplinary and holistic approach to the seniors may help fully appreciate overall complexity of this challenge, and consequently offer an adequate platform for mapping out effective therapeutic management. Provision of a scope of wide-ranging, physiotherapeutic regimens for the seniors requires of any attending therapeutic team a specialist body of knowledge, pertinent expertise in geriatrics and physiotherapy, and plenty of hands-on skills. Physiotherapy in geriatrics is a complex, teamwork-based approach targeted at the seniors of appreciably reduced functional capabilities, and/or burdened with concomitant risk factors for a number of diseases, and/or prone to sustaining other adverse incidents (e.g. falls) typical for older age. In physiotherapeutic management offered to the seniors, as opposed to other age groups, by far the most essential issue consists in multiple concomitant diseases and polypragmacy. After a patient has been diagnosed by an attending physician, and his functional capabilities have been assessed by a physiotherapist, the therapeutic team should primarily focus upon securing for him the most essential goals, as identified at the time. Increased life expectancy raises a number of questions and challenges, to be urgently addressed by the medical sciences; the most basic and pragmatic question being - how are physicians, physiotherapists, and other health care professionals presently prepared to deal effectively with the seniors in terms of the actual treatment management, and a scope of physiotherapeutic interventions urgently required?


Assuntos
Geriatria , Modalidades de Fisioterapia , Idoso , Humanos , Expectativa de Vida , Polônia
14.
Prensa méd. argent ; 105(9 especial): 501-508, oct 2019. tab
Artigo em Inglês | LILACS, BINACIS | ID: biblio-1046263

RESUMO

The aim of the study is to increase the effectiveness of diseases treatment in elderly patients. The work is based on the study of the nature and the role of compliance disorders, optimizing the effectiveness with the use of therapeutic complex of pharmacotherapy associated with psychotherapeutic component. As a result of the analysis of morbidity in elderly age and the nature of compliance in elderly patients, an optimal therapeutic complex was proposed, which consists of rational pharmacological load and psychotherapeutic intervention, aimed at informing a patient about the disease, methods of its treatment, as well as at creating an effective therapeutic alliance which provides proper medical care and prevents self-treatment in such patients.


Assuntos
Humanos , Idoso , Idoso de 80 Anos ou mais , Pacientes , Terapêutica , Saúde do Idoso , Inquéritos de Morbidade , Resultado do Tratamento , Tratamento Farmacológico , Múltiplas Afecções Crônicas/tratamento farmacológico , Geriatria
15.
Soins Gerontol ; 24(139): 45-48, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31540722

Assuntos
Geriatria , Idoso , Humanos
16.
Georgian Med News ; (292-293): 118-121, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31560676

RESUMO

The article presents the results of linguistic study regarding the means of expressing the fundamental terms of the micro-terminology system "Gerontology and Geriatrics" in Latin and Greek. The aim of the research is to study the verbal codification in the corpus of basic gerontological concepts as an integral part of medical terminology in classical languages. The study of age-related changes, which take place in the aging body, the peculiarities of the course of diseases in the elderly and senile age, and prevention methods are becoming more urgent and therefore substantiates the necessity and timeliness of this research. Specialized studies of Latin and Greek terminology in this field of medical science have not been performed yet, which determines the scientific novelty of this paper. The research material relies on the authoritative encyclopedic and etymological dictionaries, using the method of continuous sampling with a semantic criterion. The frequency of using the Greek initial term elements ger-/geront- and presby- as components of single-word composites has been considered. The compositional models of several gerontological terms and grammatical means of their expression have been analyzed. The relevance of the study is due to the fact that the study of trends and principles of the formation of Latin medical terms, the mechanisms of their functioning, semantic features in synchronous and diachronic aspects makes it possible to trace the main stages of development of medical science and contributes to the standardization of the sublanguage of medicine.


Assuntos
Geriatria , Linguagem , Linguística , Semântica , Terminologia como Assunto , Humanos
17.
Adv Gerontol ; 32(3): 375-382, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31512424

RESUMO

The review article presents data on common dermatoses in elderly patients. At present, this topic is practically not discussed in the Russian geriatrics. The urgency of the problem is increasing due to the increase in life expectancy and the deterioration in the availability of specialized care (in particular, dermatological care), especially for elderly patients. The review discusses a number of clinical cases in elderly patients. This article is addressed to geriatrics, general practitioners, general practitioners (family doctors).


Assuntos
Dermatopatias , Geriatria/tendências , Humanos , Expectativa de Vida/tendências , Federação Russa , Dermatopatias/diagnóstico , Dermatopatias/patologia
18.
Adv Gerontol ; 32(3): 451-455, 2019.
Artigo em Russo | MEDLINE | ID: mdl-31512434

RESUMO

In the article the authors presented the dynamics of the population over the working age (pension) in the Belgorod region, which for 8 years (2010-2017) increased by 17,1% and confirms the trend of aging of the region's population. An increase of 13,3% in the absolute number of patients over the working age treated in hospitals of medical organizations (MO) of the region was shown. There was a decrease of 1,2% in the rate of hospital (hospitalized) morbidity in this age group. The reasons of hospitalization of these patients in the round-the-clock hospitals of MO of the region (structure of hospital morbidity) among which the following classes of diseases prevailed: systems of blood circulation, neoplasm, diseases of digestive, respiratory, eye and its additional apparatus are analyzed. The average length of stay in hospitals on the bed of patients older than working age in the classes of diseases, which for 8 years decreased by 4,8% (from 12,4 to 11,8 days.) In order to reduce the level of hospital morbidity and mortality in the region, increase the active life of the population older than the working age, identified ways of development of gerontological and geriatric care in the region, which will also contribute to the implementation of pension reform.


