scholarly journals Clinical diagnosis of 80 cases of dementia in a university hospital

2013 ◽  
Vol 62 (2) ◽  
pp. 139-143 ◽  
Author(s):  
Renata Teles Vieira ◽  
Norami de Moura Barros ◽  
Leonardo Caixeta ◽  
Sergio Machado ◽  
Adriana Cardoso Silva ◽  
...  
Keyword(s):  
Demographic Data ◽  
Lewy Body Dementia ◽  
The Elderly ◽  
Healthcare Services ◽  
Epidemiological Studies ◽  
University Hospital ◽  
Functional Activities ◽  
Considerable Impact ◽  
The City ◽  
State Examination

OBJECTIVE: This study aims to estimate the prevalence of dementia subtypes and to assess the socio-demographic data of patients attending the outpatient clinic of dementia at Hospital das Clínicas from January 2008 to December 2009, in the city of Goiânia-GO, Brazil. METHODS: Procedures provided for diagnosis included physical and neurological examination, laboratory tests, neuroimaging and DSM-IV. The functional capacity and level of cognitive deficit were assessed by Pfeffer Functional Activities Questionnaire (Pfeffer-FAQ) and Mini-Mental State Examination (MMSE), respectively. RESULTS: Eighty patients met the criteria for dementia. The mean age was 63.48 (± 16.85) years old, the schooling was 3.30 (± 3.59) years old, the MMSE was 13.89 (± 7.79) and Pfeffer 17.73 (± 9.76). The Vascular Dementia (VD; 17.5%) was the most frequent cause of dementia, followed by Lewy body dementia (LBD) and Alzheimer's disease (AD) (12.25%). CONCLUSION: Considering entire sample and only the elderly over 60 years, VD, AD and LBD are the most common subtypes observed at both groups. Further epidemiological studies are necessary to confirm such rates, which may have a considerable impact on the organization and planning of healthcare services in our country.

The Late-onset Bipolar Disorder: A Comparative Study

2017 ◽  
Vol 41 (S1) ◽  
pp. S113-S114
Author(s):  
C. Derbel ◽  
R. Feki ◽  
S. Ben Nasr ◽  
S. Bouhlel ◽  
B. Ben Hadj Ali
Keyword(s):  
Comparative Study ◽  
Late Onset ◽  
Demographic Data ◽  
Bipolar Disorders ◽  
The Elderly ◽  
University Hospital ◽  
Professional Activity ◽  
Competing Interest ◽  
Secondary Mania ◽  
Depressive Episodes

IntroductionBipolar disorders (BP) with late onset are underestimated by their frequency, their misleading presentations and therapeutic difficulties due to the high prevalence of somatic comorbidities.AimTo identify sociodemographic, clinical and therapeutic characteristics in subjects with a late-onset BP.Patients and methodsRetrospective and comparative study of 101 patients followed for a BP (12 patients with BP started after 50 years and 89 patients with BP started earlier) from 2009 to 2015, in the department of psychiatry of the University Hospital Farhat Hached, Sousse, Tunisia.ResultsThe mean age of subjects with late-onset TBP was 46.11 ± 12.85 years. Women were in the majority (65.3%). Ten patients had a novo mania, four patients had a late-onset mania and one patient had a secondary mania. Regarding the socio-demographic data, only the regular professional activity was more reported in the elderly (P = 0.017). Regarding clinical data, BP type 1 and secondary mania were more reported in elderly with (P = 0.050 and P = 0.000 respectively). Elderly had significantly fewer depressive episodes (P = 0.026), fewer hypomanic episodes (P = 0.000). The durations of the latest episodes and the last intervals were shorter in elderly (P = 0.045 and P = 0.000). Concerning therapeutic data, elderly had fewer hospitalizations (P = 0.045), required lower mean doses of lithium (P = 0.04) and greater mean doses of tricyclic antidepressants (P = 0.047).ConclusionIt is always necessary to look for an organic cause in manic syndrome in late-onset BP. Doses of lithium should be lower. However, doses of TAD should be higher.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Functional limitations related to foot pain in the elderly

