scholarly journals “Impresiones en azul”. La cianotipia como agente catalizador de la mejora psicosocial y fomento de la comunicación de las personas con demencia temprana

2018 ◽  
pp. 27
Author(s):  
María del Carmen Moreno Sáez
Keyword(s):  
Qualitative Research ◽  
Alzheimer Disease ◽  
New Technologies ◽  
The Elderly ◽  
Personal Relationships ◽  
Design Development ◽  
Social Wellbeing ◽  
Early Dementia ◽  
Nuevas Tecnologías

“Impresiones en azul” se corresponde con el nombre genérico de varios talleres dentro de un programa de educación artística para personas con demencia temprana, realizados en el Centro de Referencia Estatal de Atención a Personas con Enfermedad de Alzheimer y otras Demencias, de Salamanca, dependiente del IMSERSO. El objetivo de este programa era evaluar si la implementación de actividades artísticas podía ser una estrategia eficaz para promover el bienestar y las capacidades psicosociales, cognitivas y de comunicación de las personas con demencia temprana y, en consecuencia, una manera de mejorar los sistemas de cuidado de los mayores con principios de demencia. Estos talleres consistieron en el desarrollo de una sencilla técnica fotográfica, combinada con nuevas tecnologías. La investigación psicosocial cualitativa fue la metodología utilizada, prevista en tres fases: diseño de las actividades, desarrollo y seguimiento de los mismos y análisis de las producciones artísticas de los asistentes. Las conclusiones a las que se han llegado se pueden resumir en las siguientes: la demencia no ha supuesto problema alguno para el desarrollo de los talleres, el interés demostrado por los pacientes ha sido significativo, obteniendo resultados positivos en relación con su bienestar psicosocial, se ha experimentado un incremento de la comunicación entre los asistentes, tanto en sus relaciones interpersonales, como en su proyección al exterior y, por último, merece la pena destacar los modelos que pueden ser desarrollados en el cuidado de las personas con demencia temprana.“Impressions in blue” is the generic name given to several workshops belonging to an Art Education program targeted to people with early dementia, carried out in the State Centre for the Attention to People with Alzheimer Disease and other Dementias, in Salamanca, dependent on the IMSERSO. The aim of this program was assessing if the implementation of artistic activities could be an efficient strategy for promoting wellbeing and psychosocial, cognitive and communication capacities in people with early dementias and, therefore, improve the caring systems for the elderly with early dementias. These workshops consisted on the development of a simple photographic technique, combined with new technologies. The psychosocial qualitative research was the chosen methodology and was organised in three phases: activities design, development, follow-up and analysis of the artistic productions done by the participants. The conclusions drawn can be outlined as follows: Dementia didn’t cause any problem while developing the workshops; the interest shown by the participants was remarkable, obtaining positive reactions in regard to their psycho-social wellbeing; it was observed an increase in communication amongst the participants, not only in their personal relationships but also in their contact with the outside; lastly, it is worth highlighting the models that can be developed in the early dementia care.

scholarly journals Uses and gratifications of computers in South African elderly people

Comunicar ◽  
2015 ◽  
Vol 23 (45) ◽  
pp. 09-18 ◽  
Author(s):  
Tanja Bosch ◽  
Bronwyn Currin
Keyword(s):  
South African ◽  
Elderly People ◽  
Computer Use ◽  
Uses And Gratifications ◽  
New Technologies ◽  
The Elderly ◽  
Redes Sociales ◽  
Research Focus ◽  
Interpersonal Contact ◽  
Nuevas Tecnologías

