scholarly journals O38 Variations in orthopedic trauma presentation during COVID-19 lockdown

2021 ◽  
Vol 108 (Supplement_5) ◽  
Author(s):  
Mansoor N Chaudhry ◽  
Mahmood Ahmad ◽  
Abeeda Butt
Keyword(s):  
Alcohol Consumption ◽  
Trauma Team ◽  
The Elderly ◽  
Retrospective Data ◽  
Orthopedic Trauma ◽  
Significant Difference ◽  
Personal Wellbeing ◽  
The Difference ◽  
Sporting Activities ◽  
Increase Alcohol Consumption

Abstract Introduction The first national lockdown was imposed in Ireland from 27th March 2020, to combat the spread of Coronavirus. All non-essential travel, businesses, sporting activities and schools were closed. The elderly were advised to cocoon. The roadmap to easing the restrictions started in May. The lockdown measures resulted in people spending more time indoors, with impact on social and personal wellbeing. This had the potential to increase alcohol consumption, self inflicted injuries and neglect. The purpose of our study is to analyze the variations in orthopedic trauma presentations during the pandemic compared to similar period in 2018 and 2019. Method Retrospective data was collected from Orthopedic theatre registry of Our Lady of Lourdes Hospital, Drogheda, Co Louth, Ireland. Patients operated by orthopedic trauma team in three months period (March, April & May) in 2018, 2019 and 2020 were selected for analysis and comparison. Result Total number of surgeries performed in March-May 2018, 2019 and 2020 were 551, 505 and 373 showing a significant reduction in 2020 as compared to previous years. Trauma surgeries performed on children in March-May 2018,2019 and 2020 were 132,131 and 90 respectively, showing a similar downward trend. Surgeries were further categorized into Major +, Major, Intermediate and Minor according to their level of complexity. Although there was a significant reduction seen in Major, Intermediate and Minor surgeries, no significant difference was observed in Major + surgeries (73 in March-May 2020 vs. 79 in March-May 2019 and 57 in March-May 2018). Conclusion Significant reduction was seen in overall trauma surgeries which is attributable to lockdown measures. The difference in trend between Major + and other categories of surgeries can be explained by the reduction in sporting injuries and injuries in children whereas no significant difference was noted in hip fractures.

scholarly journals Assessment of functional capacity in elderly residents of an outlying area in the hinterland of Bahia/Northeast Brazil

2010 ◽  
Vol 68 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Gilson de Vasconcelos Torres ◽  
Luciana Araújo dos Reis ◽  
Luana Araújo dos Reis
Keyword(s):  
Activities Of Daily Living ◽  
Functional Capacity ◽  
Daily Living ◽  
Age Groups ◽  
The Elderly ◽  
Cross Sectional ◽  
Instrumental Activities ◽  
Significant Difference ◽  
The Difference ◽  
Outlying Area

OBJECTIVE: To assess the functional capacity and to determine the difference between the means of functional capacity (basic and instrumental activities of daily living) and the age groups of elderly residents in an outlying area in the hinterland of Bahia/Northeast of Brazil. METHOD: Analytical study with cross-sectional design and a sample of 150 elderly individuals enrolled in four Health Units in the municipality of Jequié, Bahia, Brazil. The instrument consisted of sociodemographic and health data, the Barthel Index and the Lawton scale. RESULTS: In all, 78.00% of the elderly were classified as dependent in the basic activities and 65.33% in the instrumental activities of daily living. Using the Kruskal-Wallis test, we found a statistically significant difference between the means of instrumental activities and the age groups (p=0.011). CONCLUSION: An elevated number of elderly were classified as dependent in terms of functional capacity and increased age is related to greater impairment in the execution of instrumental activities of daily living.

scholarly journals THE ERGONOMIC ELDERLY GYM IMPROVING PHYSICAL FITNESS AND INCREASING THE BONE MASS OF THE ELDERLY

2020 ◽  
Vol 1 (2) ◽  
pp. 1
Author(s):  
N.N. Ariati ◽  
N. Adiputra ◽  
K. Tirtayasa ◽  
I.P.G. Adiatmika ◽  
A. Pangkahila ◽  
...  
Keyword(s):  
Bone Mass ◽  
Physical Fitness ◽  
The Elderly ◽  
T Test ◽  
Wilcoxon Test ◽  
Whole Body ◽  
Distribution Data ◽  
Paired Sample ◽  
Significant Difference ◽  
The Difference

