scholarly journals The Prevalence of Rheumatoid Arthritis in the Elderly that attend Pilgrimage Centre, Elele, Nigeria

Author(s):  
Benjamin Onyema Eledo ◽  
Edidiong Tommy ◽  
Emmanuel Onuoha ◽  
Kingsley Dunga ◽  
Okezie Okamgba

This study determined the prevalence of Rheumatoid arthritis in elderly people that attended pilgrimage center, Elele Rivers state, Nigeria. A total of 200 subjects attending the pilgrimage center were examined for Rhematoid Factor using Latex agglutination method. The data was subjected to statistical analysis using Statistical Package for Social Sciences (SPSS) version 16.0. A prevalence of 4% was seen in the female subjects within the age bracket of 65-80 years and a prevalence of 1% was seen in the male subjects within the age bracket of 61-70 years. It showed that Rheumatoid arthritis was positive in 5% of the population and negative in 95% of the population, which was statistically significant (p< 0.05). In conclusion, there is a significant increase in the overall prevalence of rheumatoid arthritis in elderly subjects that attend pilgrimage center, Elele. Therefore proper care should be instituted to  avoid unnecessary complications associated with this ailment.

1994 ◽  
Vol 86 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Penelope J. Neild ◽  
Denise Syndercombe-Court ◽  
W. R. Keatinge ◽  
G. C. Donaldson ◽  
M. Mattock ◽  
...  

1. Six elderly (66-71 years) and six young (20-23 years) subjects (half of each group women) were cooled for 2 h in moving air at 18°C to investigate possible causes of increased mortality from arterial thrombosis among elderly people in cold weather. Compared with thermoneutral control experiments, skin temperature (trunk) fell from 35.5 to 29.5°C, with little change in core temperature. 2. Erythrocyte count rose in the cold from 4.29 to 4.69 × 1012/l, without a change in mean corpuscular volume, indicating a 14% or 438 ml decline in plasma volume; increased excretion of water, Na+ and K+ accounted for loss of only 179 ml of extracellular water. 3. Plasma cholesterol and fibrinogen concentrations rose in the elderly subjects from 4.9 mmol/l and 2.97 g/l (control) to 5.45 mmol/l and 3.39 g/l in the cold, and in the young subjects from 3.33 mmol/l and 1.84 g/l (control) to 3.77 mmol/l and 2.07 g/l in the cold. Increases were significant for the elderly subjects, the young subjects and the group as a whole, except for cholesterol in the young subjects, and all were close to those expected from the fall in plasma volume. 4. Plasma levels of Protein C and factor X did not increase significantly in the cold in the elderly subjects, young subjects, or the group as a whole. 5. The results suggest that loss of plasma fluid in the cold concentrates major risk factors for arterial thrombosis, while small molecules, including protective Protein C, redistribute to interstitial fluid.


Author(s):  
Zahra Shahidipour ◽  
Saeid Farahani ◽  
Ghassem Mohammadkhani ◽  
Elham Tavanai ◽  
Nariman Rahbar ◽  
...  

Background and Aim: Elderly people usually show poor performance in dichotic listening tasks. In this condition, the left ear being often the weaker one shows a performance below the normal limits. Studies have shown the effectiveness of dichotic listening training in auditory and language processing for adults and children with neurological disorders. This study aimed to develop a home-version of dichotic training and investigate its effectiveness in elderly adults. Methods: Participants in this single-subject interventional study (AB design) were four elderly subjects (two males and two females) aged 65−75 years. The main inclusion criteria were dichotic listening deficit demonstrated by the dichotic digit test (DDT), no neurological or cognitive disorders, and normal hearing threshold. Dichotic listening training was performed with an informal home-version of dichotic interaural intensity difference (DIID) training program for seven weeks. DDT was performed seven consecutive weeks before (phase A) and after the intervention (phase B) at the end of each week. Results: Data were analyzed by single-subject study statistics. Findings demonstrated an improvement in DDT scores for the left ear and decrease in right ear advantage scores in all the elderly adults after DIID training program. It seems that this training program could remediate poor performance in dichotic listening tasks in elderly people. Conclusion: The advantage of this method is that it can be easily done at home and is costeffective. However, further studies are needed to approve the neuroplasticity and structural changes in the brain after the DIID training program in this population. Keywords: Auditory rehabilitation; dichotic training; dichotic listening; elderly; singlesubject study


2013 ◽  
Vol 169 (2) ◽  
pp. 203-209 ◽  
Author(s):  
Takashi Adachi ◽  
Naoki Hattori ◽  
Takashi Ishihara ◽  
Hirokazu Iida ◽  
Takanori Saito ◽  
...  