Drawing on in-depth interviews conducted with residents at an old-aged home in Cape Town, South Africa, this study examines the main uses and gratifications elderly people get from computers. While the research focus in Africa has been on the health of elderly people, particularly with respect to HIV/AIDS, there is little research into their adoption of new technologies, as the research focus with respect to that topic has been primarily on youth. This study found that the participants use email and social media to maintain contact with family and friends outside of, and sometimes even within the neighborhood. Furthermore, keeping in contact involved not only communication, but also observation of activities - like news, photographs and discussions. Using a uses and gratifications framework, this study found that participants felt connected with society both through their communication with and observation of people, and through keeping themselves informed about news and current interest topics. By using the Internet the elderly people communicated with more people than they had before. Some of the participants felt less isolated and lonely because of their computer use. Nevertheless, use of computers did not weaken their interpersonal contact outside of computer use. A partir de entrevistas en profundidad, realizadas en un hogar de la tercera edad en Ciudad del Cabo (Sudáfrica), este estudio analiza los principales usos y gratificaciones que reciben las personas mayores en interacción con los ordenadores. En África, mientras el énfasis investigador se ha puesto en los últimos años en la salud de los mayores, especialmente en cuanto al SIDA, existe muy poca investigación sobre el uso de los mayores en cuanto a nuevas tecnologías, ya que la investigación en relación con las mismas se ha centrado principalmente en la juventud. En este estudio se halló que los participantes utilizan el correo electrónico y las redes sociales para mantener el contacto con familiares y amigos y a veces incluso con su vecindario. Además, mantener el contacto suponía no solo comunicación, sino también observación de actividades, como noticias, fotografías y conversaciones. En el contexto de los usos y gratificaciones, el trabajo ha evidenciado que los participantes se sentían conectados con la sociedad, tanto por su comunicación como por la observación de las personas, y por mantenerse informados de las noticias y los temas de interés actuales. Mediante el uso de Internet, las personas de edad avanzada se comunicaban mucho más de lo que antes se habían comunicado con otras personas. Algunos de los participantes se sentían menos aislados y solos, debido a su uso del ordenador. Sin embargo, se demostró también que el uso de los ordenadores no obstaculizó los contactos interpersonales tradicionales.

scholarly journals La acción tutorial como escenario de colaboración familia-escuela//Tutorial action as a scenario for family-school collaboration

2019 ◽  
Vol 30 (2) ◽  
pp. 28
Author(s):  
Noelia Ceballos López ◽  
Ángela Saiz Linares
Keyword(s):  
Qualitative Research ◽  
Primary Schools ◽  
New Technologies ◽  
Participant Observation ◽  
Written Narratives ◽  
Educational Processes ◽  
Nuevas Tecnologías ◽  
Toma De Decisiones ◽  
Investigación Cualitativa ◽  
Teaching Learning

RESUMEN Este estudio tiene como objeto analizar, desde una perspectiva crítico-reflexiva, la labor del tutor/a en las relaciones familia-escuela en centros educativos de Educación Infantil y Primaria a través de los discursos de 45 maestros en formación de la Universidad de Cantabria. Metodológicamente, el trabajo se enmarca en la tradición de la investigación cualitativa. Se caracteriza por la pluralidad de estrategias y técnicas de obtención de datos llevadas a cabo. A las tradicionales de la investigación cualitativa, como la observación participante y los grupos de discusión,  se incorporan metodologías participativas como: el diamante 9, las frases inconclusas y la construcción de narraciones escritas. Entre los resultados obtenidos destacan: la alta valoración de la participación de las familias en los procesos educativos y el reconocimiento del papel del tutor como mediador, que contrasta con su ausencia en el diseño y desarrollo curricular, así como con la promoción de espacios puntuales y acotados, predefinidos por los docentes; el intercambio unidireccional de información; la presencia de una participación familiar en la gestión y organización del centro a través de órganos de representación. Como conclusión emerge la necesidad de explorar buenas prácticas ligadas a la implicación de las familias en los procesos de enseñanza-aprendizaje que trasciendan las actuaciones puntuales; desarrollar de iniciativas que aumenten la toma de decisiones de las familias más allá de los espacios formales; y, ampliar el uso de las nuevas tecnologías como canal de comunicación y participación de las familias en la escuela.ABSTRACT We present a study that aims to analyze, from a critical-reflective perspective, the tutor role in family-school relations in early childhood and primary schools through the discourse of 45 initial training teachers at the University of Cantabria who are taking the subject of Tutorial Action. From a methodological framework, the research is is based on the tradition of qualitative research. It is characterized by the plurality of data collection strategies and techniques carried out. Beside the traditional ones traditionally used in qualitative research, such as participant observation and focus groups, we incorporate participatory research methodologies such as: diamond 9, unfinished phrases and the construction of written narratives. Among the results obtained, we highlight: the value of the participation of families in the educational processes and the recognition of the role of the tutor as mediator, which contrasts with his absence in the design and development of the curriculum, as well as the promotion of specific and limited spaces predefined by the teachers; the unidirectional exchange of information; the presence of family participation in the management and organization of the schools through formal spaces. As a conclusion, the need to explore good practices linked to the involvement of families in teaching-learning processes that transcend punctual actions; to develop initiatives that increase family decision-making beyond formal spaces; and, expand the use of new technologies as a channel of communication and participation of families in the school.

