Old age depression: worse clinical course, brighter treatment prospects?

2018 ◽  
Vol 5 (7) ◽  
pp. 533-534 ◽  
Author(s):  
Tze Pin Ng
IKON ◽  
2009 ◽  
pp. 111-149
Author(s):  
Carlo Cristini ◽  
Marcello Cesa-Bianchi

- Increase aged produces more specific dangers about health and autonomy for many old people; it is possibile to see in aged a life dicotomy: from one side autonomies, creatives, enterprising, propositives old people, from other side old people present loose of physical and mental autonomy. There are many factors that may cause with years disabilities conditions: from changes of living organism in males and females climacteric, from loneliness to alienation, from illness to institutionalized. In old age happen traumatic events, more than other phases of life, as situations about (affective, social, professional and healthy loses) that may produce clinical pain, an affecctive and cognitive decline. In old age depression and dementia represent the more frequent mental and behavioral disturbances. Of course becomes more important to learn, to analyse knolewdge and communication, suffering aged and wih his family. The relationship especially with dement, requires attention, sensitiveness, the decodification of messages, of his identity and of social relationship. Some health workers mind always to some meanings in communication that are to be analysed especially in suffering aged, with dement. Communication and understanding of old people mean give opportunities of support, of changing, of relieving painful and of its clinical symptoms.


2002 ◽  
Vol 21 (6) ◽  
pp. 343-346 ◽  
Author(s):  
R Regenthal ◽  
D Stefanovic ◽  
T Albert ◽  
H Trauer ◽  
T Wolf

The propensity to preserve and to hoard drugs over the years at home is a well-known phenomenon and offers the possibility for intentional and accidental drug poisoning in man. We report a case of acute theophylline poisoning in an 80-year old women after ingestion of ‘Asthmo-Kranit1 ’, a 35-year old combined preparation containing theophylline and aminopyrine as the main ingredients. The patient developed the typical clinical picture of a symptomatic theophylline poisoning with flush, tremor, tachycardia, hyperventilation, hypotonia, and hyperglycaemia. The clinical course after treatment with beta-blockers was without complications. The determination of theophylline in tablets showed stability of 90% of the labelled amount of the drug 30 years beyond the expiration date. The case illustrates the prolonged shelf stability and pharmacological potency of some pharmaceuticals and points to the risk of longoutdated prescriptions. Physicians should primarily not underestimate drug toxicity in consequence of old-age pharmaceuticals.


Author(s):  
Sonali Shukla

Aging has become an important issue in developing countries. Ageing is an inevitable process. Although one cannot escape from this reality but one can be able to age gracefully. Ayurveda and its principles can play an important role in to relieve the hardships of old age. As Ahara, Nidra and Bramhacharya are three pillars of Life, Certain Dietary rules and sleeping pattern can increase healthy life span and prevent the development  of diseases. The key to balance Vatadosha in old age is regularity,  rest and warmth One should  pay equal attention to physical as well as mental health. Depression is also a very common problem in old age. Depression can hamper digestive one should adopt capacity of an individual. Sattvik ahara, fresh and hot food, green leafy vegetables & seasonal fruit, proper nidra as part and parcel of old age. Rasayan chikitsa, Sattvavajay chikitsa, yoga, can add years to the life of old persons.


Author(s):  
O. A Burgasova ◽  
V. M Volkova ◽  
V. B Tetova ◽  
N. M Belyaeva

The article is devoted to peculiarities of the clinical course of hepatitis A. There is presented the modern view of the immunopathogenesis of hepatitis A virus (HAV) infection. The attention is focused on possibilities of the development of severe, fulminant course especially in patients of the old age category. The authors give the analysis of the main causes of severe fulminant forms of the disease. There are pointed out clinical and laboratory criteria for the assessment of the severity of the course of HAV infection. This article includes information on current aspects of vaccination against HAV, with the indication of the population, especially needed of vaccination


2004 ◽  
Vol 17 (2) ◽  
pp. 303-312 ◽  
Author(s):  
Isin Baral Kulaksizoglu ◽  
Hakan Gürvit ◽  
Aslihan Polat ◽  
Hande Harmanci ◽  
Sibel Cakir ◽  
...  

Objective: Depression, one of the most prevalent psychiatric disorders, causes disability and reduces quality of life. Rates of clinical depression in community samples of older adults range between 1–16%. Most studies of old age depression have been conducted in developed countries. The present study was conducted to determine the prevalence of depressive disorders among Turkish elderly in an urban community.Method: This study was carried out in the Kadiköy district of Istanbul. The sample for the cross-sectional part of the study was 1067 individuals age 70 or older, randomly selected from population registries. Geriatric Depression Scale (GDS), Mini-mental State Examination (MMSE) scores and demographic data were obtained by face-to-face home interviews. The data were analyzed using regression analysis for each variable.Results: The study group consisted of 623 (61%) females and 395 (39%) males. The mean age was 74.8 years, with 63% of subjects aged 70–74, 29% between 75–84 years old and 8% aged 85 and above. Sixteen percent (n=163) of the total group scored 14 or higher on the GDS. Only 9% of the depressed group were on antidepressant medication. Logistic regression analysis indicated that significant predictors for higher scores GDS scores were: illiteracy, aged 75–79 yrs, female sex and having 4 or more children.Conclusion: Depression is a common but unrecognized and thus untreated problem among the elderly population in Turkey. While gender and age are unmodifiable, education level and multiparity can be altered. Education of caregivers and medical staff about old age depression may increase its rate of detection and facilitate improved treatment.


2001 ◽  
pp. 887-901
Author(s):  
M. Blanchard ◽  
N. Graham
Keyword(s):  
Old Age ◽  

2001 ◽  
Vol 11 (2) ◽  
pp. 159-165
Author(s):  
Kenneth I Shulman

IntroductionSince the last review of this topic in this journal, there has been a focusing of efforts to clarify the classification of manic syndromes and their neurobiologic basis. This has involved proposals for more refined subtypes, as well as descriptions of brain localization and co-morbidity. Our understanding of the epidemiology, genetics, clinical course and treatment of manic syndromes has not substantially altered over the last decade.


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