scholarly journals Citrate therapy for ur olithiasis in postmenopausal women

2021 ◽  
pp. 162-168
Author(s):  
A. Z. Khashukoeva ◽  
T. E. Ryzhova ◽  
S. S. Zenkov ◽  
A. V. Overko
Keyword(s):  
Life Expectancy ◽  
Pathological Condition ◽  
The Elderly ◽  
Stone Disease ◽  
Female Patients ◽  
Ascending Infection ◽  
Time Period ◽  
Bladder Diseases ◽  
Difficult Challenge ◽  
Somatic Diseases

A tendency towards growing life expectancy in old age can be clearly observed in most countries of the world over the past number of decades. This tendency is also seen in our country. Despite the fact that people started living longer, which would seem to be a good indicator of the country’s socio-economic development, the doctors have encountered a rather difficult challenge to overcome. The question at issue is that health specialists are faced with many somatic diseases due to the fact that people started living longer. When life expectancy was much less, many of them have never encountered such a volume of diseases. Today, the share of the elderly in the population has significantly increased and they live longer, which, accordingly, has an impact on the number of nosological units in the clinical practice of almost any health specialist. This article is focused on the issue of non-decreasing incidence of urinary tract diseases; in particular, the challenges of bladder stone disease (BSD) are considered. According to the latest data, the disease prevalence does not tend to decrease. Moreover, the incidence of BSD in women has increased significantly, although this pathological condition is more typical for men. In light of the fact that female patients spend about a third of their lives in the postmenopausal period, it is worth paying special attention to some features of the woman’s body functioning during this time period due to the likelihood of the formation of an inflammatory process, which often mediates the development of the BSD. Older female patients are often concerned about inflammatory bladder diseases, which can lead to the development of BSD by ascending infection in the future. Therefore, it is crucially important to know what therapeutic capabilities doctors have today to effectively fight the BSD.

Early experience of laparoscopic cholecystectomy in acutely inflamed gallbladder

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Ali Abdul Hussein Handoz ◽  
Ahmed Kh Alsagban
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Gall Stone ◽  
The Elderly ◽  
Stone Disease ◽  
Definitive Treatment ◽  
Adjacent Structures ◽  
Common Causes ◽  
Gall Stone Disease ◽  
Male To Female

Gallstones are now among the most important disease in the era of surgery. Definitive treatment of gall stone disease remains cholecystectomy. One of the common causes of emergency surgical referral is acute cholecystitis of which 50-70% cases are seen in the elderly patients.50 patients were treated with laparoscopic cholecystectomy from October 2013 to October 2015. The patient’s age was from 20 to 65 years old with a mean age of 34 ±3 years old. The patients received in the emergency unit and their attack not more than 72 hrs of acute gall stone inflammation were included in this study.From the 50 patients,15 were males (34%) and females were 35 (74%) so the ratio of 1:2of male to female. Problems and complications that facing in this study at time of laparoscopy were mainly adhesions to the adjacent structures like stomach, colon, and omentum. Adhesion into CBD also considered.Early intervention for acute cholecystitis of calculus type by laparoscopy now regarding safe and gold standard approach that should be kept in mind when dealing with such cases.

Breast Cancer in the Elderly

2007 ◽  
Vol 25 (14) ◽  
pp. 1882-1890 ◽  
Author(s):  
Diana Crivellari ◽  
Matti Aapro ◽  
Robert Leonard ◽  
Gunter von Minckwitz ◽  
Etienne Brain ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Clinical Trials ◽  
Life Expectancy ◽  
Cancer Patients ◽  
Disease Free Survival ◽  
Cost Benefit ◽  
The Elderly ◽  
Breast Cancer Patients ◽  
Younger Women ◽  
Based Medicine