Rev Rene ◽  
2015 ◽  
Vol 16 (4) ◽  
pp. 586
Author(s):  
Fabiana Maria Rodrigues Lopes de Oliveira ◽  
Keylla Talitha Fernandes Barbosa ◽  
Saemmy Grasiely Estrela de Albuquerque ◽  
Mayara Muniz Dias Rodrigues ◽  
Kamyla Félix Oliveira dos Santos ◽  
...  
Keyword(s):  
Functional Disability ◽  
Functional Limitations ◽  
The Elderly ◽  
University Hospital ◽  
Daily Activities ◽  
Foot Pain ◽  
High Incidence ◽  
Pain In The Elderly ◽  
State Examination

Objective: to investigate the association between foot pain and functional disability in the elderly. Methods: descriptive study conducted among the elderly attended in a geriatric outpatient clinic of a university hospital. The sample consisted of 114 elderly who reported foot pain. Data was collected through subsidized interview, using structured instrument, covering demographic variables and the Manchester Foot Pain and Disability Index in Elderly and the Mini Mental State Examination. Results: there was a high incidence of foot pain among women and young elderly as well as significant inability to perform certain daily activities. Conclusion: it is identified the need for special attention to the health of elderly reporting foot pain, since this tends to restrict daily activities, causing decreased quality of life, immobilization and possible episodes of falls.

scholarly journals Multimodal Accessibility to Primary Health Services for the Elderly: A Case Study of Naples, Italy

2020 ◽  
Vol 12 (3) ◽  
pp. 781 ◽  
Author(s):  
Gerardo Carpentieri ◽  
Carmen Guida ◽  
Houshmand E. Masoumi
Keyword(s):  
Health Services ◽  
Health Agency ◽  
Social Equity ◽  
The Elderly ◽  
Healthcare Services ◽  
Local Health ◽  
Primary Health ◽  
Primary Health Services ◽  
The City ◽  
Accessibility Measure

In Europe, the share of people aged 65 years and above is expected to increase exponentially, and in 2050, for the first time in human history, the number of older people will be larger than the number of children under the age of 15. Aging is associated with increased vulnerability and dependence on medical care services. For these reasons, providing access to health services to people aged 65 years and over is crucial. From the perspective of social equity, everyone should have the opportunity to access healthcare services equally, but due to economic and geographical issues, achieving this level of equity is challenging. The aim of this study was to fill the gap between scientific and actual practices using an accessibility measure to evaluate urban accessibility to primary healthcare services and to support decision-makers to better allocate resources in local restructuring of welfare policies. The accessibility measure was designed considering both the land use and the transportation components, the local healthcare supply system, and a multimodal transportation network. The methodology was applied to the city of Naples considering Local Health Agency (ASL) healthcare services to the elderly. The ASL is the largest health agency in Europe, consisting of 17 buildings serving nearly 200,000 elderly. The results show that the entire elderly neighborhood population suffers from poor accessibility to primary health services, especially in the city suburbs, and that the methodology could be effectively applied to urban planning strategies to achieve a high quality of life for elderly people. Due to poor dialogue between the authorities, this could help to improve the decision-making process through the lens of social equity.

scholarly journals Prevalence of cognitive impairment and associated factors among the elderly in Bagé, Rio Grande do Sul, Brazil

2013 ◽  
Vol 16 (4) ◽  
pp. 880-888 ◽  
Author(s):  
Adriana Winter Holz ◽  
Bruno Pereira Nunes ◽  
Elaine Thumé ◽  
Celmira Lange ◽  
Luiz Augusto Facchini
Keyword(s):  
Cognitive Impairment ◽  
Healthy Aging ◽  
Functional Limitation ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
The City ◽  
Prevalence Ratios ◽  
State Examination

