scholarly journals Physical Exercise and Geriatric Depression: An Opinion

2020 ◽  
pp. 115-126
Author(s):  
Sergio Machado ◽  
Diogo Monteiro ◽  
João Moutão ◽  
Eric Murillo-Rodriguez ◽  
Tetsuya Yamamoto ◽  
...  

Depression represents a common public health problem in the world. Depression in the elderly appears to follow a vulnerability-stress model, with an interaction between individual vulnerabilities, including genetic factors, age-related cognitive and neurobiological changes, and a variety of stressful events that occur more frequently in advanced ages, such as grief, financial problems, and reduction in autonomy/functionality. In the last decades, several studies have indicated that exercise can be effective in preventing or reducing depressive symptoms, both in healthy and psychiatric populations. Due to the scientific community's interest in the efficacy and safety of physical exercise as complementary therapy for depressed elderly patients, we conduct an opinion study on the subject. Despite the researchers' efforts, in the last decades little progress has been made in verifying the efficacy of exercise in geriatric depression.

2021 ◽  
pp. 219-230
Author(s):  
Nilüfer ŞENGÜL ◽  
İrem Senanur ALTEKİN

The increase in the age of individuals causes their mental and physical structures to be perceived differently. Elderly individuals are thought to be unable to do the activities they can do due to social stereotypes, in addition to their reduced physical functions. The main focus of the research is to evaluate age discrimination from the perspective of the participants. We aim to examine the types of age discrimination experienced by individuals living in nursing homes and their effects. In this context, themes and sub-themes were determined after the literature on the subject was reviewed. Then, the questions were created to identify the problems that cause age discrimination. The qualitative research method was used as it was aimed to understand the subject studied more deeply and to look at the cases through the eyes of the participants. The inter-case analysis method and semi-structured interview technique were used in the study. Since the interviews are conducted individually and through the eyes of the victim, it is aimed to be analyzed at the micro and meso levels. Our interview schedule was made in a private nursing home in Istanbul, depending on the institutions. Case report was evaluated in terms of socio-cultural, psychosocial, and social norms. Within the framework of a certain age (65 years and above), different results may emerge from the individuals interviewed because we examine age discrimination. Considering the data obtained as a result of the research, it is seen that there is not enough awareness about discrimination against the elderly, and sufficient supervisory and preventive measures are not implemented. It is thought that there may be physical and social changes caused by age-related changes, as well as political and socio-cultural factors. This research aims to identify the problems that cause age discrimination and to produce additional alternative actions to be taken.


1985 ◽  
Vol 30 (2) ◽  
pp. 119-129 ◽  
Author(s):  
B.J. Mcconville ◽  
R.T. Bruce

Considerable progress has been made in our understanding of depressive illnesses in childhood and adolescence, especially over the last several years. A number of major books on the subject have now appeared, along with a large number of individual papers. This paper attempts to summarize current knowledge, and indicates developmental, age-related and other issues which still require further study.


2012 ◽  
Vol 05 (02) ◽  
pp. 119 ◽  
Author(s):  
Cynthia X Qian ◽  
William J Foster ◽  
Flavio A Rezende ◽  
◽  
◽  
...  

Age-related macular degeneration (AMD) is the leading cause of blindness among the elderly in developed countries. Much progress has been and continues to be made in search of better visual outcomes for dry and exudative AMD. Over the past decade, the importance of vitreomacular attachments has been recognized in AMD. In this article, we better characterize and describe vitreomacular and photoreceptor-retinal pigment epithelium interface relationships in AMD among treated and untreated patients and describe the surgical options available as well as their outcomes and possible complications.


Author(s):  
Naara Perdigão Cota de Almeida ◽  
Idelbrando Araújo Lima Júnior ◽  
Lucas do Rêgo Góes Azevedo ◽  
Romulo Maia Martins ◽  
Gustavo Aurélio Linhares Magalhães ◽  
...  

