Report on: “Urologica] surgery in elderly patients: Age or biological limits?”. Introduction

1992 ◽  
Vol 59 (4) ◽  
pp. 7-8
Author(s):  
V. Pegoraro

The request for surgery for the elderly is increasing from year to year. In fact a longer average age has brought about the necessity to study the physiology of the ageing process. Increasing knowledge has led to a deeper understanding of geriatric physiopathology, so that 65 years is no longer considered the age limit to define a person “elderly”. On the other hand the elderly no longer accept being marginalized due to their infermity. On the contrary they ask for the same therapeutical measures which are used for younger people.

1992 ◽  
Vol 59 (4) ◽  
pp. 31-35 ◽  
Author(s):  
M. Pizzarella ◽  
G. Ferro ◽  
F. Invidiato ◽  
P. Ligato ◽  
M. Fiorello ◽  
...  

It is certainly true that increase of the average life span has caused a greater percentage of elderly people to visit urological departments. From April 1989 to December 1991, patients over 75 years under our observation were 10.8% of all operated patients. Only 5% of patients over 75 who needed to be operated, weren't actually operated. The numerical analysis of our experience has highlighted the fact that in patients who underwent an operation, the incidence and mortality caused by cardiovascular diseases weren't any higher than those found in other people of the same age. We are also convinced that prejudices about age limits should not prevent the elderly afflicted with a benign or malignant urological pathology from undergoing an operation.


2013 ◽  
Vol 6 (2) ◽  
pp. 274-309
Author(s):  
Mohammad Mohammad

Abstrak: Perkawinan merupakan suatu ikatan yang melahirkan keluarga sebagai salah satu unsur dalam kehidupan bermasyarakat dan bernegara, yang diatur oleh aturan hukum, baik hukum Islâm maupun hukum positif (negara). Untuk dapat mewujudkan tujuan perkawinan, hukum negara, yakni Undang-undang Nomor 1 Tahun 1974 menentukan batas umur minimal untuk melangsungkan perkawinan, yakni usia 19 tahun untuk pria dan usia 16 tahun bagi wanita. Sedangkan hukum Islâm tidak menentukan secara kongkrit batas minimal usia perkawinan. Meghadapi dualisme hukum ini, negara seharusnya mengambil langkah tegas. Jika negara sudah melarang perkawinan di bawah umur,  maka konsekuensinya segala hukum yang bertentangan dengannya harus ditiadakan, sehingga terjadi kepastian hukum.   Abstract: Marriage is the bond of family that becomes one of the elements of social and state life. It is regulated in both Islamic and state laws. To concretize the marriage purpose, state law apllies the constitution of Undang-undang Nomor 1 Tahun 1974 that decides minimal age limit of marriage---19 years old for male citizens and 16 years old for the female ones. On the other hand, the Islamic law do not explicitly declare this. State must take a firm action to face this dualism, it must forbid non-state regulation that is in contradiction against state law including the law that allows the marriage beyond the age limit. It is about to guarantee the legal security or rule of law.   Kata-kata Kunci: Hukum Islâm, perkawinan di bawah umur, hukum negara, dan negara.


Ekonomia ◽  
2018 ◽  
Vol 23 (4) ◽  
pp. 85-93
Author(s):  
Katarzyna Sawicz

Comparative ana lysis of the quality of life of seniors in selected countries of the European UnionFor more than twenty years, the number of elderly people in Europe has been increasing. This process is called “the graying of the continent”. The aging of societies raises many problems of a medical, social and economic nature. On the other hand, the increase in the quality of life of seniors caused less spending on medical and social care.The article attempts to analyze the quality of life of seniors in selected countries of the European Union. The level of quality of life was examined in economic aspect. Particular attention is paid to the health of the population in selected EU country and the level of poverty. The article indicates countries with the highest quality of life of the elderly and countries in which the quality of life of seniors is low.


2015 ◽  
Vol 4 (2) ◽  
pp. 14-27
Author(s):  
A.I. Melehin

The process of cognition and perception of time in the elderly (55-75 years) and old (75-90 years) people was always a matter of interest for gerontologists and psychologists looking for the answer to the question why in old age time flows very quickly on one hand and very slowly on the other hand. Studies show that the ability to adequately perceive and prioritize its activities in time in elderly patients depends on the physical, intellectual and social activity, and other factors that determine the quality of life and promote productive aging. The purpose of this article is to familiarize professionals with notions of perception and cognition of time, as well as paradigms of time perception studies in psychology. The article also familiarizes the readers with foreign research aspects of time cognition, i.e, orientation in time, perception of time intervals, time perspective, and mental journey of elderly patients through time


Author(s):  
Najla Chebib ◽  
Clémence Cuvelier ◽  
Astrid Malézieux-Picard ◽  
Thibault Parent ◽  
Xavier Roux ◽  
...  

