scholarly journals Urodynamic changes in women subjected to gynecological surgeries

2021 ◽  
Author(s):  
Luiz Henrique Simões de Melo
Keyword(s):  
Elderly Women ◽  
The Elderly ◽  
Bladder Function ◽  
Adult Women ◽  
Gynecological Surgery ◽  
Age Group ◽  
Female Population ◽  
History Of ◽  
Voiding Dysfunctions ◽  
Urodynamic Parameters

Abstract Introduction: Disorders inherent to aging are increasingly present, with voiding dysfunctions and greater submission to surgeries among them. Objective: To analyze the influence of gynecological surgeries (Hysterectomy-HT and Colpoperineoplasty-CPP) on urodynamic bladder function parameters of adult women. Methods: A comparative study of urodynamic data from 706 patients was performed at the Urology Service of HC/UFPE. Previously, patients with any known clinical factor which could affect bladder function were excluded. These patients were analyzed in groups according to their history of gynecological surgery and age group (Non-elderly/elderly). The control group was composed by women without any gynecological surgery history. Results: All urodynamic parameters were worse in the elderly subgroup. The fundamental difference between the groups consisted of senility and past gynecological surgeries (higher in the elderly group). In the general female population, a history of gynecological surgeries was related to several alterations in urodynamic parameters. All urodynamic micturition phase parameters were significantly worse in patients with colpoplasty history. Hysterectomy history was also associated to a deterioration in some micturition parameters. However, no relationship between gynecological surgeries and urodynamic changes was found in the elderly women subgroup. Conclusion: Gynecological surgeries (HT/CPP) do not alter the prevalence and/or intensity of voiding dysfunctions already expected in the older age group of women from the aging process itself. Functional changes in the lower urinary tract resulting from aging are imposed in elderly women, regardless of their gynecological surgery history.

scholarly journals Cervical cancer screening in young and elderly women of the Xingu Indigenous Park: evaluation of the recommended screening age group in Brazil

2015 ◽  
Vol 13 (1) ◽  
pp. 52-57 ◽  
Author(s):  
Neila Maria de Góis Speck ◽  
Juliana da Silva Pinheiro ◽  
Erica Ribeiro Pereira ◽  
Douglas Rodrigues ◽  
Gustavo Rubino de Azevedo Focchi ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Young Women ◽  
Elderly Women ◽  
The Elderly ◽  
Age Group ◽  
Ministry Of Health ◽  
Indigenous Youth ◽  
Female Population ◽  
Gynecological Disease ◽  
Age Range

Objective To analyze the occurrence of atypia in the cytology/histology examinations of young women under the age of 25 years and of elderly women aged over 64 years, in the Xingu Indigenous Park and to evaluate, in a subjective manner, if the age range for screening established by the Ministry of Health and the Instituto Nacional de Câncer is appropriate for this population. Methods The Xingu/UNIFESP Project, in partnership with the Center for Gynecological Disease Prevention, develops programs to prevent cervical cancer. The exploratory, retrospective and descriptive study of cytological and histopathological examinations of young (12-24 years) and elderly (aged 64 and over) women of the Xingu Indigenous Park, between 2005 and 2011. Results There was low occurrence of cytological atypia in the elderly female population, but there were occasional high-grade lesions in the indigenous youth. Conclusion Interrupting screening at the limit age of 64 years, as established by the Ministry of Health and the Instituto Nacional de Câncer is justified. However, screening of young women should begin at an earlier age.

scholarly journals Prevalence and risk factors of pulmonary nontuberculous mycobacterial infections in the Zhejiang Province of China

2019 ◽  
Vol 147 ◽  
Author(s):  
Jintian Xu ◽  
Ping Li ◽  
Shengchao Zheng ◽  
Wei Shu ◽  
Yu Pang
Keyword(s):  
Risk Factors ◽  
Reference Group ◽  
The Elderly ◽  
Zhejiang Province ◽  
Age Group ◽  
Pulmonary Tb ◽  
History Of ◽  
Normal University ◽  
The Difference ◽  
Culture Positive

