scholarly journals Postmenopausal women – comorbid patients

2020 ◽  
Vol 1 (3) ◽  
pp. 30-38
Author(s):  
Tatyana Yu. Pestrikova ◽  
◽  
Elena A. Yurasova ◽  
Olga G. Sherbakova ◽  
Marina А. Shveeva ◽  
...  

Relevance. As the prevention and treatment of diseases improves, the average life expectancy of the population increases. For many of our contemporaries, a third of their lives are postmenopausal. Menopause-related health problems are increasingly common and require the attention of healthcare professionals. Aim. To raise awareness of gynecologists, urologists and other specialists about the medico-social significance of the problems of women in the menopausal period based on the analysis of literature sources and analysis of clinical cases. Materials and methods. To write this review, a search was carried out for domestic and foreign publications in Russian and international search systems (PubMed, eLibrary, etc.) over the past 20 years. The review included articles from the peer-reviewed literature. An analysis of 2 clinical cases with comorbid pathology in menopausal patients is presented. Results. The review presents data on age-related physiological changes and quality of life in menopausal women. The analysis of 2 clinical cases of the appointment of menopausal hormone therapy in patients with comorbid diseases was carried out. Conclusions. The importance of awareness of outpatient doctors in the diagnosis and management tactics of patients with comorbid diseases in menopause is emphasized.

2015 ◽  
Vol 22 (1) ◽  
pp. 3-19
Author(s):  
Florina Grigore ◽  
Felix Mircea Brehar ◽  
Mircea Radu Gorgan

Abstract GBM (Glioblastoma) is the most common, malignant type of primary brain tumor. It has a dismal prognosis, with an average life expectancy of less than 15 months. A better understanding of the tumor biology of GBM has been achieved in the past decade and set up new directions in the multimodal therapy by targeting the molecular paths involved in tumor initiation and progression. Invasion is a hallmark of GBM, and targeting the complex invasive mechanism of the tumor is mandatory in order to achieve a satisfactory result in GBM therapy. The goal of this review is to describe the tumor biology and key features of GBM and to provide an up-to-date overview of the current identified molecular alterations involved both in tumorigenesis and tumor progression.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S542-S542
Author(s):  
Moon Choi

Abstract The Anthropocene, a term popularized in 2010 by Nobel Prize-winning chemist Paul Crutzen, refers to the current epoch during which human beings have begun to have a significant impact on the earth, e.g., the environment and climate change. Global population has grown approximately seven-fold over the past 200 years, while average life expectancy at birth has dramatically increased due to improvements in nutrition, medicine, and technology. The human Longevity Revolution thus provides important evidence of the Anthropocene. Yet, in the face of the Anthropocene, contemporary lifestyles rooted in capitalism–continually seeking more and bigger–are not sustainable; changes are needed for humanity to “live long on the damaged planet.” This presentation will discuss the Longevity Revolution in the context of the theory and previous research on the Anthropocene, then suggest an agenda for future research related to the intersection between the Anthropocene and the Longevity Revolution.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037932
Author(s):  
Laura Emdal Navne ◽  
Stinne Høgh ◽  
Marianne Johansen ◽  
Mette Nordahl Svendsen ◽  
Jette Led Sorensen

ObjectiveThe aim of this study was to explore women and partners’ experiences following critical perinatal events.DesignThis is a qualitative interview study. We conducted semistructured individual interviews with women and their partners in separate rooms. Interviews were analysed thematically and validated by a transdisciplinary group of anthropologists, obstetricians and a midwife.SettingDepartment of obstetrics at a tertiary referral university hospital in Denmark.ParticipantsWomen and partners who had experienced a critical perinatal event within the past 3–12 months.ResultsWe conducted 17 interviews and identified three main themes: (1) ambivalence towards medicalisation, (2) the extended temporality of a critical birth and (3) postnatal loss of attention from healthcare professionals. Overall, participants expressed a high degree of trust in and quality of provided healthcare during the critical perinatal events. They experienced medicalisation (obstetric interventions) as a necessity, linking them to the safety of the child and their new role as responsible parents. However, some women experienced disempowerment when healthcare professionals overlooked their ability to stay actively involved during birth events. Postnatally, women and their partners experienced shortages of healthcare professional resources, absent healthcare and lack of attention.ConclusionsWomen and their partners’ experiences of critical perinatal events begin long before and end long after the actual moment of childbirth, challenging conventional ideas about the birth as being the pivotal event in making families. In future healthcare planning, it is important to to align expectations and guide parental involvement in birth events and to acknowledge the postnatal period as equally crucial.


2020 ◽  
Vol 9 (3) ◽  
pp. 166-169
Author(s):  
Frans Salesman ◽  
Leonardus W.D. Setiawan ◽  
Rafael Paun

Background: Poverty is seen as an economic inability to meet the basic needs of food and non-food including the fulfillment healthy living and nutrition intake in the family. Methods: Analyzing the state of poverty and public health status in East Nusa Tenggara 2012-2016. Results: Poverty in East Nusa Tenggara 2012 by 20.40%, 2013 by 20.24%, 2014 by 22.61%, 2015 by 22.58%, 2016 by 22.01%, and 2017 by 21,85%,. The same period, the proportion of the poor to the population at the National level, in 2012 by 11.66%, 2013 by 11.47%, 2014 by 10.59%, 2015 by 11.13%, 2016 by 10.76%, and 2017 by 10.76%,. Poverty affects the low health status and nutrition status of the community, continuing to Life Expectancy Age and HDI. In 2017, the average Life Expectancy Age population of East Nusa Tenggara is 66.07 years old (compare national 71.06 years), and HDI of 63.73 (compare national 70.81) is ranked 32 out of 34 provinces in Indonesia. Conclusion: Poverty affects low ability to meet basic needs of life, health status, nutrition intake for infant and toddler growth in the future leads to low quality of life and competitiveness in the various opportunities available.