scholarly journals Design, development and deployment of a hand/wrist exoskeleton for home-based rehabilitation after stroke - SCRIPT project

Robotica ◽  
2014 ◽  
Vol 32 (8) ◽  
pp. 1331-1346 ◽  
Author(s):  
F. Amirabdollahian ◽  
S. Ates ◽  
A. Basteris ◽  
A. Cesario ◽  
J. Buurke ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professional ◽  
New Technologies ◽  
Supporting Evidence ◽  
Design Development ◽  
Interactive Games ◽  
Home Based ◽  
System Usability Scale ◽  
System Usability

SUMMARYChanges in world-wide population trends have provided new demands for new technologies in areas such as care and rehabilitation. Recent developments in the the field of robotics for neurorehabilitation have shown a range of evidence regarding usefulness of these technologies as a tool to augment traditional physiotherapy. Part of the appeal for these technologies is the possibility to place a rehabilitative tool in one's home, providing a chance for more frequent and accessible technologies for empowering individuals to be in charge of their therapy.Objective:this manuscript introduces the Supervised Care and Rehabilitation Involving Personal Tele-robotics (SCRIPT) project. The main goal is to demonstrate design and development steps involved in a complex intervention, while examining feasibility of using an instrumented orthotic device for home-based rehabilitation after stroke.Methods:the project uses a user-centred design methodology to develop a hand/wrist rehabilitation device for home-based therapy after stroke. The patient benefits from a dedicated user interface that allows them to receive feedback on exercise as well as communicating with the health-care professional. The health-care professional is able to use a dedicated interface to send/receive communications and remote-manage patient's exercise routine using provided performance benchmarks. Patients were involved in a feasibility study (n=23) and were instructed to use the device and its interactive games for 180 min per week, around 30 min per day, for a period of 6 weeks, with a 2-months follow up. At the time of this study, only 12 of these patients have finished their 6 weeks trial plus 2 months follow up evaluation.Results:with the “use feasibility” as objective, our results indicate 2 patients dropping out due to technical difficulty or lack of personal interests to continue. Our frequency of use results indicate that on average, patients used the SCRIPT1 device around 14 min of self-administered therapy a day. The group average for the system usability scale was around 69% supporting system usability.Conclusions:based on the preliminary results, it is evident that stroke patients were able to use the system in their homes. An average of 14 min a day engagement mediated via three interactive games is promising, given the chronic stage of stroke. During the 2nd year of the project, 6 additional games with more functional relevance in their interaction have been designed to allow for a more variant context for interaction with the system, thus hoping to positively influence the exercise duration. The system usability was tested and provided supporting evidence for this parameter. Additional improvements to the system are planned based on formative feedback throughout the project and during the evaluations. These include a new orthosis that allows a more active control of the amount of assistance and resistance provided, thus aiming to provide a more challenging interaction.

scholarly journals ORIGENS E IMPLICAÇÕES DO FUNCIONAMENTO CONGRESSUAL EM TEMPOS DE PANDEMIA: NOTAS SOBRE O SISTEMA DE DELIBERAÇÃO REMOTA (SDR) E O PAPEL DAS NOVAS TECNOLOGIAS

