La cistectomia nell'anziano: Radical cystectomy in the elderly patient

1998 ◽  
Vol 65 (2) ◽  
pp. 235-239
Author(s):  
V. Pegoraro ◽  
F. Invidiato ◽  
M. Pizzarella

It is certainly true that an increase in the average life span has caused a greater percentage of elderly people to visit urological departments. From April 1989 to December 1996, 52 patients over 75 years underwent radical cystectomy and urinary diversion. The numerical analysis of our experience has highlighted the fact that in operated patients the incidence and mortality caused by cardiovascular diseases were no higher than those found in other people of the same age.

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.


1998 ◽  
Vol 65 (2) ◽  
pp. 203-208
Author(s):  
D. Schiavone ◽  
A. D'Amico ◽  
V. Ficarra ◽  
S. Cicuto

An ageing population is mainly due to the reduction of births and the increase in life expectation. In Italy the percentage of people aged at least 65 years increased from 11.3% in 1971 to 15.3% in 1991. This increase mostly involved those aged 75 years and over. In the last four decades the average life span has extended by more than 11 years (from 65.5 to 76.9 years). The average life span in women is currently 80.2 years, almost 7 years longer than that of men. As age increases so does the incidence of various urological diseases requiring surgery, such as prostatic diseases (hyperplasia and carcinoma), urological tumours, urinary infections and incontinence. At the same time the probability of associated pathologies increases and consequently the risk of peri-operative complications, thus negatively influencing the prognosis. Surgery is only indicated in the elderly when it may increase life expectancy and/or improve the quality of life. A careful pre-operative evaluation of all the factors that may influence both life expectancy and quality of life is therefore indispensable, with particular reference to the actual disease and co-morbidity.


Author(s):  
Naina Vishwakarma

Geriatric problems are arising much and more in the present Era. With the increase in average life-span due to medical facilities it resulted in large number of people with old age Worldwide. To overcome this Ayurved advocates healthy ageing through Rasayan Chikitsa. By proper administration of Rasayan Therapy as a preventive tool one can prevent Jarajanit(Geriatic) vyadhis. Many herbs and techniques which provide solution to ageing and their complications are described in Ayurved. The Herbs with their properties slows down the natural process of aging and help in managing geriatric problem and improving the quality of life. Here   Amalaki an Rasayan Dravya in Geriatric diseases is brought in focus.


1980 ◽  
Vol 49 (4) ◽  
pp. 634-637
Author(s):  
F. W. Booth ◽  
W. F. MacKenzie ◽  
M. J. Seider ◽  
E. W. Gould

The purpose of this study was to determine whether daily running lengthens the life-span of animals dying prematurely due to cardiovascular disease. We used a strain of rat that is genetically hypertensive and obese and is reported to develop atherosclerosis (Exp. Mol. Pathol. 19: 53--60, 1973). These animals were divided into three groups consisting of runners exercised daily on treadmills from an early age life, food-restricted sedentary rats, and libitum eaters that were sedentary. This latter group had significantly higher average daily food intakes and body weights than either of the other two groups. The average life-span of both sedentary groups was significantly longer than the running group. Runners had a greater frequency of focal myocardial necrosis, but atherosclerosis was absent in all three groups. We speculate that daily running may have accentuated the development of factor s that may have contributed to the early death of runners.


1999 ◽  
Vol 19 (6) ◽  
pp. 581-587 ◽  
Author(s):  
Alexander A. Boldyrev ◽  
Steven Ch. Gallant ◽  
Gennady T. Sukhich

Carnosine attenuates the development of senile features when used as a supplement to a standard diet of senescence accelerated mice (SAM). Its effect is apparent on physical and behavioral parameters and on average life span. Carnosine has a similar effect on mice of the control strain, but this is less pronounced due to the non-accelerated character of their senescence processes.


2018 ◽  
Vol 99 (5) ◽  
pp. 1033-1041
Author(s):  
Eric M Gese ◽  
William T Waddell ◽  
Patricia A Terletzky ◽  
Chris F Lucash ◽  
Scott R McLellan ◽  
...  

