Study Design for Nutritional Assessments in the Elderly

1998 ◽  
pp. 301-320 ◽  
Author(s):  
Helene Payette ◽  
Yves Guigoz ◽  
Bruno Vellas
Keyword(s):  
Study Design ◽  
The Elderly

Post-stroke Cognitive Impairment and Malnutrition in the Elderly (PCIME): study design and protocol

2021 ◽  
Author(s):  
Zahra Vahabi ◽  
M. Reza Azarpazhooh ◽  
Shima Raeesi ◽  
Shahram Oveisgharan ◽  
Farnaz Etesam ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Study Design ◽  
The Elderly ◽  
Post Stroke

scholarly journals PERAN POSYANDU DALAM PELAYANAN KESEHATAN MASYARAKAT

2018 ◽  
Vol 10 (1) ◽  
pp. 058-070
Author(s):  
Erwina Susanti
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Center ◽  
Study Design ◽  
The Elderly ◽  
Health Care Coverage ◽  
Refresher Training ◽  
Elderly Health ◽  
The Right ◽  
Age Range

Elderly health care coverage in Public Health Jalan Gedang as much (81.92%)and the number of elderly as many as 686 people. Visit the elderly who come to posyanduranges from 41-53 people per month in 2016. The health center has two IHC GedangWay consists of IHC Elderly Elderly Serayu Mandiri and Posyandu Elderly Peace. IHChas five cadres and participants 44 people. Elderly Posyandu cadre of Peace has fivepeople, participants lansianya 50 people. IHC Elderly Peace has many achievements thanPosyandu Elderly Serayu Mandiri The study design used in this research is descriptivequalitative method. Informants in this study as many as 10 cadres and 1 officer in chargePosyandu program. The study design used in this research is descriptive qualitativemethod. Knowledge Posyandu Elderly Peace found that IHC Elderly for seniors 60 yearsand older age range and Posyandu Elderly Serayu Mandiri that Posyandu Elderly agerange of 40 years and above. Attitude Posyandu Elderly Peace mostly elderly support andintegrated support Serayu Mandiri attitude. Kader Posyandu Elderly Peace and PosyanduElderly Serayu Mandiri mostly not expect incentives. Kader Posyandu Elderly Peacemostly mentioned five systems the table properly and Posyandu Elderly Serayu Mandirino mention of five tables with the right system. Expected to conduct refresher training orvolunteers to knowledge about Posyandu cadres better, could improve the role in theservice of Posyandu.

scholarly journals PND22 - LEVERAGE EVIDENCE FROM OBSERVATIONAL COHORTS IN THE ELDERLY TO INFORM STUDY DESIGN OF THE INSIGHTS TO MODEL ALZHEIMER’S PROGRESSION IN REAL LIFE (IMAP) STUDY

2018 ◽  
Vol 21 ◽  
pp. S333
Author(s):  
V Bezlyak ◽  
A Caputo ◽  
V Risson ◽  
M Bezuidenhoudt ◽  
C Feller ◽  
...  
Keyword(s):  
Study Design ◽  
Real Life ◽  
The Elderly

scholarly journals Effects of orthopedic insoles on static balance of older adults wearing thick socks

2018 ◽  
Vol 42 (3) ◽  
pp. 357-362 ◽  
Author(s):  
Christina Zong-Hao Ma ◽  
Duo Wai-Chi Wong ◽  
Anson Hong-Ping Wan ◽  
Winson Chiu-Chun Lee
Keyword(s):  
Older Adults ◽  
Study Design ◽  
Plantar Pressure ◽  
Repeated Measures ◽  
Postural Balance ◽  
Postural Sway ◽  
Center Of Pressure ◽  
Cost Effective ◽  
The Elderly ◽  
Orthopedic Insoles