2021 ◽  
pp. 57-69
Author(s):  
Cristiane Corrêa Batista ◽  
Fabiano Guilherme Mendes Santos
Keyword(s):  
Qualitative Research ◽  
House Of Representatives ◽  
New Technologies ◽  
Social Withdrawal ◽  
El Sistema ◽  
Nuevas Tecnologías

O dia 13 de março marca o iní­cio do afastamento social no Brasil por conta da pandemia causada pela Covid-19. Quatro dias depois, a Câmara dos Deputados institui o Sistema de Deliberação Remota (SDR), realizando sua primeira sessão virtual no dia 25 do mesmo mês. O artigo tem por objetivo entender o micro processo que viabilizou a retomada das atividades de plenário da Câmara tão rapidamente. Através de pesquisa qualitativa e questionários semi-estruturados aplicados a atores chaves no processo, mostramos que o investimento prévio em tecnologia e em informação dotou o parlamento de autonomia visando manter suas atividades.Palavras-chave: Pandemia; Funcionamento Congressual; Câmara dos Deputados; Novas Tecnologias; Sistema de Deliberação Remota. March 13 marks the beginning of social withdrawal in Brazil due to the pandemic caused by Covid-19. Four days later, the House of Representatives institutes the Remote Deliberation System (SDR), holding its first virtual session on the 25th of the same month. The article aims to understand the micro process that enabled the resumption of plenary activities of the House so quickly. Through qualitative research and semi-structured questionnaires applied to key actors in the process, we showed that the previous investment in technology and information on the institution provided the parliament with autonomy in order to maintain its activities.Keywords: Pandemic Times; Congressional Functioning; House of Representatives; New Technologies; Remote Deliberation System. El 13 de marzo marca el inicio del retiro social en Brasil debido a la pandemia causada por Covid-19. Cuatro dias después, La Cámara de los Diputados instituyó el Sistema de Deliberación Remota (SDR), realizando su primera sesión virtual el dia 25 del miesmo mes. El artí­culo tiene como objetivo compender el microproceso que permitió retomar tan rápidamente lãs actividades plenárias de la Cámara. A través de investigaciones cualitativas y cuestionarios semiestructurados aplicados a actores claves del processo, mostramos que La inversión previa em tecnologia e infromación há dotado AL parlamento de autonomia para mentener SUS actividades.Palabras clave: Pandemia; Funcionamiento del Congreso; Cámara de lós Disputados; Nuevas tecnologias; Sistema de Deliberación Remota.

scholarly journals Strategies for the follow-up of patients with chronic diseases and polypharmacy: development and implementation of a new health care approach based on mobile technology (DIPP-mHeart Study). (Preprint)

2018 ◽  
Author(s):  
Mar Gomis-Pastor ◽  
Esther Rodriguez-Murphy ◽  
Anna Feliu ◽  
Gerardo Ontiveros ◽  
Francesc Garcia-Cuy�s ◽  
...  
Keyword(s):  
Health System ◽  
New Technologies ◽  
Solid Organ ◽  
Design Development ◽  
Chronic Patient ◽  
High Complexity ◽  
Chronic Patients ◽  
Health Authorities ◽  
Improve Health