The public is increasingly aware of the importance of exercise for the elderly because exercise is an option to reduce complaints due to setbacks and improve the health of the elderly. In fact the implementation in the field is often wrong as in Banjar Benaya which implements routine exercises only once a week with a duration less than 30 minutes, does not pay attention to nutritional needs, does not use sports clothing, and displays that are not clear. The measurement of elderly physical fitness is still relatively low. Based on these problems, improvements were made to the application of ergonomic elderly gymnastics due to improve elderly’s physical fitness and increase the bone mass.  This study used a treatment by subject design conducted in April 2017-August 2018. The target population was all elderly in Denpasar and the affordable population was determined by multistage random sampling then selected Banjaya Benaya Peguyangan Village with a sample of 20 people who met the inclusion criteria. The data collection were physical fitness and bone mass. The difference in treatment effects were analyzed using a Paired Sample t-Test with α = 0.05 for data with normal distribution and Wilcoxon test, α = 0.05 for data with abnormal distribution. Data showed that there were differences in physical fitness improvement in Period I and Period II after 8 weeks of gymnastics at 43.43% with very bad categories being bad, the difference in increase in whole body bone mass was 16.76% and leg bone mass 68.67%. Analysis of Paired Sample-t-Test physical fitness data and Wilcoxon test for bone mass data in Period I and Period II after gymnastics for 8 weeks, found that there was a significant difference (p <0.05). It can be concluded that ergonomic elderly gym can significantly improve physical fitness and increase bone mass of the elderly. It is recommended that the elderly continue to exercise with a duration of 30-45 minutes, the frequency of 3 times a week to maintain elderly’s physical fitness.

scholarly journals Correlation between histopathologic and radiological changes in articular cartilage of the knee joint with degenerative joint disease

2017 ◽  
Vol 4 (2) ◽  
pp. 450
Author(s):  
Hakan Cift ◽  
Ali Seker ◽  
Bulent Kilic ◽  
Murat Demiroglu ◽  
Asli Erdogan Cakir ◽  
...  
Keyword(s):  
Subchondral Bone ◽  
The Elderly ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Lateral Condyle ◽  
Replacement Procedure ◽  
Tibial Condyle ◽  
Stage 4 ◽  
Significant Difference ◽  
The Difference

Background: Osteoarthritis (OA) of the knee is among the most common disabling diseases which may cause pain and decrease in functional status. It is the commonest form of arthritis and is most prevalent in the elderly, with 50% of adults aged 65-75 years and almost 70% of those 75+ years suffer from this disease. The aim of this study was to investigate consistency of radiologic findings with histomorphologic structure of bone in patients with severe gonarthrosis.Methods: 62 knees of 57 patients over 60 years old who had stage 3-4 gonarthrosis according to Kellgren-Lawrence classification were included in the study. Patients were separated into two groups as having stage 3 or stage 4 gonarthrosis. All the patients underwent total knee replacement procedure. During the operation distal femoral medial/lateral condyle and proximal tibial medial/lateral plateau were removed and sent to histologic examination for the measurement of thickness of cartilage layer and subchondral bone, number and thickness of trabeculae, space between two trabeculae.Results: Average thickness of subchondral bone was measured at stage 3 gonarthrosis and at stage 4 gonarthrosis. Only the difference between medial tibial condyle values of two groups was statistically significant. Average trabecula thickness was measured both at stage 3 and at stage 4 gonarthrosis. Only the difference between lateral tibial condyle values of two groups was statistically significant. Furthermore, as for the number of trabeculas and cavity between trabeculae, a significant difference couldn’t be found.Conclusions: Despite having radiological differences two groups can be said to show similar histopathological characteristics.

scholarly journals Blood Pressure Variability and Its Relationship with Cognitive Function in Elderly Patients with Essential Hypertension and Type 2 Diabetes

2019 ◽  
Vol 1 (01) ◽  
Author(s):  
Man Xu
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Blood Pressure Variability ◽  
The Elderly ◽  
Diabetic Group ◽  
Control Group ◽  
Significant Difference ◽  
The Difference ◽  
Normal Cognition