Assuntos
Geriatria , Morbidade , Idoso , Geriatria/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Humanos , Tempo de Internação/estatística & dados numéricos
19.
Arq. bras. cardiol ; 113(2 supl.1): 38-38, set., 2019.
Artigo em Português | Sec. Est. Saúde SP, SESSP-IDPCPROD, Sec. Est. Saúde SP | ID: biblio-1016872

RESUMO

FUNDAMENTO: A Fibrilação Atrial (FA) e a síndrome da Fragilidade são condições comuns devido ao processo de envelhecimento do sistema cardiovascular e, portanto, bem prevalentes na população idosa. A síndrome da fragilidade (SF) representa um conjunto de alterações que incluem significativas perdas de peso, de tecido ósseo e de massa muscular (sarcopenia). Tais alterações podem comprometer a reserva funcional de diversos sistemas, em especial o cardiovascular. O ciclo de fragilidade corresponde a um espiral de declínio e de vulnerabilidade fisiológica básica causada pela desregulação de múltiplos sistemas o que dificulta determinadas terapias cardiovasculares, como a anticoagulação, fundamental para os pacientes portadores de fibrilação atrial. OBJETIVO: Avaliar o prevalência da SF em cardiopatas idosos portadores de fibrilação atrial anticoagulados, com varfarina, atendidos em ambulatório de anticoagulção do setor de Cardiogeriatria de serviço do Estado de São Paulo. MÉTODOS: Foi realizado estudo observacional analítico, com aplicação de questionário, no mês de maio de 2019 em idosos acompanhados em ambulatório de anticoagulação do setor Cardiogeriatria. O diagnóstico da SF foi estabelecido segundo os Critérios FRAIL, os domínios avaliados são fadiga, resistência, avaliação aeróbica, doenças associadas e perda de peso, sendo classificados em robustos, pré-frageis e frágeis. RESULTADOS: Foram entrevistados consecutivamente 42 pacientes, 59,5% mulheres, idade média de 78,6 anos (72 a 89 anos), de acordo com os critérios estabelecidos, 23,8% robustos, 40,7 % pré-frageis e frágeis 35,7%. CONCLUSÃO: A partir dos resultados desta pesquisa constatou-se a forte presença de síndrome de fragilidade entre os idosos portadores de fibrilação atrial anticoagulados, com predomínio pre-frágeis. Assim, a identificação de sinais e sintomas preditores da fragilização no idoso pode auxiliar no desenvolvimento de intervenções e estratégias para minimizar os efeitos desfavoráveis à saúde do idoso, as quais representam uma etapa essencial na busca pela melhoria da qualidade de vida destes idosos e otimização terapêutica. (AU)


Assuntos
Humanos , Fibrilação Atrial , Fragilidade , Geriatria
20.
Am J Health Syst Pharm ; 76(4): 236-241, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-31415680

RESUMO

PURPOSE: In this article we describe a novel required longitudinal experience focused on deprescribing designed for postgraduate year 2 (PGY2) geriatric pharmacy residents. This experience was embedded within a clinical pharmacist-driven deprescribing service. Insights on challenges faced and benefits gained during the first offering are also highlighted. SUMMARY: Through collaboration with the University of Pittsburgh School of Pharmacy (UPMC) Palliative and Supportive Institute and the UPMC St. Margaret PGY2 geriatric pharmacy residency program, a year-long required deprescribing-focused experience was developed and executed. The experience was aligned with the American Society of Health-System Pharmacists' standard goals and objectives and was designed to focus and evaluate 3 skills necessary for all pharmacy practitioners: empathy, critical thinking, and communication. There is a need for proactive deprescribing initiatives to reduce the unnecessary burden and cost associated with potentially inappropriate medications for older patients. Focused deprescribing experiences can better equip pharmacist learners with the ability to lead these initiatives. CONCLUSION: A required longitudinal deprescribing-focused experience can provide PGY2 geriatric pharmacy residents with opportunities to practice empathy, critical thinking, and communication beyond those typically offered in a residency program.


Assuntos
Desprescrições , Educação de Pós-Graduação em Farmácia/organização & administração , Residências em Farmácia/organização & administração , Desenvolvimento de Programas , Idoso de 80 Anos ou mais , Avaliação Educacional , Feminino , Geriatria/educação , Humanos , Masculino , Cuidados Paliativos/métodos , Farmacêuticos , Serviço de Farmácia Hospitalar , Papel Profissional
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