scholarly journals A Case of Dens Fracture: A Pictorial Review and Discussion

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Bobby Desai ◽  
John Slish ◽  
Brandon Allen
Keyword(s):  
Neck Pain ◽  
Case Reports ◽  
The Elderly ◽  
Neurologic Symptoms ◽  
Pictorial Review ◽  
Minimal Trauma ◽  
Dens Fracture ◽  
Dens Fractures

Dens fractures are more common in the elderly and may present after minimal trauma and with minimal neck pain. The case reports a case of a significant fracture after minimal trauma, presenting with neurologic symptoms and minimal neck pain.

Crohn's disease as a differential diagnostic problem in the elderly (case reports)

2006 ◽  
Vol 44 (05) ◽  
Author(s):  
Z Czeglédi ◽  
K Rábai ◽  
T Szamosi ◽  
B Nádas ◽  
J Banai
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Case Reports ◽  
The Elderly ◽  
Diagnostic Problem

scholarly journals Self-Reported Complaints as Prognostic Markers for Outcome After Mild Traumatic Brain Injury in Elderly: A Machine Learning Approach

2021 ◽  
Vol 12 ◽  
Author(s):  
Mayra Bittencourt ◽  
Sebastián A. Balart-Sánchez ◽  
Natasha M. Maurits ◽  
Joukje van der Naalt
Keyword(s):  
Machine Learning ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Elderly Patients ◽  
Neck Pain ◽  
Functional Outcome ◽  
Mild Traumatic Brain Injury ◽  
Prognostic Markers ◽  
The Elderly ◽  
Post Injury

Self-reported complaints are common after mild traumatic brain injury (mTBI). Particularly in the elderly with mTBI, the pre-injury status might play a relevant role in the recovery process. In most mTBI studies, however, pre-injury complaints are neither analyzed nor are the elderly included. Here, we aimed to identify which individual pre- and post-injury complaints are potential prognostic markers for incomplete recovery (IR) in elderly patients who sustained an mTBI. Since patients report many complaints across several domains that are strongly related, we used an interpretable machine learning (ML) approach to robustly deal with correlated predictors and boost classification performance. Pre- and post-injury levels of 20 individual complaints, as self-reported in the acute phase, were analyzed. We used data from two independent studies separately: UPFRONT study was used for training and validation and ReCONNECT study for independent testing. Functional outcome was assessed with the Glasgow Outcome Scale Extended (GOSE). We dichotomized functional outcome into complete recovery (CR; GOSE = 8) and IR (GOSE ≤ 7). In total 148 elderly with mTBI (median age: 67 years, interquartile range [IQR]: 9 years; UPFRONT: N = 115; ReCONNECT: N = 33) were included in this study. IR was observed in 74 (50%) patients. The classification model (IR vs. CR) achieved a good performance (the area under the receiver operating characteristic curve [ROC-AUC] = 0.80; 95% CI: 0.74–0.86) based on a subset of only 8 out of 40 pre- and post-injury complaints. We identified increased neck pain (p = 0.001) from pre- to post-injury as the strongest predictor of IR, followed by increased irritability (p = 0.011) and increased forgetfulness (p = 0.035) from pre- to post-injury. Our findings indicate that a subset of pre- and post-injury physical, emotional, and cognitive complaints has predictive value for determining long-term functional outcomes in elderly patients with mTBI. Particularly, post-injury neck pain, irritability, and forgetfulness scores were associated with IR and should be assessed early. The application of an ML approach holds promise for application in self-reported questionnaires to predict outcomes after mTBI.

scholarly journals Percepção acerca do envelhecimento saudável e das questões raciais

2019 ◽  
Vol 13 (1) ◽  
pp. 281
Author(s):  
Drielly Silva Andrade ◽  
Jessyka Santos Ferreira ◽  
Uilma Santos de Souza ◽  
Michelle De Santana Xavier Ramos
Keyword(s):  
Healthy Aging ◽  
Case Reports ◽  
Black Population ◽  
The Elderly ◽  
Physical Aspect ◽  
Multiprofessional Team ◽  
Racial Issues ◽  
Qualitative Descriptive ◽  
Elderly Health ◽  
Nursing Health