Objective: To investigate blood pressure variability of Elder hypertensives with type 2 diabetes and its relationship with cognition. Methods: A total of 143 elderly hypertensives were enrolled and divided into diabetic group (59 cases) and non-diabetic group (84 cases). The difference of general clinical characteristics, biochemical parameters, carotid ultrasound, a neuropsychological Scales and 24-hour ambulatory blood pressure (24hABPM) parameters between the two groups of subjects were compared. Then, the two groups (diabetic group and non-diabetic group) were further divided into (Mild cognitive dysfunction) subgroup (MMSE>26) and normal cognition subgroup (MMSE≤26), respectively. On the basis of MMSE scores, the difference of the parameters of ABPM between the two subgroups was analyzed. Results: Compared with the control group, 24hSBP, 24hPP, dSBP, dPP, nSBP, nPP, 24hSSD, dSSD, nSSD, 24hSCV, dSCV and nSCV were significantly higher in the diabetic group (p<0.05). However, cognition was lower in the diabetic group. No significant difference was found in the circadian pattern of blood pressure between the two groups. 24hSSD, dSSD, nSSD, 24hSCV, dSCV, nSCV were significantly higher in the MCI subgroup than normal cognition subgroup in both diabetic and non-diabetic groups(p<0.05), and they were negatively associated with scores of MMSE, the correlation coefficient were -0.235, -0.246, -0.341, -0.158, -0.222, -0.238 (0.001≤P<0.05). Conclusion: The study showed that in the elderly with hypertension, the mean systolic blood pressure and blood pressure variability were both higher in the diabetic group, and the cognition was lower instead. Whether or not with diabetes, blood pressure variability was always higher in the MCI subgroup. Blood pressure variability increased in patients with diabetes, and was associated with cognitive decline.

Healthcare Support among Elderly Population

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Kiran Yadav ◽  
Prof Sunita Mishra
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Old Age ◽  
Elderly Population ◽  
Social Role ◽  
Sense Of Self ◽  
The Elderly ◽  
Care Services ◽  
Significant Difference ◽  
The Difference

The elderly population is large in general and growing due to advancement of health care education. These people are faced with numerous physical, psychological and social role changes that challenge their sense of self and capacity to live happily. The present study was conducted to assess the relationship of specific satisfaction in biogerontology and social gerontological and medical gerontology. The present study reveals that health supports is positively and highly significantly related to using care services and suffer from disease of aged persons. The main purpose of this research was to find out the mean difference between old age home and residing in their home in suffer from disease and using care services .The total 120 elderly (60 elderly in old age home and 60 residing in their home) of age range 60-80 year.  The study was carried out in Lucknow. Multistage sampling technique was fallowed in the present study. The samples of this study were personally and individually contacted and data was obtained through face to face interview. The research tool for hospital anxiety and used the care services and health care scale was used .and the test was applied to check the difference of suffer from disease Asthma, diabetes, cardiovascular disease, stomach /bowel disease and using care services the ANOVA method used to check the difference .Result reveals that significant difference in suffer from  disease and using care services–old age with respect to both old age with respect to both old age home and residing in their home .While the difference between suffer from  disease and using care services reveals and the elderly people who live in old age home suffer from disease and using care services and residing in their home elderly people live with family and happy and significant difference were found in disease and using care services  in old age.

scholarly journals Twin-Robot Dialogue System with Robustness against Speech Recognition Failure in Human-Robot Dialogue with Elderly People

2020 ◽  
Vol 10 (4) ◽  
pp. 1522
Author(s):  
Takamasa Iio ◽  
Yuichiro Yoshikawa ◽  
Mariko Chiba ◽  
Taichi Asami ◽  
Yoshinori Isoda ◽  
...  
Keyword(s):  
Speech Recognition ◽  
Elderly People ◽  
The Elderly ◽  
Social Robots ◽  
Dialogue System ◽  
Recognition Failure ◽  
Word Error Rate ◽  
Dialogue Model ◽  
Significant Difference ◽  
The Difference

