scholarly journals Study of clinical patterns and frequency of cutaneous manifestations in the elderly

2019 ◽  
Vol 5 (1) ◽  
pp. 45
Author(s):  
Gaurav Paliwal ◽  
Kshitij Saxena ◽  
Venkatarao Koti ◽  
Priyanka Shukla ◽  
Shobhit Dutt ◽  
...  
Keyword(s):  
Geriatric Medicine ◽  
The Elderly ◽  
Pathological Changes ◽  
Biochemical Tests ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Cutaneous Manifestations ◽  
Medical College ◽  
Dermatological Examination ◽  
Different Populations

<p class="abstract"><strong>Background:</strong> Cutaneous manifestations are common in elderly. The elderly population is composed of persons over 60 years of age and very few studies are available on the dermatologic diseases in this group. This study was done to study the clinical pattern and frequency of cutaneous manifestations in the elderly.</p><p class="abstract"><strong>Methods:</strong> A cross sectional observational study was conducted on 540 patients, aged 60 years and above, who attended the out-patient department and admitted as inpatients having cutaneous manifestations were included, in the department of dermatology Era’s Lucknow Medical College And Hospital, Lucknow.  A detailed history was taken regarding the onset and duration of cutaneous manifestations. Thorough dermatological examination was carried out on all study patients. Relevant investigations which included haemogram, biochemical tests and a skin biopsy were performed, wherever needed. Skin changes in all the patients were recorded and were classified into physiological and pathological changes. Data were entered in an Excel sheet and were analyzed using descriptive statistics.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 540 patients studied, 55.7% were males and 44.3% were females. Pruritus was the single most common complaint elicited (90.6%). Among the physiological changes, wrinkling was the commonest (80.9%). Among the pathological changes skin tumours, eczemas, infections were the common findings.</p><p class="abstract"><strong>Conclusions:</strong> The geriatric dermatoses are different in different populations, as there is significant number of geriatric population, the increased emphasis on geriatric medicine is   inevitable.  This    present study helps in providing greater understanding of pattern of geriatric dermatoses that aids in early diagnosis and management.</p>

scholarly journals A clinical study of geriatric dermatoses in Dharmapuri district, Tamil Nadu, India

2020 ◽  
Vol 6 (4) ◽  
pp. 479
Author(s):  
S. Anitha
Keyword(s):  
Tamil Nadu ◽  
Complete Blood Count ◽  
The Elderly ◽  
Pathological Changes ◽  
Extrinsic Factors ◽  
Medical College ◽  
Dermatological Examination ◽  
Function Test ◽  
Chronic Actinic Dermatitis ◽  
Dermatological Disorders

<p class="abstract"><strong>Background:</strong> Geriatric dermatoses are one of the most common reasons for day-to-day consultation in the elderly. Over the past few years, understanding of the pathophysiology of skin changes in the geriatric age group has improved and has paved the way for better therapeutic options. This article reviews the various physiological and pathological changes of aging, dwelling on the role of intrinsic and extrinsic factors in the pathogenesis of aging skin. To describe the clinical pattern of various dermatological disorders in the elderly.</p><p class="abstract"><strong>Methods:</strong> The study was conducted in the department of Dermatology, Venereology, Leprosy, at Dharmapuri Medical College, Dharmapuri. Totally 150 members were included in the study, who are above the age of 60 years. Thorough systemic and dermatological examination done. Investigations like complete blood count, liver function test, renal function test, random blood sugar were done.<strong></strong></p><p class="abstract"><strong>Results:</strong> Xerosis was seen most commonly in this study in 96 cases (33.2%), followed by wrinkling in 84 cases (29.1%), immunoglobulin heavy in 72 cases (25.0%), senile comedones 25 cases (8.6%), and senile lentigines in 12 case (4.1%). In some of these cases, a combination of the above findings was seen.</p><p class="abstract"><strong>Conclusions:</strong> In this study, various physiological signs of aging were studied, which is an inescapable process along with the pathological changes. These changes in photoaging were superimposed with intrinsic aging. Although most of the changes studied were harmless to the elderly, few have an adverse impact on the lives, which included chronic actinic dermatitis and conditions such as malignancy.</p>

scholarly journals A cross sectional study of elderly widows residing in urban field practice area of S. N. Medical College, Bagalkot, Karnataka