ObjectiveMacroprolactin primarily comprises a complex of prolactin (PRL) and IgG molecules, particularly anti-PRL autoantibodies. However, it is unknown why autoantibodies against PRL develop in certain subjects. This study aimed to elucidate post-translational modifications in the PRL molecule that may be involved in the pathogenesis of macroprolactinaemia.MethodsMacroprolactinaemia was screened with a polyethylene glycol method in 238 patients with rheumatoid arthritis (RA) and 302 control subjects and confirmed by gel chromatography. We examined the relationship between macroprolactinaemia and several RA-related laboratory tests including matrix metalloproteinase-3 (MMP-3) and anti-cyclic citrullinated peptide (CCP) antibody titres. The effect of MMP-3 on the PRL molecule was examined by western blotting.ResultsPatients with RA exhibited a significantly higher prevalence of macroprolactinaemia (15/238; 6.3%) than the young control subjects (5/219 subjects; 2.3%), but the prevalence was not different from that observed in the elderly control subjects (5/83 subjects; 6.0%). The prevalence of macroprolactinaemia in patients with elevated MMP-3 levels (9.68%) was significantly higher than that in those with normal MMP-3 levels (2.63%). Digestion of PRL with MMP-3 produced vasoinhibins with several molecular species. Serum total and free PRL levels in RA patients were higher than those in the age- and gender-matched control subjects. The levels of macroprolactin were not significantly correlated with those of RA-specific anti-CCP antibody.ConclusionsWe speculate that elevated MMP-3 levels may lead to the formation of new epitopes on the PRL molecule that might trigger an immune response to produce anti-PRL autoantibodies in some patients with RA. Such post-translational modifications may possibly contribute to the increased prevalence of macroprolactinaemia in elderly subjects.


2016 ◽  
Vol 26 (8) ◽  
pp. 1155-1167 ◽  
Author(s):  
Chihye Bae ◽  
Hyunjung Lee ◽  
Chungyoon Chun

This study aims to develop a method to predict thermal sensation in elderly people. To identify the point on the body where skin temperature can best predict thermal sensation in elderly people aged 65 or older and develop a thermal comfort measurement model that can replace the psychological scale, experiments were conducted in a stainless steel wall finish climate chamber and at the seven senior welfare centres in Korea. The results of the climate chamber experiment with 30 healthy elderly people (15 males, 15 females) showed that there was a correlation between thermal sensation and local skin temperature on the back of the hand, the upper arm, the top of the foot and the cheek. This developed thermal sensation prediction model was then applied in a field study at senior welfare centres to verify whether the model could be applied to a large number of elderly subjects in different locations. The field study with 294 elderly people (111 males, 183 females) shows that cheek and back of the hand skin temperatures were useful in predicting thermal sensation in the elderly, and predicted thermal sensation based on the skin temperature of the cheek had the strongest correlation with thermal sensation among the participants.