It is estimated that until 2020 the elderly will represent 13% of the total Brazilian population, and there is increasing concern about healthy aging and low rates of cognitive impairment. This cross-sectional study aimed to identify the prevalence of cognitive impairment, using the Mini-Mental State Examination (MMSE) in a sample of 1,593 elderly aged 60 years old and more who were living in the community of the city of Bagé, Southern Brazil, in 2008. The Poisson regression model was used for estimating crude and adjusted prevalence ratios; their related 95% confidence intervals and p-values lower than 0.05 were considered statistically significant. The prevalence of cognitive impairment was of 34% and statistically associated with gender (female), age (older), schooling (less educated), lower economic classes, without retirement, with depression and functional limitation. The high magnitude with increased occurrence among poor and vulnerable groups contributes to the implementation of public policies in order to improve care, prevent diseases and promote the independence and autonomy of the elderly population.

scholarly journals Building the Universidad Nacional de Colombia Hospital: Reconciling social and academic aspects

2015 ◽  
Vol 62 (4) ◽  
pp. 641-646 ◽  
Author(s):  
Juan Carlos García-Ubaque
Keyword(s):  
Quality Care ◽  
The Elderly ◽  
Chronic Illnesses ◽  
University Hospital ◽  
Academic Needs ◽  
Care Needs ◽  
National University ◽  
Epidemiological Profile ◽  
The University ◽  
The City

<p>In the process of building the National University Hospital, an<br />analysis of the changing epidemiological profile of the population of Bogotá was undertaken, which examined the health care needs of the city, the academic needs of the university and institutional possibilities. It was made an analysis of the demographic and epidemiological profile of the population of Bogotá.</p><p><br />It was concluded that there were factors associated with the<br />epidemiological transition of aging, such as a low availability<br />of health services for the elderly and diseases related to that<br />care. Just as in the university, the hospital needs to develop<br />all aspects of patient care to be able to adequately respond<br />to the needs of this demographic from an interdisciplinary<br />perspective, ensuring quality care based on the criteria of<br />timeliness, accessibility, relevance, sufficiency, and continuity.</p><p>A proposal is outlined concluding that the first phase of the<br />portfolio of services that the University Hospital offers must<br />be geared towards geriatric care and chronic illnesses, due to<br />the aging of the general population as a result of a decline in<br />fertility and mortality. This care would cater towards so-called<br />permanent conditions that result in disability, or not easily<br />reversible physiopathological conditions that require longterm<br />care, as well as special training in secondary prevention<br />and rehabilitation for the patient and the family.</p>

scholarly journals Atividade física de lazer e indicadores de acesso a serviços de saúde em idosos / Physical activity leisure and indicators of access to health services in the elderly

2018 ◽  
Vol 7 (2) ◽  
pp. 81
Author(s):  
Évely Renken ◽  
Clair Antônio Wathier ◽  
Giovane Pereira Balbé
Keyword(s):  
Physical Activity ◽  
Health Services ◽  
Demographic Data ◽  
Leisure Activities ◽  
The Elderly ◽  
Access To Health Services ◽  
Santa Catarina ◽  
Access To Health ◽  
The City

