scholarly journals Wernicke Encephalopathy in Elderly Related to Severe Malnutrition

Malnutrition ◽  
2020 ◽  
Author(s):  
Francisco Javier Ros Forteza
Keyword(s):  
Public Health ◽  
Energy Metabolism ◽  
Health Problem ◽  
Public Health Problem ◽  
The Elderly ◽  
Severe Malnutrition ◽  
Neurologic Complication ◽  
Gait Ataxia ◽  
Wernicke Encephalopathy ◽  
Key Enzymes

Wernicke encephalopathy (WE) is the main neurologic complication of thiamine deficiency. Thiamine is a cofactor for several key enzymes important in energy metabolism. WE is a little-recognised and underdiagnosed condition, and the prevalence in the elderly is unknown. The classic triad of WE includes encephalopathy, oculomotor dysfunction, and gait ataxia. Diagnosis is clinical, and early treatment with thiamine is fundamental in preventing coma and death. In the cases reported in the literature, the cause of WE was fasting or malnutrition in 10.2% of cases. WE may in some cases constitute a public health problem. Being the prevalence unknown, we alert clinicians to keep severe malnutrition in elderly as a form of precipitation of WE. We review the cases published in the literature.

Sociodemographic and clinical profile in elderly suicide victims: 34 autopsy case studies

2017 ◽  
Vol 41 (S1) ◽  
pp. s887-s887
Author(s):  
S. Ellouze ◽  
I. Baati ◽  
W. Ben Amar ◽  
D. Trigui ◽  
W. Abbes ◽  
...  
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Suicide Risk ◽  
Public Health Problem ◽  
The Elderly ◽  
University Hospital ◽  
Major Public Health Problem ◽  
Treatment Of Depression ◽  
Competing Interest ◽  
Elderly Suicide

IntroductionThe elderly suicide is a major public health problem that is gaining more and more ground, given the aging population problem. This has rarely been the subject of forensic studies in Tunisia.ObjectivesTo identify the sociodemographic and clinical characteristics of elderly suicide victims over 60 years and to determine what factors might increase suicide risk in this population.MethodsWe conducted a retrospective study on suicide victims aged 60 and over, autopsied in forensic medicine department of the Habib Bourguiba university hospital in Sfax (Tunisia), on a 10-year period (January 2006–December 2015).ResultsWe identified 34 cases with an average age of 66 years. The sex ratio was 2.77. Suicide victims were alone in 38.2% of cases. They were inactive professionally in 32.4% of cases. Almost half of them (44.1%) had a psychiatric history, 40% of depressed pace, 26.7% of bipolar disorder and 13.3% of schizophrenia.Three main factors were identified as precipitating the passage to suicidal act: family conflicts (26.5%), financial difficulties (11.8%) and loss of autonomy (5.9%).Suicide methods were hanging (50%), immolation and drug intoxication (11.8%), hit by train and poisoning (8.8%), jumping from height (5.9%) and drowning (2.9%). In 55.8% of cases, suicide took place at home.ConclusionElderly suicide seems to be a huge but largely preventable public health problem. Its prevention is essentially based on the identification of risk situations and the detection and treatment of depression: major suicide risk factor in this population.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Prevalence of violence in the population of the canton of Tibás: January 2012 to July, 2014

2015 ◽  
Author(s):  
Mauren Araya Solís ◽  
Tatiana Chaves Vargas ◽  
Maricruz Pérez Retana
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Public Health Problem ◽  
Female Gender ◽  
The Elderly ◽  
Common Type ◽  
Epidemiological Investigation

Introduction: The objective of this research is to identify the prevalence of violence in the population of the Cantón of Tibás, January 2012 to July 2014. The violence involves possibility of injury or damage itself, which negatively affects the health of people either as a group or as individuals, why it is essential to identify and describe its manifestations in the community, in order to take concrete measures against it, reduce its impact and improve the health of people. Methodology: The study is a descriptive epidemiological investigation and transverse type, based on data collected in the area of Health Governing Canton Tibás by ballot notifiable VE-01. Results: It was determined that violence is a situation that affects mostly children aged 0-9 years, and most common type is the neglect or abandonment. As for the worst affected areas, Cinco Esquinas stands out, followed by León XIII, also the female gender is most affected, which is consistent with the literature reviewed. Conclusion: We conclude that violence is a public health problem, a phenomenon with multiple implications and within the most vulnerable women, the elderly and children are, without forgetting that all people are exposed suffer some kind of violence. 

scholarly journals A comparative study of depression among the elderly living in old age homes and community in Visakhapatnam, India

2019 ◽  
Vol 6 (4) ◽  
pp. 1482
Author(s):  
Deepthi Karini ◽  
Siva Kumar Lotheti ◽  
Devi Madhavi Bhimarasetty
Keyword(s):  
Public Health ◽  
Old Age ◽  
Health Problem ◽  
Short Form ◽  
Depression Scale ◽  
Public Health Problem ◽  
The Elderly ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Old Age Homes

