scholarly journals Nutritional Anemia in Elderly Patients of Developed Countries

2018 ◽  
Author(s):  
Emmanuel Andrès
Keyword(s):  
Elderly Patients ◽  
Developed Countries ◽  
Nutritional Anemia

scholarly journals Analysis of antidepressant prescribing tendencies in Lithuania in 2003–2004

Medicina ◽  
2007 ◽  
Vol 43 (5) ◽  
pp. 412
Author(s):  
Mantas Jakimavičius ◽  
Audrius Sveikata ◽  
Paulius Vainauskas ◽  
Rimas Jankūnas ◽  
Loreta Mikučionytė ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Serotonin Reuptake ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Developed Countries ◽  
Serotonin Reuptake Inhibitors ◽  
Prescribing Patterns ◽  
Selective Serotonin ◽  
Duration Of Treatment ◽  
Defined Daily Doses ◽  
Antidepressant Use

Depression is one of the leading causes of disability worldwide, affecting 121 million people in whole world. In many developed countries, the number of prescriptions for antidepressants increased steeply during the 1990s. The objective of the present study was to evaluate the antidepressant prescribing patterns in all regions of Lithuania during 2003–2004, to analyze the use within different antidepressant groups, and to examine trends in age- and gender-specific antidepressant use. Antidepressants were classified into three groups according to Anatomic Therapeutic Chemical (ATC) Classification specifying the defined daily doses. The results of our study show an increase in the use of reimbursed antidepressants except tricyclic in 2004 when compared to 2003. Increase in the use of selective serotonin reuptake inhibitors and other nontricyclic antidepressants is probably related to their better tolerability, improved risk-benefit ratio, and less toxicity in overdose. There was no increase in the percentage of consumed selective serotonin reuptake inhibitors in elderly patients when compared with younger ones, despite elderly patients are most likely to benefit from reduced sedation, less antimuscarinic and less cardiac toxicity of selective serotonin reuptake inhibitors. The prevalence of the antidepressant use is the highest among middle-aged people (40–59 years), while the young (under 20) and elderly (older than 70) patients receive mostly selective serotonin reuptake inhibitors. Additional studies should be carried out in order to assess drug-prescribing patterns in accordance with the guidelines of depression treatment in Lithuania considering diagnosis, dosage, and duration of treatment.

scholarly journals Az időskori gyógyszerterápia alapjai

2019 ◽  
Vol 160 (23) ◽  
pp. 896-907
Author(s):  
András Telekes ◽  
Dániel Deme
Keyword(s):  
Elderly Patients ◽  
Daily Practice ◽  
The Elderly ◽  
Developed Countries ◽  
Elderly Subjects ◽  
Pharmacokinetics And Pharmacodynamics ◽  
Important Place ◽  
Pharmaceutical Therapy ◽  
The Social ◽  
The Developed Countries

Abstract: The proportion of elderly patients is getting increased in the developed countries as a consequence of which pharmacotherapy takes a more and more important place in the healthcare system. Important biological alterations are characteristic for the elderly subjects, which have effect on the pharmacokinetics and pharmacodynamics of the pharmaceuticals. Gradually decreased kidney function may demand the modification of the administration of the pharmaceuticals. Certain pharmaceuticals and drug-interactions are potentially dangerous for this population. Therefore several factors have to be taken into account in conjunction with the therapy of elderly patients including co-morbidities, cognitive function and the social state. At the same time, the risk–benefit ratio of the pharmaceuticals is the worst among elderly patients with pharmaceutical therapy including polypragmasy. Thus, it is inevitable for the development of geriatric pharmacotherapy that the physiologic alteration of elderly has to be taken into account not only in the daily practice but also during the development and formulation of a pharmaceutical. The present paper gives an overview of the most important factors influencing the pharmacotherapy of the elderly. Orv Hetil. 2019; 160(23): 896–907.

β-hydroxy-β-methylbutyrate: role and prospects applications in gerontology

2021 ◽  
pp. 94-100
Author(s):  
E. A. Nikitina ◽  
S. V. Orlova ◽  
Yu. A. Pigareva ◽  
Kh. A. Magomedova
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Sedentary Lifestyle ◽  
Population Aging ◽  
Bed Rest ◽  
Developed Countries ◽  
Medical Community ◽  
Common Problems ◽  
New Challenges

The problem of population aging in developed countries poses new challenges for the medical community. Sarcopenia is one of the most common problems that decrease the quality of life of older people and increase the risk of disability and death. Currently, several dietary approaches to the prevention and correction of sarcopenia have been developed. Hydroxymethyl butyrate is one of the innovative substances designed to optimize the diet of elderly patients, primarily those with a sedentary lifestyle or on bed rest.