ABSTRACT Objective: to describe the experience of living with the elderly with a look at racial issues and healthy aging. Method: this is a qualitative, descriptive study, a type of experience report, performed in a USF, from November 2017 to March 2018. A field diary was constructed through the meetings. Results: in the contact with the elderly, the fragilities and the difficulties of each one in carrying out the daily activities and the self-care are perceived. It is inferred that most of the participants underwent medical treatment of chronic diseases. The participation of the elderly in the discussions about racial issues and the needs aroused by them to continue aging with health becomes relevant. Conclusion: the intervention project made it possible for all those involved in the activities to understand the aging process and the demands demanded in this phase, both in the physical aspect and in the psychic and social aspects of the elderly, awakening in each member of the multiprofessional team, the interest in contributing and being able to welcome this clientele. Descritores: Health of the Elderly; Health of the Black Population; Case Reports; Nursing; Health Education; Primary Health Care. RESUMOObjetivo: descrever a experiência da convivência com idosos com um olhar sobre as questões raciais e o envelhecimento saudável. Método: trata-se de estudo qualitativo, descritivo, tipo relato de experiência, realizado em uma USF, no período de novembro de 2017 a março de 2018. Construiu-se, por meio dos encontros, um diário de campo. Resultados: percebem-se, no contato com os idosos, as fragilidades e as dificuldades de cada um em realizar as atividades diárias e o autocuidado. Infere-se que a maior parte dos participantes realizava tratamento medicamentoso de doenças crônicas. Torna-se relevante a participação dos idosos nas discussões sobre as questões raciais e as necessidades despertadas por eles para continuar envelhecendo com saúde. Conclusão: possibilitou-se, pelo projeto de intervenção, a todos os envolvidos nas atividades, compreender o processo de envelhecimento e as demandas exigidas nessa fase, tanto no aspecto físico, quanto nos aspectos psíquico e social do idoso, despertando, em cada membro da equipe multiprofissional, o interesse em contribuir e se capacitar para acolher essa clientela. Descritores:  Saúde do Idoso; Saúde da População Negra; Relato de Caso; Enfermagem; Educação em Saúde; Atenção Primária à Saúde.RESUMEN Objetivo: describir la experiencia de la convivencia con los ancianos con una mirada sobre las cuestiones raciales y el envejecimiento saludable. Método: se trata de un estudio cualitativo, descriptivo, tipo relato de experiencia, realizado en una USF, en el período de noviembre de 2017 a marzo de 2018. Se construyó, por medio de los encuentros, un diario de campo. Resultados: se percibe, en el contacto con los ancianos, las fragilidades y las dificultades de cada uno en realizar las actividades diarias y el autocuidado. Se infiere que la mayoría de los participantes realizaba tratamiento medicamentoso de enfermedades crónicas. Se hace relevante la participación de los ancianos en las discusiones sobre las cuestiones raciales y las necesidades despertadas por ellos para continuar envejeciendo con salud. Conclusión: se posibilitó, por el proyecto de intervención, a todos los involucrados en las actividades, comprender el proceso de envejecimiento y las demandas exigidas en esa fase, tanto en el aspecto físico, como en los aspectos psíquico y social del anciano, despertando, en cada miembro del equipo multiprofesional, el interés en contribuir y capacitarse para acoger a esa clientela. Descritores: Salud del Anciano; Salud de la Población Negra; Informes de Casos; Enfermería; Educación en Salud; Atención Primaria de Salud.

scholarly journals The Impact of Marijuana on the Cardiovascular System: A Review of the Most Common Cardiovascular Events Associated with Marijuana Use

2020 ◽  
Vol 9 (6) ◽  
pp. 1925 ◽  
Author(s):  
Zara Latif ◽  
Nadish Garg
Keyword(s):  
Cardiovascular System ◽  
Cardiovascular Events ◽  
Public Perception ◽  
Case Reports ◽  
Marijuana Use ◽  
The Elderly ◽  
Older Individuals ◽  
Perception Of Safety ◽  
Cardiac Arrythmias ◽  
The Impact

With the expanded legalization of marijuana, its medical and recreational use have sharply increased over the past decade. A wide array of new forms of cannabis is available on the market today, and the potencies are ten times those of forms previously tested, meaning that the true impact of marijuana on the cardiovascular system remains unclear. Cannabis mainly exerts its effects via the sympathetic and parasympathetic nervous systems, with different doses affecting different cannabinoids receptors. Studies have shown that marijuana plays a role in thrombosis, inflammation, and atherosclerosis. Case reports have linked marijuana use to myocardial infarction, cardiac arrythmias, cardiomyopathies, stroke, and arteritis. Most patients are young, healthy men with no cardiovascular risk factors; however, the patient population is expected to change to include older individuals in the future. The widespread public perception of safety accompanying marijuana use has contributed to its increased use among the elderly, who are the most at risk population for acute cardiovascular events. In this review, we aim to provide a basic understanding of the physiological effects of marijuana on the cardiovascular system and to review the current literature regarding cardiovascular diseases linked to marijuana use in adults.

