scholarly journals Presbyphagia and dysphagia in old age

2020 ◽  
Vol 6 (3) ◽  
Author(s):  
Stefano Cavallero ◽  
Ligia J. Dominguez ◽  
Laura Vernuccio ◽  
Mario Barbagallo
Keyword(s):  
Old Age ◽  
Elderly Population ◽  
Comprehensive Evaluation ◽  
Current Knowledge ◽  
Correct Diagnosis ◽  
The Elderly ◽  
Health Condition ◽  
Functional Changes ◽  
Correct Definition ◽  
Definition Of

Although presbyphagia is a clinically relevant problem among elderly population, possibly leading to dysphagia in old age, it remains a still underestimated health condition. The present review analyzes swallowing related anatomical and functional changes during aging, both in healthy people and in those affected by dysphagia. First of all, dysphagia in old people must not be confused with presbyphagia. To distinguish these two different conditions, a correct definition of both should be considered. Subsequently, a comprehensive evaluation including instrumental analysis should be carried out. The aim of this narrative review is to analyze the current knowledge of this clinical condition and to provide the state of art to clinicians. A systematic PubMed research on dysphagia in the elderly was conducted and most relevant and most recent references were manually screened and selected. The aim of a correct diagnosis is to enable the choice of a correct intervention in order to prevent and treat complications of dysphagia, such as ab ingestis pneumonia and malnutrition. Moreover, the assessment, diagnosis and therapy of dysphagia/ presbyphagia should include the intervention of different specialists.

scholarly journals Prevalence and comparison of depression rates in geriatric patients of old age home and community, and its association with chosen demographic factors

2020 ◽  
Vol 8 (5) ◽  
pp. 1760
Author(s):  
Preksha T. Singh ◽  
Shreyans D. Singhvi ◽  
Gautam Bhandari
Keyword(s):  
Old Age ◽  
Elderly Population ◽  
Geriatric Patients ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Demographic Factors ◽  
Educational Status ◽  
The Elderly ◽  
Health Condition ◽  
Geriatric Depression

Background: Depression is an emerging mental health condition and elderly population of the world is often affected by it. In the elderly, it often goes unnoticed and often burdens them.Methods: Two groups of population one from an old age home and the other from a community were selected. Data was collected using a Geriatric Depression Scale (GDS) and a demographic form. The data was compiled and analyzed using Google Spreadsheets.Results: Depression rates were found in both, the old age home and the community. The rates were found higher in the old age home than the community. The demographic factors chronic illness, gender, educational status and marital status were found to be associated with depression.Conclusions: As depression in elderly is a fairly common phenomenon, it should be paid more attention. The elderly should receive intervention for the disease and be able to sustain it.

scholarly journals How to Treat Hepatocellular Carcinoma in Elderly Patients

2021 ◽  
Vol 14 (3) ◽  
pp. 233
Author(s):  
Piera Federico ◽  
Emilio Francesco Giunta ◽  
Annalisa Pappalardo ◽  
Andrea Tufo ◽  
Gianpaolo Marte ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Elderly Patients ◽  
Elderly Population ◽  
Primary Tumour ◽  
The Elderly ◽  
Chronic Liver Diseases ◽  
Old Patients ◽  
Choice Of Treatment ◽  
Definition Of ◽  
Optimal Treatment Strategy

Hepatocellular carcinoma (HCC) is the primary tumour of the liver with the greatest incidence, particularly in the elderly. Additionally, improvements in the treatments for chronic liver diseases have increased the number of elderly patients who might be affected by HCC. Little evidence exists regarding HCC in old patients, and the elderly are still underrepresented and undertreated in clinical trials. In fact, this population represents a complex subgroup of patients who are hard to manage, especially due to the presence of multiple comorbidities. Therefore, the choice of treatment is mainly decided by the physician in the clinical practice, who often tend not to treat elderly patients in order to avoid the possibility of adverse events, which may alter their unstable equilibrium. In this context, the clarification of the optimal treatment strategy for elderly patients affected by HCC has become an urgent necessity. The aim of this review is to provide an overview of the available data regarding the treatment of HCC in elderly patients, starting from the definition of “elderly” and the geriatric assessment and scales. We explain the possible treatment choices according to the Barcelona Clinic Liver Cancer (BCLC) scale and their feasibility in the elderly population.

