Carotid Endarterectomy in the Elderly Patient: Experience Over the Past 15 Years

1992 ◽  
Vol 26 (7) ◽  
pp. 552-557
Author(s):  
Ajaya Kashyap ◽  
Narayan Deshmukh
Keyword(s):  
Elderly Patient ◽  
Carotid Endarterectomy ◽  
Patient Experience ◽  
The Elderly ◽  
The Past

Drug Interactions and Reactions Update

1982 ◽  
Vol 16 (12) ◽  
pp. 925-929 ◽  
Keyword(s):  
Elderly Patient ◽  
Drug Interactions ◽  
The Elderly ◽  
Salt Diet ◽  
The Past ◽  
Inadequate Knowledge ◽  
Or Groups ◽  
Low Salt ◽  
Nonsteroidal Antiinflammatory Agents ◽  
Extreme Care

Elderly patients take a large number of drugs, especially psychoactive agents, and polypharmacy seems to be the rule in acute hospital settings and in institutions alike. Knowledge about alteration in drug response, with aging, is still at a preliminary and investigational stage, and the problem is compounded by the fact that there are relatively few drugs for which a special geriatric dosage is recommended. It appears to be common practice to keep the elderly in “chemical strait jackets” in some institutions, with emphasis on the use of antipsychotic and sedative/hypnotic combinations. Use of these agents has reached such proportions in Britain and America that it has become necessary to warn that antipsychotic drugs should be used only to treat acute behavior disorders in such patients. The potential for drug-drug interactions in the elderly patient is, therefore, large, and, in the community, the most common categories of prescribed drugs taken by the elderly are psychotropics, diuretics, and antipyretic/analgesics. In addition, analgesics and laxatives are often taken as nonprescribed medicines. Poor compliance with medication instructions, hoarding of drugs, and inadequate knowledge of the purpose of medication are very common. The eventual sequel to these factors is hospitalization; diuretics, hypotensives, antiparkinsonian agents, and psychotropics carry the greatest risk of evoking serious adverse drug reactions. Some specific drugs or groups of drugs present peculiar problems to the aged patient; these agents are relatively few in number and include digoxin, hypotensives, diuretics, nonsteroidal antiinflammatory agents, benzodiazepines, phenothiazines, lithium, and other psychoactive drugs. Currently, lithium and the antirheumatoid agent benoxaprofen are causing much concern in regard to the elderly. With lithium, there are adverse effects suggestive of neurotoxicity, and interactions with concurrent neuroleptic and/or antidepressant therapy, diuretics, and low salt diet are involved. As for benoxaprofen, reports in the past few months have causally linked this drug with fatal cholestatic jaundice and other serious reactions; this drug has now been withdrawn from clinical use. Health professionals must use extreme care when treating an elderly patient with drugs.

Influence of general anesthesia on the postsurgery delirium and cognitive dysfunction onset in the elderly. Last decade research

2020 ◽  
pp. 43-54
Author(s):  
Aleksandr Ivolgin ◽  
Igor Litvinenko ◽  
Dmitriy Khritinin ◽  
Aleksandr Alekhnovich
Keyword(s):  
Adverse Effect ◽  
Elderly Patient ◽  
General Anesthesia ◽  
Cognitive Dysfunction ◽  
The Elderly ◽  
Surgical Patients ◽  
The Past ◽  
Post Surgery ◽  
Cognitive Failure ◽  
The Brain

Surgery and anesthesia produce a relatively stronger adverse effect on the elderly than on a younger brain, which manifests itself in a greater prevalence of post-surgery delirium (PSD) and post-surgery cognitive dysfunction (PSCD). Post-surgery delirium and cognitive dysfunction delay the recovery and are associated with increased morbidity and mortality among elderly surgical patients. In the past decade, there has been growing concern about whether anesthesia may be harmful to the brain of an elderly patient as they often experience post-surgery cognitive failure.