2018 ◽  
Vol 5 (12) ◽  
pp. 5224
Author(s):  
Gowri Shankar ◽  
Jayaraj M. Ramachandra ◽  
Sarojini S. Hunshikatti
Keyword(s):  
Cause Of Death ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Chronic Obstructive ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sitting Posture ◽  
Demographic Profile ◽  
Medical College ◽  
Field Practice

Background: Widows are the most vulnerable segment among the elderly population in India. Elderly widows face several social, economic, emotional and cultural deprivations due to their gender, widowhood and old age. Hence, this study was done with the objective to know the socio demographic profile and morbidity of elderly widows residing in urban field practice area of S.N. Medical College, Bagalkot.Methods: This cross sectional study was done in 8 Anganwadi areas during 2016 by cluster random sampling. All the elderly widows residing in the areas were included after informed consent. Ethical clearance was obtained from Institutional review board. Data regarding their socio demographic profile, cause of death of husband, the number of years being a widow, health seeking behavior and their chronic morbidities were noted. Height and weight of each elderly widow was measured and body mass index calculated using the formula weight in kilogram divided by height in meter 2 and classified according to South East Asian category. Blood pressure was recorded three times with the widow in a sitting posture in an interval of 3 minutes and the least value was documented according to JNU classification.Results: Out of 140 elderly widows who were residents of the areas, majority (69.29%) were between 60 to 74 years of age followed by 27.86% between 75 to 89 years of age. It was observed that 75% of them were illiterate. The leading cause of death of husband was coronary heart disease (19.29%), chronic obstructive pulmonary disease (12.86%) and alcoholic cirrhosis (10.71%). On examination of the non-hypertensive widows, it was observed that 36.06% were in Stage I and 22.68% were in Stage II of hypertension (JNU classification).Conclusions: Elderly widows are a vulnerable segment of the community. Their health care needs are a priority and regular health check-ups are to be planned.

scholarly journals Psychosocial problems, chronic illness and welfare service utilization among elderly population in urban areas of Vijayapur, Karnataka

2018 ◽  
Vol 5 (8) ◽  
pp. 3383
Author(s):  
Vidya V. Patil ◽  
Rekha Udgiri
Keyword(s):  
Chronic Illness ◽  
Urban Areas ◽  
Psychosocial Problems ◽  
Well Being ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Welfare Services ◽  
Medical College ◽  
Field Practice

Background: Aging is a universal process. In India, the elderly account for 7.7% of the total population and the United Nations defines a country as “ageing” where the proportion of people over 60 years reaches 7.7%. Morbidity among elderly has an important influence on their physical functioning and psychological well-being. The objectives of the study were to assess the psychosocial problems associated with the elderly and to describe the chronic illness and utilization of welfare services among elderly.Methods: A cross sectional study was conducted in the urban field practice area of Shri B M Patil Medical College, Vijayapur. House to house survey was conducted for a period of 3 months from September to November 2014.Results: Total of 372 elders were interviewed, 54.5% were males, 45.4% were females. Majority were Hindus 78.8%. 46% were illiterate. Majority 79% were financially dependent. 53% were working. Around 32% were feeling lonely Most common chronic illness is joint pain (66.66%), visual problem (50%), dental and chewing problem (48%).Conclusions: Financial dependence was high among the participants and majorities were suffering from one or the other chronic illness which needs attention and knowledge about geriatric welfare services should be given. 

scholarly journals OLD AGE HOMES: ARE THEY ACCEPTABLE TO PAKISTANI GERIATRIC POPULATION? RESULTS OF A SURVEY OF ELDERLY OUTPATIENTS VISITING TEACHING HOSPITALS IN KARACHI, PAKISTAN

2018 ◽  
Vol 8 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Waris Qidwai ◽  
Imdad Ali Khushk ◽  
Fizzah Farooq ◽  
Muhammad Yusuf Hafiz ◽  
Kashmira Nanji
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Chi Square ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Term Care ◽  
Old Age Homes

Background: Worldwide, some one million people pass the sixty year old threshold every month (Ageing, WHO). Between 2010 and 2050, the number of older people in less developed countries is projected to increase. Methods: Cross-sectional study conducted in Outpatient clinics (OPD) of two hospitals in Karachi from April to May 2013. Elderly (> 60 years of age) visiting the clinics were consecutively recruited. 477 elderly were approached and a pretested, structured questionnaire was used to obtain information. Data was analyzed using SPSS version 19 and Pearson chi-square test was used to identify the factors related to choosing of "Old Age Homes". Results: A total of 400 participants were selected. Fifty-five percent of the elderly were in between 60 to 65 years of age and majority was males 54.8 percent. Elderly were aware of the presence of "Old Age Homes" in Pakistan, however only 7 percent choose to live in there. The main reason was found to be that the elderly did not want to go away from their families and loved ones. Conclusion: In conclusion, majority of the participants felt insecure to live in a home with strangers. However, "Old Age Homes" were preferred choice for those with chronic diseases or those living alone. Media should initiate public education programs to reduce social stigmas in seeking alternate long-term care services outside of the family.