Author(s):  
Andon Hestiantoro ◽  
Dick Frans Swaab

Abstract Objective: to determine whether the decline of testosterone during ageing would make this nucleus more vulnerable for NF changes (i.e. hyperphosphorylated-tau) in men, or that the decline of estrogens in the postmenopausal period would protect the infundibular nucleus in women. Methods: We investigated the infundibular nucleus in postmortem subjects. Brain materials obtained from 29 subjects in the Netherlands Brain Bank were further classified as control subjects and subjects with abnormal hormone conditions. Procedures consisted of tissue collection, immunochemical staining, and analysis of the staining intensity. Results then were collected and concluded using observational methods. Results: Elderly male subjects with low testosterone conditions showed more severe NF changes in the infundibular nucleus than postmenopausal women. The occurrence of NF changes in elderly subjects was generally accompanied by the presence of basket-like nerve terminals staining for ERβ. Conclusion: The sex difference in NF changes in the infundibular nucleus in the elderly is due to hyperphosphorylated-tau induction in low testosterone and ageing condition in men, while in postmenopausal women the declining estrogen levels seem to protect against NF changes in this brain area. Keywords: ageing, estrogen, hyperphosphorylated-tau, infundibular nucleus, testosterone   Abstrak Tujuan: untuk menentukan apakah penurunan level testosteron selama proses penuaan menyebabkan nukleus infundibularis menjadi lebih rentan terhadap perubahan neurofibrilar (NF) (misalnya hyperphosphorylated-tau) pada laki-laki atau apakah penurunan level estrogen selama masa pasca-menopause memiliki efek protektif terhadap nukleus infundibular pada perempuan. Metode: Peneliti memeriksa nukleus infundibular pada subjekpost-mortem. Materi berupa jaringan otak dari 29 subjek dari Netherlands Brain Bank lebih lanjut diklasifikasikan sebagai subjek kontrol dan subjek dengan kondisi hormon abnormal. Prosedur terdiri dari pengumpulan jaringan, pewarnaan dengan teknik imunohistokimia, dan analisis dari intensitas pewarnaan. Hasil yang didapat kemudian dikumpulkan dan disimpulkan sesuai dengan metode observasional. Hasil: Subjek laki-laki lanjut usia dengan testosteron rendah menunjukkan perubahan NF yang lebih buruk pada nukleus infundibular dibandingkan dengan wanita postmenopause. Kejadian perubahan NF pada subjek lanjut usia secara umum diikuti oleh munculnya pewarnaan pada ujung saraf berbentuk basket-like yang positif untuk Erβ. Kesimpulan:Perbedaan jenis kelamin terkait perubahan NF pada nukleus infundibular pada subjek lanjut usia terjadi akibat induksi hiperfosforilasi taupada kondisi testosteron yang rendah yang dikombinasi oleh proses penuaan pada pria. Sedangkan pada perempuan pascamenopause, penurunan level estrogen menunjukkan efek protektif terhadap perubahan NF pada area otak ini. Kata kunci: estrogen, hiperfosforilasi protein tau, nukleus infundibularis, penuaan, testosteron


2009 ◽  
Vol 19 (3) ◽  
pp. 171-184 ◽  
Author(s):  
Helen A. Thomason ◽  
Matthew J. Hardman

SummaryOur ability to heal wounds deteriorates with age, leading in many cases to a complete lack of repair and development of a chronic wound. Moreover, as the elderly population continues to grow the prevalence of non-healing chronic wounds is escalating. Cutaneous wound repair occurs through a combination of overlapping phases, including an initial inflammatory response, a proliferative phase and a final remodelling phase. In elderly subjects the inflammatory response is delayed, macrophage and fibroblast function compromised, angiogenesis reduced and re-epithelialization inhibited. Whilst a large body of historic research describes the defective processes that lead to delayed healing, only recently have the molecular mechanisms by which these defects arise begun to be elucidated. Current therapies available for treatment of chronic wounds in elderly people are surprisingly limited and generally ineffective. Thus there is an urgent need to develop new therapeutic strategies based on these recent molecular and cellular insights.


2020 ◽  
Vol 3 (118) ◽  
pp. 13-18
Author(s):  
Vida Janina Česnaitienė ◽  
Zbigniew Ossowski ◽  
Diana Karanauskienė ◽  
Gabrielė Auškalnyte ◽  
Ema Grigėnaitytė ◽  
...  