Abstract Risk factors and prevalence of pulmonary nontuberculous mycobacterial (NTM) diseases were retrospectively evaluated in 1208 suspected pulmonary TB patients seeking care at the Affiliated Hospital of Hangzhou Normal University between July 2018 and December 2018. Further analysis of 390 culture-positive cases demonstrated that 358 (358/390, 91.8%) were infected with Mycobacterium tuberculosis (MTB), 24 (24/390, 6.2%) with NTM and eight (8/390, 2.0%) with both MTB and NTM. M. intracellulare was the most prevalent NTM isolated (16/24, 66.7%), followed by M. abscessus (3/24), M. kansasii (2/24), M. avium (1/24), M. szulgai (1/24) and M. fortuitum (1/24). The difference between NTM and TB case rates for the ⩾65-year-old age group significantly exceeded the difference for the reference group (patients aged 25–44 years) (OR (95% CI): 4.63 (1.03–20.90)). Pulmonary NTM diseases incidence positively correlated with prior TB history (OR (95% CI): 12.92 (3.24–31.82)). Moreover, pulmonary NTM patients were significantly more likely to exhibit underlying bronchiectasis than pulmonary TB patients (OR (95% CI): 18.89 (7.54–47.88)). In conclusion, approximately one-tenth of culture-positive suspected pulmonary TB patients are infected with NTM (most frequently M. intracellulare) in Zhejiang Province, China. The elderly and those with bronchiectasis or a history of TB are at the greatest risk of contracting pulmonary NTM disease.

scholarly journals Differential susceptibility according to gender in the association between air pollution and mortality from respiratory diseases

2011 ◽  
Vol 27 (9) ◽  
pp. 1827-1836 ◽  
Author(s):  
Marcio Sacramento de Oliveira ◽  
Antônio Ponce de Leon ◽  
Inês Echenique Mattos ◽  
Sérgio Koifman
Keyword(s):  
Air Pollution ◽  
Respiratory Diseases ◽  
Elderly Women ◽  
Generalized Additive Models ◽  
Differential Susceptibility ◽  
The Elderly ◽  
Additive Models ◽  
Male Population ◽  
Female Population ◽  
Increase In Risk

This study analyzed the association between air pollution and deaths from respiratory diseases, considering differential susceptibility according to gender. The authors used daily deaths from respiratory diseases (ICD-10, J00-J99), PM10, SO2, and O3 levels, and meteorological indicators in Volta Redonda, Rio de Janeiro State, Brazil, from January 2002 to December 2006. The association was estimated by Poisson regression using generalized additive models, where the increase in risk of deaths from PM10 to lag 1 was 10.01% (95%CI: 1.81-18.88%) in the total female population and 10.04% (95%CI: 0.90-20.02%) in elderly women. The increase in risk of deaths from PM10 to lag 9 was 8.25% in the total male population (95%CI: 0.86-16.18%) and 10.80% (95%CI: 2.18-20.15%) in elderly men. For exposure to SO2 and O3, the risk was significant in the total male population and the elderly, respectively. The results emphasize the need for further studies, focusing on modification of the effects of air pollution on health.

FC13-04 - Suicide risk in relation to age and psychiatric hospitalization

2011 ◽  
Vol 26 (S2) ◽  
pp. 1885-1885
Author(s):  
J. Reutfors ◽  
L. Brandt ◽  
K. Sparring Björkstén ◽  
A. Ekbom ◽  
U. Ösby
Keyword(s):  
Suicide Risk ◽  
Psychiatric Hospitalization ◽  
Conditional Logistic Regression ◽  
Age Groups ◽  
The Elderly ◽  
Population Based ◽  
Age Group ◽  
Post Discharge ◽  
History Of ◽  
Control Study