scholarly journals An observational study to compare adenosine deaminase level among diabetes patients

2019 ◽  
Vol 7 (2) ◽  
pp. 473
Author(s):  
Vivek Sharma ◽  
Sangeeta Bhattacharya ◽  
Poornima Dey Sarkar ◽  
Gini Garima ◽  
Neeraj Gour ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Adipose Tissue Inflammation ◽  
Sectional Study ◽  
Biochemical Tests ◽  
Cross Sectional ◽  
Metabolic Derangement ◽  
Prognostic Predictor ◽  
Medical College ◽  
Complex Disorder ◽  
Diabetes Patients

Background: Obesity is a complex disorder that involves some degree of over-consumption1 coupled with a metabolic derangement. As ADA has been putatively associated with inflammation, and adipose tissue inflammation is the hallmark of insulin resistance in obese T2DM patients. This study attempted to compare serum ADA in T2DM subjects.Methods: This observational cross-sectional study was conducted in the Department of Biochemistry at MGM Medical College and MY Hospital. All the patients and controls were clinically examined, and routine biochemical tests were analyzed for all subjects. ANOVA has been applied to assess the variance between groups.Results: Mean age of controls was 56.91 years where as mean age in the group of a subject with Obesity with diabetes was 40.91 years and with Obesity without diabetes was 48.10 years. ADA level was more among diabetes patients having obesity than diabetes patients having no obesity and controls.Conclusions: This is very much evident through this study that ADA may be treated as prognostic predictor of diabetes either linked to obesity or not, though more studies are warranted in same direction to make this finding conclusive and acceptable biochemical evidence.

Depression and suicidal ideation among the geriatric population of Kashmir, India

2020 ◽  
pp. 002076402096859 ◽  
Author(s):  
Sheikh Shoib ◽  
Sheikh Mohammed Shariful Islam ◽  
SM Yasir Arafat ◽  
Sohail Ahmad Hakak
Keyword(s):  
Suicidal Ideation ◽  
Older Persons ◽  
Suicide Ideation ◽  
Severe Depression ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Community Based ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Positive Correlation

Background: Depression is a common disorder that can lead to suicidal behaviours among the geriatric population. Aim: We aimed to assess depression, hopelessness, and suicidal ideation among the elderly population of Kashmir. Methods: A community-based cross-sectional study was conducted in three districts of Kashmir between June and August 2019. The sample consisted of 200 persons aged >65 years. Beck’s Depression Inventory, Beck’s Hopelessness Scale, and the Beck Suicide Ideation scale were used to determine depression, hopelessness, and suicide ideation. Pearson’s correlation was performed to assess the relationships between depression, hopelessness, and suicide. Results: The prevalence of severe depression with a score of ⩾31 on Beck’s Depression Inventory was 56% among the studied population. Most of these elderly were found to have moderate levels of suicidal ideation (62.5%) and hopelessness (61%). Depression had a positive correlation with suicidal ideation ( r = 0.35). Hopelessness and suicidal intent had a more significant positive correlation ( r = 0.54), as compared to depression and hopelessness ( r = 0.43). Conclusion: More than half of the older persons in Kashmir had depression with superimposed hopelessness which is an important risk factor of suicidal ideation.

scholarly journals Hypertension Associated with Poor Sleep Quality in The Elderly Population in Batu City

2021 ◽  
Vol 5 (2) ◽  
pp. 65-72
Author(s):  
Siti Roziah Ria Famuji ◽  
Abdul Malik Setiawan ◽  
Achdiat Agoes
Keyword(s):  
Blood Pressure ◽  
Sleep Quality ◽  
Adult Population ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Chi Square ◽  
Geriatric Population ◽  
Cross Sectional

