Hearing and Vision Impairment is Associated with Falls Risk among Older Adults
Wells TS, Karl JL, Bhattarai GR, Nickels LD and Yeh CS
Article Type: Original Research | First Published: June 11, 2020
The primary objective was to explore falls risk associated with hearing impairment (HI), vision impairment (VI), and hearing aid use among older adults. Participants (4,414) were categorized into six groups: no HI or VI, aided and unaided dual sensory impairment (DSI), aided and unaided HI only, and VI only. Falls risk included falling, being unsteady, and worried about falling. Individuals with DSI had the highest falls risk, generally followed by VI only and then HI only. The use of hearing ai...
Severe Hypoglycemia in a Nondiabetic Old Woman Treated with a Single Oral Dose of Hydroxychloroquine for Covid-19
Davide Moro, Giacomo Gastaldi, Dina Zekry and Christine Serratrice
Article Type: Original Research | First Published: June 11, 2020
We report the case of a 75-year-old woman, admitted to the emergency geriatrics unit because of asthenia, non-bloody watery diarrhoea, vomitus and flu-like symptoms, started two days earlier. She had also rhinorrhoea without dyspnea, abdominal or chest pain. As far as she knew, she had no contact with Covid-19 infected individuals. She had no relevant medical history and no known allergies. She was non-smoker and had no history of alcohol consumption. She is married, the couple has a son and she...
Lubiprostone for the Treatment of Constipation in Patients with Dementia
Atsushi Hamuro, MD, PhD, Minoru Honda, Hideki Kawaguchi and Hoai Noguchi
Article Type: Short Note | First Published: April 23, 2020
Chronic constipation is a common gastrointestinal disorder and it impairs patients’ quality of life (QOL). Because of their reduced cognitive function, dementia patients often find it difficult to verbalize the abdominal discomfort caused by constipation and bloating, and it can lead to ileus and loss of appetite. Although stimulant and osmotic laxatives, and enemas are commonly used to treat constipation, it has been reported that they can cause dependency, cathartic colon, and hemorrhoids...
The Predictive Status of the Neurocognitive Frailty Index in a Canadian Sample of Elderly with Hypertension
Sarah Pakzad, Paul Bourque and Nader Fallah
Article Type: Research Article | First Published: April 03, 2020
According to Statistics Canada in 2014, 23.4% of Canadians aged between 45 and 64-years-old, and 47, 4% of adults aged 65 years and older were diagnosed with hypertension. Given the significant association between hypertension and cognitive decline, and consequently on frailty status, the contribution of Neurocognitive Frailty Index in the assessment of patient’s prognosis is of utmost importance. Hence, the prognostic utility of the Neurocognitive Frailty Index (NFI), a comprehensive measure ...
Partial Endoprosthesis Application with Posterior Mini-Incision in Geriatric Hip Fractures: A Retrospective Study
Recep Dincer, Halil Burc, Y Barbaros Baykal, Tolga Atay and Vecihi Kirdemir
Article Type: Research Article | First Published: October 03, 2019
Recent technological advancements and accumulating surgical experience have led to a higher interest in orthopedic minimally invasive surgery. This study aims to present the feasibility of posterior mini-incision for partial hip prosthesis compared with total hip prosthesis. In all patients, a mini-incision of 8.5-cm mean length was used. The mean surgical duration was 67.4 min, and the mean blood loss was 526 mL. We observed no neurovascular damage in any patient resulting from the limited expo...
The Prevalence of Frailty and Its Association with Adverse Drug Reactions in Hospitalized Older Adults
Selina Cheong Tingting, Goh Wen Yang, Ong Eng Hui, Siti Nurhana Abdul Karim, See Lin Li and Edward Chong Kah Chun
Article Type: Research Article | First Published: September 18, 2019
The complex interplay between altered pharmacokinetics and pharmacodynamics, greater multimorbidity and polypharmacy, are associated with increased risk of adverse drug reactions (ADR) in older adults. There remains a paucity of data on the association between frailty and ADRs. We aimed to determine the association between frailty and the prevalence, presentation and severity of ADRs among hospitalized older adults. This was a retrospective, cross-sectional study in an acute care hospital in Sin...
A Novel Dual-Task Balance Challenge to Prevent Falls in Older Adults: A Randomized Pilot Study
Ruth E Taylor-Piliae, PhD, RN, FAHA, Chiu-Hsieh (Paul) Hsu, PhD, Hanne Dolan, MSN, RN, PhD Student, Nima Toosizadeh, PhD and Jane Mohler, NP-C, MPH, PhD4
Article Type: Research Article | First Published: September 16, 2019
A Matter of Balance (MOB) is a national community-based fall prevention program focusing on cognitive restructuring to manage concerns about falling, though does not include a balance-training component. A dual-task balance challenge (DTBC) comprising weight transfer using fixed and random ordering of ankle-reaching balance tasks was added to MOB, to determine of this would lead to reduced fall risk. The study aims were to assess acceptance, satisfaction, safety and adherence to the intervention...
Labial Fusion in a Postmenopausal Woman Presenting with Lower Urinary Tract Symptoms: A Case Report
Jung-Ting Lin, Chin-Kai Huang, Lan-Yin Huang, Pei-Ying Wu and Yu-Fang Huang
Article Type: Research Article | First Published: September 12, 2019
Acute or chronic lower urinary tract symptoms (LUTS) may be secondary to labial fusion in menopause. Early detection and treatment may help prevent progression of the condition. A 61-year-old, nulligravida, postmenopausal woman without sexual experience presented with partial labial fusion accompanying urinary tract infection and urinary retention. There was no follow up and five years later, when a transurethral catheterization failed during surgery for head and neck cancer, complete labial fus...