2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Ivan Riyadi

Based on the thematic and psychological studies that the role of the mother is very significant for young children, mothers act as educators and models for children. Then this article aims to explore which refers to the books of literature, using the form of theories, concepts, where the presentation is descriptive by using research methods literature. Challenges to be faced by the woman currently in the pro - emancipation, which must be running multiple roles without having to leave his nature as a woman . On one hand , Women are required to always be « productive « in the career and life of its people . However , on the other hand for a woman who has not had a partner they should serve the elderly . And if it already has a spouse, a woman devoted to her husband prosecuted . As well as being a mother and role model for his children . That is what will be the biggest challenge for the woman


2021 ◽  
Vol 10 (14) ◽  
pp. 3123
Author(s):  
Rie Kanai ◽  
Shin-ichi Kanemaru ◽  
Kaoru Tamura ◽  
Yoshiko Noda ◽  
Naomi Umezawa ◽  
...  

Objective: Populations are aging in many countries, and the proportion of elderly people with severe to profound hearing loss is increasing in parallel with the increasing average life span. The objective of this study was to investigate the outcomes of cochlear implant (CI) surgery in elderly patients compared to those in younger patients. Methods: The outcomes of CI surgery were retrospectively investigated for 81 adults (32 men and 49 women) who underwent CI surgery at our hospital. They were divided according to age at the time of implantation into the younger group (<75 years of age; n = 49) or elderly group (≥75 years of age; n = 32). Results: The mean sentence recognition score on the CI-2004 Japanese open-set test battery (±standard deviation) was 82.9% ± 24.1 in the younger group and 81.9% ± 23.2 in the elderly group, with no significant difference between the groups (Mann–Whitney U test). The incidence of major complications that required surgical treatment was not significantly different between the groups (4.1% vs. 6.2%, respectively). Thus, there were no severe complications that could affect general health status in either group. Three patients in each group died for reasons unrelated to CI surgery during follow-up. The proportion of patients who were alive and continued to use the CI five years after surgery was 92.8% and 91.5%, respectively. Conclusion: Our results show good speech recognition and a low incidence of major complications in elderly patients. This comprehensive report on the outcomes of CI surgery in elderly patients will be helpful to the elderly with severe to profound hearing loss when deciding whether to undergo CI surgery.


2018 ◽  
Vol 8 (2) ◽  
pp. 64-75 ◽  
Author(s):  
O. A. Koroleva ◽  
L. M. Kogoniya ◽  
M. M. Byakhova ◽  
A. G. Titov

Stomach cancer (SC) (in the structure of morbidity) is one of the most frequent malignant diseases that occurs in the elderly. Systemic chemotherapy showed improved quality of life and survival rate compared with palliative therapy in patients with advanced SC. It has also been shown that elderly patients with SC are able to tolerate and receive effective systemic chemotherapy, as are the younger patients with the same stage of cancer. The only one age limit should not be the only criterion for excluding effective chemotherapy. However, proper patient selection is extremely important to ensure effective safe treatment. The article analyzes the optimal regimens of chemotherapy, taking into account the general condition and geriatric functional status of elderly patients with SC.


Author(s):  
Yu Ting van Loon ◽  
Felice N. van Erning ◽  
Huub A. Maas ◽  
Laurents P. S. Stassen ◽  
David D. E. Zimmerman

Abstract Background Primary anastomosis (PA) in left-sided colorectal cancer (CRC) surgery in elderly patients is disputed. The aim of our study was to evaluate the differences in postoperative outcomes after left-sided CRC surgery in elderly patients in The Netherlands, comparing patients with PA and those who underwent end-ostomy (EO). Method Patients aged ≥ 75 years with stage I–III left-sided CRC, diagnosed and surgically treated in 2015–2017 were selected from the Netherlands Cancer Registry (n = 3286). Postoperative outcomes, short-term (30-, 60-, and 90-day) mortality and 3-year overall and relative survival were analyzed, stratified by surgical resection with PA versus EO. Propensity score matching (PSM) and multivariable logistic regression analysis were conducted. Results Patients with higher age, higher American Society of Anesthesiologists classification and higher tumor stage, a perforation, ileus or tumor located in the proximal rectum, and after open or converted surgery were more likely to receive EO. No difference in anastomotic leakage was seen in PA patients with or without defunctioning stoma (6.2% vs. 7.0%, p = 0.680). Postoperative hospital stay was longer (7.0 vs. 6.0 days, p < 0.0001) and more often prolonged (19% vs. 13%, p = 0.03) in EO patients. Sixty-day mortality (2.9% vs. 6.4%, p < 0.0001), 90-day mortality (3.4% vs. 7.7%, p < 0.0001), and crude 3-year survival (81.2% vs. 58.7%, p < 0.0001) were significantly higher in EO patients, remaining significant after multivariable and PSM analysis. Conclusion There are significant differences between elderly patients after left-sided CRC surgery with PA versus EO in terms of postoperative length of stay, short-term survival, 3-year overall survival, and relative survival at disadvantage of EO patients. This information could be important for decision making regarding surgical treatment in the elderly.


1980 ◽  
Vol 8 (4) ◽  
pp. 270-275
Author(s):  
N K Chakravorty ◽  
G Annan

Twenty-one patients between the ages of 68 and 89 years with osteoarthrosis of hips and/or knee joints were studied. One group was treated with fenoprofen 300 mg t.d.s. for 5 days, and the other group with 600 mg t.d.s. for 5 days. No therapeutic advantage was found with the higher dose, and the side-effects were minimal on either dosage. Treatment of elderly patients with the smaller dose is recommended.


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