Background: The wearing of socks and insoles may affect the ability of the foot to detect tactile input influencing postural balance. Objectives: The aim of this study was to investigate whether (1) thick socks adversely affected the elderly postural balance and (2) orthopedic insoles could improve the elderly postural balance while wearing thick socks. Study design: Repeated-measures study design. Methods: In total, 14 healthy older adults were recruited. A monofilament test was conducted to evaluate foot plantar sensation with and without thick socks. Subjects then performed the Romberg tests under three conditions: (1) barefoot, (2) with socks only, and (3) with both socks and insoles. Postural balance was assessed by measuring the center of pressure movement during standing in each experimental condition. Results: Thick socks significantly decreased the monofilament score ( p < 0.001), suggesting reduction in ability to detect external forces. All center of pressure parameters increased significantly while wearing thick socks ( p < 0.017), implying reduction of postural stability. They then decreased significantly with the additional use of insoles ( p < 0.017). Conclusion: Previous studies have documented the changes in plantar pressure distribution with the use of orthopedic insoles. This study further suggests that such changes in contact mechanics could produce some balance-improving effects, which appears not to have been reported earlier. Clinical relevance Wearing thick socks reduces plantar pressure sensitivity and increases postural sway which may increase risk of falls. Orthopedic insoles and footwear with similar design could potentially be a cost-effective method in maintaining postural balance when wearing thick socks.

Are quality improvement collaboratives effective? A systematic review

2017 ◽  
Vol 27 (3) ◽  
pp. 226-240 ◽  
Author(s):  
Susan Wells ◽  
Orly Tamir ◽  
Jonathon Gray ◽  
Dhevaksha Naidoo ◽  
Mark Bekhit ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Study Design ◽  
Interrupted Time Series ◽  
The Elderly ◽  
Evidence Base ◽  
Cochrane Library ◽  
Design Standards ◽  
Organisation Of Care ◽  
Randomised Controlled ◽  
Quality Improvement Collaboratives

BackgroundQuality improvement collaboratives (QIC) have proliferated internationally, but there is little empirical evidence for their effectiveness.MethodWe searched Medline, Embase, CINAHL, PsycINFO and the Cochrane Library databases from January 1995 to December 2014. Studies were included if they met the criteria for a QIC intervention and the Cochrane Effective Practice and Organisation of Care (EPOC) minimum study design characteristics for inclusion in a review. We assessed study bias using the EPOC checklist and the quality of the reported intervention using a subset of SQUIRE 1.0 standards.ResultsOf the 220 studies meeting QIC criteria, 64 met EPOC study design standards for inclusion. There were 10 cluster randomised controlled trials, 24 controlled before-after studies and 30 interrupted time series studies. QICs encompassed a broad range of clinical settings, topics and populations ranging from neonates to the elderly. Few reports fully described QIC implementation and methods, intensity of activities, degree of site engagement and important contextual factors. By care setting, an improvement was reported for one or more of the study’s primary effect measures in 83% of the studies (32/39 (82%) hospital based, 17/20 (85%) ambulatory care, 3/4 nursing home and a sole ambulance QIC). Eight studies described persistence of the intervention effect 6 months to 2 years after the end of the collaborative. Collaboratives reporting success generally addressed relatively straightforward aspects of care, had a strong evidence base and noted a clear evidence-practice gap in an accepted clinical pathway or guideline.ConclusionsQICs have been adopted widely as an approach to shared learning and improvement in healthcare. Overall, the QICs included in this review reported significant improvements in targeted clinical processes and patient outcomes. These reports are encouraging, but most be interpreted cautiously since fewer than a third met established quality and reporting criteria, and publication bias is likely.

scholarly journals VITAMIN B12 DEFICIENCY;

2017 ◽  
Vol 24 (06) ◽  
pp. 878-887
Author(s):  
Irfana Hassan ◽  
Bhagwan Das ◽  
Santosh Kumar ◽  
Ghulam Haider Khalid ◽  
Abdul Manan Junejo ◽  
...  
Keyword(s):  
Optic Neuritis ◽  
Study Design ◽  
Rural Areas ◽  
Vitamin B12 Deficiency ◽  
Shoulder Girdle ◽  
The Elderly ◽  
Position Sense ◽  
Response To Therapy ◽  
Elderly Age ◽  
Neuropsychiatric Manifestations