The Effect of Music Listening on Anxiety and Pain in Chronically and Terminally Ill Patients
Kalen Hendra, MD, Catherine Sims, MD and Soheir Boshra, MD
Article Type: Research Article | First Published: September 11, 2019
Numerous studies have shown that music therapy (MT) and music listening (ML) can improve patient symptoms such as anxiety, pain, and relaxation. To investigate the effect of multiple ML sessions and the association between patient expectations and outcomes, patients were recruited from two nursing and rehabilitation centers in Roanoke, Virginia. Patients received three 30-minute ML sessions (experimental) or no intervention (control). Patient data included the Edmonton Symptom Assessment System ...
Age Features of Periostal Callus Formation in Patients with Closed Fractures Bones of the Shoulder and of the Tibia
Schurov Vladimir Alekseevich, MD and Melnikova Lyudmila Vasilievna
Article Type: Research Article | First Published: August 30, 2019
Treatment of patients with fractures of the bones of the leg in an outpatient setting occurs under conditions of a forced increase in the axial load on the injured lower limb. The aim of the study was to determine the conditions for the formation of periosteal callus of the shoulder and lower leg and to assess the effect on its formation of the time frame for fixation of bone fragments in people of different ages under the conditions of treatment in the outpatient setting. In patients with a leg...
Examination of the Relationship of Asymptomatic Swallowing Disorder Prevalence with Hypertension, Diabetes and Obesity in Elderly Population
Arif YUKSEL, Can Ahmet KULAN, Rifat Reha BILGIN, Yaprak Ozum UNSAL, Nuri YURTMAN , Fehmi AKCICEK and Hatice ULUER
Article Type: Research Article | First Published: August 02, 2019
As one gets older, some changes occur in swallowing mechanisms. The non-symptomatic swallowing disorders associated with aging for no reason are called presbyphagia. Whether or not presbyphagia has any cause other than the mechanisms of aging is not clear. In our study, we investigated the association of presbyphagia with hypertension, diabetes, and obesity. Early detection of presbyphagia is important, and it is also important to reveal its association with common diseases encountered in societ...
Dehydration Prevention and Diagnosis: A Study in Long-Term Geriatric and Palliative Care
Prof. Jochanan E Naschitz, MD
Article Type: Research Article | First Published: May 02, 2019
Study Part I is a cross-sectional point of care assessment of data which might distinguish dehydrated from euhydrated subjects. Twelve potential markers of dehydration were evaluated: inadequate fluid intake, vomiting, diarrhea, bleeding, diuretic treatment, serum sodium, serum urea and creatinine, urea/creatinine ratio, estimated glomerular filtration rate, hemoglobin and serum albumin. Study Part II is a longitudinal survey of patients at risk of dehydration under changing clinical conditions....
Physical Approach towards the Problem of Aging
Article Type: Commentary | First Published: April 29, 2019
In the beginning of the century L. Boltzmann was the first to represent the increasing entropy process as a time flowing characteristic. Besides, he pointed at a possible time reversion process in micro systems. A symbol of aging of any system - alive or inanimate is the entropy increasing. Is this process reversible? For short periods - yes and biological systems represent examples of it. Unfortunately, any reversing of the entropy sign in these systems is possible only for short periods of tim...
Improvement in Nutritional Status is Associated with Achieving an Adequate Gait Speed at Discharge in Elderly Patients Hospitalized with Acute Heart Failure
Satoru Sakuragi, Nobuhisa Kodera, Toshihiro Iida, Takashi Yamada, Mitsutaka Nakashima, Atsushi Mori, Yuji Koide, Tadashi Wada, Kenji Kawamoto, Machiko Tanakaya and Yusuke Katayama
Article Type: Original Article | First Published: April 24, 2019
Elderly patients have impaired physical function, which is further reduced by the incidence of hospitalization for heart failure. In these patients, nutritional status also deteriorates during hospitalization, which may cause impairment in their physical function. In this study, we repeatedly measured physical function using gait speed (GS) during hospitalization, and evaluated the factors including nutritional status that are associated with GS at discharge in elderly patients with acute heart ...
Combined Spinal Epidural Anesthesia in a Geriatric Patient Undergoing Hartmann Colostmy
Atilla Tutak, oznur Uludag, M Bahattin Pektas, Recai Kaya, Mevlut Dogukan, Ayse sahin Tutak
Article Type: Case Report | First Published: April 04, 2019
Geriatric age group; Increased sensitivity to anesthetic drugs, respiratory, general anesthesia due to cardiac complicatioans and cognitive dysfunction in the postoperative period is restricted. Combined spinal epidural anesthesia compared to general anesthesia and cardiac and respiratory stabilization, the extension of the duration of anesthesia, rapid mobilization, postoperative pain control, the advantages of early discharge and a reduction in costs. High doses of spinal or epidural anesthesi...
Predicting Suicide Attempt Risk in Older Adults
David Sanchez-Teruel and Maria Auxiliadora Robles-Bello
Article Type: Research Article | First Published: April 03, 2019
Suicide attempts double death by suicide rates. To date it remains the only behavior that predicts more harmful future reattempts or deaths from suicide. However, few studies have analyzed the sociodemographic and clinical profiles of older adults who have suffered self-inflicted injuries or attempted suicide. To assess which sociodemographic and clinical variables are more predictive of a high-lethality or definitive future suicide reattempt in older adults who have suffered self-inflicted inju...