AGING FOOT SYNDROME: PATIENTS SCREENING AND ROUTING

Author(s):  
С.Г. Горелик ◽  
А.Н. Ильницкий ◽  
К.И. Прощаев ◽  
О.А. Осипова ◽  
Е.С. Бутикова ◽  
...  

В статье показано, что при оказании медицинской и социальной помощи пациентам старших возрастных групп целесообразно обращать внимание не только на наличие соматических заболеваний и общих гериатрических синдромов, но и проводить скрининг локальных гериатрических синдромов, таких как, в частности, синдром возрастной стопы, которые также влияют на функциональный статус пациентов. Применение скрининга синдрома возрастной стопы, маршрутизации пациентов, а также мер восстановительного лечения позволяют поддерживать на должном уровне состояние общей двигательной активности пациента и качества жизни. The article proves that when providing medical and social care to patients of older age groups, it is advisable to pay attention not only to the patients’ somatic and geriatric status, but also to perform screening of local geriatric syndromes that affect the patients’ functional status, such as, in particular, aging foot syndrome. Implementation of rehabilitation treatment measures that we propose allows to maintain the patients’ mobility level and consequently their general functional capability level and quality of life.

Medicina ◽  
2009 ◽  
Vol 45 (7) ◽  
pp. 557 ◽  
Author(s):  
Algirdas Baubinas ◽  
Romualdas Gurevičius ◽  
Konstancija Jankauskienė ◽  
Jonas Sąlyga ◽  
Jonas Kairys ◽  
...  

The aim of the study was to analyze self-rated health among physicians depending on their sex, age, workplace (hospital or polyclinic), and specialty. Material and methods. The studied group consisted of 377 26–70-year-old physicians randomly selected from various county hospitals and polyclinics of Lithuania. There were 85 men and 292 women. The inquiry was performed using the complemented (by the authors of the study) version of the WHO anonymous questionnaire of the quality of life (1995). Responses were evaluated based on physicians’ evaluation of their own health, which was rated as very good, good, satisfactory, poor, and very poor. Results. Only 8.2% of males and 5.8% of females evaluated their health as very good (P>0.05). More men, compared to women, evaluated their health as good (62.3% and 53.1%, respectively; P<0.05), whereas more females evaluated their health as satisfactory, compared to males (36.0% and 25.9%, respectively; P<0.05); 2.4% of males and 5.1% of females (p>0.05) stated that their health was poor. In most cases, physicians of different age groups presented equal evaluations of their health except for physicians in the age groups of 26–37 and 38–43 years – those who evaluated their health as very good comprised a significantly higher percentage (P<0.05), compared to other age groups. As expected, a higher percentage of older physicians evaluated their health as satisfactory. In addition to that, more hospital physicians, compared to those working in polyclinics, evaluated their health as good (12.8% and 1.8%, respectively; P<0.05) and vice versa – significantly more physicians working in polyclinics evaluated their health as satisfactory, compared to those working in hospitals (38.1% and 26.8%, respectively; P<0.05). A significantly higher percentage of surgeons, compared to general practitioners or therapists, evaluated their health as very good (15.8%, 4.5%, and 6.1%, respectively; P<0.05) and a significantly lower percentage – as satisfactory (P<0.05). Conclusions. Irrespectively of sex, 6.4% of the studied physicians evaluated their health as very good; 55.2%, as good; 33.7%, as satisfactory; 4.7%, as poor; and 0.3%, as very poor. A higher percentage of physicians who evaluated their health as very good or good were 26–37 and 38–43 years of age, whereas more physicians in older age groups evaluated their health as satisfactory. A higher percentage of physicians working in hospital evaluated their health as very good, whereas more physicians who worked in polyclinics evaluated their health as satisfactory. Compared to general practitioners and therapists, surgeons more frequently evaluated their health as very good and significantly less frequently – as satisfactory.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Emma Ohlsson-Nevo ◽  
Ayako Hiyoshi ◽  
Paulina Norén ◽  
Margareta Möller ◽  
Jan Karlsson

Abstract Background This study aims to evaluate data quality, scaling properties, and reliability of the Swedish RAND-36 in a general population sample and to present reference data for the Swedish population. Methods Testing of data quality, scaling assumptions and reliability followed methods recommended for the International Quality of Life Assessment Project, previously used for psychometric testing of SF-36 and RAND-36. Data were collected via regular mail for a random stratified sample of the general population in a Swedish county. Weighted means for RAND-36 scores were used and differences by sex, age, education, and occupational groups were tested. Results The response rate was 42%, and the sample comprised 3432 persons (45% men, 55% women) with a median age of 56.9 years. The internal consistency reliability was satisfactory, with Cronbach’s alphas > 0.80 for all eight scales. The percentage of missing items was low, ranging between 1.3% and 3.2%. No floor effects (≥15%) were noted, while ceiling effects were observed for physical functioning, role-functioning/physical, pain, role-functioning/emotional, and social functioning. Item–scale correlations were satisfactory (r ≥ 0.40). Correlations among the physical health scales were strong (range 0.58–0.68) as were the correlations among the mental health scales (range 0.58–0.73). Men reported significantly better health-related quality of life (HRQoL) on all scales, although the gender differences were small. Comparisons among age groups showed approximately equal scores among those 20–29, 30–39, and 40–49 years, while significant decreases in physical health were observed in the older age groups. Substantially worse physical health scores were observed in the oldest age group (80+). Significant differences among age groups were noted also for the mental health scales; however, better energy/fatigue and emotional well-being scores were seen in the older age groups, except for the oldest (80+). Those with university education reported significantly better scores on all scales compared to those with mandatory education. Conclusions The study suggests that the Swedish version of RAND-36 is an acceptable and reliable instrument for measuring HRQoL in the general population. The study provides reference data that can be used for norm-based comparisons.