BACKGROUND Multimorbidity is related to a high increase in costs for the health system and a poorer quality of life for patients. It is the professional’s responsibility to establish new care models oriented to improve health outcomes in high complexity patients. We have developed a comprehensive care program for these patients based on carrying out sustainable highly effective interventions for the health system through technology. The use of new technologies to improve health results is an unstoppable trend. The implementation in practice of new forms of healthcare based on telemedicine leads to a need for professionals to specialize in an often unfamiliar area. OBJECTIVE The main aim of the study is to design and Develop, Integrate and implement an mHealth tool to support monitoring of the chronic Patient with Polypharmacy (DIPP-mHeart Study). The secondary aim of our study is to make the development of these new technologies easier for other research groups through describing the limitations encountered by our team during the development of the project and the corresponding solutions implemented to overcome those limitations. METHODS The study was carried out in four stages: design, development, integration and implementation, followed by ensuring the quality, security and legal requirements of the mHeart® prototype. The design and development of the tool was based on a review of the bibliography and several surveys done to the main stakeholders (patients, health professionals, Health Authorities and experts in mHealth). All these findings allow us to focus mHeart functionalities on the user’s expectations and the polymedicated patient’s real needs as well as to discover realistic solutions to overcoming the main limitations of implementing the new tool within the health environment. The tool was adapted to the solid organ transplant population, a perfect example of the chronic patient of high complexity. RESULTS 133 chronic patients, 26 stakeholders, as well as health authorities, patients’ associations and scientific societies were interviewed. Based on the information gathered, the design of the new tool was focused on improving the management of polytherapy and the flow of communication between professionals, patients and care levels. After carrying out diverse tests, the final mHeart® platform prototype was obtained (website and mobile application). Its functionalities allow for the sustainable intervention of a multidisciplinary team in real time and in a patient’s habitual context, thus empowering the patient through clinician feedback. The main limitations encountered were the integration of the tool with our health system’s information technology system, ensuring quality and safety, as well as considering other legal aspects which the clinical team were not familiar with. CONCLUSIONS The DIPP-mHeart project resulted in a new holistic eHealth tool that will be extremely useful for the follow-up of chronic patients with polypharmacy. Not only was this platform to be designed and developed, but its safety and quality, its implementation in our environment, and its continued use in the long term were also to be ensured. Sharing the key aspects involved in overcoming the major difficulties encountered could be highly interesting for the scientific community and widely applicable in our setting.

scholarly journals “Se eu tivesse estudo eu não tinha sofrido tanto”: saberes e memórias de idosos analfabetos

2019 ◽  
Vol 12 (2) ◽  
pp. 119
Author(s):  
Eraldo Carlos Batista ◽  
Rosilda França Lima
Keyword(s):  
Social Exclusion ◽  
New Technologies ◽  
Life Experiences ◽  
The Elderly ◽  
Structured Interviews ◽  
Theoretical Contribution ◽  
Palabras Clave ◽  
The Social ◽  
The World ◽  
Nuevas Tecnologías