Este estudo teve o objetivo de analisar os indicadores de morbidade, o acesso a serviços de saúde e a prática de atividade física de lazer em idosos. Houve também verificação do padrão de morbidade referida nestes idosos entrevistados, identificando a prevalência da prática de atividades físicas no lazer. Para isso, foram analisados os dados sociodemográficos da amostra pesquisada, identificando o acesso aos serviços de saúde. A coleta das informações necessárias à apuração dos resultados ocorreu por meio de questionário sociodemográfico e Questionário Internacional de Atividades Físicas (IPAQ). Os questionários foram aplicados em 213 idosos de ambos os sexos, com 60 anos de idade ou mais, residentes na zona urbana da cidade de Rio do Sul - Santa Catarina. Percebe-se que pouco mais de 80% dos idosos foram classificados como inativos nas atividades de lazer, a maioria das mulheres auto avaliaram sua saúde de forma positiva, e cerca de 37% dos idosos procuraram acesso e uso regular dos serviços de saúde nas semanas anteriores à realização da pesquisa, tendo ainda valores significativos em relação ao plano de saúde, onde a maioria dos idosos foi inativa. Conclui-se que a associação da prática de atividades físicas aos indicadores de morbidade de acesso a serviços de saúde está ligada de maneira a impedir que os idosos sejam ativos no lazer. ABSTRACTThis study aimed to analyze the indicators of morbidity, access to health services and the practice of leisure physical activity in older adults. For this, the demographic data of the studied sample were analyzed by identifying access to health services. There was also checking the pattern of morbidity in these elderly respondents, identifying the prevalence of physical activity at leisure. The collection of information necessary for the determination of the results was through sociodemographic questionnaire and International Physical Activity Questionnaire (IPAQ). The questionnaires were applied in 213 elderly men and women, aged 60 and older living in the urban area of the city of Rio do Sul - Santa Catarina. It can be seen that just over 80% of the elderly were classified as inactive in leisure activities, most women self rated their health positively, and about 37% of the elderly sought access and regular use of health services in the weeks prior to the survey. In conclusion, it can be seen that the association of physical activity with access to health services is on morbidity indicators in order to prevent the elderly are active during leisure.

scholarly journals Elderly pedestrian neurotrauma: A descriptive study from a premier neurotrauma center in India

2013 ◽  
Vol 04 (01) ◽  
pp. 29-32 ◽  
Author(s):  
Ashok Munivenkatappa ◽  
Nupur Pruthi ◽  
Mariamma Philip ◽  
Bhagavatula I Devi ◽  
Sampath Somanna
Keyword(s):  
Head Injury ◽  
Mortality Rate ◽  
Ct Scan ◽  
Demographic Data ◽  
The Elderly ◽  
Clinical Findings ◽  
Subdural Hemorrhage ◽  
Elderly Age ◽  
Tertiary Center ◽  
The City

ABSTRACT Context: Experience with elderly pedestrian neurotrauma at a major neurotrauma tertiary center. Aims: To highlight the specific injuries and outcome of the elderly pedestrian neurotrauma patients within the city of Bangalore and its surrounding districts. Settings and Design: A retrospective study consisting of demographic data, clinical findings, radiological details, and outcomes. Materials and Methods: A study was conducted at the casualty services, in which 143 consecutive elderly pedestrian (age >60 years) head injury victims were studied from June to September 2009. The records from the hospital mortuary were analyzed from 2007 to 2009. An analysis of 77 elderly patients who died as a pedestrian in accidents during this period was performed. Statistical Analysis Used: SPSS 15. Results: The elderly pedestrians constituted 27% (143/529) of all pedestrian traumas. Two wheelers were the most common accident vehicle (56.6%, 81/143). Most of the injuries (38.5%, 55/143) occurred during peak traffic hours, that is, 4 pm to 9 pm. Majority sustained moderate to severe head injury (61%, 87/143). More than three‑fourths of patients required a computed tomography (CT) scan (77%, 110/143), in which there was a higher frequency of contusion (31.5%, 45/143), and subdural hemorrhage (23.1%, 33/143). Most of the injured (43.3%, 13/30) underwent surgery for intracranial hematoma. The mortality rate was 22.8% (8/35). Nearly one‑fourth of conducted postmortems among pedestrians belonged to the elderly age group (77/326, 23.6%). Conclusions: Elderly pedestrian neurotrauma patients sustain a more severe injury as evident by poorer Glasgow Coma Score (GCS) scores and CT scan findings, and hence have a higher mortality rate.

scholarly journals Anthropometry of elderly residents in the city of São Paulo, Brazil

