Comparison of Functional Balance and Probability of Falling in the Elderly with and Without a History of Falling Living in Care Centers

Objective: The purpose of this study was to compare functional balance and probability of fall in elderly with or without history of fall in care centers. Methods: The statistical population of the present study consisted of 30 elderly men and women over 60 years of two elderly nursing centers in rasht. These specimens were selected according to the inclusion criteria and exit criteria. The age range was between 60 and 74 years. Individuals (15 people)were divided into two groups of aged persons (15 persons) and with a history of land (15 people). People who had no history of eating during the last six months have been knocked down in the group without a history of land eating and people who had tripped once or more in the last six months. the evaluation of the balance and the possibility of seniors fall with tests (leaves and time of rise and departure) were carried out. SPSS software was used to analyze the data. from the shayper-vink test to be natural for data distribution, descriptive statistics were used in the form of statistics such as mean, standard deviation, median, change range and direction of data describing and in the deductive statistics section with respect to comparing the variables from independent t-test. Results: Normality test results confirmed normality of data in the variables of performance equilibrium and probability of fall there was a significant difference between functional balance index in the elderly with a history of fall or without the history of fall. there was a meaningful difference between fall risk index in the elderly with a history of fall or without the history of fall. Conclusion: according to the results of this study, individuals with no history of fall in performance balance indices and probability of fall were better than those with history of fall.

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651. Comparative Analysis Between Bacterial And Fungal Malignant Otitis Externa

Open Forum Infectious Diseases ◽

10.1093/ofid/ofaa439.845 ◽

2020 ◽

Vol 7 (Supplement_1) ◽

pp. S383-S384

Author(s):

Fatma Hammami ◽

Makram Koubaa ◽

Amal Chakroun ◽

Fatma Smaoui ◽

Khaoula Rekik ◽

...

Keyword(s):

Otitis Externa ◽

Clinical Presentation ◽

The Elderly ◽

Causative Organism ◽

Diabetic Patients ◽

Duration Of Treatment ◽

Evolutionary Features ◽

Significant Difference ◽

Malignant Otitis Externa ◽

History Of

Abstract Background Malignant otitis externa is a fatal infection of the external ear and temporal bone. Pseudomonas aeruginosa is the most common causative organism, while fungi are a rare cause of malignant otitis externa. We aimed to compare the clinical, therapeutic and evolutionary features between bacterial and fungal malignant otitis externa. Methods We conducted a retrospective study including all patients hospitalized for malignant otitis externa in the infectious diseases department between 2000 and 2018. Results Overall, we encountered 82 cases of malignant otitis externa, among which there were 54 cases (65.9%) of bacterial malignant otitis externa (BMO) and 28 cases (34.1%) of fungal malignant otitis externa (FMO). The males were predominant among BMO cases (57.4% vs 50%; p=0.5). Patients with FMO were significantly older (70±9 years vs 61±10 years; p< 0.001) and had medical history of diabetes mellitus more frequently (96.4% vs 77.8%; p=0.03). The use of topical corticosteroids was significantly more reported among FMO cases (28.6% vs 5.6%; p=0.006). Otalgia (96.4% vs 81.5%), otorrhea (75% vs 66.7%) and cephalalgia (46.4% vs 42.6%) were the revealing symptoms among FMO and BMO, respectively, with no significant difference. Tenderness to palpation of the mastoid bone (64.3% vs 38.9%; p=0.02) and stenosis of the external auditory canal (92.9% vs 72.2%; p=0.02) were significantly more frequent among FMO cases. Complications were significantly more frequent among FMO cases (42.9% vs 9.3%; p< 0.001). Treatment duration was significantly longer among FMO cases (70[40-90] days vs 45[34-75] days; p=0.03). Conclusion Our study showed that FMO affected more frequently the elderly and diabetic patients, when compared with BMO. Regardless of the causative agent, the clinical presentation was similar. However, the outcome was poor among FMO cases with the occurrence of complications, requiring a longer duration of treatment. Disclosures All Authors: No reported disclosures

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Effect of Eight Weeks Water Resistance Training with Dark Chocolate Supplementation on the Balance of the Elderly

Journal of Shahid Sadoughi University of Medical Sciences ◽

10.18502/ssu.v28i8.4455 ◽

2020 ◽

Author(s):

Maryam Mousavi ◽

Farshad Ghazalian

Keyword(s):

