Cancer in older patients

2003 ◽  
Vol 13 (3) ◽  
pp. 203-213 ◽  
Author(s):  
N Beechey-Newman ◽  
D Kulkarni

As the number of people living to reach old age increases, so the proportion of cancers presenting in this age group increases to an even greater degree. Although 70% of all cancers in men and women occur over the age of 65 and in the over-75s, who are perhaps more appropriately classified as ‘elderly’, the figures are still very high (46% of all cancers occur in women over 75 and 35% in men over 75). As a consequence, cancer is rapidly becoming a problem of late life, and the management of patients in old age is an important part of general oncology. The magnitude of the overlap between old age and cancer is increasing because of improved life expectancy, more sensitive methods of diagnosing cancer and the biological fact that most cancers occur more commonly with increasing age. It is interesting, however, to put these figures into a more general context by examining the different causes of death in older patients by decade.

2011 ◽  
Vol 17 (5) ◽  
pp. 357-364
Author(s):  
Felicity Richards ◽  
Martin Curtice

SummaryMania in late life is a serious disorder that demands specialist assessment and management. However, it is greatly under-researched, with only a paucity of studies specifically analysing older populations. The mainstay of the old age psychiatry workload will inevitably be concerned with assessing and managing dementia and depression, but the steady rise in the aging population with longer survival means that there will be an increase in absolute numbers of older people presenting with mania. There are no specific treatment algorithms available for mania in late life. This article reviews mania and hypomania in late life and concentrates on diagnosis, assessment and treatment, as well as on the management considerations associated with this important age group.


2013 ◽  
Vol 15 (4) ◽  
pp. 161-175
Author(s):  
Zofia Mielecka-Kubień

The goal of the presented research was to test the spatial autocorrelation of the life expectancy and the age-standardized mortality rates for selected causes of death in Poland according to gender in 2010. It was assumed that in the above mentioned cases the positive spatial autocorrelation in populations of men and women appears, and the spatial diversity of mortality depends on the standard of living of the population in question and on the level of industrialization of the region and its consequences. It has been stated that most of the considered coefficients show positive spatial autocorrelation, but differences between populations of men and women were observed. Agricultural capacity of the voivodeship shows positive effect on life expectancy and the level of some of the mortality rates of both genders.


2020 ◽  
Vol 3 (1) ◽  
pp. 10
Author(s):  
Naomi Nisari Rosdewi ◽  
Theresia Puspitawati ◽  
Herta Meisatama

Increased Life Expectancy has an impact on increasing the number of elderly people. Older people are part of a society that cannot be solved in our lives. Widodomartani Village, Ngemplak Subdistrict, Sleman DIY is one of the villages that has a high number of elderly people. Some of them still remain productive in their old age. This needs to be maintained and improved, considering that the elderly are the age group that is susceptible to disease. Promotive and preventive efforts are very important to do to improve the health of the elderly and to increase family expectations.Keywords: mucoskeletal, elderly, examination


2015 ◽  
Vol 20 (01) ◽  
pp. 025-029 ◽  
Author(s):  
Fernanda Aquino ◽  
Léslie Ferreira

Introduction Due to increased life expectancy among the population, studying the vocal parameters of the elderly is key to promoting vocal health in old age. Objective This study aims to analyze the profile of the extension of speech of elderly female choristers, according to age group. Method The study counted on the participation of 25 elderly female choristers from the Choir of Messianic Church of São Paulo, with ages varying between 63 and 82 years, and an average of 71 years (standard deviation of 5.22). The elders were divided into two groups: G1 aged 63 to 71 years and G2 aged 72 to 82. We asked that each participant count from 20 to 30 in weak, medium, strong, and very strong intensities. Their speech was registered by the software Vocalgrama that allows the evaluation of the profile of speech range. We then submitted the parameters of frequency and intensity to descriptive analysis, both in minimum and maximum levels, and range of spoken voice. Results The average of minimum and maximum frequencies were respectively 134.82–349.96 Hz for G1 and 137.28–348.59 Hz for G2; the average for minimum and maximum intensities were respectively 40.28–95.50 dB for G1 and 40.63–94.35 dB for G2; the vocal range used in speech was 215.14 Hz for G1 and 211.30 Hz for G2. Conclusion The minimum and maximum frequencies, maximum intensity, and vocal range presented differences in favor of the younger elder group.


Author(s):  
Lasse Kaalby ◽  
Axel Skytthe ◽  
Karen Andersen-Ranberg ◽  
Bernard Jeune

AbstractAs most centenarians suffer from multiple diseases, they are at high risk of dying – but what do they ultimately die of? This question has scarcely been examined. We have carried out a register-based study of the causes of death (CoD) among Danish centenarians. Among 8559 centenarian deaths in the 1970–2012 period, the most common CoD was in the category of cardio- and cerebrovascular diseases (CVD); at the end of the study period, this CoD accounted for one-third of the deaths in this age group. The mortality rate for CVD as an underlying CoD was more than halved during the period (from 358 to 170 per 1000 person-years). In contrast, the mortality rate for cancer remained stable during the whole period, but at a very low level (15–20 per 1000 person-years). Cancer made up a much smaller share of underlying CoDs among this age group (3–4%) than among 85–99-year-olds (15%). The mortality rate for pneumonia remained at a constant level (about 50 per 1000 person-years) of around 10% among centenarians and 5% among 85–99-year-olds. The underlying CoD groups that were reported with increasing frequency during the period were mental diseases, including dementia, which increased sevenfold; and ill-defined conditions/senility, which increased fourfold. The latter CoD group accounted for 28% of deaths among centenarians in the most recent years, and for more than one-third of deaths among semi-supercentenarians (aged 105–109). The increase in the proportion of deaths for which the CoD was listed as ill-defined conditions/senility was probably partly due to the under-diagnosis of diseases among centenarians, especially of heart diseases. However, a substantial proportion of these deaths may have been attributable to “old age” – i.e., a combination of several diseases and organ deficiencies – and not to a single underlying cause.