No presente estudo teve-se como objetivo compreender os fatores que levaram pessoas da terceira idade a terem sua escolaridade usurpada e como a sua leitura de mundo contribui para preservar seus saberes e suas memórias com altivez. Como recurso metodológico, utilizou-se uma abordagem qualitativa do tipo descritiva. Os participantes foram três idosos integrantes do Centro de Convivência do Idoso de um município da Zona da Mata do Estado de Rondônia. As informações foram coletadas por meio de entrevistas estruturadas e analisadas seguindo as orientações da Análise de Conteúdo. Em relação ao aporte teórico, o presente estudo apoiou-se em autores como Bosi (2014), Beauvoir (1970), Freire (2015), entre outros. A partir dos relatos foi possível identificar cinco categorias temáticas: 1) a pobreza como marcador social determinante ao analfabetismo; 2) a exclusão familiar com a dimensão no convívio e no relacionamento; 3) o analfabetismo como fator determinante para a exclusão social; 4) os sonhos e as experiências de vida como elementos de enfrentamento ao analfabetismo; 5) e o envelhecimento e sua relação com as novas tecnologias. Conclui-se que a exclusão social do idoso acontece de forma velada e que os conhecimentos de mundo adquiridos com o passar da idade não recebem reconhecimento por parte dos familiares e da comunidade em que este se encontra inserido.Palavras-chave: Idoso. Analfabetismo. Exclusão social."If I had studied I wouldn't have suffered so much": knowledge and memories of illiterate elderly peopleAbstractThe purpose with this study was to understand the factors that led people in the elderly people to have their schooling usurped and how their reading of the world contributes to preserving their knowledge and their memories with haughtiness. As a methodological resource, a qualitative approach of the descriptive type was used. The participants were three elderly participants of the Center for the Cohabitation of the Elderly in a municipality of Zona da Mata in the State of Rondônia. The information was collected through structured interviews and analyzed according to the Content Analysis guidelines. As a theoretical contribution, the present study was supported by authors such as Bosi (2014), Beauvoir (1970), Freire (2015) and others. From the reports it was possible to identify five thematic categories: 1) poverty as a social marker that determines illiteracy; 2) family exclusion with the dimension of socializing and relationship; 3) illiteracy as a determining factor for social exclusion; 4) dreams and life experiences as elements of coping with illiteracy; 5) and aging and its relationship with new technologies. It is concluded that the social exclusion of the elderly occurs in a veiled way and the knowledge of the world acquired with the passing of the age has not apprehended by the relatives and the community in which it is inserted.Keywords: Elderly. Illiteracy. Social exclusion. “Si yo tuviera estudiado, no sufriría tanto”: conocimientos y memorias de ancianos analfabetosResumenEn el presente estudio tuvimos como objetivo comprender los factores que hicieron con que personas de la tercera edad tuvieran su escolaridad usurpada y como su lectura de mundo contribuyó para la preservación de sus conocimientos y sus memorias con la cabeza erguida. Como recurso metodológico,  se utilizó un abordaje cualitativo del tipo descriptivo. Los participantes fueron tres ancianos integrantes del Centro de Convivencia del Anciano de un municipio de la región llamada Zona da Mata, del Estado de Rondônia. Las informaciones fueron recogidas por medio de entrevistas estructuradas y analizadas de acuerdo con las orientaciones del Análisis de Contenido. Con relación al aporte teórico, este estudio se apoyó en autores como Bosi (2014), Beauvoir (1970), Freire (2015), entre otros. A partir de los relatos fue posible identificar cinco categorías temáticas: 1) la pobreza como marcador social determinante del analfabetismo; 2) la exclusión familiar con la dimensión en la convivencia y en el relacionamiento; 3) el analfabetismo como factor determinante para la exclusión social; 4) sueños y experiencias de vida como elementos de enfrentamiento al analfabetismo; 5) y el envejecimiento y su relación con las nuevas tecnologías. Se concluye que la exclusión social del anciano sucede de manera velada y que los conocimientos de mundo adquiridos con el avance de la edad no son apreciados por la familia ni por la comunidad en que vive el anciano.  Palabras clave: Anciano. Analfabetismo. Exclusión social.

Aplicaciones móviles para personas mayores: un estudio sobre su estrategia actual / Mobile applications for the elderly: a study of their current strategy

Aula Abierta ◽  
2018 ◽  
Vol 47 (1) ◽  
pp. 107 ◽  
Author(s):  
Cristina González Oñate ◽  
Carlos Fanjul Peyró
Keyword(s):  
Older People ◽  
Digital Divide ◽  
Mobile Applications ◽  
Information Technologies ◽  
New Technologies ◽  
The Elderly ◽  
Nuevas Tecnologías ◽  
Motivation Strategy ◽  
The Media ◽  
Level Of Knowledge

RESUMENEspaña es una de las sociedades occidentales con un mayor colectivo envejecido. A su vez, es un país en el que existe un alto desarrollo de las tecnologías. Esta es la doble cara de una situación resultante que ha provocado una gran brecha digital entre las personas mayores y el uso de las tecnologías de la información. Este trabajo analiza los principales hábitos de uso y consumo de las aplicaciones móviles que están destinadas a personas mayores pero, sobre todo, el nivel de conocimiento y preparación que tienen sobre las mismas. La finalidad es comprobar si la competencia mediática en materia tecnológica de nuestros mayores es la adecuada respecto a la oferta concreta actual. Para ello, se ha utilizado una metodología basada en encuestas de elaboración propia y realizadas a la población española en las que se retratan tanto el conocimiento de las principales aplicaciones para personas mayores, los hábitos de uso y consumo, así como el interés o no por parte de los mayores en la formación en nuevas tecnologías para realizar un mayor uso de este tipo de aplicaciones destinadas a ellos.Palabras Clave: Aplicaciones móviles, conocimiento, motivación, estrategia.ABSTRACTSpain is one of the western societies with a greater aged collective. In turn, it is a country in which there is a high development of technologies. This is the double face of a resulting situation that has caused a large digital divide between older people and the use of information technologies. This paper analyzes the main habits of use and consumption of mobile applications that are aimed at older people but, above all, the level of knowledge and preparation they have on them. The purpose is to check if the media competence in technological matters of our elders is adequate with respect to the current concrete offer. For this purpose, a methodology based on self-prepared surveys has been used and made to the Spanish population in which both the knowledge of the main applications for older people, the habits of use and consumption, as well as the interest or not in part of the majors in the formation in new technologies to realize a greater use of this type of applications destined to them.Keywords: Mobile applications, knowledge, motivation, strategy.