IntroductionSuicide risk is increased in patients with a history of psychiatric hospitalization.AimTo explore how suicide risk varies by age during psychiatric hospitalization and in the year post-discharge.MethodsThis is a population-based case-control study of all suicides (n = 20,675; 70% male) in Sweden aged ≥18 years during 1991–2003. Each suicide was individually matched to 10 population controls by age, sex, and county of residence. Discharge diagnoses of a mental disorder (except dementia and other organic disorders) in the year prior to suicide were identified by register linkage. Odds ratios (OR) were calculated by conditional logistic regression to estimate the relative risk of suicide in those with psychiatric diagnoses compared to the general population. ORs were estimated by age group (18–34 years, 35–49 years, 50–64 years, and ≥ 65 years) and timing of the suicide in relation to discharge.ResultsDuring hospitalization, the youngest age group had the greatest suicide risk elevation [OR 64 (95% CI 44-92)]. In the first month post-discharge, the oldest age group had the highest suicide risk elevation [OR 162 (95% 66–399) in the first week and OR 127 (95% 67–242) in the second to fourth weeks]. In the remaining eleven months, suicide risk elevation was lower and relatively similar in different age groups.ConclusionsDuring the year following psychiatric hospitalization, an especially high attention should be paid to the suicide risk of the elderly patients in the first month post-discharge.

Stereotypes of Aging Women and Exercise: A Historical Perspective

1995 ◽  
Vol 3 (3) ◽  
pp. 223-237 ◽  
Author(s):  
Patricia A. Vertinsky
Keyword(s):  
Physical Activity ◽  
Elderly Women ◽  
The Elderly ◽  
Vigorous Exercise ◽  
Negative Stereotypes ◽  
Physically Active ◽  
Aging Women ◽  
History Of ◽  
Potential Risks ◽  
Social And Cultural Factors

Despite growing indications of increased participation in healthful physical activity among the elderly, aging women tend to participate in exercise and sport to a lesser extent than their male peers. This paper suggests that strongly held beliefs about the potential risks of vigorous exercise deter many elderly women from being physically active. It then examines the gendered nature of myths and stereotypes concerning aging and physical activity and explores those social and cultural factors that have historically persuaded aging women to practice "being" old and inactive before "becoming" old. The purpose is to elaborate upon studies in the history of aging which indicate that popular perceptions rather than reality shaped social expectations, professional prescriptions, and public policy. These studies suggest how the creation of negative stereotypes around the aging female paved the way for an unbalanced version of the realities of female old age, at times delimiting aspirations and constraining opportunities for vigorous and healthful physical activity.

scholarly journals Death and dying: elderly persons’ experiences of grief over the loss of family members

2018 ◽  
Vol 60 (5) ◽  
pp. 53
Author(s):  
Eucebious Lekalakala-Mokgele
Keyword(s):  
Elderly Women ◽  
Death And Dying ◽  
Family Members ◽  
The Elderly ◽  
Phenomenological Approach ◽  
Elderly Persons ◽  
Age Group ◽  
The Family ◽  
Qualitative Phenomenological ◽  
Depth Interviews

Background: Death is one of life’s few certainties and a universal experience for all individuals. When death occurs there is usually an impact on the family and friends of the deceased, the magnitude of which often depends on whether death was expected or unexpected. The grieving experiences of the elderly are rarely discussed. The purpose of this study was to describe experiences of grief and reactions to the death of family members amongst the elderly.Methods: A qualitative phenomenological approach was used to obtain data from elderly women in Ga-Rankuwa, Gauteng, to gain insight into the experiences of grief in this age group. Purposive sampling was used to conduct in-depth interviews with 10 elderly women whose family members had died. The data were analysed using a thematic approach.Results: The findings show that the elderly were exposed to multiple deaths of family members. The participants helplessly experienced with sorrow the death of family members, had experienced death anxiety, and relinquished control to God in terms of deaths.Conclusions: The response to death of the elderly affirms that it cannot be assumed that multiple death experiences establish their readiness or ability to handle these experiences and to grieve successfully. It can be concluded that the grieving process of the elderly is not different from any other age group and that they will also require the type of support and assistance considered for younger persons in times of grieving.

scholarly journals Studi Fenomenologis tentang Pengalaman Kesepian dan Kesejahteraan Subjektif pada Janda Lanjut Usia