Hypertension affects approximately 26% of the adult population and it is a leading cause of death in up to 13.5% worldwide. Hypertension is a disease with the highest prevalence in Indonesia, so good treatment and prevention are needed. Several studies suggest that there is a correlation between hypertension risk factors and the disturbance of sleep quality. Therefore, it is necessary to develop preventive and promotive efforts to obtain optimum blood pressure in patients with hypertension to avoid complications or even death. This study aims to find out the correlation between sleep quality and the value of blood pressure in the elderly ?60 years old in Batu City. A cross-sectional study was conducted in Batu City in 2020. Stratified random sampling was performed to select the respondents. A validated PSQI questionnaire and sphygmomanometer were used to assess sleep quality and blood pressure, respectively. A Chi-Square test was used to test the hypothesis. There were 391 respondents involved in this study. Most of the respondents have poor sleep quality, 205 respondents (52,43%) of which 41 respondents (20%) have normal blood pressure, and 164 respondents (80%) have high blood pressure. The statistical analysis shows a significant correlation (p=0,000) between sleep quality and blood pressure. In conclusion, hypertension is associated with poor sleep quality in the geriatric population in Batu City.

scholarly journals Wound Infection in Orthopaedic Surgery: A Cross Sectional Study at Tertiary Care Teaching Hospital in Dhaka

2019 ◽  
Vol 30 (Number 1) ◽  
pp. 14-19
Author(s):  
N Islam ◽  
ASM S Chowdhury ◽  
M Mannan ◽  
Z Hossain ◽  
K Sabiha
Keyword(s):  
Wound Infection ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Clinical Findings ◽  
Aerobic Bacteria ◽  
Biochemical Tests ◽  
Cross Sectional ◽  
Care Teaching ◽  
Medical College ◽  
Collection Form

Infections after operative procedures caused by multiple organisms appears with pain, fever; poor wound healing, antibiotic prolongation, need in-patient longer stays and increased expenses. It increases both morbidity and mortality. A cross-sectional descriptive study was conductedat Orthopaedics ward in Holy Family Red Crescent Medical College, a tertiary care teaching hospitalin Dhaka, Bangladesh for 3-month period to identify the frequently causative bacteria of wound infections and days of appearances of such infections. Tota1135 samples from patients with mean age of 35.77*I4.38 were analyzed. Patient history and clinical findings were collected in a data collection form during the study. Fifty-sixptis samples or wound swabs were collected from infected operated area and culture and biochemical tests for aerobic bacteria were done. Total of 21 from 36 samples were growth positive cultures (58.33%) and 15 were growth negative (41.66%). Most frequent organismcausing post-operative wound infection (POW!) was Pseudomonas aeruginosa,29.57% of positive isolatesandtheir post-operative days of appearances was mostly 6-10 days with82.7% frequencies. Surgical site infection is an unsettled ongoing problem which, although, cannot be completely rusticated.However, adequatepreventivestrategies against the most commonly isolated organism and proper care of wounds may reducethe occurrences of such infection.

scholarly journals Knee Osteoarthritis in Rural Elderly of Cuttack district: Findings from the AHSETS study

2021 ◽  
Author(s):  
Trilochan Bhoi ◽  
Jaya singh Kshatri ◽  
Shakti Ranjan Barik ◽  
Subrata Kumar Palo ◽  
Sanghamitra Pati
Keyword(s):  
Rural Areas ◽  
Extended Family ◽  
Open Data ◽  
The Elderly ◽  
Rural Elderly ◽  
Family Type ◽  
Public Health Issue ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Osteoarthritis Knee

Background In India, it is predicted that the elderly population will be increased from 8% in 2015 to 19% in 2050. Geriatric population contributes around 9% of total Odisha population and 86.3% of them residing in rural areas. Estimating the prevalence of osteoarthritis knee and determining its risk factors would help in developing better preventive and control strategies.Methods A cross-sectional study among 725 rural elderly was carried out in the Tigiria block of Cuttack district, Odisha, India. Previous medical history of arthritis diagnosed by medical professional was taken as positive for osteoarthritis knee (OA Knee). Data were recorded using android tablets installed with open data kit software and statistical analysis such as chi-square test and binary logistic regression was done using SPSS v.23. Results the prevalence of OA knee was 56.7% where both the sexes were similarly affected. Major portion of the OA knee participants were illiterates and doesn’t working currently also more among poor socio-economic group. Factors like extended family type, poor socio-economic status, both underweight as well as overweight, and diabetes mellitus had shown significant association with OA knee.Conclusion Osteoarthritis of knee joint affects majority of the rural elderly and impacts their ability to perform daily activities. With increased age of living, this is becoming a major public health issue. The findings from the present study would help policymakers and program implementers in developing appropriate strategies for prevention, early case identification and prompt management to improve the quality of life among elderly.

Sign in / Sign up

Export Citation Format

Share Document