scholarly journals Application of Traditional Medical Ideas to Geriatric Syndrome

2014 ◽  
Vol 2014 ◽  
pp. 1-20 ◽  
Author(s):  
Takashi Seki ◽  
Shin Takayama ◽  
Masashi Watanabe ◽  
Noriko Tsuruoka ◽  
Tadao Matsunaga ◽  
...  
Keyword(s):  
Reference Lists ◽  
The Elderly ◽  
Modern Medicine ◽  
Geriatric Syndrome ◽  
Gait Disorder ◽  
Practical Application ◽  
Medical Treatments ◽  
Medical Settings ◽  
Therapeutic Measures ◽  
Ultrasound Scanner

Background. Japan is a superaging society, with the percentage of persons aged >65 years increasing year after year. Traditional medicine (TM) for elderly has been practiced worldwide for thousands of years. Treatment methods for aspiration pneumonia, gait disorder, glaucoma, and bowel symptoms have been developed. The ideas of acupuncture, moxibustion, and herbal medicine have been implemented in modern medical settings, and medical devices using heat transfer engineering and nanotechnology have been developed. An ultrasound scanner can be used for the evaluation of effects and indications for these therapeutic measures. Objectives. To review published literature and our studies that evaluated medical treatments for the elderly on the basis of ideas of TM. Search Methods. We searched Pubmed, Scopus, and reference lists of relevant clinical trials. Authors’ Conclusions. Many studies were found. But there are insufficient data on the effects of traditional medical therapies and further research is needed. TM therapies vary widely and studies of these therapies that ascertain practical application are essential for the utilization of ideas of TM in modern medicine. Moreover, to verify practical application, a quantitative evaluation index is necessary. Nonetheless, modalities using ideas of TM may be promising treatments for some diseases in the elderly.

Physician use of the phrase “due to old age” to address complaints of elderly symptoms in Japanese medical settings: The merits and drawbacks

2021 ◽  
pp. 147775092110366
Author(s):  
Atsushi Asai ◽  
Taketoshi Okita ◽  
Masashi Tanaka ◽  
Seiji Bito ◽  
Motoki Ohnishi
Keyword(s):  
Elderly Patient ◽  
Elderly Patients ◽  
Medical Care ◽  
Old Age ◽  
The Elderly ◽  
Modern Medicine ◽  
Medical Settings ◽  
Elderly Individuals ◽  
Pain And Suffering ◽  
Aging Phenomenon

In everyday medical settings in Japan, physicians occasionally tell an elderly patient that their symptoms are “due to old age,” and there is some concern that patient care might be negatively impacted as a result. That said, as this phrase can have multiple connotations and meanings, there are certain instances in which the use of this phrase may not necessarily be indicative of ageism, or prejudice against the elderly. One of the goals in medical care is to address pain and suffering that develops with age in elderly individuals, and whether or not aging is a disease is inconsequential. However, assuming that an individualized and thorough examination has been performed, there are some conditions that can be attributed only to age. Accordingly, physicians must acknowledge the merits and drawbacks of using the phrase “due to old age,” and exercise caution when using it. Both physicians and their elderly patients must share a common awareness of the incomplete and limited nature of modern medicine and its scope, and physicians must help their elderly patients accept and live with the aging phenomenon.

Infections caused by medical products at longterm nursing care

2020 ◽  
pp. 7-10
Author(s):  
Hardy Thorsten Panknin
Keyword(s):  
Nursing Care ◽  
Nursing Staff ◽  
Nosocomial Infections ◽  
The Elderly ◽  
Relevant Information ◽  
Medical Products ◽  
The Disabled ◽  
The Usa ◽  
Therapeutic Measures

Nosocomial infections in the elderly, often suffering from many ailments, patients in homes for the disabled and the old are among the problematic diseases that specialized nursing staff and doctors have to deal with more often in such institutions. Review work from the USA introduces relevant information about infectious risks, as well as possible preventive and therapeutic measures.

scholarly journals The Optimal Management of Acute Febrile Encephalopathy in the Aged Patient: A Systematic Review

2016 ◽  
Vol 2016 ◽  
pp. 1-13 ◽  
Author(s):  
Fereshte Sheybani ◽  
HamidReza Naderi ◽  
Sareh Sajjadi
Keyword(s):  
Systematic Review ◽  
Mental Status ◽  
The Elderly ◽  
Altered Mental Status ◽  
Cns Infection ◽  
Geriatric Syndrome ◽  
World Population ◽  
Main Process ◽  
Optimal Management ◽  
Language Restriction