Computed Tomography in the Elderly

1986 ◽  
Vol 148 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Jonathan M. Bird ◽  
Raymond Levy ◽  
Robin J. Jacoby
Keyword(s):  
Ct Scan ◽  
Depressive Disorders ◽  
Late Onset ◽  
Disease Process ◽  
The Elderly ◽  
Ventricular Size ◽  
Computed Tomographic ◽  
Early Dementia ◽  
Over Time

The clinical, psychometric, and computed tomographic (CT) status of previously fit elderly volunteers is described at follow-up for up to four years. A number of relationships were found between psychometric and CT scores, but a dementing group could not be determined on the basis of a single scan. However, a subtle reduction in cognition over time was significantly related to CT changes, and occurred in 10%. Larger ventricles were also found in a small sub-group, who developed late-onset depressive disorders; recent bereavement was related to ventricular size. Thus a single CT scan may not be a useful discriminatory test in early dementia, but a repeat demonstrating ventricular enlargement, is likely to be significant. In the elderly, cognitive and CT scan deterioration should not be expected unless a disease process is occurring; this may be indicated by subtle cognitive impairment or by late-onset depressive disorder.

Evaluation of R-CHOP and R-CVP in the treatment of elderly patient with non-Hodgkin lymphoma

MedPharmRes ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 1-6
Author(s):  
Truc Phan ◽  
Tram Huynh ◽  
Tuan Q. Tran ◽  
Dung Co ◽  
Khoi M. Tran
Keyword(s):  
Elderly Patients ◽  
Hodgkin Lymphoma ◽  
B Cell Lymphoma ◽  
Complete Response ◽  
The Elderly ◽  
Free Survival ◽  
Non Hodgkin Lymphoma ◽  
Common Sign ◽  
Related Mortality

Introduction: Little information is available on the outcomes of R-CHOP (rituximab with cyclophosphamide, doxorubicin, vincristine and prednisone) and R-CVP (rituximab with cyclophosphamide, vincristine and prednisone) in treatment of the elderly patients with non-Hodgkin lymphoma (NHL), especially in Vietnam. Material and methods: All patients were newly diagnosed with CD20-positive non-Hodgkin lymphoma (NHL) at Blood Transfusion and Hematology Hospital, Ho Chi Minh city (BTH) between 01/2013 and 01/2018 who were age 60 years or older at diagnosis. A retrospective analysis of these patients was perfomed. Results: Twenty-one Vietnamese patients (6 males and 15 females) were identified and the median age was 68.9 (range 60-80). Most of patients have comorbidities and intermediate-risk. The most common sign was lymphadenopathy (over 95%). The proportion of diffuse large B cell lymphoma (DLBCL) was highest (71%). The percentage of patients reaching complete response (CR) after six cycle of chemotherapy was 76.2%. The median follow-up was 26 months, event-free survival (EFS) was 60% and overall survival (OS) was 75%. Adverse effects of rituximab were unremarkable, treatment-related mortality accounted for less than 10%. There was no difference in drug toxicity between two regimens. Conclusions: R-CHOP, R-CVP yielded a good result and acceptable toxicity in treatment of elderly patients with non-Hodgkin lymphoma. In patients with known cardiac history, omission of anthracyclines is reasonable and R-CVP provides a competitive complete response rate.

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