As agents, social robots are expected to increase opportunities for dialogue with the elderly. However, it is difficult to sustain a dialogue with an elderly user because speech recognition frequently fails during the dialogue. Here, to overcome this problem, regardless of speech recognition failure, we developed a question–answer–response dialogue model. In this model, a robot took initiative in the dialogue by asking the user various questions. Moreover, to improve user experience during dialogue, we extended the model such that two robots could participate in the dialogue. Implementing these features, we conducted a field trial in a nursing home to evaluate the twin-robot dialogue system. The average word error rate of speech recognition was 0.778. Despite the frequently high number of errors, participants talked for 14 min in a dialogue with two robots and felt slightly strange during the dialogue. Although we found no significant difference between a dialogue with one robot and that with two robots, the effect size of the difference in the dialogue time with one robot and that with two robots was medium (Cohen’s d = −0.519). The results suggested that the presence of two robots might likely encourage elderly people to sustain the talk. Our results will contribute to the design of social robots to engage in dialogues with the elderly.

The importance of age in survival of patients treated with chemotherapy for aggressive non-Hodgkin's lymphoma.

1988 ◽  
Vol 6 (12) ◽  
pp. 1838-1844 ◽  
Author(s):  
J M Vose ◽  
J O Armitage ◽  
D D Weisenburger ◽  
P J Bierman ◽  
S Sorensen ◽  
...  
Keyword(s):  
Older Patients ◽  
Hodgkin’S Lymphoma ◽  
Causes Of Death ◽  
The Elderly ◽  
Hodgkin's Lymphoma ◽  
Non Hodgkin’S Lymphoma ◽  
Non Hodgkin's Lymphoma ◽  
Significant Difference ◽  
The Difference

Non-Hodgkin's lymphoma (NHL) is a malignancy that occurs frequently in the elderly with a median age greater than 60 years. However, most chemotherapy trials have included predominantly patients less than 60 years of age. We treated 157 patients with diffuse aggressive NHL between September 1982 and May 1986 with cyclophosphamide, Adriamycin (doxorubicin; Adria Laboratories, Columbus, OH), procarbazine, bleomycin, vincristine, and prednisone (CAP/BOP). There were no treatment exclusions for age. Patients in this study ranged in age from 15 to 91 years (median, 63) with 112 patients greater than or equal to 60 years of age. The overall complete remission (CR) rate was 65% with no significant difference for age less than 60 (76%) v age greater than or equal to 60 (61%) (P = .18). With a median 36-month follow-up (range, 22 to 65 months), the overall 5-year survival was 42%. The patients less than 60 years old had a 62% 5-year survival in contrast to a 34% 5-year survival in those patients greater than or equal to age 60 (P = .01). The deaths attributed to tumor or treatment-related toxicity were similar above and below age 60. The difference in survival was due to other causes of death not obviously related to the lymphoma or its therapy-occurring in 22% of patients greater than or equal to 60 years of age but only 2% of patients less than 60 years (P = .005). Our data supports the position that aggressive NHL in elderly patients is not significantly less responsive than in younger patients; however, the inclusion of older patients in clinical trials will decrease the overall survival secondary to deaths due to apparently unrelated causes.

scholarly journals Are health websites credible enough for elderly self-education in the most prevalent elderly diseases?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saeideh Valizadeh-Haghi ◽  
Shahabedin Rahmatizadeh ◽  
Ali Soleimaninejad ◽  
Seyedeh Fatemeh Mousavi Shirazi ◽  
Parisa Mollaei
Keyword(s):  
Health Information ◽  
Chronic Diseases ◽  
The Elderly ◽  
Chronic Obstructive ◽  
Chi Square ◽  
Obstructive Pulmonary Disease ◽  
Significant Difference ◽  
Health Decision ◽  
Chi Square Test ◽  
The Difference

Abstract Background The Elderly and their caregivers need credible health information to manage elderly chronic diseases and help them to be involved in health decision making. In this regard, health websites are considered as a potential source of information for elderlies as well as their caregivers. Nevertheless, the credibility of these websites has not been identified yet. Thus, this study aimed to evaluate the credibility of the health websites on the most prevalent chronic diseases of the elderly. Methods The terms “Chronic obstructive pulmonary disease”, “Alzheimer's”, “Ischemic heart disease”, and “Stroke” were searched using the three popular search engines. A total of 216 unique websites were eligible for evaluation. The study was carried out using the HONcode of conduct. The chi-square test was carried out to determine the difference between conforming and nonconforming websites with HONcode principles and website categories. Results The findings showed that half of the evaluated websites had fully considered the HONcode principles. Furthermore, there was a significant difference between websites category and compliance with HONcode principles (p value < .05). Conclusion Regarding the poor credibility of most prevalent elderly diseases’ websites, the potential online health information users should be aware of the low credibility of such websites, which may seriously threaten their health. Furthermore, educating the elderly and their caregivers to evaluate the credibility of websites by the use of popular tools such as HONcode of conducts before utilizing their information seems to be necessary.