Viral hepatitis is a serious public health problem in the world and in Brazil. These are diseases of compulsory notification instituted by the Brazilian Ministry of Health (MS). The records of the affected persons should be made in the Notifiable Diseases Information System (SINAN), which should notify all probable cases, confirmed and outbreaks. The objective of this work is to quantify the number of cases of hepatitis acquired in occupational accidents in Brazil between 2009 and 2018. It is a study is a retrospective observational quantitative analysis of the epidemiological data investigated. In this sense, research was carried out in the databases of the national portal DATASUS (https://datasus.saude.gov.br/). There is an effective contribution of accidents at work to the current incidence rates of viral hepatitis in Brazil, as well as to the reduction of the quality of life of workers – especially those of health. Inconsistencies between epidemiological data recorded in SINAN and studies in the literature may demonstrate the presence of underreporting. Due to the relative scarcity and contradiction of studies, there is no well-established profile for contamination in health services, and there is a need for further studies on the subject.


1988 ◽  
Vol 153 (S3) ◽  
pp. 105-108 ◽  
Author(s):  
John P. Feighner ◽  
William F. Boyer ◽  
Charles H. Meredith ◽  
Gordon Hendrickson

During the past 75 years, the proportion of elderly individuals in the USA has grown twice as fast as the general population. Depression in this age-group occurs four times more frequently than in the general population (Butler, 1975), and the suicide rate for people over 65 years of age is 15 times greater than that of the general population (Lehman, 1980).The elderly may be more susceptible to depression due to biological and/or psychosocial variables. Elderly people experience significant losses associated with increasing age, including death of spouse and friends, loss of work, social status, and physical and mental abilities (Lehman, 1980). The biogenic amine hypothesis suggests that the aging brain may experience a decrease in the functional availability of neurotransmitters (Lehman, 1980); this decrease may also play a role in the aetiology of depression.Due to age-related changes in the body, the elderly can be more sensitive to drug therapy. Older patients may require careful dosage adjustments and may also be more prone to experiencing drug-related adverse events. The elderly often receive medication for various indications, and drug interactions are a concern (Thompson et al, 1983). Therefore, efficacy and safety studies of new antidepressants in elderly patients are particularly important. We pooled data from both double-blind and open-label studies to evaluate the efficacy and safety of fluoxetine in geriatric outpatients with DSM-III major depression. Positive results of fluoxetine in the treatment of geriatric depression were reported in one of these studies (Feighner & Cohn, 1985). The favourable safety and side-effect profile of fluoxetine in the general population has been discussed elsewhere (Wernicke, 1985). Plasma concentrations of fluoxetine in elderly subjects are similar to those in younger individuals (I.emberger et al, 1985). These findings, combined with a lack of cardiovascular effects (Fisch, 1985), and low lethality with overdose, indicated promise for fluoxetine as a geriatric antidepressant.


2021 ◽  
Vol 22 (12) ◽  
pp. 6473
Author(s):  
Jose M. Romero-Márquez ◽  
Alfonso Varela-López ◽  
María D. Navarro-Hortal ◽  
Alberto Badillo-Carrasco ◽  
Tamara Y. Forbes-Hernández ◽  
...  

Age-related bone disorders such as osteoporosis or osteoarthritis are a major public health problem due to the functional disability for millions of people worldwide. Furthermore, fractures are associated with a higher degree of morbidity and mortality in the long term, which generates greater financial and health costs. As the world population becomes older, the incidence of this type of disease increases and this effect seems notably greater in those countries that present a more westernized lifestyle. Thus, increased efforts are directed toward reducing risks that need to focus not only on the prevention of bone diseases, but also on the treatment of persons already afflicted. Evidence is accumulating that dietary lipids play an important role in bone health which results relevant to develop effective interventions for prevent bone diseases or alterations, especially in the elderly segment of the population. This review focuses on evidence about the effects of dietary lipids on bone health and describes possible mechanisms to explain how lipids act on bone metabolism during aging. Little work, however, has been accomplished in humans, so this is a challenge for future research.