The elderly comprise less than 13 percent of world population. Nonetheless, they represent nearly half of all hospitalized adults. Acute change in mental status from baseline is commonly seen among the elderly even when the main process does not involve the central nervous system. The term “geriatric syndrome” is used to capture those clinical conditions in older people that do not fit into discrete disease categories, including delirium, falls, frailty, dizziness, syncope, and urinary incontinence. Despite the growing number of elderly population, especially those who require hospitalization and the high burden of common infections accompanied by encephalopathy among them, there are several unresolved questions regarding the optimal management they deserve. The questions posed in this systematic review concern the need to rule out CNS infection in all elderly patients presented with fever and altered mental status in the routine management of febrile encephalopathy. In doing so, we sought to identify all potentially relevant articles using searches of web-based databases with no language restriction. Finally, we reviewed 93 research articles that were relevant to each part of our study. No prospective study was found to address how should AFE in the aged be optimally managed.

DEVELOPMENT OF A MODEL FOR ASSESSMENT OF THE CONDITION OF PATIENTS WITH DISEASES OF THE SPINE BASED ON THE METHOD OF MULTI-CRITERIAL SELECTION OF ALTERNATIVES

2021 ◽  
pp. 115-121
Author(s):  
Екатерина Ивановна Новикова ◽  
Евгений Николаевич Коровин
Keyword(s):  
Information Technologies ◽  
Clinical Manifestations ◽  
Human Perception ◽  
The Elderly ◽  
Modern Medicine ◽  
Great Accuracy ◽  
Spinal Diseases ◽  
Gradual Introduction ◽  
The Russian Federation ◽  
Selection Of

Современная медицина имеет два приоритетных направления развития. Первое направление - это создание новейших лекарственных препаратов, а также разработка вакцин против новых вирусов. Второе направление - повсеместное и поэтапное внедрение в медицину информационных технологий. С болью в спине могут столкнуться люди не только пожилого возраста, но и подростки и даже грудные дети. Боль эта может быть вызвана многими причинами: как усталостью, так и всевозможными заболеваниями, которые могли развиться со временем или быть от рождения. По данным статистики ВОЗ, 80% населения страдает клиническими проявлениями остеохондроза позвоночника. В Российской Федерации большая часть амбулаторного приема неврологов и ортопедов занимают болезни позвоночника. Зачастую эксперту сложно однозначно оценить объект по некоторому критерию, возникают сомнения и поиски усредненной оценки. Но нередко затруднения в точном определении значения возникают не из-за недостатка опыта, а как раз, наоборот, из-за интуитивного понимания размытости оценки. Излишняя точность понятия может привести к потере части наилучших альтернатив или неправильному их ранжированию, если таковое применяется. Поэтому возникает необходимость разработки все более гибких по отношению к человеческому восприятию информации методов, позволяющих учитывать неопределенность все в большем количестве измерений. Целью данной работы является изучение методов, позволяющих с большой точностью определить заболевание позвоночника по некоторым жалобам пациента. Задачами работы являются выбор методов для просчета альтернатив, выбор критериев для альтернатив, и собственно, сами расчеты по выбранным методам Modern medicine has two priority areas of development. The first direction is the creation of the latest drugs, as well as the development of vaccines against new viruses. The second direction is the widespread and gradual introduction of information technologies into medicine. Back pain can be experienced not only by the elderly, but also by adolescents and even infants. This pain can be caused by many reasons: both fatigue and all kinds of diseases that could develop over time or be from birth. According to WHO statistics, 80% of the population suffers from clinical manifestations of osteochondrosis of the spine. In the Russian Federation, most of the outpatient visits to neurologists and orthopedists are spinal diseases. It is often difficult for an expert to unambiguously evaluate an object according to some criterion; doubts arise and searches for an average assessment. But often difficulties in accurately determining the meaning arise not because of a lack of experience, but, on the contrary, because of the intuitive understanding of the fuzziness of the assessment. Excessive precision of the concept can lead to the loss of some of the best alternatives or their incorrect ranking, if applicable. Therefore, there is a need to develop more and more flexible methods in relation to human perception of information, allowing to take into account the uncertainty in more and more dimensions. The aim of this work is to study methods that allow to determine with great accuracy the disease of the spine based on some of the patient's complaints. The tasks of the work are the choice of methods for calculating alternatives, the choice of criteria for alternatives, and, in fact, the calculations themselves according to the selected methods

scholarly journals Polityka społeczna wobec ludzi starych w Polsce — uwarunkowania, rozwój i kierunki zmian