scholarly journals The Older, the More Forgiving? Characteristics of Forgiveness of Chinese Older Adults

2021 ◽  
Vol 12 ◽  
Author(s):  
Linjin Tao ◽  
Tingting Zhu ◽  
Yanglu Min ◽  
Mingxia Ji
Keyword(s):  
Older Adults ◽  
Age Groups ◽  
The Elderly ◽  
Age Group ◽  
Implicit Measures ◽  
Chinese Older Adults ◽  
Significant Difference ◽  
Single Category ◽  
The Difference ◽  
Two Age Groups

This study explores the characteristics of forgiveness in the aging cohorts, which is regarded to be associated with healthy outcomes. Data were drawn from a sample of 308 older adults (aged from 60 to 98 years) who completed the forgiveness questionnaire: forgiving others of The Heartland Forgiveness Scale (HFS) to examine explicit forgiveness, and among the participants, 44 older adults were administrated on the variant single category of implicit association test (SC-IAT) to examine the implicit forgiveness. The results revealed that (1) there is no correlation between explicit forgiveness and implicit forgiveness of older adults. (2) The result of explicit forgiveness is relatively high while that of implicit forgiveness is relatively low. (3) There was no significant correlation between explicit forgiveness and age, but there was significant difference between age groups, as forgiveness tendency of the elderly had a trough in the age group of 70–79 and then rebounded. (4) Implicit forgiveness was significantly correlated with age, and the difference between age groups was marginal. The forgiveness tendency of the elderly over 80 years old was significantly higher than that of the other two age groups. (5) Gender differences are found in both explicit and implicit forgiveness. The findings indicated that (1) explicit and implicit measures in this study have assessed independent and complementary aspects of forgiveness tendency in older adults. (2) Implicit forgiveness falls behind explicit forgiveness, and true internal forgiveness is difficult and rare in older adults according to data analysis. (3) The trend of explicit forgiveness with age is not obvious, because explicit forgiveness in the middle old age group presents an inflection point. However, implicit forgiveness increases slowly with age. (4) Women excel men in scores obtained with both explicit and implicit measures for forgiveness.

scholarly journals Brain weights in adult africans

2017 ◽  
Vol 34 (04) ◽  
pp. 223-225 ◽  
Author(s):  
A. Salami ◽  
M. Ajani ◽  
I. Orhorho ◽  
G. Ogun ◽  
A. Adeoye ◽  
...  
Keyword(s):  
Early Adulthood ◽  
Age Groups ◽  
The Elderly ◽  
Brain Weight ◽  
Significant Difference ◽  
The Central Nervous System ◽  
The Mean ◽  
The Difference ◽  
Autopsy Specimens ◽  
The Brain

Abstract Introduction: The average brain weight of adult humans, using Caucasian figures, is said to be between 1300g to 1400g. Few studies have however been done to make actual evaluations of brain weights in adult Africans. This study seeks to examine the weight of brains from people of African descent with respect to variations in sex and age in decades using autopsy specimens. Materials and Methods: Analysis of the weight of brains removed from both male and female adult patients during fresh autopsy of their bodies in our center over a ten year period was done. The study criteria required non-involvement of the central nervous system in the cause of death. The brains were grouped based on age in decades and further grouped into early, middle and late age groups. Descriptive statistical analysis was done using SPSS 20 statistics software. Results: A total of one hundred and sixteen brains were included in the study and the mean brain weight was 1280g with a range between 1015g to 1590g. There was no statistically significant difference in the mean brain weight of the different age groups. The average male brain was heavier than those of females and the difference was statistically signiicant. Conclusion: The brain weight of adult Africans in our study is similar to that seen in Caucasians. There is no statistically significant difference in the brain weight of adults from early adulthood to the elderly adults. Male adults have statistically heavier brains than the females.

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