2019 ◽  
pp. 281-293
Author(s):  
Franchesca Arias ◽  
Catherine C. Price ◽  
Jeffrey C. Gadsden

This chapter discusses hip fracture, which is a significant public health problem associated with substantial morbidity and mortality. Pain with hip fracture is often severe but despite this is frequently undertreated in the elderly population. Untreated pain not only is inhumane but also is a significant risk factor for delirium in this population that is already at increased risk due to age-related cognitive decline. Hip fracture patients benefit from early intervention with regional analgesic techniques such as femoral or fascia iliaca block, as well as a scheduled regimen of nonopioid analgesics such as acetaminophen and nonsteroidal anti-inflammatory medications. While opioids are known to contribute to risk for delirium, pain itself is a much stronger risk factor, and when nonopioid options are exhausted, opioids should be carefully considered. Continuous nerve block techniques provide opportunities for extended pain relief, which is associated with improved recovery profile, greater satisfaction, and a decreased risk for complications.


2020 ◽  
Vol 3 (2) ◽  
pp. 597-606
Author(s):  
Ricky Riyanto Iksan ◽  
Eni Hastuti

The purpose of this study was to determine the analysis of marital therapy in the elderly, to provide an overview of mutual to improve the quality of sleep in the elderly, to find out the quality of sleep in the elderly before and after performing complementary therapy. The research design used is descriptive in the form of case studies. Results of research on subjects I and II can be seen differences in outcomes. Still, both of them experienced a decrease in the frequency of awakening and the duration of listening to mutual with the following results. Subject II experienced the sleep process of complementary therapy, which is faster by looking to shared 12 minutes 27 seconds. The subject can fall asleep while the subject I had a sleep process of 13 minutes 25 seconds. Conclusion, the aging process is a natural process accompanied by a decrease in the physical condition of the elderly, one of which is the change in the elderly's sleep   Keywords: Al-Qur'an, Elderly Sleep Quality, Murottal Therapy


Author(s):  
Yogesh Mohan ◽  
Timsi Jain ◽  
S. Krishna ◽  
A. Rajkumar ◽  
Sathvika Bonigi

Background: Worldwide proportion of elderly population is expected to double from current 12% to 22% by 2050. This growth in elderly population inevitably leads to increase in age related diseases such as depression and serious constrains on quality of life among them. As depression frequently manifest with somatic symptoms like tension, headache and heaviness, etc., most of the elderly persons visit non psychiatry outpatient services seeking relief for their symptoms.Methods: A cross sectional study was done in the field practice area of Saveetha Medical College and Hospital. Geriatric depression scale (GDS) short form was used to measure the level of depression in geriatric population. Structured questionnaire was used in order to assess their physical health, socio-demographic data and social support. Elderly mobility scale was used to measure the level of physical dependency. Proportion and chi-square were used for analysis.Results: Prevalence of depression was found to be 76%. Among depressed elderly 47% had mild depression, 28% had moderate depression and 25% were suffering from severe depression. Severity of depression was also found to be significantly more among those who had lost their life partner and those who were physically dependent on others.Conclusions: Prevalence of depression in the elderly was found to be high moreover none of the elderly were diagnosed to be depressed. Steps like screening for depression among elderly should be undertaken to diagnose the cases of depression, they should be treated and also be given proper counseling sessions to reduce their levels of depression. 


2012 ◽  
Vol 87 (1) ◽  
pp. 9-18 ◽  
Author(s):  
Renan Rangel Bonamigo ◽  
André Vicente Esteves de Carvalho ◽  
Vanessa Raquel Zaleski Sebastiani ◽  
Cristina Martino da Silva ◽  
Angela Caroline de Zorzi Pinto

Skin cancer - melanoma and non melanoma - are common neoplasm with rising incidence over the last decades. It is an important public health problem. Its pathogenesis is not completely understood and the same happens with the genetic factors involved. The genes that encode the HLA are associated with some tumors and they may be responsible for one of the mechanisms that take part in the development of the before mentioned cancers. We have reviewed the literature on the subject of HLA antigens, melanoma and non melanoma skin cancer.


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