Resistance Training ◽

Water Resistance ◽

Training Group ◽

The Elderly ◽

Dark Chocolate ◽

Control Group ◽

Daily Lives ◽

Significant Difference ◽

Group Water ◽

Age Range

Introduction: Improving balance in the daily lives of the elderly plays an important role, especially in reducing their risk of falling. Therefore, the aim of the present study was to investigate the effect of eight weeks water resistance training with dark chocolate supplementation on the balance of the elderly.Methods: In this study, 38 elderly people with an age range of 73-60 years were randomly divided into four groups. Participants in groups, included water resistance training and water resistance training + dark chocolate, performed water resistance training for eight weeks. In this period, groups of dark chocolate and water resistance training + dark chocolate, consumed 6 pieces of dark chocolate 83%, 5 gr per day, and the control group did not have any training or supplementation. The stork test (flamingo) was used to assess balance. The results of covariance analysis (ANOVA) showed that there was a statistically significant difference between the four groups. Data were evaluated using Excel and SPSS-25 (p≤ 0.05). Results: The adjusted means after eliminating the effect of pre-test scores showed that the water resistance-training group had a higher mean than the other three groups and the weakest scores belonged to the control group. The results of other groups were as followed: experimental group 18.77, chocolate group 16.88, combined group (water resistance training + dark chocolate) 17.24 and control group 9.77. The results of Benferoni test showed that there was a significant difference between the water resistance training group and the control group (p = 0.006). Conclusion: According to the results of this study, it seems that eight weeks of water resistance training and dark chocolate supplementation can improve the balance and quality of life of the elderly.

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Structure of the clinical and geriatric depression: Similarities and differences

Psihologija ◽

10.2298/psi0604425n ◽

2006 ◽

Vol 39 (4) ◽

pp. 425-437 ◽

Cited By ~ 1

Author(s):

Zdenka Novovic ◽

Petar Colovic ◽

Maja Babic ◽

Gordana Misic-Pavkov

Keyword(s):

Depression Scale ◽

The Elderly ◽

Clinical Depression ◽

Aged People ◽

Method Of Maximum Likelihood ◽

Significant Difference ◽

Clinically Depressed ◽

The Matrix ◽

History Of ◽

Negative Estimate

Studies demonstrating the uniqueness of depression in old age are numerous, but conclusions on the fact if the problems of the elderly people cause depression or if they are a part of depression are not unique. The aim of this paper is to compare the structure of depression of old people without the history of mental illness and middle-aged people treated for depression. The sample consists of 82 healthy inmates of different Homes for the Aged and 78 patients diagnosed with some sort of affective disorder. A depression has been assessed with the shorten version of the MMPI D-scale. The structure of the geriatric and clinical depression has been compared with the method of maximum likelihood, over the matrix of co-variances of answers on the items on the depression scale. The results point out to the statistically significant difference in the structure of depression of the old and clinically depressed individuals. However, half of the items of the D-scale have significant loadings on the factor of depression in both groups. The essence of the depression in both samples is made of cognitive subject matters, depressive affect, decline of motivation and a negative estimate of one's basic abilities. Symptoms concerning low self-esteem, experiencing cognitive deficit, energy and impaired physical health have been significant in describing the clinical depression, while a feeling of reduced positive stimulation and the affective liability is typical for the depression of geriatric sample. The conclusion is that, despite the differences, there is a common core of symptoms that makes the essence of depression, apart from the samples.

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PENGARUH PSIKOEDUKASI TERHADAP PENGETAHUAN INKLUSIVITAS PADA ANAK-ANAK DI YAYASAN PANTI ASUHAN Z

Prosiding SENAPENMAS ◽

10.24912/psenapenmas.v0i0.15215 ◽

2021 ◽

pp. 1429

Author(s):

Agnes Nugrawati Salim ◽

Atalya Debora ◽

Farica Tanojo ◽

Sriana Sihombing ◽

Sylvia Dewi Suryaganda ◽

...