Drug-related problems in the elderly

2012 ◽  
Vol 153 (49) ◽  
pp. 1926-1936 ◽  
Author(s):  
Andrea Bor ◽  
Mária Matuz ◽  
Péter Doró ◽  
Réka Viola ◽  
Gyöngyvér Soós
Keyword(s):  
Elderly Patients ◽  
Financial Burden ◽  
The Elderly ◽  
Developed Countries ◽  
Evidence Based ◽  
Beers Criteria ◽  
Drug Related Problems ◽  
Drug Reactions ◽  
Inappropriate Drugs

The aging population in developed countries is a growing problem nowadays. The burden on healthcare is particularly high, since the prevalence of the diseases, especially chronic diseases increases with age. Prevalence of polypharmacy is common among elderly patients. While comorbidities require usage of several active agents with evidence based indication, polypharmacy increases the likelihood of interactions and adverse drug reactions, reduces patient compliance, affects quality of life and puts a significant financial burden on the patient and society. In order to reduce drug-related problems among the elderly, different lists of potentially inappropriate drugs and doses were created. One of the earliest known lists is the “Beers criteria”. The use of listed drugs is risky and not recommended for elderly patients. Following foreign examples, a list was compiled and adapted to the Hungarian drug spectrum based on the main concerns and alternative therapeutic suggestions. Orv. Hetil., 2012, 153, 1926–1936.

scholarly journals Characteristics of patients hospitalised in an emergency department observation unit in Japan

2018 ◽  
Vol 14 (2) ◽  
Author(s):  
Toshiya Mitsunaga ◽  
Yuhei Ohtaki ◽  
Nobuaki Kiriyama ◽  
Kei Ohtani ◽  
Wataru Yajima ◽  
...  
Keyword(s):  
Emergency Department ◽  
Elderly Patients ◽  
Emergency Departments ◽  
Average Length ◽  
Developed Countries ◽  
The United States ◽  
University Hospital ◽  
Medical Systems ◽  
Average Length Of Stay ◽  
Emergency Medical Systems

In Japan, transporting elderly patients to emergency departments has recently posed serious problems, including a longer average time from patients’ initial emergency calls to their arrival at hospitals. To manage emergency departments more efficiently, many hospitals in the United States and some other developed countries, including Japan, introduced emergency department observation units (EDOU). However, because the usefulness of EDOUs in managing elderly patients remains uncertain, we analysed data of patients admitted to a Japanese university hospital’s EDOU to gauge its efficacy. We followed 1,426 patients admitted to the hospital’s EDOU from 1 January 2011 to 31 December 2014. The average age of patients who stayed in the EDOU increased, whereas the average length of time that they spent there decreased. Although the percentage of patients older than 65 years increased slightly, from 36.42% (2011–2012) to 37.73% (2013–2014), the proportion of those patients between the two periods did not significantly change (P = .61). Moreover, their average length of stay was 2.16 ± 0.91 days, whereas patients younger than 65 years stayed for significantly less time (1.92 ± 0.82 days). By condition, approximately 36% of patients older than 65 years presented with non-neurosurgical trauma, approximately 59% presented with other forms of trauma, but proportions of both categories of trauma were significantly smaller in patients younger than 65 years (nonneurosurgical trauma, 23%; all trauma, 47%). Most elderly patients with limb trauma prepped for surgery were transferred to other hospitals after a few days. Results suggest that the EDOU at the university hospital has served to as a buffer for regional emergency medical systems in Japan, especially given the continued ageing of the Japanese population.

scholarly journals The New Elderly Patient: A Necessary Upgrade

Prosthesis ◽  
2021 ◽  
Vol 3 (1) ◽  
pp. 99-104
Author(s):  
Santo Catapano ◽  
Luca Ortensi ◽  
Nicola Mobilio ◽  
Francesco Grande
Keyword(s):  
Elderly Patients ◽  
Social Life ◽  
Dental Treatment ◽  
The Elderly ◽  
Developed Countries ◽  
Average Life Span ◽  
High Expectations ◽  
Dental Management ◽  
Manual Skills

The elderly individual is becoming the most common patient in clinical practice due to the increasing average life span, especially in developed countries. The current elderly patients are different from those of some decades ago. They usually have an active social life, want to be informed, and are actively involved in the current society with consequent high expectations for medical and dental treatment. However, not all the elderly patients are like this. Some of them show limited financial resources, reduced mental and manual skills, and poor motivation. The purpose of this communication is to make a brief characterization of the new elderly population in view of prosthetic and dental management.

scholarly journals Current Therapeutic Options for Heart Failure in Elderly Patients

2017 ◽  
Vol 2017 ◽  
pp. 1-11 ◽  
Author(s):  
F. Guerra ◽  
M. Brambatti ◽  
M. V. Matassini ◽  
A. Capucci
Keyword(s):  
Public Health ◽  
Heart Failure ◽  
Clinical Trial ◽  
General Population ◽  
Elderly Patients ◽  
Public Health Problem ◽  
Developed Countries ◽  
High Morbidity ◽  
Exclusion Criteria ◽  
Specific Patient

Heart failure (HF) is a major and growing public health problem with high morbidity and mortality (Ponikowski et al., 2016). It affects 1-2% of the general population in developed countries, and the average age at diagnosis is 76 years. Because of a better management of acute phase and comorbidities, HF incidence is increasing in elderly patients, with a prevalence rising to 10% among people aged 65 years or older (Mozaffarian et al., 2014). Therefore, a substantial number of elderly patients need to be treated. However, because of clinical trial exclusion criteria or coexisting comorbidities, currently recommended therapies are widely based on younger population with a much lower mean age. In this review, we will focus on available pharmacological, electrical, and mechanical therapies, underlining pros, cons, and practical considerations of their use in this specific patient population.