2005 ◽  
Vol 21 (6) ◽  
pp. 1929-1938 ◽  
Author(s):  
Aline R. Barbosa ◽  
José M. P. Souza ◽  
Maria L. Lebrão ◽  
Ruy Laurenti ◽  
Maria de Fátima N. Marucci
Keyword(s):  
Body Mass ◽  
Age Groups ◽  
Household Survey ◽  
The Elderly ◽  
Skinfold Thickness ◽  
Epidemiological Studies ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
The City

The article presents gender and age-specific selected anthropometric data for a representative sample of elderly Brazilians in the city of São Paulo. This was a cross-sectional, population-based household survey. A total of 1,894 older adults (men and women, > 60 years) were examined from January to March 2001. Data were presented as means and percentiles for body mass (BM); height or stature (ST); body mass index (BMI); waist (WC), hip (HC), arm (AC), and calf (CC) circumferences; triceps skinfold thickness (TST); and arm muscle circumference (AMC), and differences were described according to age (all variables) and gender (BMI). Except for HC (men), all anthropometric variables were lower in the oldest than in the youngest individuals (p < 0.01) in both genders. BMI was significantly higher (p < 0.01) in women than men (all age groups). The observations suggest that there is loss of muscle mass and redistribution and reduction of fat mass with age (both genders). The data can be used in clinical practice and epidemiological studies based on interpretation of anthropometric measurements in the elderly in São Paulo.

scholarly journals Screening of cognitive impairment by general internists using two simple instruments

2012 ◽  
Vol 6 (1) ◽  
pp. 42-47 ◽  
Author(s):  
Alessandro Ferrari Jacinto ◽  
Sonia Maria Dozzi Brucki ◽  
Claudia Sellitto Porto ◽  
Milton de Arruda Martins ◽  
Ricardo Nitrini
Keyword(s):  
Cognitive Impairment ◽  
High Sensitivity ◽  
The Elderly ◽  
University Hospital ◽  
Cognitively Impaired ◽  
Screening Instruments ◽  
Outpatient Services ◽  
Functional Activities ◽  
General Internists ◽  
Combined Use

ABSTRACT General internists (GIs) tend to overlook cognitive impairment in the elderly. Lack of time to diagnose and/or poor knowledge on how to use screening instruments may be the reasons for this shortcoming. Objectives: To verify the efficacy of simple instruments in the screening of cognitive impairment in elders. Methods: In a previous study, 248 patients aged ≥65 that had been assisted by GIs within outpatient services of a public university hospital in São Paulo, Brazil, were evaluated. The Mini-Mental State Examination and/or the Informant Questionnaire on Cognitive Decline in the Elderly (short-IQCODE) were employed to classify patients into probable cognitively impaired cases or otherwise. Other tests and questionnaires were also applied, but were not used to perform this classification. After full assessment and consensus meetings, cases were classified into dementia, cognitively impaired not demented, and without cognitive impairment. In this study, the sensitivity and specificity of the combined use of the category fluency test (CFT) and the Functional Activities Questionnaire (FAQ) was evaluated as if used as screening instruments for the whole sample. Results: The combined use of the CFT and/or FAQ showed sensitivity of 88.3% and specificity of 76.5% in the screening of cognitive impairment for the whole sample. Conclusions: Two simple and easy-to-apply instruments showed high sensitivity and reasonable specificity, and are probably useful for the screening of cognitive impairment in the elderly in outpatient services.