Keyword(s):

Social Interaction ◽

Experimental Design ◽

Statistical Test ◽

Test Results ◽

Significant Difference ◽

Post Test ◽

Parametric Statistical Test ◽

Age Range ◽

Non Parametric

The research explored the effect of psychoeducation towards knowledge of inclusivity for children at Yayasan Panti Asuhan Z (Z orphanage). Yayasan Panti Asuhan Z (Z orphanage) has been chosen because there is a phenomenon where the typical children shows stigmatization towards the atypical children. There are various form of stigmatization, including physical, attitude, communication, social interaction, et cetera. This research involved 33 children at the Yayasan Panti Asuhan Z having an age range from 11-21 years old. The design used in this research is within-group experimental design. The result of this study indicates that there is an increase after being given psychoeducation. Researchers used the Mann-Whitney non parametric statistical test. The result has shown there is a significant difference between pre-test and post-test results (p < 0.05, N=28).Penelitian ini melihat pengaruh psikoedukasi terhadap pengetahuan inklusivitas pada anak-anak di Yayasan Panti Asuhan Z. Yayasan Panti Asuhan Z dipilih karena adanya fenomena stigmatisasi yang tidak disadari antara anak-anak tipikal terhadap anak-anak atipikal yang tinggal di panti tersebut. Bentuk stigmatisasi yang terjadi beragam, seperti fisik, sikap, cara berkomunikasi, cara berteman, dan sebagainya. Penelitian ini melibatkan 33 anak-anak di Yayasan Panti Asuhan Z yang berusia mulai dari 11 hingga 21 tahun. Desain yang digunakan pada penelitian ini adalah within-group experimental design. Hasil dari penelitian ini menunjukkan bahwa terdapat peningkatan pengetahuan inklusivitas yang ditandai dengan meningkatnya hasil pre-test setelah diberikan psikoedukasi. Peneliti menggunakan uji statistik non-parametrik Mann Whitney. Berdasarkan hasil uji beda tersebut, diketahui bahwa hasil pre-test dan post-test memiliki perbedaan yang signifikan (p < 0.05, N=28).

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Bronchiolitis as a Possible Cause of Wheezing in Childhood: New Evidence

PEDIATRICS ◽

10.1542/peds.74.1.1 ◽

1984 ◽

Vol 74 (1) ◽

pp. 1-10

Author(s):

Kenneth M. McConnochie ◽

Klaus J. Roghmann ◽

Suzanne J. Klein ◽

Thomas K. Mclnery ◽

James B. MacWhinney ◽

...

Keyword(s):

Control Group ◽

Historical Cohort ◽

Practice Population ◽

Confounding Variables ◽

Significant Difference ◽

History Of ◽

Age Range ◽

New Evidence ◽

Possible Cause ◽

Allergic Manifestations

A historical cohort study was performed in order to assess the hypothesis that even mild bronchiolitis in infancy is a predictor of wheezing later in childhood. Subjects who had experienced bronchiolitis and a matched control group were compared in terms of reported wheezing 8 years later. A highly significant difference was found between the bronchiolitis group and the control group in terms of current wheezing (P < .0001, relative risk 3.24). This difference was maintained after adjusting for many potentially confounding variables including family history of allergy and other allergic manifestations in the child. Results suggested that 13.6% of a normal practice population in the age range 6 to 9 years currently wheeze, but that 44.1% of children who experienced bronchiolitis currently wheeze. Based on the incidence of bronchiolitis (4.27/100 children in their first 2 years of life) and the relative odds for wheezing derived from a logistic regression model including variables that measured passive smoking, genetic tendency to wheeze, and bronchiolitis, calculations of attributable risk suggested that wheezing in 9.4% of the population of children who currently wheeze was attributable to bronchiolitis.

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Abstract 54: The Correlation Between IgE And The Level Of Interleukin-21 In Kawasaki Disease

Circulation ◽

10.1161/circ.131.suppl_2.54 ◽

2015 ◽

Vol 131 (suppl_2) ◽

Author(s):

Hae-Yong Lee

Keyword(s):