Epidemiology Prevalence and Incidence in Dry-Form (Non-Neovascular) Age-Related Macular Degeneration

2017 ◽  
pp. 97-99
Keyword(s):  
Macular Degeneration ◽  
Elderly Population ◽  
The Elderly ◽  
Epidemiologic Studies ◽  
Age Related Macular Degeneration ◽  
Neovascular Amd ◽  
Age Related ◽  
Dry Amd ◽  
Degenerative Disorder ◽  
Definition Of

Age-related macular degeneration (AMD) is a degenerative disorder of the central retina and represents the leading cause of severe visual impairment in the elderly population of industrialized societies. It is known that it currently exists between 30 and 50 million people around the world and is estimated that will have doubled by the end of the coming decade. Several large epidemiologic studies have evaluated the prevalence of non-neovascular or so-called dry AMD. There is some variation in the prevalence of non-neovascular AMD depending on the exact definition of AMD. All of them report a higher prevalence of early AMD and an increasing prevalence with age. It is seen most in Caucasians and least in people with Africans and it is not related to gender.

scholarly journals Preoperative risk evaluation in patients over 75 years candidates to non-cardiac and cardiac surgery

2017 ◽  
Vol 87 (2) ◽  
Author(s):  
Alessandro Boccanelli ◽  
Pompilio Faggiano
Keyword(s):  
Risk Evaluation ◽  
Current Knowledge ◽  
Postoperative Outcome ◽  
Cardiovascular Prevention ◽  
The Elderly ◽  
Perioperative Risk ◽  
Observational Research ◽  
Geriatric Cardiology ◽  
Cardiac Evaluation ◽  
Definition Of

<p>In the 24<sup>th</sup> and 25<sup>th</sup>of June 2016, 80 national experts were invited to Rome from The Italian Society of Geriatric Cardiology and the Italian Association of Cardiovascular Prevention and Rehabilitation to revise the current knowledge on the perioperative risk in the elderly. Cardiologists, geriatricians, heart and general surgeons and anesthesiologists discussed the topic with the objective of reaching a consensus and to launch observational research and registries in the field of perioperative risk evaluation in the elderly. The introduction of objective measures of frailty on top of traditional cardiac evaluation in the different surgical contexts could allow for a more precise definition of “surgical risk”, appropriate perioperative management and postoperative outcome.</p>

scholarly journals Regional disparities in Canadian adult and old-age mortality: A comparative study based on smoothed mortality ratio surfaces and age at death distributions

2013 ◽  
Vol 39 (3-4) ◽  
pp. 79 ◽  
Author(s):  
Nadine Ouellette ◽  
Robert Bourbeau ◽  
Carlo G. Camarda
Keyword(s):  
Old Age ◽  
Elderly Population ◽  
The Elderly ◽  
Adult Mortality ◽  
Two Dimensions ◽  
Age At Death ◽  
Mortality Ratio ◽  
Mortality Compression ◽  
Mortality Improvements ◽  
Great Mortality

This paper examines adult and old-age mortality differentials in Canada between 1930 and 2007 at the provincial level, using theCanadian Human Mortality Database and the flexible smoothing P-spline method in two-dimensions well-suited to the study of smallpopulations. Our analysis reveals that provincial disparities in adult mortality in general, and among the elderly population in particular,are substantial in Canada. Moreover, based on the modal age at death and the standard deviation of ages at death above the mode,provincial disparities at older ages have barely reduced over time, despite the great mortality improvements in all provinces since the early 20th century. In the last few years studied, evidence of the shifting mortality regime was found among females in most Western and Central provinces, while all males were still undergoing an old-age mortality compression regime.

scholarly journals The concept of quality of life in dementia in the different stages of the disease

2005 ◽  
Vol 17 (3) ◽  
pp. 353-370 ◽  
Author(s):  
Teake P. Ettema ◽  
Rose-Marie Dröes ◽  
Jacomine de Lange ◽  
Marcel E. Ooms ◽  
Gideon J. Mellenbergh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly Population ◽  
The Elderly ◽  
Literature Study ◽  
Age Related ◽  
Multidimensional Evaluation ◽  
Specific Concept ◽  
Definition Of ◽  
The Individual

In order to conceptually define quality of life (QOL) in dementia, the literature on QOL in the elderly population, in chronic disease and in dementia was studied. Dementia is a progressive, age-related, chronic condition and to avoid omissions within the dementia-specific concept of QOL, a broad orientation was the preferred approach in this literature study. Adaptation is a major outcome in studies investigating interventions aimed at improving QOL in chronic conditions, but to date, it has not been used in the definition of QOL. It is argued that adaptation is an important indication of QOL in people with chronic diseases and therefore also in dementia. Some crucial issues in assessing dementia-related QOL that are relevant to clarify the continuing debate on whether QOL, particularly in dementia, can be measured at all, are discussed. Then the following conceptual definition is offered: dementia-specific QOL is the multidimensional evaluation of the person–environment system of the individual, in terms of adaptation to the perceived consequences of the dementia.

scholarly journals Decoupling of Elderly Healthcare Demand and Expenditure in China

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1346
Author(s):  
Shangguang Yang ◽  
Danyang Wang ◽  
Wenhui Li ◽  
Chunlan Wang ◽  
Xi Yang ◽  
...  
Keyword(s):  
Health Insurance ◽  
Elderly Population ◽  
The Elderly ◽  
Health Condition ◽  
Medical Expenditure ◽  
Linear Regression Models ◽  
Healthy Longevity ◽  
The Government ◽  
Elderly Healthcare ◽  
Significant Factors