Background: Depression in old age is an emerging public health problem leading to morbidity and disabling effect on the quality of life. Depression in elderly is not yet perceived as a public health problem and is grossly underdiagnosed and undertreated. The physical and social environment plays an important role on the mental health of the elderly. Hence the present study was undertaken to assess and compare the depression among elderly residing in old age homes (OAHs) and community. The objective of the study was to assess and compare depression among elderly residing in OAHs and those living in community.Methods: A cross sectional study was done from October to December, 2016 among 100 elderly, of which 50 were inmates of old age homes and 50 were living in community selected by house to house survey. A pre tested, externally validated short form geriatric depression scale (GDS-15) in the local language is used after taking informed consent.Results: Prevalence of depression was high among inmates of old age homes (80%) compared to those of community (52%), this difference was statistically significant (p=0.003). On analyzing the association between sociodemographic factors and depression among the elderly residing in the community, it was found that marital status and presence of chronic disease were significantly associated with depression (p<0.05). Whereas among the elderly residing in old age homes, no significant asociation was found between depression and the sociodemographic factors.Conclusions: High prevalence of depression observed among the studied population indicates the need of screening for depression among elderly.

scholarly journals Effects of a Cereal and Soy Dietary Formula on Rehabilitation of Undernourished Children at Ouagadougou, in Burkina Faso

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Zoenabo Douamba ◽  
Marina Martinetto ◽  
Virginio Pietra ◽  
Salavatore Pignatelli ◽  
Fabian Schumacher ◽  
...  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Burkina Faso ◽  
Health Problem ◽  
Public Health Problem ◽  
Severe Malnutrition ◽  
Nutritional Rehabilitation ◽  
Public Health Services ◽  
Malnourished Children ◽  
Nutritional Balance

The New Misola consists of millet soybean, peanut, vitamins, minerals, and industrial amylase. Our objective is to demonstrate that porridge made from local grains and legumes restores the nutritional balance of malnourished children. The study was carried on 304 malnourished children aged 6–48 months including 172 girls and 132 boys from Saint Camille Medical Centre. At the beginning, these malnourished children had a WHZz-score of −3.10 and a WAZz-score of −3.85, which reflected, according to WHO, a severe malnutrition. After eight weeks of nutritional rehabilitation, a normal WHZ of −1.41 was obtained. These children recovered more than those in a similar study performed in 2006 with the old formula of Misola. This study shows that malnutrition remains a public health problem in Burkina Faso. It should be necessary that public health services and the epidemiologists work in synergy with nutritionists and “nutrigenetics” in order to combat malnutrition efficiently.

Listeriosis: An emerging public health problem especially among the elderly

2012 ◽  
Vol 64 (1) ◽  
pp. 19-33 ◽  
Author(s):  
Patricia Muñoz ◽  
Loreto Rojas ◽  
Eleonora Bunsow ◽  
Elena Saez ◽  
Laura Sánchez-Cambronero ◽  
...  
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Public Health Problem ◽  
The Elderly

scholarly journals Male Osteoporosis in the Elderly

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Patrizia D’Amelio ◽  
Giovanni Carlo Isaia
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Public Health Problem ◽  
Fragility Fractures ◽  
The Elderly ◽  
Social Costs ◽  
Male Osteoporosis ◽  
Elderly Men ◽  
Important Public Health Problem ◽  
Important Public Health

Osteoporosis is now recognized as an important public health problem in elderly men as fragility fractures are complicated by increased morbidity, mortality, and social costs. This review comprises an overview of recent findings in pathophysiology, diagnosis, and treatment of male osteoporosis, with particular regard to the old population.

Kindesmisshandlung und deren Langzeitfolgen – Analyse einer repräsentativen deutschen Stichprobe

2019 ◽  
Vol 67 (2) ◽  
pp. 100-111 ◽  
Author(s):  
Andreas Witt ◽  
Rebecca Brown ◽  
Paul L. Plener ◽  
Elmar Brähler ◽  
Jörg M. Fegert ◽  
...  
Keyword(s):  
Public Health ◽  
Health Problem ◽  
Public Health Problem ◽  
Nachhaltige Entwicklung

Zusammenfassung. Kindesmisshandlung stellt einen bedeutenden Risikofaktor für die Entwicklung dar. Einzelne Formen von Kindesmisshandlung treten häufig nicht isoliert auf, sondern das gemeinsame Auftreten verschiedener Formen von Kindesmisshandlung stellt eher die Regel als die Ausnahme dar. Neben den langfristigen und vielfältigen individuellen Folgen führt Kindesmisshandlung jährlich zu einer hohen gesamtgesellschaftlichen Belastung. Die WHO hat Kindesmisshandlung als großes Public Health Problem identifiziert und die Vereinten Nationen haben den Kampf gegen Kindesmisshandlung zum Ziel in ihrer Agenda für nachhaltige Entwicklung gemacht. In dem vorliegenden Beitrag werden die Häufigkeit sowie das gemeinsame Auftreten unterschiedlicher Formen von Kindesmisshandlung sowie deren Assoziation mit psychischen und somatischen Folgen auf Basis einer bevölkerungsrepräsentativen Stichprobe untersucht und dargestellt. Die Ergebnisse verdeutlichen den Zusammenhang zwischen der Kumulation verschiedener Formen von Misshandlung und negativen Folgen für die Betroffenen. So ist das Risiko für negative Konsequenzen beim Erleben von vier oder mehr Formen von Misshandlung um das bis zu 10-fache erhöht. Viel zu selten werden die kumulativen Effekte von mehreren Belastungen berücksichtigt. Gerade weil die Wirkweisen über die Misshandlung, die Gesundheit beeinflusst, zunehmend gut untersucht sind, muss dieses Wissen im Gesundheitswesen stärker bei der Konzeption von Präventions- und Interventionsmaßnahmen berücksichtigt werden.

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