Contributory Factors for Obesity in Elderly: Review of the Literature

2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Nur Raihan Ismail ◽  
Noor Aman Hamid
Keyword(s):  
English Language ◽  
The Elderly ◽  
Dietary Factors ◽  
Health Concern ◽  
Cross Sectional ◽  
Contributory Factors ◽  
The Past ◽  
Prevalence Of Obesity ◽  
Program Intervention ◽  
Future Education

Introduction: The prevalence of obesity has been rising, adding to morbidity and mortality. As the proportion of elderly aged 60 years and above grows, so too the prevalence of obesity among this population. Obesity in the elderly is a rapidly growing public health concern as it contributes to significant changes in the health of older people. Objective: This review aims to assess the contributory factors for obesity in the elderly over the past decade. Methods: A literature search was conducted. The search was restricted to articles written in the English language published from 2008 to 2018. Qualitative studies were excluded. Results: A total of 19 full articles were retrieved, of which 18 cross-sectional and one cohort were included. The contributory factors were divided into three components: (a) socio demographic characteristics, (b) medical history and dietary factors and (c) environmental factors. Conclusions: This review informs an emerging knowledge regarding contributory factors for obesity and has implications for future education and program intervention in fighting obesity in the elderly.

Causes of Death

2018 ◽  
Author(s):  
Michael Anderson ◽  
Corinne Roughley
Keyword(s):  
Heart Disease ◽  
Pulmonary Tuberculosis ◽  
Western Europe ◽  
Causes Of Death ◽  
Whooping Cough ◽  
The Elderly ◽  
World War Two ◽  
World War ◽  
The Past ◽  
Disease Mortality

The principal reported causes of death have changed dramatically since the 1860s, though changes in categorization of causes and improved diagnosis make it difficult to be precise about timings. Diseases particularly affecting children such as measles and whooping cough largely disappeared as killers by the 1950s. Deaths particularly linked to unclean environments and poor sanitary infrastructure also declined, though some can kill babies and the elderly even today. Pulmonary tuberculosis and bronchitis were eventually largely controlled. Reported cancer, stroke, and heart disease mortality showed upward trends well into the second half of the twentieth century, though some of this was linked to diagnostic improvement. Both fell in the last decades of our period, but Scotland still had among the highest rates in Western Europe. Deaths from accidents and drowning saw significant falls since World War Two but, especially in the past 25 years, suicide, and alcohol and drug-related deaths rose.

Ela Longespee's Roll of Benefits: Piety and Reciprocity in the Thirteenth Century

Traditio ◽  
2009 ◽  
Vol 64 ◽  
pp. 1-56
Author(s):  
Emilie Amt
Keyword(s):  
Thirteenth Century ◽  
The Elderly ◽  
Religious Institutions ◽  
Religious Activities ◽  
Specific Content ◽  
Reciprocal Relationships ◽  
Oxford University ◽  
The Past ◽  
National Archives

Ipsa autem, bonorum temporalium liberalissima ac spiritualium avida beneficiorum …— 1293 charter of Oxford University, describing Ela LongespeeIn 1293, the elderly and twice-widowed Ela Longespee, countess of Warwick, or someone acting on her behalf, gathered together eighteen charters that had been issued to her over the past dozen years and sent them to the bishop of Lincoln, to be confirmed and copied into a single roll. The original charters have long since vanished, but the enrolled copy survives in The National Archives at Kew. Its component documents, all of them detailed grants to Ela by religious institutions in the Oxford area, are highly unusual; even when compared to the few surviving parallels, they stand out for their specific content. The roll itself, comprising eighteen such documents in a private archive created for a thirteenth-century laywoman, is unique. And when it is examined along with other surviving evidence of Ela's religious activities, it provides us with an extraordinary perspective on the reciprocal nature of religious patronage at this time. What is especially unusual about Ela's case is that we know much more about what the religious promised to Ela than what she granted to them. Thus Ela Longespee's records tell us the side of the story that is seldom told when we look at records of religious patronage; they reveal the return that donors expected in the late thirteenth century, with increasing precision and urgency. Using a chronological framework, this essay will examine the surviving documents, tell the story of Ela's life, and explore the most interesting dimension of that story: her startlingly explicit reciprocal relationships with religious institutions.