2018 ◽  
Vol 13 (2) ◽  
pp. 203
Author(s):  
Lucky Ade Sessiani
Keyword(s):  
Life Satisfaction ◽  
Religious Coping ◽  
Elderly Women ◽  
Well Being ◽  
The Elderly ◽  
Subjective Well Being ◽  
Perceived Life Satisfaction ◽  
History Of ◽  
Mental And Physical Health

<p>Elderly women experience loneliness related to unexpected situations of partner loss (husband's death). Loneliness can have an impact on subjective well-being, life satisfaction, quality of life, mental and physical health, and even death. The purpose of this study was to describe and understand experiences related to loneliness for elderly widows. The subjects involved were 6 (six) widows due to the death of their husbands (widowed), widows of more than 1 year, and no history of psychological disorders. Methods of data collection using interviews and observation. This study resulted in the conclusion that an elderly widow can experience loneliness due to the loss of a spouse who is taken away by death. Subjective well-being and perceived life satisfaction are the results of a religious coping strategy that is effective in over­coming loneliness experienced. When feelings of losing a spouse can be overcome by religious behavior, enthusiasm for survival and re-establishing social interaction, the elderly can feel well-being and life satisfaction.</p>

FUNCTIONAL CHARACTERISTICS OF ELDERLY WOMEN IN RELATION TO THEIR AGE AND MEDICAL CONDITION

2018 ◽  
pp. 95-105
Author(s):  
Sergey Vladimirovich SHPAGIN ◽  
Esedulla Mallaalievich OSMANOV ◽  
Rustam Rinatovich MANYAKOV
Keyword(s):  
Physical Training ◽  
Vital Capacity ◽  
Elderly Women ◽  
Medical Condition ◽  
Age Groups ◽  
The Elderly ◽  
Age Group ◽  
Functional Characteristics ◽  
The Third ◽  
Common Opinion

At the present time there is no common opinion on the methods and means for improving elderly women. Moreover, the nature and intensity of the physical training in relation to the age and medical condition of the elderly women are to be clarified. In this regard, in order to develop scientifically-based programs for the integrated health-improving physical training of elderly women, it is necessary to establish their functional characteristics, depending on their age, taking into account their medical condition. Taking into account the medical condition, the elderly women were distributed by cluster analysis into four age groups: 56–62 years, 63–68 years, 69–72 years, 73–75 years. It has been established that, according to indicators, the vital capacity of lungs and the forced vital capacity of lungs do not significantly differ only between the third and fourth age groups of women. According to the Stange and Genci test scores, there were no significant differences between the first and second age groups of women, and between the third and fourth age group of women. Among women of the first age group, the average strength of the force and the compression force of the hand is significantly higher than in other age groups, among women of the fourth age group, significantly lower than in women from other age groups. The indicators of the resting heart rate index in all studied groups do not differ, but the scatter indicator decreases with age, which indicates a decrease in the lability of the cardiovascular system. The received data can be used for development of programs on complex improving physical training of a researched category of persons.

scholarly journals Medidas Basadas En La Ejecución En Ancianos Con Historia De Caídas. Una Muestra.

2019 ◽  
Vol 38 (2) ◽  
Author(s):  
Luis M. Cornejo
Keyword(s):  
High Frequency ◽  
Walking Speed ◽  
Previous History ◽  
The Elderly ◽  
High Morbidity ◽  
Age Group ◽  
Speed Test ◽  
Functional Reach ◽  
History Of ◽  
The One