Characterization of quantitative aspects of pain in elderly at asylum

2011 ◽  
Vol 5 (5) ◽  
pp. 1210
Author(s):  
Luciana Araújo dos Reis ◽  
Gilson De Vasconcelos Torres ◽  
Thaiza Teixeira Xavier Nobre
Keyword(s):  
Social Science ◽  
Musculoskeletal Diseases ◽  
Rio Grande ◽  
The Elderly ◽  
Pain Questionnaire ◽  
Calidad De Vida ◽  
The City ◽  
State Examination

ABSTRACTObjective: investigating aspects of quantitative behavior of pain caused by musculoskeletal diseases, in relation to presence, intensity and localization on elderly residents in a specialized institution in the city of Jequié/BA. Method: this is a descriptive study in Fundação Leur Brito, approved by the Ethics Committee of the Federal University of Rio Grande do Norte (No Opinion No. 177/05) and the studied population was compound by 60 elderly. The instruments applied were: 1) Health and socio-demographic characterization; 2) Mini-mental State Examination; 3) Mc Gill Pain Questionnaire. The data were analyzed descriptively way and program used Statistical Package for Social Science (SPSS) version 14.0 for Windows. Results: we studied 60 institutionalized elderly, 50% of each sex, more often males aged 60 to 80 years (33.3%). Concerning intensity, 61,4% of the elderly reported intense pain. The most predominant localization was Lower Extremity (53,3%). Conclusion: the evaluation of pain is important in trying to describe it, aiming adequate therapeutic intervention and contributing on the improvement of the quality of life of the elderly. Descriptors: pain; elderly; evaluation.RESUMOObjetivo: investigar os aspectos quantitativos da dor decorrente de doenças osteomusculares quanto à presença, intensidade e localização em idosos asilados no município de Jequié/BA. Método: trata-se de um estudo descritivo realizado na Fundação Leur Brito, aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Rio Grande do Norte (nº Parecer nº177/05), sendo a amostra composta por 60 idosos. O instrumento utilizado constituiu-se de: 1) Caracterização sociodemográfica e de saúde; 2) Mini-exame do estado mental; 3) Questionário para dor McGill. Os dados foram analisados de maneira descritiva, sendo utilizado programa Statistical Package for Social Science (SPSS) versão 14.0 Windows. Resultados: foram estudados 60 idosos institucionalizados, sendo 50% de cada sexo, com maior frequência do sexo masculino na faixa etária de 60 a 80 anos (33,3%). A ocorrência de dor foi de 73,3%, sendo predominantemente entre 60 a 80 anos (33,3%). Em relação a intensidade, 61,4% dos idosos relataram dor intensa. Quanto à localização foi mais predominante nos MMII (53,3%). Conclusão: a avaliação da dor é importante na tentativa de descrevê-la, objetivando uma intervenção terapêutica adequada e contribuindo na melhoria da qualidade de vida dos idosos. Descritores: dor; idoso; avaliação.RESUMENObjetivo: investigar los aspectos de dolor cuantitativos causadas por las enfermedades musculoesqueléticas, en relación con la presencia, intensidad y localización de personas mayores residentes en una institución especializada en la ciudad de Jequié /BA. Este es un estudio descriptivo. Método: este es un estudio descriptivo en Fundação Leur Brito, aprobado por el Comité de Ética de la Universidad Federal de Rio Grande do Norte (n opinión N º 177/05) y de la población estudiada estaba compuesto por 60 personas mayores. Los instrumentos que se aplicaron fueron: 1) Salud y sociodemográficas caracterización; 2) Mini - mental de examen de Estado; 3) Mc Gill Pain Questionnaire. Los datos fueron analizados descriptivamente y el programa utilizado Statistical Package for Social Science (SPSS) para Windows versión 14,0. Resultados: se estudiaron 60 ancianos institucionalizados, y  50% de cada sexo, y su distribución equitativa entre los dos grupos de edad estudiados (36,7%), respectivamente. La aparición de dolor fue del 73,3%. En cuanto a la intensidad, el 61,4% de las personas de edad informó de intenso dolor. Conclusión: a localización más predominante fue Extremidades Inferiores (53,3%).  La evaluación del dolor es importante en el intento de describirla, con el objetivo adecuada intervención terapéutica y contribuir en la mejora de la calidad de vida de las personas de edad. Descriptores: dolor; anciano; evaluación.

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