scholarly journals A Bibliometric Analysis of Human-Machine Interaction Methodology for Electric-Powered Wheelchairs Driving from 1998 to 2020

2021 ◽  
Vol 18 (14) ◽  
pp. 7567
Author(s):  
Xiaochen Zhang ◽  
Lanxin Hui ◽  
Linchao Wei ◽  
Fuchuan Song ◽  
Fei Hu
Keyword(s):  
The Elderly ◽  
Research Field ◽  
Future Research ◽  
Human Machine Interaction ◽  
Research Directions ◽  
The Past ◽  
Power Wheelchairs ◽  
The Disabled ◽  
Future Research Directions ◽  
Machine Interaction

Electric power wheelchairs (EPWs) enhance the mobility capability of the elderly and the disabled, while the human-machine interaction (HMI) determines how well the human intention will be precisely delivered and how human-machine system cooperation will be efficiently conducted. A bibliometric quantitative analysis of 1154 publications related to this research field, published between 1998 and 2020, was conducted. We identified the development status, contributors, hot topics, and potential future research directions of this field. We believe that the combination of intelligence and humanization of an EPW HMI system based on human-machine collaboration is an emerging trend in EPW HMI methodology research. Particular attention should be paid to evaluating the applicability and benefits of the EPW HMI methodology for the users, as well as how much it contributes to society. This study offers researchers a comprehensive understanding of EPW HMI studies in the past 22 years and latest trends from the evolutionary footprints and forward-thinking insights regarding future research.

scholarly journals A Theoretical Framework on the Determinants of Food Purchasing Behavior of the Elderly: A Bibliometric Review with Scientific Mapping in Web of Science

Foods ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 688
Author(s):  
Khaled Alhammadi ◽  
Luna Santos-Roldán ◽  
Luis Javier Cabeza-Ramírez
Keyword(s):  
Elderly Population ◽  
Web Of Science ◽  
The Elderly ◽  
Purchasing Behavior ◽  
Food Purchasing ◽  
The Past ◽  
Bibliometric Review ◽  
Food Market ◽  
The Common ◽  
Elderly Consumers

The past few years have seen significant demographic changes in most regions, including an increased elderly population. Subsequently, elderly citizens comprise an important market segment of consumers, with the food industry one of the most affected areas in this context. However, food market managers previously believed that elderly consumers’ needs were stereotyped in nature. The lack of focus on this sector, therefore, left elderly consumers as an untapped market, without realizing the financial independence of this segment regarding their nutrition. This research will attempt to provide the key determinant factors on elderly consumers’ behavior related to food. For that purpose, a complete literature review of more than 123 papers regarding these concepts has been carried out. Once analyzed, we highlight the common insights to give clear guidance for supermarket managers and food manufacturers to have a better knowledge of the reasons behind elderly people’s food acquisitions.

scholarly journals COVID-19 in comparison with other emerging viral diseases: risk of geographic spread via travel

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
A. Wilder-Smith
Keyword(s):  
Reproduction Number ◽  
Emerging Infectious Diseases ◽  
Case Fatality ◽  
The Elderly ◽  
Air Travel ◽  
Viral Diseases ◽  
Fatality Rate ◽  
The Past ◽  
Geographic Spread ◽  
Emerging Viral Diseases

Abstract Purpose of review The COVID-19 pandemic poses a major global health threat. The rapid spread was facilitated by air travel although rigorous travel bans and lockdowns were able to slow down the spread. How does COVID-19 compare with other emerging viral diseases of the past two decades? Recent findings Viral outbreaks differ in many ways, such as the individuals most at risk e.g. pregnant women for Zika and the elderly for COVID-19, their vectors of transmission, their fatality rate, and their transmissibility often measured as basic reproduction number. The risk of geographic spread via air travel differs significantly between emerging infectious diseases. Summary COVID-19 is not associated with the highest case fatality rate compared with other emerging viral diseases such as SARS and Ebola, but the combination of a high reproduction number, superspreading events and a globally immunologically naïve population has led to the highest global number of deaths in the past 20 decade compared to any other pandemic.

Sign in / Sign up

Export Citation Format

Share Document