2015 ◽  
Vol 0 (2.18) ◽  
pp. 50-54
Author(s):  
V.V. Povoroznyuk ◽  
T.V. Orlyk ◽  
N.I. Dzerovych ◽  
N.V. Grygorieva ◽  
M.A. Bystrytska ◽  
...  

2020 ◽  
Vol 19 (5) ◽  
pp. 36-43
Author(s):  
T. Yu. Vladimirova ◽  
◽  
A. B. Martynova ◽  

A study was conducted of 300 patients with chronic sensorineural hearing loss (SNHL) in four age groups, allocated according to the age classification of the World Health Organization (WHO). For patients of the older age group, a high comorbidity index is noted, while among concomitant diseases, chronic non-infectious diseases that are likely to affect hearing (arterial hypertension, cardiovascular disease (CVDs), diabetes mellitus) are more often observed with age. A direct correlation was found between diseases that probably affect the auditory function and quality of life (QoL) of patients. It was noted that the proportion of people with moderate and severe hearing impairment increases with age, while the total QoL indicator correlated with age (inverse correlation in the elderly, direct correlation in senile people and long-livers) and the degree of SNHL (inverse correlation). Self-assessment of QOL level by the physical component in patients of the older age group corresponded to the pre-critical level.


Author(s):  
A. B. Gudkov ◽  
V. P. Chashchin ◽  
A. V. Demin ◽  
O. N. Popova

Introduction. The relevance of the study is determined by the tasks set in the National project “Demography” (Federal project “Older generation”), and is the need to take into account the functional and psycho-physiological characteristics of older age groups in the system of measures to preserve their health and efficiency in connection with the upcoming increase in the age, giving the right to retire for the majority of the working population.The aim of study was to determine the main patterns in the changes in indicators characterizing the quality of life (QL) and postural balance in women of older age groups who continue to work in their profession.Materials and methods. 166 working women aged 55–64 years (mean age 59±2.8 years) were examined. The sample included women who agreed to participate in the study and who, 12 months after the survey, continued to work and did not plan to stop working during the following year. The first age group (AG) consisted of women whose calendar age (CA) was within 55–59 years (n=89), the second — women aged 60–64 years (n=77). The physical (PCS) and psychological (MCS) components of health-related QOL were determined by the SF–36v2 questionnaire. To evaluate the components of postural balance (CPB), a sensory Organization Test (SOT) was conducted using a computer posturographic (stabilometric) complex “Smart Equitest Balance Manager”.Results. It was found that all medians of QL components in the examined women were above 50 points, i.e. exceeded the general population norm. Comparison of PCS values in AG 55–59 years and 60–64 years showed differences at the level of statistical trend (0.05>p≤0.1). When comparing MCS, no statistically significant differences between the groups were found. The study of the SOT PBC revealed that women aged 60–64 had a slight decrease in the quality of the equilibrium function in functional samples 1 (p=0.008) and 2 (p=0.009), but the quality of the equilibrium function in sample 6 (p=0.005) was higher than in women aged 55–59, which makes it possible to consider this indicator as a predictor that has a positive eff ecton the continuation of employment over 59 years.Conclusions. Thus, the physical and psychological components of QL in working women 55–64 years exceed the general population norm. However, after 59 years there is a decrease in the physical component of QL and there is no decrease in the psychological component of QL, which suggests that the psychological health of women 60 years and older becomes crucial in predicting retirement. After 59 years, working women experience a decrease in the quality of the equilibrium function in functional samples 1 and 2, indicating the beginning of age-related changes in the PBC, which justifies the need to develop and implement physical education and health programs aimed at maintaining the postural balance in 60-year-old women.


2013 ◽  
Vol 9 (6) ◽  
pp. 12-16
Author(s):  
Р. Буляков ◽  
R. Bulyakov ◽  
Р. Сабитова ◽  
R. Sabitova ◽  
О. Гуляева ◽  
...  

<p>In order to assess the impact of chronic generalized periodontitis of moderate severity in the acute stage to the quality of life of patients, depending on age and its dynamics on the background of the therapy were examined and interviewed 60 people. Based on the analysis of subjective self-assessment using a questionnaire oHip-49-Ru and clinical observations found a direct dependence of the quality of life of the age, which manifests itself in a lower level it initially and after therapy despite an identical diagnosis and amount of treatment in patients over 45 years, which may serve as a basis for increasing the volume or duration of treatment with the same diagnosis in patients older age groups.</p>


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