<p>[Measures Based On The Execution In Elderly People With A History Of Falls. A Sample]</p><div><br />Resumen</div><div>Introducción: Las caídas constituyen uno de los llamados Grandes Síndromes Geriátricos, su elevada frecuencia a medida que envejecemos, se asocia a elevada morbi-mortalidad y discapacidad. Un abordaje diagnóstico y preventivo de esta condición, hace necesaria una Valoración Geriátrica Integral, incluyendo en ésta sistematización las llamadas Medidas Basadas en la Ejecución (MBE). El objetivo general del trabajo fue comprobar la validez de los resultados de medidas basadas en la ejecución realizadas en pacientes de 65 años en adelante. Materiales y métodos: Es un estudio descriptivo y retrospectivo que evaluó un total de 189 pacientes de 65 años en adelante, de ambos sexos, incluidos en el Programa de Caídas del Adulto Mayor (PROPRECAM), del Hospital Irma de Lourdes Tzanetatos, durante los años 2015 y 2016. Se valoraron tanto el índice de Barthel como 4 pruebas de MBE: Velocidad de la marcha, Levántate y anda, Levantarse de una silla con Brazos Cruzados y Alcance Funcional. Resultados: Los resultados se correlacionaron con la historia previa de caídas, encontrándose que el 71% presentaron prueba de velocidad de la marcha alterada, el 65.6% Prueba de Levántate y anda afectada, el 48.1% pruebas de brazos cruzados alterada y 23.8% alcance funcional deficitario. La Prueba de Velocidad de la Marcha en 4 metros fue la que más se relacionó con historia de caídas con 63.70%, seguida por Levántate y Anda con 42.85%.</div><div>Conclusión: En pacientes de 65 años y más, las Medidas Basadas en la Ejecución, representan un conjunto de pruebas fácilmente aplicables, que pueden complementar y aumentar el valor predictivo para las caídas en este grupo de edad.</div><div>Abstract</div><div>Introduction: Falls are one of the so-called Great Geriatric Syndromes, their high frequency as we get older, is associated with high morbidity and mortality and disability. A diagnostic and preventive approach to this condition requires an Integral Geriatric Assessment, including in this systematization the so-called Measures Based on Execution (MBE). The general objective of the work was to verify the validity of the results of measures based on performance performed on patients aged 65 and older. Material and method: It is a descriptive and retrospective study that evaluated a total of 189 patients of 65 years and older, of both sexes, included in the Program of Falls of the Elderly (PROPRECAM), of the Irma Hospital of Lourdes Tzanetatos, during the years 2015 and 2016. Both the Barthel index and 4 MBE tests were assessed: Speed of walking, Stand up and walk, Stand up from a chair with Cross Arms and Functional Reach. Results: The results were correlated with the previous history of falls, finding that 71% presented altered walking speed test, 65.6% of the Levántate test and affected, 48.1% altered crossed arms tests and 23.8% functional reach deficit. The Speed Test of the March in 4 meters was the one that was most related to history of falls with 63.70%, followed by Stand Up and Walk with 42.85%.</div><div>Conclusion: In patients aged 65 years and older, the Implementation-Based Measures represent a set of easily applicable tests that can complement and increase the predictive value for the falls in this age group.</div><p> </p>

scholarly journals Prevalence of hypertension and co-morbidities among elderly women in rural area: a cross sectional study

2018 ◽  
Vol 5 (9) ◽  
pp. 4018
Author(s):  
Soumyashree M. N. ◽  
R. G. Viveki
Keyword(s):  
Rural Area ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Sustainable Development ◽  
Premature Deaths ◽  
History Of ◽  
Study Participants

Background: NCDs have been the leading causes of death among women globally for the past three decades and are now responsible for two in every three deaths among women each year. India endorsed the Sustainable Development Goal for health to set a target to decrease premature deaths from non-communicable diseases (NCDs) by one-third by 2030. Aims of the study were to estimate the prevalence of hypertension among the elderly women from rural area and to know the associated co-morbidities among the elderly women from rural area.Methods: A community based cross sectional study was conducted among elderly women >60 yrs. Data was collected by using pre tested structured questionnaire, which contained basic information like name, age, education & socioeconomic status, occupation, marital status, known case of hypertension, family history, any other co- morbidities.Results: 65.2% of the participants had normal blood pressure, 34.7% were hypertensive. 38% of study subjects living in joint family were hypertensive, majority (53.8% and 85.6%) of them who were obese and had a history of tobacco intake were hypertensive. The association between hypertension and these variables was found to be statistically significant.Conclusions: 15.4% of the study participants were newly detected hypertensives. This indicates a need for awareness to be created among the elderly women regarding hypertension risk factors, to sensitize them for regular medical check-ups to ensure prevention and early detection of hypertension.

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