Objectives: To determine the frequency of neurological manifestations of vitamin B12deficiency and to observe the reversibility of the symptoms after the therapy. Study Design: Descriptivestudy. Study Design: Descriptive study. Setting: Medicine Department of Bolan Medical Complex HospitalQuetta. Period: One year that is from January 2012 to December 2012. Methodology: 46 patients presentedto various OPDS of B.M.C.H.. The inclusion criteria for the patients to be studied were: Anemia, Neurologicalcomplaints. Results: Out of 46 patients 26(56%) were males and 20(43%) were the females with a meanage of (40) years.32 (69%) belonged to the rural areas. 45(97%) had mixed diets whereas only one 1(2.1%)young non Muslim was found to be pure vegetarian.32 (69%) patients presented with hematological aswell as neurological complaints. 23(30%) had pancytopenia and 9(19.5%) had bicytopenia. 14(30%)presented with neurological complaints only as sacd 6 (13%), ataxia 8 (17%), sensorimotor neuropathies36 (78%) and dementia 2 (4.3%). In signs glossitis was found in 6(13%), jaundice in 22 (47%), pallor in32 (69%) proximal myopathy in 12 (26%) out of which 6 (13%) had shoulder girdle and 8 (17%) pelvicgirdle myopathy. Impaired position sense was found in 18 (39%) patients and vibration sense in 21(45%)patients. other signs were pigmentation 2(4.3%) hypotonia in 6(13%) Spasticity in 2(4.3%) and Upgoingplantars in 6(13%) patients. Lhermittes sign could be elicited in only 2(4.3%) patients Optic neuritis andoptic atrophy was found in 4(8.6%) patients who came with paraplegia and marked anemia. Rhombergssign was positive in 8(17.3%) who came with clumsiness of gait. Hemoglobin (Hb %) was found to be lowin 32(69%) with a mean of 7.2gm%.pancytopenia (anemia+leucopenia+thrombocytopenia) was found in23(50%) of patients whereas bicytopenia was found only in 9(19.5%) of patients. Hypersegmented W.B.Cwere very carefully looked for and were found in 20(43%) of cases. ovalomegaloblasts were found in 32(69%) of cases .both findings of ovalomegaloblasts and hypersegmented w.b.cs were found in 20 (43%).in the rest 14 (30%) the blood investigations were found to be normal. The next investigation in all patientswas serum B12 estimation, It was found that levels below 200pg/ml were found in 95% cases where only2(4.3%) patients came with levels slightly above 205pg/ml and 210pg/ml. the response to therapy wasrecorded as reversible and irreversible. the irreversible features were sacd in 6 (13%), optic atrophy in2 (4.3%), and dementia in 2 (4.3%) patients. the partially reversible features were myelopathy 10 (21%)numbness and paraesthesias 30 (65%) optic neuritis inn 2 (4.3%) patients were assessed on a durationof 24 weeks. partially reversible features were ataxia, in 6 (13%) patients myelopathy in 2 (4.3%) patientsdementia in 2 (4.3%) patients and paraesthesias and numbness in 6 (13%) patients over a period of 24weeks. Conclusion: It is concluded from my study that the neuropsychiatric manifestations of vitamin B12deficiency are common among the elderly age group, either with or with out the evidence of anemia.

scholarly journals Study design, sampling and assessment methods of the European study 'abuse of the elderly in the European region'

2011 ◽  
Vol 22 (5) ◽  
pp. 662-666 ◽  
Author(s):  
J. Lindert ◽  
J. Luna ◽  
F. Torres-Gonzalez ◽  
H. Barros ◽  
E. Ioannidi- Kapolou ◽  
...  
Keyword(s):  
Study Design ◽  
The Elderly ◽  
Assessment Methods ◽  
European Region ◽  
European Study

Prevalence and characteristics of diagnostic groups amongst 1034 patients seen in ENT practices for dizziness

2014 ◽  
Vol 128 (2) ◽  
pp. 128-133 ◽  
Author(s):  
M Lüscher ◽  
S Theilgaard ◽  
B Edholm
Keyword(s):  
Multicentre Study ◽  
Study Design ◽  
Benign Paroxysmal Positional Vertigo ◽  
Age Groups ◽  
Significant Proportion ◽  
The Elderly ◽  
The Other ◽  
Night Time ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

AbstractObjective:To determine the prevalence and characteristics of various diagnostic groups amongst patients referred to ENT practices with the primary complaint of dizziness.Study design:A prospective, observational, multicentre study.Methods:Consecutive patients presenting with dizziness to the participating ENT practices were enrolled. Seven ENT specialists at three clinics participated.Results:Benign paroxysmal positional vertigo was diagnosed in 53.3 per cent of the 1034 study patients. Fifty-nine per cent of these experienced night-time awakening with dizziness, which was a significant proportion in comparison to the other diagnostic groups. Benign paroxysmal positional vertigo was the most frequent diagnosis in all age groups, including those over 70 years.Conclusion:In this study of patients referred to ENT for dizziness, benign paroxysmal positional vertigo was the dominant diagnostic entity, in all age groups and overall. All clinicians in contact with dizzy patients must consider benign paroxysmal positional vertigo, especially in the elderly.

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