This study examined the changing trajectory and factors that influenced the health and medical expenditure of the Chinese elderly population over the past two decades. Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 1998 to 2018, inferential and multiple linear regression models were constructed. The key finding is that China has experienced a decoupling of healthcare demand (HCD) and healthcare expenditure (HCE) since around 2014, when HCE began to decline despite the fact that HCD continued to rise. This is a promising sign, suggesting that the government’s health insurance policy is working. Furthermore, participating in health insurance schemes can significantly reduce the elderly’s HCD and HCE, demonstrating that health insurance can effectively affect the elderly’s decision to seek medical treatment and improve their health condition. We also found that age, region, basic old-age insurance, and care by the government and institutions were significant factors that influenced the healthcare demand and expenditure of the elderly population.

scholarly journals WPŁYW MEDIÓW NA KREOWANIE WIZERUNKU STAROŚCI W REKLAMIE TELEWIZYJNEJ – BADANIE PILOTAŻOWE

2019 ◽  
Vol 19 ◽  
pp. 85-94
Author(s):  
Kinga Kowalewska
Keyword(s):  
Old Age ◽  
Elderly Population ◽  
The Elderly ◽  
Television Commercials ◽  
The Media ◽  
Tv Commercials

The purpose of the article is to find the answer to the questions whether television commercials have an impact on creating the image of the elderly and what image of old age and lifestyle of the elderly is built on the basis of television ads. Studies have confirmed the hypothesis and have shown that the media through the content presented in TV commercials have a real impact on the shape of the image of the elderly population. The results allow the media to be seen as strong and efficient tools in the process of creating the image as such, also of other populations or individuals. The qualitative results have shown that the image of old age is seen mainly as positive and neutral, whereas their lifestyle is perceived as real, idealized and attractive.

NEW APPROACHES TO THE OLD PROBLEMS. HYPERTENSION IN THE GERIATRIC PATIENTS

2020 ◽  
pp. 515-526
Author(s):  
Е. А. Темникова ◽  
А. И. Кондратьев ◽  
М. В. Темников
Keyword(s):  
Old Age ◽  
Elderly Population ◽  
Geriatric Patients ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
Noncommunicable Diseases ◽  
The World ◽  
Very Old Age ◽  
Modern Information ◽  
The Impact

Значительное увеличение численности лиц пожилого и старческого возраста во всём мире ведёт к возрастанию актуальности проблем сохранения здоровья и адекватной медицинской помощи гериатрическим пациентам. Особое значение приобретают своевременная диагностика и лечение хронических неинфекционных заболеваний, частота которых с возрастом значительно нарастает. Артериальная гипертензия в пожилом и старческом возрасте всегда вызывала особое внимание исследователей и практических врачей из-за её распространённости, меняющихся подходов к диагностике и оценке влияния на прогноз, различающихся неоднозначных предложений по ведению возрастных пациентов. В обзоре представлены данные международных и отечественных исследований и рекомендаций по вопросам патофизиологии артериальной гипертензии, особенностям её диагностики и лечения в различных клинических ситуациях. A significant increase of the elderly population over the world leads to an increasing the relevance of the problems of maintaining health and adequate medical care for geriatric patients. Timely diagnosis and treatment of chronic noncommunicable diseases, the frequency of which increases with age, have been the particular importance. The researchers and practicing doctors have always paid special attention to hypertension in old and very old age due to its prevalence, changeable approaches to diagnosis and assessment of the impact on the prognosis, various ambiguous proposals for the management of the patients. Modern information about the international and domestic researches and recommendations on the issues of the pathophysiology of hypertension, features of its diagnosis and treatment in various clinical situations is presented in the review.

Jean Carette et Louis Plamondon (sous la direction de:) Vieillir sans violence. Montréal, Presses de l'Université du Québec, 1990, pp. 426.

1993 ◽  
Vol 12 (1) ◽  
pp. 110-112
Author(s):  
Michèle Clément
Keyword(s):  
Old Age ◽  
Current Knowledge ◽  
The Elderly ◽  
The State ◽  
Old Age Homes ◽  
Book Groups

ABSTRACTThis book groups a series of articles presented at a symposium held in Trois-Rivières on October 10, 11 and 12, 1990. It covers the main issues of training and instrumentation of people working in contexts of abuse and violence towards the elderly. Several programs and testimonies of intervention in Quebec are also presented. This is a well-researched book, which, in addition to outlining the broad elements of the issue, gives an analytical presentation of recent publications and tackles the touchy subject of unrecognized old age homes. Therefore, in its composition, Vieillir sans violence offers an excellent synthesis of the state of current knowledge on violence towards the elderly. However, the large number of themes touched upon is somewhat detrimental to a sense of unity. Also, the highly descriptive nature of the texts can at times make for fastidious and arduous reading. Despite these few flaws, this is nonetheless an accessible book that contributes greatly to our understanding of the phenomenon of violence.

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