Ekonomia ◽  
2020 ◽  
Vol 25 (4) ◽  
pp. 73-84
Author(s):  
Sylwia Wojtczak
Keyword(s):  
Social Policy ◽  
Older People ◽  
Senior Citizens ◽  
Population Aging ◽  
Social Activity ◽  
The Elderly ◽  
Modern Medicine ◽  
The Social ◽  
The Government ◽  
Human And Social Capital

Social policy toward old people in Poland — conditions, development and directions of changesSocial policy shapes people’s living conditions. In the era of dynamic demographic changes, especially the aging of the population observed in Poland and across the world, the activity of the state focused on improving the quality of life of the elderly is particularly important. Population aging is a demographic process of increasing the proportion of older people while reducing the proportion of children in the society of a given country. Elderly people will continue to be a part of society, mainly due to the progress of civilization, advances in modern medicine and the popularization of so-called healthy living.Social policy toward the elderly should not be limited to managing the social security system and social welfare. Eff ective use of human and social capital of the elderly will be a growing challenge for this policy, and for senior citizens — spending satisfactorily the last years of one’s life. However, for some senior citizens, old age means or will mean poverty and living on the margins of civil society. The Ministry of Family, Labor and Social Polic y is responsible for the social policy of people in Poland, off ering for example in the years 2014–2020 to senior citizens such programs as “Senior +”, the Government Program for Social Activity of the Elderly ASOS or “Care 75+.” Each of the above programs have appropriate criteria that must be met to be able to use them. Are older people eager to use them, or are the eff ects of these programs already visible? This study will attempt to answer the above questions. The main purpose of the article is to diagnose and analyze selected government programs targeted at older people. In addition, perspectives for changes in social policy toward older people in Poland will be determined.

scholarly journals The Application of Hand-Held Ultrasound Scanner in Teaching of Telemedicine and Rural Medicine

2014 ◽  
Vol 8 (1) ◽  
pp. 87-91 ◽  
Author(s):  
Oscar Noriega ◽  
Hoi Ho ◽  
Justin Wright
Keyword(s):  
Point Of Care ◽  
Modern Medicine ◽  
Diagnostic Instrument ◽  
Obstetrics And Gynecology ◽  
Clinical Settings ◽  
Ultrasound Images ◽  
Rural Medicine ◽  
Physical Examinations ◽  
Ultrasound Scanner

ABSTRACT Stethoscope, the symbol of modern medicine has been in place for more than 150 years. However, this reliable diagnostic instrument has started showing its age with the arrival of a newer diagnostic instrument: the hand-held ultrasound. Hand-held ultrasound is rapidly expanding in many specialties but not yet in obstetrics and gynecology. There is a paucity of literature on the application of hand-held ultrasound in obstetrics and gynecology, in contrast to a large volume of literature published by other specialties. Several studies demonstrated that medical students and residents can improve the accuracy of their physical examinations with the use of hand-held ultrasound. Similarly, physical examinations performed by hospitalists with hand-carried ultrasound are more accurate than those performed without the instrument. Advances in technology have contributed to the improvement of image quality and portability. As a result, these devices become increasingly available in many clinical settings such as point of care, telemedicine and rural medicine. The quality of ultrasound images of the hand-held scanner is inferior to those of standard laptop ultrasound. However, the hand-held ultrasound requires much less time for setup. Although there have been recommendations for training guidelines for operators of hand-held ultrasound, standards for optimal training to achieve level of competency have not been determined. How to cite this article Wright J, Noriega O, Ho H. The Application of Hand-Held Ultrasound Scanner in Teaching of Telemedicine and Rural Medicine. Donald School J Ultrasound Obstet Gynecol 2014;8(1):87-91.

scholarly journals Utilization of Behavioral Medicine Services to Refine Medical Diagnostic Formulation in the Face of Uncertain Symptom Presentation

2016 ◽  
Vol 9 (2) ◽  
pp. 493-498 ◽  
Author(s):  
David A. Moore ◽  
Elisabeth S. Markman ◽  
Cori E. McMahon ◽  
Maurie Markman
Keyword(s):  
Behavioral Medicine ◽  
Psychological Assessment ◽  
Complex Case ◽  
Medical Team ◽  
Clinical Services ◽  
Symptom Presentation ◽  
Medical Treatments ◽  
Medical Settings ◽  
Medical Diagnostic ◽  
The Face

In the ever expanding realm of cancer care, the psychosocial impact of disease and medical treatments has been garnering increased attention. To address these needs, the integration of behavioral medicine services into inpatient and outpatient medical settings has added a unique resource available to oncologists. Psycho-oncologists may assist providers via the provision of psychological assessment and intervention, supplying valuable consultation to members of the medical team and much needed clinical services to patients. The authors present a complex case in which the utilization of behavioral medicine consultation to clarify the diagnostic picture was critical to identifying underlying anatomic disease.