Author(s):  
Himangi Vasantbhai Baldaniya

Men and women reach old age with different prospects for older age. Aging is a real challenge for women. Life span of every individual is divided into three Avastha (stages) as Bala, Madhya and Vriddha in our classics. Kapha, Pitta and Vata Dosha dominate Bala, Madhya and Vriddhawastha respectively. This phase of life is more vulnerable for women, as along with aging, she suffers from inevitable scars of menopause. With increasing life expectancy, women spends one third of her lifetime under postmenopausal period. Menopause is a natural process in which menstruation definitively ceases, signalling the end of a woman’s reproductive life and it’s a natural process, not an illness, but a variety of disturbing symptoms can appear during this transition. Menopause usually occurs around the average age of 45. In women, reproductive period is controlled by Pitta Dosha. In Vriddhawastha, where Rajonivritti is a major event, Vata is the leading Dosha. In modern context, estrogen governs the reproductive period and its deficiency manifests as menopause. Hence, change in level of hormones marks puberty and menopause, where as in Ayurvedic classics change in status of Dosha and Dhatu marks onset of Raja and Rajonivritti. Rajonivritti is a marker of aging in women.


2021 ◽  
Vol 32 (1) ◽  
pp. 120-125
Author(s):  
M. O. Oyeyemi ◽  
M. O. Akusu

During an eight-year-study involving 242 kids born between 1993-2000, kid mortality for kids up to / year old was 47.52%. Irrespective of the age group, mortality was generally very high in young kids. The patterns of deaths were as follows: 29.57% before 3 months; 26.96% between 3 and 6 months, 12.17% between 6 and 9 months while 31.30% died between 9 and 12 months of age. Mortality rate for the 6-9 months period was significantly lower (P<0.05) than at other periods. The causes of kids' mortality were bad mothering abilities, malnutrition and disease. Pneumonia (37.39%) and pneumoenteritis (34.78%) were the major causes of death during the first year of life It was found out that kid with birth weight below 1.0kg and twins died before weaning. The introduction of new goat is a source of infectious disease especially PPR in the herd/flock. Also observed, as source is the introduction of new goats at age group 9-12 month. It is recommended that disease prevention, good management including the provision of adequate feeds for good growth and efficient veterinary care should be provided for goats in their first year of lif


2002 ◽  
Vol 24 (suppl 1) ◽  
pp. 42-47 ◽  
Author(s):  
John Snowdon

Depressive symptoms are highly prevalent in late life - in Brazil and around the world. Some experts have argued that depression is less common in old age, quoting studies that show a lower prevalence of major depression in late life. Results from cross-age studies have been remarkably inconsistent, both regarding which age-group has the peak rate and regarding actual rates. A majority of surveys of the prevalence of depressive conditions in old age (not just major depression), warranting clinical interventions, report it to be over 10%. Physical ill-health is the most significant associated factor, but it may distract doctors from recognising depression. Clinical interventions for late life depression are worthwhile. It is recommended that funding be allocated to training in assessment and management, environmental initiatives to counter feelings of helplessness and lowered self-esteem, and research.


Author(s):  
Sophia Weber ◽  
Ina Nitschke ◽  
Sebastian Hahnel ◽  
Angelika Rauch

Previous studies revealed that students’ willingness to provide dental services for older patients is mainly influenced by their individual perception of elders rather than their knowledge about old age. The aim of this study was to estimate students’ perception of old and young age as well as their hopes and fears associated with old age and to compare two cohorts that participated in the study 10 years apart. Data were obtained from a questionnaire completed by two cohorts of undergraduate dental students from 2006 to 2008 (T1, n = 207) and 2016 to 2018 (T2, n = 135). Participants were asked to define the ages that they consider a man or woman to be old and young. Moreover, they had to specify their fears and hopes associated with old age. Reported thresholds for old age differed significantly between T1 and T2. In contrast to T1 students, T2 students defined a person to be old at a higher age and barely differentiated between the old ages of men and women. Furthermore, T2 students presented more fears related to aging than T1 students, e.g., psychological problems or loss of independence. The perception of age appears to be a multifactorial process and significantly changed between students of T1 and T2. Fears of dental students regarding old age should be addressed in, e.g., gerodontological curricula, to foster positive experiences in interaction with older people and highlight the important and rewarding aspects of gerodontology.


1954 ◽  
Vol 80 (1) ◽  
pp. 69-100 ◽  
Author(s):  
R. H. Daw

Medical and social progress over the past 50 years has resulted in a large increase in the expectation of life, and this, together with a declining birthrate, has caused an increase in the proportion of old persons in the population. In 1901 less than 5% of the population of England and Wales was aged 65 and over; by 1949 the estimated percentage had increased to 11% and must inevitably increase still further in the future. A result of this is that more and more attention is being given to diseases of old age and in fact a new specialized branch of medicine, geriatrics, seems to have arisen. Heart diseases form by far the largest group of causes of death in old age and in 1949 were the certified cause of death in 37% of the deaths in England and Wales at ages 65 and over (Table 1). Even in the age-group 55-59 heart disease was responsible for 24% of all deaths in 1949.


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