Screening and adjuvant postoperative therapies have increased survival among women with breast cancer. These tools are seldom applied in elderly patients, although the usually reported incidence of breast cancer is close to 50% in women 65 years or older, reaching 47% after 70 years in the updated Surveillance, Epidemiology, and End Results (SEER) database. Elderly breast cancer patients, even if in good medical health, were frequently excluded from adjuvant clinical trials. Women age 70 years who are fit actually have a median life expectancy of 15.5 years, ie, half of them will live much longer and will remain exposed for enough time to the potentially preventable risks of a relapse and specific death. In the last few years, a new concern about this issue has developed. Treatment now faces two major end points, as in younger women: to improve disease-free survival in the early stages, and to palliate symptoms in advanced disease. However, in both settings, the absolute benefit of treatment is critical because protecting quality of life and all its related aspects (especially functional status and independence), is crucial in older persons who have more limited life expectancy. Furthermore, the new hormonal compounds (aromatase inhibitors) and chemotherapeutic drugs (capecitabine, liposomal doxorubicin), are potentially less toxic than and equally as effective as older more established therapies. These new treatments bring new challenges including higher cost, and defining their benefit in elderly breast cancer must include an analysis of the cost/benefit ratio. These issues emphasize the urgent need to develop and support clinical trials for this older population of breast cancer patients both in the adjuvant and metastatic settings, a move that will take us from a prejudiced, age-based medicine to an evidence-based medicine.

Consequences of Gender Differentials in Life Expectancy for Black and Hispanic Americans

1989 ◽  
Vol 29 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Kyriakos S. Markides
Keyword(s):  
General Population ◽  
Life Expectancy ◽  
Elderly Population ◽  
Hispanic Americans ◽  
Elderly Women ◽  
Intergenerational Relationships ◽  
The Elderly ◽  
Minority Women ◽  
Demographic Trends ◽  
Gender Differentials

Increased survival by blacks and Hispanics is causing a widening of the sex imbalance of the elderly population much like we have observed in the general population. These demographic trends point toward greater widowhood among minority women and continuing high rates of poverty. In addition, we can expect increased rates of disability in minority elderly women, increased dependency, worsening intergenerational relationships, and higher rates of institutionalization.

scholarly journals Depression-free life expectancy in elderly populations in Ceará, northeast and Brasil

2021 ◽  
Vol 8 (2) ◽  
pp. 1-12
Author(s):  
Ana Glads de Queiroz Rolim ◽  
◽  
Alane Siqueira Rocha ◽  
Keyword(s):  
Life Expectancy ◽  
National Health ◽  
Health Survey ◽  
Elderly Population ◽  
The Elderly ◽  
National Health Survey ◽  
The Other ◽  
Prevalence Of Depression ◽  
Elderly Populations ◽  
The One

This paper investigated depression-free life expectancy in the elderly population of Ceará, the Northeast and Brazil. We used data from the 2019 National Health Survey (PNS) and the projections of the Mortality Tables provided by the Brazilian Institute of Geography and Statistics (IBGE) in 2018. Sullivan's method was used to estimate depression-free life expectancy at age 60 years. The results show that, among the elderly in the analyzed regions, women are at a disadvantage in the number of years they will live with depression compared to men. Which suggests that women live longer with depression compared to men. Among the populations analyzed, it was also found that the one in the Northeast showed the smallest difference in the prevalence of depression in the elderly between the sexes, with 11.6% in women and 3.7% in men. In general, the Northeast has the lowest prevalence of depression among the elderly, when compared to the other two regions.

scholarly journals Organization of medical and social care for the elderly and senile patients

2020 ◽  
Vol 35 (2) ◽  
pp. 50-55
Author(s):  
S. S. Vazhaeva ◽  
N. F. Shilnikova
Keyword(s):  
Life Expectancy ◽  
Social Care ◽  
The Elderly ◽  
Absolute Number ◽  
Population Ageing ◽  
Natural Process ◽  
Age Group ◽  
Care For The Elderly ◽  
The People ◽  
New Public

Population ageing is a natural process characterized by the increase in life expectancy and by a growth in the absolute number and proportion of elderly and senile persons in the population. These demographic changes increase the need for medical and social care among the people of this age group and require the development and implementation of new public policies.

scholarly journals Clinical spectrum of obstructive jaundice: a descriptive crosssectional study

2021 ◽  
Vol 6 (1) ◽  
pp. 53-57
Author(s):  
R. Naveena MS
Keyword(s):  
Obstructive Jaundice ◽  
The Elderly ◽  
Stone Disease ◽  
Clinical Spectrum ◽  
Bile Duct Stricture ◽  
Elderly Male ◽  
Male Population ◽  
Pancreas Head ◽  
Duodenal Carcinoma ◽  
Duct Stricture