Abstract Cross-fostering offspring with nonbiological parents could prove useful to augment populations of endangered carnivores. We used cross-fostering to augment captive-born and wild-born litters for the endangered red wolf (Canis rufus). Between 1987 and 2016, 23 cross-fostering events occurred involving captive-born pups fostered into captive litters (n = 8 events) and captive-born pups fostered into wild recipient litters (n = 15 events). Percentage of pups surviving 3 and 12 months was 91.7% for captive-born pups fostered into captive recipient litters. For pups fostered into wild litters, percentage of pups surviving 5 months was > 94% among fostered pups (pups fostered into a wild red wolf litter or replaced a hybrid litter), pups in recipient litters (wild-born litters receiving fostered pups), and pups in control litters (wild-born litters not in a fostering event) when using pups with known fates. Including pups with unknown fates as deaths, percentage of pups surviving 5 months was > 54% among fostered pups, pups in recipient litters, and pups in control litters. Among wild litters, percentage of pups surviving 12 months was > 82% among fostered pups, pups in recipient litters, and pups in control litters when using pups with known fates. Including pups with unknown fates as deaths, percentage of pups surviving 12 months was > 48% among fostered pups, pups in recipient litters, and pups in control litters. Although survival to 12 months was similar among the groups, average life span was different with pups in control litters living 3.3 years, pups in recipient litters living 4.6 years, and fostered pups living 5.6 years. Of fostered pups surviving > 12 months in the wild, 9 animals whelped or sired 26 litters. Cross-fostering was successful at augmenting litter size for red wolves without any deleterious effects on recipient litters, illustrating fostering as a tool for increasing populations of endangered carnivores.


2009 ◽  
Vol 28 (4) ◽  
pp. 445-450 ◽  
Author(s):  
Derya Tilki ◽  
Dirk Zaak ◽  
Matthias Trottmann ◽  
Alexander Buchner ◽  
Yeliz Ekiz ◽  
...  

2012 ◽  
Vol 3 (2) ◽  
pp. 119-142 ◽  
Author(s):  
Abdul-Karim Rafeq

Qassam registers give detailed information about the estates of deceased people, the size of their households, the number of times they were married, the number of children, and the male-female ratio of minors and adults. The estates of deceased Christians in Damascus are reported more frequently in nineteenth-century qassam registers due to the application of the Tanzimat which advocated equality among all subjects and the tolerance shown towards the Christians by Egyptian rule in Syria in the 1830s. The registers indicate that monogamy was dominant in Damascus due to a low-to-average life-span. Marriage patterns and the composition of the estates of deceased women and men are examined in six qassam registers spanning a period of over a century (1750-1861). The establishment of religious endowments (vakıf) by Muslim and Christian women, and the varying titles given to these women in the court records are also discussed.


2016 ◽  
Vol 73 (8) ◽  
pp. 1159-1163 ◽  
Author(s):  
Sebastián A. Pardo ◽  
Holly K. Kindsvater ◽  
John D. Reynolds ◽  
Nicholas K. Dulvy

The maximum intrinsic rate of population increase (rmax) is a commonly estimated demographic parameter used in assessments of extinction risk. In teleosts, rmax can be calculated using an estimate of spawners per spawner, but for chondrichthyans, most studies have used annual reproductive output (b) instead. This is problematic as it effectively assumes all juveniles survive to maturity. Here, we propose an updated rmax equation that uses a simple mortality estimator that also accounts for survival to maturity: the reciprocal of average life-span. For 94 chondrichthyans, we now estimate that rmax values are on average 10% lower than previously published. Our updated rmax estimates are lower than previously published for species that mature later relative to maximum age and those with high annual fecundity. The most extreme discrepancies in rmax values occur in species with low age at maturity and low annual reproductive output. Our results indicate that chondrichthyans that mature relatively later in life, and to a lesser extent those that are highly fecund, are less resilient to fishing than previously thought.


10.3823/2314 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Karoline De Lima Alves ◽  
Mônica Rocha Rodrigues Alves ◽  
Célia Maria Cartaxo Pires de Sá ◽  
José Alves Xavier Junior ◽  
Kilma Da Cunha Barros ◽  
...  

The natural aging process accelerate the appearance and the installation of diseases and symptoms characteristic of the age in which the physical and cognitive aspects are compromised progressively. Increasing the necessity of specialized cares and intensive accompaniment. This study aimed to evaluate through the Nursing Activities Score appliance, the nursing team’s working load, destined to elderly people assisted at intensive unit care and subsidize the personal sizing according to what advocate the legislation. It is about a descriptive and documental study of quantitative approach. It was used as data basis 50 patient records of elderly users admitted at a public intensive unit care from João Pessoa, Paraíba, Brazil. It was determined that 56% (28) of the elderly in his first hospitalization day at the Intensive Unit Care, required a nursing high working load while 44% (42) a nursing low working load. Through the sum of the Nursing Activities Score average score, we can achieve the total of hours at the nursing assistance necessaries to the elderly patient care during the hospitalization. The average scores obtained by the total score, corresponded to 59.2 ± 7.8, transforming in hours according to the conducted calculus, correspond to 14.47 hours of nursing assistance turned to the elderly people. It is waited that the results can contribute to quantify the expended assistance time and also evidence the real necessity of the people to ensure safe and quality assistance practices to the elderly people.  Descriptors: Workload. Nursing. Aged. Intensive Care Units.


Sign in / Sign up

Export Citation Format

Share Document