Kawasaki Disease ◽

Serum Level ◽

Acute Phase ◽

Immunoglobulin E ◽

Significant Difference ◽

History Of ◽

Interleukin 21 ◽

Christian Hospital ◽

Age Range ◽

Chemiluminescent Method

Purpose: It has been reported that serum level of immunoglobulin E (IgE) is increased in patients with Kawasaki disease (KD) after acute phase. However the exact mechanism of increasing IgE is yet to be revealed. We investigated whether the interleukin-21 (IL-21) could be related with the high IgE in KD. Instead of IL-4, IL-21 was focused in this study because it has been reported that its level is increased in various autoimmune vasculitis. Methods: From June 2008 to June 2010, 49 patients with KD admitted in Wonju Severance Christian Hospital and 13 controls with high fever due to unknown infection who had no history of KD were included in this study. The sera from patients and controls were collected and checked in terms of immunoglobulin E (Chemiluminescent method, Siemens, Munich, Germany) and IL-21 (ELISA, eBioscience, San Diego, USA). Results: The median age of patients with KD was 3 years of age (range: 0.4-10) and that of controls was 7 years of age (range: 1-12). The group of patients with KD was composed of 39 complete KD and 10 incomplete KD. Among patients with KD, 10 patients had coronary arterial dilatation (CAD) and 39 patients had no coronary complications. The median value of IL-21 in patients with KD was significantly increased as 466 pg/mL (range: 0-1544) while that value in controls was <62.5 pg/mL (range: 0- 825 pg/mL) ( P < 0.01). We could not find the significant correlation between the serum level of IgE and that of IL-21 in patients with KD (Spearman R=0.2, P = 0.08) though 30% of patients with KD showed increased IgE more than 100 IU/mL. In addition, our data showed no significant difference between CAD group and non CAD group in terms of serum IL-21. Conclusion: Our data showed firstly that IL-21 is increased in patients with KD. There was no significant correlation between high IgE and the level of IL-21.

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Comparison of Postural Control and Functional Balance in Individuals People with Intellectual Disabilities with and Without Developmental Coordination Disorder

Journal of Shahid Sadoughi University of Medical Sciences ◽

10.18502/ssu.v28i11.5219 ◽

2021 ◽

Author(s):

Esmail Balayi ◽

Parisa Sedaghati

Keyword(s):

Postural Control ◽

Intellectual Disabilities ◽

Developmental Coordination Disorder ◽

Dynamic Balance ◽

Timed Up And Go ◽

Statistical Population ◽

Functional Balance ◽

Significant Difference ◽

Students With Intellectual Disabilities ◽

Coordination Disorder

Introduction: Balance in individual with intellectual disability has a great importance due to the failure to perform motor tasks. The purpose of the present study was to compare postural control and balance function in two groups of individual with intellectually disabled with and without developmental coordination disorder. Methods: The present study was a cross-sectional and causal-comparative. The statistical population of this study included all students with intellectually disabilities studying in an exceptional school in Rasht in 2019. According to the inclusion and exclusion criteria, 52 people, including 32 students with intellectual disabilities with developmental coordination disorder and 20 students with intellectual disabilities without developmental coordination disorder were purposefully selected. BESS test, Y balance test, Timed Up and Go (TUG) test were used to evaluate postural control, dynamic balance and functional balance, respectively. For statistical analysis, SPSS version 16 software, independent t-test and Mann-Whitney U tests at a significance level of P <0.05 was used. Results: Based on the results of the present study, a significant difference was observed in functional balance (p = 0.001), and overall score of postural control (p = 0.003), but no significant difference in dynamic balance (p <0.05) was observed between the two groups. Conclusion: Developmental coordination disorder is highly prevalent among the individual with intellectual disabilities. At the same time, they have poorer postural control and functional balance compared to their peers without developmental coordination disorder. Due to the importance of controlling posture and maintaining proper balance in order to prevent injury of these people who are less physically fit than their peers, it is recommended to sports coaches, occupational therapists, physiotherapists and other related fields to take a variety of balance programs to emphasize on improving their balance.

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Investigating the Effect of Cognitive and Sensorimotor Exercises on the Functional Balance of the Elderly

International journal of epidemiologic research ◽

10.15171/ijer.2019.30 ◽

2019 ◽

Vol 6 (4) ◽

pp. 171-176

Author(s):

Mahmoud Shaykh ◽

Zinat Ayazi Vanani ◽

Fazllolah Bagherzadeh

Keyword(s):

Nursing Homes ◽

The Elderly ◽

Functional Independence ◽

Control Group ◽

Statistical Population ◽

Functional Balance ◽

Quasi Experimental ◽

The Difference ◽

Elderly Living ◽

Tinetti Test

Background and aims: The elderly living in nursing homes have different motor situations compared with their peers, which can affect different motor functions. Investigating the characteristics of balance has always been of interest to researchers due to its importance in the functional independence of the elderly. Thus, the present research aimed to investigate the effect of cognitive and sensorimotor exercises on the functional balance of the elderly. Methods: This quasi-experimental study was performed with the intragroup comparison design, as well as pre- and post-test measurement stages in Iran during 2017. A total of 60 elders were chosen through the convenience sampling method. Accordingly, the subjects were matched in four groups after performing the pretest with demographic, physical activity readiness, and Mini-Mental State Examination questionnaires and Tinetti test. Each group performed eight exercise situations lasting for 5-10 seconds by taking the overload principle into account throughout 24 sessions. The statistical population of this research consisted of the elderly living in nursing homes under the supervision of the Welfare Organization of Shiraz, including 875 individuals. In general, 60 subjects were chosen through a voluntary method (age: 61.7 ± 7.6 years old, weight: 65.2± 16.2 kg, and height: 157.7± 6.7 cm). During the data collection, 14 subjects left the study for different reasons. The balance characteristics were measured by the Tinetti test. Finally, statistical analysis was performed through the difference of the scores of measurement stages and by one-way ANOVA and Tukey post hoc tests. Results: The comparison of cognitive, sensorimotor, and combined groups with the control group regarding the dependent variables of the research indicated that cognitive exercises have no significant effect on balance (P=0.103), while the sensorimotor (P=0.002) and combined (P=0.002) exercises were effective on balance. Conclusion: In general, the significance of the balance following sensorimotor and combined exercises compared to the insignificance of cognitive exercises can highlight the importance of sensorimotor exercises in the balance of the elderly living in nursing homes.