Objective. The objective of this study was to evaluate the clinical spectrum of obstructive jaundice in inflammation, stone disease, and malignancy. Methods. A descriptive observational study was done among 50 patients with the diagnosis of obstructive jaundice during the period 2012 to 2013. A detailed history and clinical examinations and radiological confirmation were done. Results. Among the participants, 74% participants had jaundice, 58% with vomiting as presenting complaints. Among benign cases, 60% were choledocholithiasis, 25% were common bile duct stricture, and 15% were choledochal cyst. Among malignant cases, 26.67% were periampullary carcinoma, 23.33% had carcinoma of the pancreas head, and 13.33% had D2 duodenal carcinoma. Conclusions. The etiology of obstructive jaundice was malignancy in the elderly male population. The most common presenting features were yellowish discoloration of skin and mucosa followed by vomiting and abdominal pain.

scholarly journals Relationship Between Occlusal Force and Endothelial Function in Community-Dwelling Elderly

2020 ◽  
Author(s):  
Kanna Kato ◽  
Naoko Matsuda ◽  
Miki Takahata ◽  
Chika Koseki ◽  
Michiyasu Yamaki ◽  
...  
Keyword(s):  
Life Expectancy ◽  
Endothelial Function ◽  
Grip Strength ◽  
General Condition ◽  
Force Measurement ◽  
The Elderly ◽  
Community Dwelling ◽  
Healthy Life ◽  
Occlusal Force ◽  
The Relationship

Abstract Background: Prolonged healthy life expectancy, which is duration without the requirement of any kind of help for activities of daily living (ADL), is essential to ensure a long life with a good quality of living in the community. Further, local residents should understand their health conditions and live consciously to prolong healthy life expectancy. The development of a simple general health indicator is necessary. Both occlusal force and flow-medicated dilation (FMD) which reflects endothelial function are useful tools for understanding the general condition of the elderly. However, few studies have investigated the relationship between occlusal force and endothelial function. In the present study we examined this relationship, occlusal force measurement can be a good indicator of the general condition of the elderly. Methods: In 38 community-dwelling women(aged 76.7 ±5.7 years), we measured occlusal force,　grip strength, endothelial function evaluated by FMD, advanced glycation end products (AGEs). In this study we investigate we investigated the relationship between occlusal force, measurement items, and factors independently related to endothelial dysfunction (FMD<7％). Results: There were significantly correlation between occlusal force and grip strength (r=0.54, p<0.01). Degree of FMD significantly associated with occlusal force (r=0.60, p<0.01) and grip strength (r=0.35, p<0.05) or amount of increased AGEs (r=-0.37, p<0.05). Occlusal force was independently associated with degree of FMD after adjusting for age, AGEs, and grip strength (p < 0.05).Conclusion: There was a significant relationship between occlusal force and FMD. Occlusal force can be an important indicator of endothelial function in community-dwelling elderly. This study may help understanding general health of elderly in community.

Colorectal cancer in the elderly and the influence of lead time bias: better survival does not equate with improved life expectancy

2016 ◽  
Vol 31 (3) ◽  
pp. 553-559 ◽  
Author(s):  
Katrina Knight ◽  
◽  
Raymond Oliphant ◽  
Fraser Maxwell ◽  
Claire McKenzie ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Life Expectancy ◽  
Lead Time ◽  
The Elderly ◽  
Lead Time Bias

Aortic Valvular Disease

2019 ◽  
pp. 385-414
Author(s):  
Eric Leo Sarin ◽  
Vinod H. Thourani
Keyword(s):  
United States ◽  
Aortic Valve ◽  
Life Expectancy ◽  
Elderly Patients ◽  
Aortic Valve Disease ◽  
The Elderly ◽  
The United States ◽  
Degenerative Disease ◽  
Valve Disease ◽  
Valvular Stenosis

Broadly speaking, pathology is categorized as being primarily related to valvular stenosis (AS) or regurgitation (AR), but a diseased valve may often exhibit both. The predilection of degenerative disease of the aortic valve, particularly stenosis, for the elderly has resulted in a steadily increasing prevalence as the population ages. As general life expectancy increases in the United States and other western countries, surgery to correct aortic valve disease will increase. As more elderly patients with more comorbidities present for surgery their intraoperative and perioperative care will become more complex. This chapter discusses ways for the practicing intensivist to facilitate identification and treatment in the immediate peri-operative period.

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