White matter lesions as a feature of cognitive impairment, low vitality and other symptoms of geriatric syndrome in the elderly

2008 ◽  
Vol 8 (2) ◽  
pp. 93-100 ◽  
Author(s):  
Kazuki Sonohara ◽  
Koichi Kozaki ◽  
Masahiro Akishita ◽  
Kumiko Nagai ◽  
Hiroshi Hasegawa ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
White Matter ◽  
White Matter Lesions ◽  
The Elderly ◽  
Geriatric Syndrome

scholarly journals Targeting Drug Delivery in the Elderly: Are Nanoparticles an Option for Treating Osteoporosis?

2021 ◽  
Vol 22 (16) ◽  
pp. 8932
Author(s):  
Gudrun C. Thurner ◽  
Johannes Haybaeck ◽  
Paul Debbage
Keyword(s):  
Bone Resorption ◽  
Small Molecules ◽  
Living Organism ◽  
The Elderly ◽  
Therapeutic Agents ◽  
Common Disease ◽  
Practical Application ◽  
Targeted Nanoparticles ◽  
Target Molecules ◽  
Tissue Compartments

Nanoparticles bearing specific targeting groups can, in principle, accumulate exclusively at lesion sites bearing target molecules, and release therapeutic agents there. However, practical application of targeted nanoparticles in the living organism presents challenges. In particular, intravasally applied nanoparticles encounter physical and physiological barriers located in blood vessel walls, blocking passage from the blood into tissue compartments. Whereas small molecules can pass out of the blood, nanoparticles are too large and need to utilize physiological carriers enabling passage across endothelial walls. The issues associated with crossing blood-tissue barriers have limited the usefulness of nanoparticles in clinical applications. However, nanoparticles do not encounter blood-tissue barriers if their targets are directly accessible from the blood. This review focuses on osteoporosis, a disabling and common disease for which therapeutic strategies are limited. The target sites for therapeutic agents in osteoporosis are located in bone resorption pits, and these are in immediate contact with the blood. There are specific targetable biomarkers within bone resorption pits. These present nanomedicine with the opportunity to treat a major disease by use of simple nanoparticles loaded with any of several available effective therapeutics that, at present, cannot be used due to their associated side effects.

scholarly journals Diagnosis and Management of Heart Failure in Elderly Patients from Hospital Admission to Discharge: Position Paper

2021 ◽  
Vol 10 (16) ◽  
pp. 3519
Author(s):  
Thibaud Damy ◽  
Tahar Chouihed ◽  
Nicholas Delarche ◽  
Gilles Berrut ◽  
Patrice Cacoub ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Care Professionals ◽  
Transitional Care ◽  
Hospital Setting ◽  
The Elderly ◽  
Geriatric Syndrome ◽  
Post Discharge ◽  
Atypical Symptoms ◽  
Patient Pathway ◽  
Adequate Care

Multidisciplinary management of worsening heart failure (HF) in the elderly improves survival. To ensure patients have access to adequate care, the current HF and French health authority guidelines advise establishing a clearly defined HF patient pathway. This pathway involves coordinating multiple disciplines to manage decompensating HF. Yet, recent registry data indicate that insufficient numbers of patients receive specialised cardiology care, which increases the risk of rehospitalisation and mortality. The patient pathway in France involves three key stages: presentation with decompensated HF, stabilisation within a hospital setting and transitional care back out into the community. In each of these three phases, HF diagnosis, severity and precipitating factors need to be promptly identified and managed. This is particularly pertinent in older, frail patients who may present with atypical symptoms or coexisting comorbidities and for whom geriatric evaluation may be needed or specific geriatric syndrome management implemented. In the transition phase, multi-professional post-discharge management must be coordinated with community health care professionals. When the patient is discharged, HF medication must be optimised, and patients educated about self-care and monitoring symptoms. This review provides practical guidance to clinicians managing worsening HF in the elderly.

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