scholarly journals Possibility of oxygen-ozone therapy in the geriatric patient

Ozone Therapy ◽  
2017 ◽  
Vol 1 (3) ◽  
pp. 53
Author(s):  
Marianno Franzini ◽  
Giulia Ionita
Keyword(s):  
Drug Therapy ◽  
Side Effects ◽  
Minimally Invasive ◽  
Elderly Patients ◽  
Geriatric Patient ◽  
Multidisciplinary Care ◽  
Invasive Technique ◽  
Ozone Therapy ◽  
Muscular Pain ◽  
Care Of Elderly

In the context of multidisciplinary care of elderly patients, this work will want to consider the presence of osteo-articular and muscular pain, mostly chronic, of these subjects. The treatment has made use of oxygen-ozone therapy, given the absence of side effects of this minimally invasive technique, and the possibility of its use simultaneously with an already established poly-drug therapy, as typically found in the geriatric patient.

scholarly journals Cutaneous and Ganglion Sarcoidosis Induced by Polycaprolactone Facial Filler: A New Expression of ASIA Syndrome?

2021 ◽  
Author(s):  
Juan Ortiz-Álvarez ◽  
Jose Antonio Lebron-Martin ◽  
Lourdes Rodriguez Fernandez-Freire ◽  
Teresa Zulueta-Dorado ◽  
Jose Salvador Garcia-Morillo
Keyword(s):  
Side Effects ◽  
Minimally Invasive ◽  
Safety Profile ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Dermal Fillers ◽  
Autoimmune Syndrome ◽  
Good Safety Profile ◽  
Facial Filler ◽  
Asia Syndrome

Dermal fillers are applied using a minimally invasive technique with a good safety profile. However, they can have side effects. We present the case of a patient who, 2 months after undergoing polycaprolactone (Ellansé®) injections, developed nodular facial and nodal lesions that were compatible with sarcoidosis on histology. This complication has not been previously described for polycaprolactone and could be the expression of an autoimmune syndrome induced by adjuvants.

scholarly journals Robot-assisted revision of sacroiliac joint fusion using a triangular titanium implant in an S2-alar-iliac trajectory: illustrative case

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Matthew Triano ◽  
Islam Fayed ◽  
Faheem A. Sandhu
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Elderly Patients ◽  
Sacroiliac Joint ◽  
Titanium Implant ◽  
Invasive Technique ◽  
Illustrative Case ◽  
Robot Assisted ◽  
Invasive Approach

BACKGROUND Sacroiliac joint (SIJ) dysfunction can lead to significant pain and disability, greatly impairing quality of life. Arthrodesis may take up to 1 year to occur, after which revision can be considered. There is a need for highly accurate and reproducible techniques for revision that allow for purchase through undisturbed bone to prevent prolonged pain and disability. Moreover, a minimally invasive technique for revision would be favorable for recovery, particularly in elderly patients. OBSERVATIONS An 84-year-old man with a prior history of lumbar fusion presented with severe buttock pain limiting ambulation and sitting because of the failure of arthrodesis after SIJ fusion 1 year earlier. He underwent revision using a triangular titanium implant (TTI) in an S2-alar-iliac (S2-AI) trajectory under robotic guidance, which is a novel technique not yet described in the literature. The patient’s pain largely resolved, he was able to ambulate independently, and his quality of life improved tremendously. There were no complications of surgery. LESSONS Placement of a TTI using an S2-AI trajectory is a safe and effective method for revision that can be considered for elderly patients. Robot-assisted navigation can be used to facilitate an accurate and reproducible approach using a minimally invasive approach.

Intervention of complementary therapies for pain relief in the elderly: a literature integrative review study

2011 ◽  
Vol 5 (7) ◽  
pp. 1791
Author(s):  
Raffaelly Ferreira Tuzze Devolder ◽  
Fátima Helena Do Espírito Santo
Keyword(s):  
Drug Therapy ◽  
Pain Relief ◽  
Elderly Patients ◽  
Latin American ◽  
Complementary Therapies ◽  
Scientific Literature ◽  
The Elderly ◽  
Calidad De Vida ◽  
Care Of Elderly