Risperidone in the treatment of psychoses in the elderly: a case report series

2002 ◽  
Vol 17 (2) ◽  
pp. 96-103 ◽  
Author(s):  
R. Bullock ◽  
S. Libretto
Keyword(s):  
Side Effects ◽  
Elderly Patients ◽  
Negative Symptoms ◽  
Case Reports ◽  
Antipsychotic Agents ◽  
The Elderly ◽  
The Body ◽  
Continuous Treatment ◽  
Atypical Antipsychotic Agents

SummaryRisperidone is one of the newer atypical antipsychotic agents, which combines potent serotonin and dopamine receptor antagonism. It shows efficacy against the positive and negative symptoms of schizophrenic psychoses and other psychotic conditions, and has a low propensity to cause extrapyramidal side effects. The aim of these case reports in elderly patients is to provide the benefit of personal experience with risperidone to the body of published literature and to demonstrate the types of patients that may benefit from treatment. These cases were compiled retrospectively from data collected on referral and during routine hospital appointments. This series covers four main areas of concern when treating the elderly: low-maintenance dosing minimising the likelihood of adverse events; successful treatment of patients previously uncontrolled and experiencing side effects with other antipsychotics; the possibility of intermittent rather than continuous treatment; and the benefits to patients, carers and the health services. At low doses, risperidone is an effective and well-tolerated treatment for psychoses in elderly patients that improves the quality of life for both patients and their caregivers.

scholarly journals Bone marrow elements in cerebrospinal fluid: Review of literature with a case study

CytoJournal ◽  
2013 ◽  
Vol 10 ◽  
pp. 20 ◽  
Author(s):  
Anitha Ann Thomas ◽  
Felicia Tze Yee Goh
Keyword(s):  
Central Nervous System ◽  
Bone Marrow ◽  
Cerebrospinal Fluid ◽  
Nervous System ◽  
Young Children ◽  
Case Reports ◽  
Central Nervous System Infection ◽  
The Elderly ◽  
Review Of Literature

Presence of bone marrow elements in cerebrospinal fluid is rare. Journal publications on this topic are few and majority of them were written over a decade ago mostly as case reports in young children or the elderly. The increased cellularity and presence of myeloid precursors can be a pitfall and may be misdiagnosed as leukemia or lymphoma or central nervous system infection, when the specimen is actually not representative. With the intention to create awareness of potential pitfalls and avoid erroneous diagnoses, as well as adding on to the current photo archive of bone marrow elements in CSF, we present a recent case of bone marrow contaminants in the CSF of a 16-year-old girl.

Three Cases of Abulia in the Elderly: A Call to Care

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Kakoullis ◽  
G. D'Souza ◽  
N. Hegde ◽  
G. Tadros
Keyword(s):  
Poor Prognosis ◽  
Dementia With Lewy Bodies ◽  
Case Reports ◽  
Lewy Bodies ◽  
Later Life ◽  
The Elderly ◽  
Clinical Implications ◽  
Pharmacological Agents ◽  
Dopaminergic Drugs ◽  
Negative Thoughts

The symptom of abulia is a state of diminished motivation where an individual may appear apathetic, disinterested, asocial and emotionally remote. It can exist independently but more commonly occurs as part of a constellation of symptoms accompanying a specific disorder, normally neurological or psychiatric. Although it is not a normal part of ageing, it has been observed in a number of conditions seen in later life. These include Alzheimer's disease, vascular dementia, Parkinson's disease, dementia with Lewy bodies, and frontotemporal dementia. Abulia and depression are separate entities but abulic patients are often thought to be depressed and experience long periods of anti-depressant treatment without benefit. the key difference is that abulic patients fail to disclose any sign of sadness or negative thoughts and show an obvious lack of concern for their condition.Abulia has significant clinical implications as it is associated with decreased function, poor prognosis and worse carer stress. It is also potentially treatable. the pharmacological agents that have received the most attention are dopaminergic drugs including Carbidopa/Levodopa, Amantadine, Bupropion and Bromocriptine. the research predominantly consists of case reports but no studies have focussed on the elderly. in this paper, the authors review the current literature and describe three cases of abulia in older people that have been successfully treated with Bromocriptine. the cases highlight the importance of recognising abulia and differentiating it from depression. They also show the need to consider treatment.

scholarly journals Subcutaneous Achilles tendon rupture in an eighty-year-old female with an absence of risk factors

2010 ◽  
Vol 2 (1) ◽  
pp. 11
Author(s):  
Motoki Sonohata ◽  
Tsutomu Okamoto ◽  
Kazuyoshi Uchihashi ◽  
Tsutomu Motooka ◽  
Hirofumi Tanaka ◽  
...  
Keyword(s):  
Achilles Tendon ◽  
Tendon Rupture ◽  
Case Reports ◽  
Achilles Tendon Rupture ◽  
Treatment Protocol ◽  
The Elderly ◽  
Clinical Results ◽  
Level Of Activity ◽  
Healthy Female ◽  
Tendon Ruptures

Achilles tendon ruptures rarely occur in patients over 80 years of age. However, it is unclear what treatment, surgical or conservative, is suitable for such an Achilles tendon rupture in the elderly. In addition, the clinical results of an Achilles tendon rupture in the elderly are disappointing. We report here the case of a subcutaneous Achilles tendon rupture in an eighty-year-old, healthy female, who returned to her previous level of activity following surgical treatment. Additional case reports of other instances of successful treatment are needed to help establish the optimal treatment protocol for an Achilles tendon rupture in the elderly.

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