Background. It is predicted that in 2060, the number of elderly people in Lithuania (62 and over years of age) will be 31.2% (Tamutienė & Naujanienė, 2013). The maintenance of stable posture requires particular attention because it gets more difficult to sustain it while doing multiple moves at the same time when you are getting older (Woo, Davids, Liukkonen, Chow, & Jaakkola, 2017). The aim of the study was to determine the importance of physical activity for the interplay of motor and cognitive functions in elderly people. Methods. Evaluation of static equilibrium by posturographic method, evaluation of cognitive functions, statistical analysis. Results. The results of the physically active and inactive research subjects were statistically significant (p = .043) in memory task with the eyes closed and in a simple position. A statistically significant difference in the sway velocity (Vsc) between the physical activity groups with eyes closed in simple position was also observed (p = .044). Double task with eyes closed resulted in worse balance performance. Conclusions. 1. Physical activity did not affect the motor function of the elderly. There were no differences between the physically active and inactive subjects in the assessed behavioral indices. 2. Physical activity did not affect the cognitive functions of the elderly. All elderly subjects were equally mistaken in their cognitive memory task. 3. The motor functions of the physically active elderly are controlled statistically significantly better when performing additional cognitive tasks than those of the physically inactive ones. Keywords: balance, elderly, physical activity.


2018 ◽  
Vol 69 (4) ◽  
pp. 831-836
Author(s):  
Laura Checherita ◽  
L. S. Burlea ◽  
O. Stamatin ◽  
D. Manuc

Affections of temporomandibular joint (TMJ) can lead to imbalances and disfuntions named temporomandibular desorders (TMDs). Elderly people with TMDs are experiencing more severe phenomena due to instability centric relationship, edentation, hypotonia, and cranio-mandibular malrelations, neurologic and chronic diseases. The aim of this study is to investigate the efficiency of the anti-inflamatory treatment followed by prosthetic, estethic and gnathologic treatment in elderly. This is a prospective study, based on data obtained from 410 elderly people, 74 female and 33 male gender subjects. In the studied group we found a high prevalence of pain (42.99%) and articular affectation (25.23%) which is due both to the grade of edentation and to complications of it, also the muscular affectation, headache, modification of the cranial-mandibular relations, psychological affectation. The prevalence of depressive manifestations was high (35.51%) and after the ibuprofen treatment in association with prosthetic treatment was completed decreased (at 23.36%) in the elderly subjects. In conclusion, the anti-inflamatory treatment followed by prosthetic treatment and also esthetical one determined the improved outcomes of the TMDs in elderly patients, not only in terms of pain and depression but also clinically, meaning at the TMJ function and in all the intraoral and facial as


2002 ◽  
Vol 8 (3) ◽  
pp. 151-156 ◽  
Author(s):  
Shigeru Ohta ◽  
Hiroshi Nakamoto ◽  
Yoshimitsu Shinagawa ◽  
Tomohiro Tanikawa

We have developed a health monitoring system for elderly people living alone. We monitored the in-house movements of eight subjects (average age 81 years) by placing infrared sensors in each room of their homes. Because their movements were unrestricted, monitoring could last longer than other forms of monitoring. Continuous monitoring was performed for 80 months in total. We found that each subject had a specific pattern of movements. We estimated their health condition by comparing the duration of stays in specific rooms, such as the lavatory, with previously recorded data. If after analysis an unusual state was detected, we informed the family of the incident. Final decisions should be made by the family members, not automatically by computer software. For example, after contacting the subject or a neighbour by telephone, family members could call for an ambulance or arrange a visit by a doctor or home help. Thus, this system reduced anxiety for both the elderly subjects living alone and their family members.


2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Toshiaki Nishio ◽  
Yuichiro Yoshikawa ◽  
Takamasa Iio ◽  
Mariko Chiba ◽  
Taichi Asami ◽  
...  

AbstractThe number of isolated elderly people with few opportunities to talk to other people is currently increasing. Research is ongoing to develop talking robots for addressing the situation. The aim of the present study was to develop a talking robot that could converse with elderly people over an extended period. To enable long-duration conversation, we added a previously proposed active listening function for twining the robot dialogue system to prompt the user to say something. To verify the effectiveness of this function, a comparative experiment was performed using the proposed robot system and a control system with identical functions except the active listening function. The results showed that the conversation of the elderly subjects with the proposed robot system was significantly more than that with the control system. The capability of the developed robot system was further demonstrated in a nursing home for the elderly, where its conversation durations with different residents were measured. The results revealed that the robot could converse for more than 30 min with more than half of the elderly subjects. These results indicate that the additional function of the proposed talking robot system would enable elderly people to talk over longer periods of time.


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