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Using Audiometry to Track Atherosclerosis: Measuring a Beneficial Effect of Methotrexate in Rheumatoid Arthritis

EMJ Rheumatology ◽

10.33590/emjrheumatol/20-00041 ◽

2020 ◽

pp. 110-117

Author(s):

Kylie Greenwald ◽

Maria Greenwald ◽

JoAnn Ball

Keyword(s):

Rheumatoid Arthritis ◽

Hearing Loss ◽

General Population ◽

Hearing Aids ◽

Screening Tool ◽

Cost Effective ◽

The Elderly ◽

Effective Screening ◽

History Of ◽

Age Range

Objectives: To correlate audiometry with atherosclerosis. Presbycusis is associated with age and atherosclerosis; a strong correlation might present opportunities to use audiometry to track atherosclerosis disease. Design: The authors tested 87 elderly patients with rheumatoid arthritis (age range: 80–101 years; median: 86 years) with a history of methotrexate use for over 20 years. After 50 years of age, hearing loss begins slowly and by the age of 90, the majority of the general population require hearing aids. In the 87 elderly participants, however, hearing was remarkably preserved. Results: The observed cohort of 87 individuals showed better hearing than predicted compared to audiometry historically documented in the elderly (p<0.001). The patients tested one to two decades younger than expected on audiometry and 44% of patients qualified for hearing aids instead of the expected 80%, based on age. Conclusion: The known reduction in atherosclerosis with methotrexate use in rheumatoid arthritis may account for this observed preservation of hearing.1,2 As hearing and atherosclerosis are related, the authors further postulated that routine audiometry may provide a cost-effective screening tool for other populations in future atherosclerosis studies.

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Staphylococcal and Streptococcal Septic Arthritis in the Elderly

Clinical Microbiology and Research ◽

10.31487/j.cmr.2021.01.02 ◽

2021 ◽

pp. 1-4

Author(s):

Don Walter Kannangara ◽

D. Pandya ◽

R. Anmolsingh

Keyword(s):

Staphylococcus Aureus ◽

Septic Arthritis ◽

The Elderly ◽

Lyme Arthritis ◽

Joint Infections ◽

Ankle Joints ◽

Streptococcal Species ◽

History Of ◽

Healthcare Associated ◽

Age Range

In our study, septic arthritis due to Staphylococcus aureus and Streptococcal species was more common in the elderly. This contrasts with Lyme arthritis which has a higher incidence in younger patients. The majority of joint infections were in the elderly, with a median age of 65 (range 14-95) for Staphylococcus aureus and 70 for Streptococcal species. The age range of Methicillin-resistant Staphylococcus aureus (MRSA) septic arthritis was 27-95 (median 72) with 39/53 (73.6%) above age 60. The age range of Streptococcal arthritis patients was 36-86 (median 70). There were more males with septic arthritis for both Staphylococcus aureus (86/134) 64% and streptococci (12/22) 55%. The most frequently involved joint was the knee, 49.3% for S. aureus followed by hip (23.9%), elbow (14.3%), shoulder (14%), wrist (1.5%), ankle (0.75%) and sternoclavicular (0.75%). The knee was affected in 81% of Streptococcal infections, with the rest equally divided between the hip, elbow, acromioclavicular and ankle joints. The history of prior joint replacement in patients with septic arthritis was 21/28 (80%) for MRSA, 36/102 (35.3%) for methicillin-susceptible Staphylococcus aureus (MSSA) and 9/21 (43%) for streptococcal arthritis suggestive of healthcare-associated infections. Our results suggest a need for improvements to prevent the entry of pathogens into the surgical site during and after surgery.

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