ABSTRACTObjective: to identify the scientific production in the field of nursing of nonpharmacological pain relief for the elderly through studies presented in the scientific literature. Method: this paper is a literature search performed in the Virtual Health Library (BVS), Latin American and Caribbean Center on Health Sciences (LILACS) and Database of Nursing (BDENF) during the last ten years. Results: we find that those complementary therapies can serve as excellent adjuvants to drug therapy and, in some cases, the non-pharmalogical way can even replace the regular drug therapy; making pain management more sensible and humane, contributing to improve the quality of life of elderly patients. Associated with conventional treatment, those complementary therapies can help improve the care of elderly patients, providing a healthy and comfortable way of dealing with everyday situations of pain experienced by them. Conclusion: the analysis of scientific literature shows that non-pharmacological interventions can help drug therapy for pain relief. Descriptors: pain; nursing care; complementary therapies; health of the elderly.RESUMOObjetivo: identificar produções científicas de enfermagem referente à intervenções não farmacológicas para alivio da dor em idosos através de estudos apresentadas na literatura cientifica. Método: trata-se de uma pesquisa bibliográfica realizada na Biblioteca Virtual em Saúde (BVS), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Base de Dados de Enfermagem (BDENF), nos últimos dez anos. Resultados: constatamos que as terapias complementares podem atuar como excelente co-adjuvante à terapia medicamentosa e, em algumas situações, até substituí-la, tornando a abordagem da dor mais sensível e humanizada, contribuindo para a melhoria da qualidade de vida do paciente idoso. Associadas ao tratamento convencional, as terapias complementares podem contribuir para a melhora no cuidado do paciente idoso, proporcionando a esse uma forma sadia e confortável de lidar com as situações rotineiras de dor vivenciadas pelos idosos. Conclusão: a análise da produção científica apontam que intervenções não farmacológicas podem ajudar a terapia medicamentosa para o alívio da dor. Descritores: dor; cuidados de enfermagem; terapias alternativas; saúde do idoso.RESUMENObjetivo: analizar la producción científica de la enfermería relacionada a las intervenciones no farmacológicas para aliviar el dolor en los ancianos a través de estudios presentados en la literatura científica. Método: este trabajo es una búsqueda bibliográfica realizada en la Biblioteca Virtual en Salud (BVS), Centro Latinoamericano y del Caribe en Ciencias de la Salud (LILACS) y Base de Datos de Enfermería (BDENF) en los últimos diez años. Resultados: constatamos que las terapias complementarias pueden servir como complemento al tratamiento farmacológico y, en algunos casos, incluso sustituirlas, y por lo que el tratamiento del dolor más sensible y humano, contribuyendo a mejorar la calidad de vida de los pacientes de edad avanzada. Asociadas con el tratamiento convencional, las terapias complementarias pueden ayudar a mejorar el cuidado de los pacientes mayores, siempre que una forma sana y cómoda de hacer frente a situaciones cotidianas de dolor experimentadas por las personas mayores. Conclusión: el análisis de los estudios científicos demuestran que las intervenciones no farmacológicas pueden ayudar a la terapia con medicamentos para aliviar el dolor. Descriptores: dolor; atención de enfermería; terapias complementarias; salud de los ancianos.

The geriatric patient: Use of acute geriatrics units in the emergency care of elderly patients in France

2011 ◽  
Vol 52 (1) ◽  
pp. 40-45 ◽  
Author(s):  
D. Somme ◽  
C. Lazarovici ◽  
M. Dramé ◽  
P. Blanc ◽  
P.O. Lang ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Emergency Care ◽  
Geriatric Patient ◽  
Care Of Elderly ◽  
Patient Use

scholarly journals A Novel, Minimally Invasive Method to Retrieve Failed Dental Implants in Elderly Patients

2021 ◽  
Vol 11 (6) ◽  
pp. 2766
Author(s):  
Yerko Leighton ◽  
Javier Miranda ◽  
Raphael Freitas de Souza ◽  
Benjamin Weber ◽  
Eduardo Borie
Keyword(s):  
Minimally Invasive ◽  
Elderly Patients ◽  
Dental Implants ◽  
Oral Surgery ◽  
Treatment Plan ◽  
The Elderly ◽  
Invasive Technique ◽  
Removal Torque ◽  
Invasive Method ◽  
Anterior Posterior

This practice-based study presents the clinical outcomes of a minimally invasive method for retrieving failed dental implants from elderly patients. Traditional removal methods for failed dental implants include trephination and other invasive procedures. That can be a special concern for the elderly, since aging exacerbates oral surgery-related morbidity and anxiety. This retrospective cohort study gathers data from 150 patients seen in a private clinic. Their implants (n = 199) failed due to biological, mechanical, or iatrogenic causes, and were removed as part of their treatment plan. Collected data included: (1) implant location (maxilla/mandible, anterior/posterior region), (2) reasons for implant retrieval, (3) connection type, (4) removal torque, and (5) operatory procedure—flapless and using a counter-torque removal kit, whenever possible. Flapless/minimally invasive retrieval was successful for 193 implants (97%). The remaining six implants demanded trephination (open-flap). The most common reasons for implant retrieval (81%) involved biological aspects, whereas iatrogenic (12%) and biomechanical (7%) reasons were less common. The surgical technique used was not associated to connection types or removal torque. Authors conclude that a counter-torque ratchet system is a minimally invasive technique with a high success rate in retrieving implants from elderly patients. Present findings support its use as a first-line approach for implant retrieval in that population.