scholarly journals HUBUNGAN KEBIASAAN MAKAN PAGI DENGAN KEJADIAN ANEMIA PADA MURID SD NEGERI 3 MANADO

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Erina Utami Tandirerung ◽  
Nelly Mayulu ◽  
Shirley E.S. Kawengian
Keyword(s):  
National Development ◽  
Public Health Problem ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
P Value ◽  
Global Public Health ◽  
Cross Sectional ◽  
Nutritional Anemia ◽  
Women And Children ◽  
The Relationship

Abstract: Anemia is a global public health problem in developing and developed countries with its major consequences for human health and the economic and national development. Anemia can occur at all stages of the life cycle, but it is more prevalent in pregnant women and children.  Anemia in children due to lack of nutritional diet has bad impacts on their health, growth, and immune systems. The main causes of nutritional anemia are the insufficient iron ingestion, low iron absorption, and diet which mainly consists of rice and less diverse menu. Breakfast habits fall into one of the thirteen basic messages of balanced nutrition.  The benefit of having breakfast for school children is that it can improve their concentration to study and to understand their lessons, resulting in improvement of their  learning achievement. Besides that, breakfast plays some important roles in fulfilling the balanced nutrition in children. The purpose of this study was to find out the relationship between breakfast habits and anemia incidence among students of SD Negeri 3 Manado. This was an analytical cross-sectional study. The results showed that of 83 students, 58 students (69.9%) had habits of having breakfast and 74 students (89.2%) were not anemic. Analytical results obtained P-value = 0.019 (≤ 0.050). Conclusion: there was a significant relation between breakfast habits and anemia incidence among the students of SD Negeri 3 Manado. Key words: breakfast habits, children, anemia     Abstrak: Anemia merupakan masalah kesehatan masyarakat global di negara berkembang maupun negara maju dengan konsekuensi yang besar bagi kesehatan manusia serta pembangunan nasional dan ekonomi. Anemia dapat ditemukan pada setiap tahap siklus hidup, namun lebih menonjol pada wanita hamil dan anak-anak. Anemia pada anak-anak akibat  kurang gizi dapat berdampak buruk pada kesehatan, pertumbuhan, dan sistem imun. Penyebab utama anemia gizi ialah konsumsi zat besi yang tidak cukup, absorbsi zat besi yang rendah, dan pola makan yang sebagian besar terdiri dari nasi dan menu yang kurang beraneka ragam. Kebiasaan makan pagi termasuk dalam salah satu dari 13 pesan dasar gizi seimbang. Bagi anak sekolah, makan pagi dapat meningkatkan konsentrasi belajar dan memudahkan menyerap pelajaran yang akan meningkatkan prestasi belajar. Makan pagi juga sangat berperan terhadap pemenuhan gizi seimbang pada anak. Tujuan penelitian ini untuk mengetahui hubungan antara kebiasaan makan pagi dengan kejadian anemia pada murid SD Negeri 3 Manado. Penelitian ini merupakan suatu penelitian cross-sectional yang bersifat analitik. Hasil penelitian menunjukkan bahwa dari 83 murid, 58 murid (69,9%) memiliki kebiasaan makan pagi dan 74 murid (89,2%) yang tidak anemia. Hasil analisis diperoleh nilai P = 0,019 (≤ 0,050). Simpulan: terdapat hubungan bermakna antara kebiasaan makan pagi dengan kejadian anemia pada murid SD Negeri 3 Manado. Kata kunci: kebiasaan makan pagi, anemia, anak-anak

scholarly journals Forgotten pathogen: tetanus after gastrointestinal surgery

2019 ◽  
Vol 12 (8) ◽  
pp. e229701 ◽  
Author(s):  
Sébastien Strypstein ◽  
Simon Claeys ◽  
Bart Smet ◽  
Paul Pattyn
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Small Bowel ◽  
Elderly Patients ◽  
Older Patients ◽  
Abdominal Cavity ◽  
Gastrointestinal Surgery ◽  
Supportive Therapy ◽  
Developed Countries ◽  
Intensive Physiotherapy

A previously healthy 79-year-old woman underwent an urgent laparotomy and resection of a strangulated loop of small bowel. On the second postoperative day, she developed symptoms suspicious for postoperative tetanus. A transfer to the intensive care unit was necessary for aggressive supportive therapy. The patient required 5 months of intensive physiotherapy and rehabilitation and was successfully discharged home. New cases of tetanus have become rare in developed countries. This potentially lethal disease affects both non-immunised and inadequately immunised patients. The occurrence of tetanus after gastrointestinal surgery is extremely rare. Prevention is key and can be achieved with correct immunoprophylaxis. Older patients are often inadequately immunised. Should tetanus immunoprophylaxis routinely be checked for elderly patients undergoing gastrointestinal surgery? Or can we limit the immunisation to severe cases of ischaemic bowel injury with necrosis and/or soiling of the abdominal cavity?

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