COMBINATION OF POTASSIUM PERCHLORATE AND PROPYLTHIOURACIL IN THE TREATMENT OF THYROTOXICOSIS

1968 ◽  
Vol 57 (4) ◽  
pp. 565-577 ◽  
Author(s):  
K. E. Røkke ◽  
J. H. Vogt
Keyword(s):  
Drug Therapy ◽  
Side Effects ◽  
Metabolic Rate ◽  
Total Cholesterol ◽  
Basal Metabolic Rate ◽  
Combined Therapy ◽  
Combined Treatment ◽  
Control Measures ◽  
Potassium Perchlorate ◽  
Plasma Total Cholesterol

ABSTRACT A report is given on 95 thyrotoxic patients treated with a combination of 400 mg propylthiouracil and 400 mg of potassium perchlorate. Perchlorate was stopped when a marked remission of symptoms was obtained, on an average after less than 7 weeks. Euthyroidism was found on an average after 7.2 weeks. The basal metabolic rate, PBI, plasma total cholesterol and weight showed a fairly rapid normalization. Thirteen of the 95 patients were given radio-iodine therapy shortly before drug therapy was started. The remaining 82 cases were grouped together with the 23 cases previously reported. Of the total of 105 cases, 96 became euthyroid on combined therapy. For the frequency of side-effects, the thirteen cases mentioned above were included, giving a total of 118 cases. Eight cases showed an increase in goitre size and 15 cases had other side-effects, of which three were granulocytopenia due to propylthiouracil. The possibility of a higher frequency of mainly minor side-effects on combined therapy has to be balanced against the seemingly rapid and reliable therapeutic effect. Combined treatment, perhaps with even smaller doses than reported here, can be recommended in selected cases of thyrotoxicosis where a shortening of the thyrotoxic state seems of importance, or possibly where difficulties due to iodine exposure may be anticipated, provided adequate control measures are taken.

POLYPHARMACY IN ELDERLY OUT PATIENTS

2019 ◽  
pp. 16-22
Author(s):  
E.A. Panova ◽  
V.A. Serov ◽  
A.M. Shutov ◽  
N.N. Bakumtseva ◽  
M.Yu. Kuzovenkova
Keyword(s):  
Drug Therapy ◽  
Elderly Patients ◽  
Drug Prescription ◽  
Daily Practice ◽  
Drug Prescriptions ◽  
Ulcer Disease ◽  
Start Criteria ◽  
Therapeutic Value ◽  
Elderly Outpatients ◽  
Oncological Diseases

The aim of the work is to study the daily practice of prescribing drugs at the outpatient stage of medical care and to analyze the data obtained based Beers 2012 criteria and STOPP / START version 1. Materials and Methods. The authors analyzed drug prescriptions for 150 outpatients, who were over 65 years old. Results. Cardiovascular diseases, diseases of the osteo-articular system and type 2 diabetes mellitus prevailed in the morbidity structure of patients. Oncological diseases, thyroid diseases, bronchial asthma, cataracts, pancreatitis, anemia, peptic ulcer disease were diagnosed in some patients. All drug prescriptions during the year were taken into account. Simultaneous prescription of more than 4 drugs was considered polypharmacy. All the patients were monitored for a year since drug prescriptions had been made. Death was taken as the end point. The authors considered drug therapy to be irrational according to Beers and STOPP / START criteria. The therapeutic value of drug prescription audit based on restrictive lists was evaluated. Conclusions. Polypharmacy is observed in more than half of elderly outpatients. According to Beers 2012 criteria, irrational drug therapy was detected in 20 % of elderly patients, according to STOPP and START lists – in 43.3 % and 66.6 %, respectively. The lack of drug prescriptions in accordance with START criteria is associated with increased mortality of elderly patients. Keywords: polypharmacy, pharmacotherapy, drug therapy, geriatrics, restrictive lists, Beers criteria, STOPP / START criteria. Цель работы – изучение ежедневной практики назначения лекарственных препаратов на амбулаторном этапе медицинской помощи и анализ полученных данных на основе критериев ограничительных перечней Бирса 2012 г. и STOPP/START версии 1. Материалы и методы. Проанализированы лекарственные назначения 150 пациентам старше 65 лет, находившимся на амбулаторном лечении. Результаты. В структуре заболеваемости пациентов преобладали сердечно-сосудистые заболевания, а также болезни костно-суставной системы и сахарный диабет 2-го типа. Онкологические заболевания, заболевания щитовидной железы, бронхиальная астма, катаракта, панкреатит, анемия, язвенная болезнь диагностированы у единичных больных. Учитывались все лекарственные назначения в течение года. За полипрагмазию принималось одновременное назначение более 4 препаратов. В течение последующего года отслеживалось состояние пациентов, за конечную точку принята смерть. Выявлена нерациональная лекарственная терапия на основе критериев Бирса и STOPP/START. Оценена терапевтическая значимость аудита лекарственных назначений по ограничительным перечням. Выводы. Полипрагмазия наблюдается более чем у половины амбулаторных пациентов пожилого возраста. На основе критериев ограничительных перечней Бирса 2012 г. нерациональная лекарственная терапия выявлена у 20 % пациентов пожилого возраста, на основе критериев STOPP и START – у 43,3 и 66,6 % соответственно. Отсутствие назначений лекарств в соответствии с критериями START ассоциировано с увеличением смертности пациентов пожилого возраста. Ключевые слова: полипрагмазия, фармакотерапия, лекарственная терапия, гериатрия, ограничительные перечни, критерии Бирса, критерии STOPP/START.

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