2007 ◽  
Vol 17 (3) ◽  
pp. 161-169 ◽  
Author(s):  
Lia Ginaldi ◽  
Lucia Paola Mengoli ◽  
Massimo De Martinis

The improvements of socio-environmental conditions, medical care and quality of life have caused a general improvement in the health status of the population and a consequent reduction of morbidity and mortality, resulting in an overall increased life-expectancy. The role of immunosenescence was negligible in the past, when the human lifespan was 40–50 years, and its impact on morbidity and mortality has emerged in combination with the extension of lifespan. Immunosenescence results from multifactorial processes that act on all components of the immune system. The changes associated with immunosenescence are playing an increasingly important role in the emergence of a series of age-related pathologies, conditioning the present epidemiology of old people.


2019 ◽  
Vol 69 (12) ◽  
pp. 3698-3701
Author(s):  
Cristina Grosu ◽  
Alexandra Mastaleru ◽  
Otilia Nita ◽  
Roxana Gabriela Cobzaru ◽  
Carmen Valerica Rapa ◽  
...  

Recent studies have shown that as the average life expectancy increases, more people will suffer a stroke in their lives, diminishing their quality of life. Secondary stroke prevention involves reducing the cardiovascular risk factors and administering medication for preventive purposes, where statins play an important role. The purpose of this study is to highlight the correlations of statins dosage with cardiovascular risk factors (atheromatosis, uric acid value, obesity, etc), in stroke patients receiving hypolipidemic treatment with statins.


2015 ◽  
Vol 43 (S1) ◽  
pp. 95-98 ◽  
Author(s):  
Micah L. Berman ◽  
Annice E. Kim

In the 20th century, public health was responsible for most of the 30-year increase in average life expectancy in the United States.1 Most of the significant advances in public health (e.g., vaccinations, water fluoridation) required the combined effort of scientists and attorneys. Scientists identified public health threats and the means of controlling them, but attorneys and policymakers helped convert those scientific discoveries into laws that could change the behavior of industries or individuals at a population level. In tobacco control, public health scientists made the groundbreaking discovery that smoking caused lung cancer, but attorneys and policymakers developed and implemented the policies and litigation strategies that helped reduce smoking rates by more than half over the past 50 years.


2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e24184-e24184
Author(s):  
Jim (Zhang Hao) Li ◽  
Jane McLeod ◽  
Paris-Ann Ingledew

e24184 Background: Hepatocellular carcinoma (HCC) is the fourth-leading cause of cancer-associated death in the world, claiming nearly 800,000 lives each year globally. Concurrently, an increasing number of patients are using the Internet as a source of health information. However, limited research has been done on assessing the quality of HCC websites. Therefore, we aim to systematically evaluate the quality of online HCC information to illuminate its current strengths and limitations. Methods: The term “hepatocellular carcinoma” was searched using Google, Dogpile, and Yippy. The overall highest-ranked 100 (“top 100”) websites were extracted based on pre-specified inclusion and exclusion criteria. A validated, evidence-based tool was used to evaluate their quality based on several benchmarks such as website affiliation, accountability, interactivity, structure & organization, readability, and content quality. Results were evaluated using descriptive and inferential statistics. Results: The search yielded over 1,100 websites. Of the top 100 websites, 53% were commercial in nature. Although 95% disclosed ownership, other measures of accountability were poor – only 30% identified their author(s), 42% cited sources, and 33% were updated within the past two years. Average readability was judged to be at a grade 11.8 level using the Flesch-Kincaid grading system, and 10.4 using the SMOG index. Both estimates were significantly higher than the traditionally recommended grade-six level ( p < 0.0001 for both). Prognosis, prevention, and incidence were the least commonly covered topics (33%, 46%, and 50% respectively). All other topics were covered with “mostly accurate” or “completely accurate” information by over 70% of websites (Table). Overall, non-commercial websites were higher in quality compared to their commercial counterparts ( p < 0.002). Conclusions: Content accuracy is generally high. However, authorship disclosure, attribution, currency, and coverage in certain topics are deficient among many HCC websites. Additionally, difficult readability may pose a barrier for patient comprehension. Healthcare professionals should be aware of the limitations of online HCC information, in order to proactively guide patients to suitable resources and advocate for improvements in patient education materials. [Table: see text]


2018 ◽  
Vol 7 (4.7) ◽  
pp. 254
Author(s):  
Yerimbetova Kunduzai Myrzashnovna ◽  
. .

Modern migration is a dynamic and complex social phenomenon. It is characterized by significant scale and diversity, due to a complex of factors: socio-economic, political, ethnic, religious, environmental, demographic and others. The article reveals the demographic processes of the Republic of Kazakhstan, its specific features, characteristics, and development factors, as well as mechanisms for regulating internal migration, its population dynamics and targeted measures for health and life quality improving of the citizens of the Republic of Kazakhstan. Studies have revealed that the quality of life and health of the citizens of the Republic of Kazakhstan has improved. In recent years, the average life expectancy in Kazakhstan has exceeded 70 years. Economic growth has become stable. Today the world knows Kazakhstan as a peace-loving country, which stands for mutually beneficial cooperation and integration. Identified the necessary directions for further development, and conducted an analysis of the existing development programs of the Republic of Kazakhstan.  


2015 ◽  
Vol 4 (1) ◽  
pp. 1-11
Author(s):  
Ga Hye Kim

As the baby boom generation nears retirement age and average life expectancy continues to rise, Alzheimer’s disease (AD) is quickly becoming one of the most relevant disorders of our time. There has been an increasing focus on early detection of AD for its various advantages from advanced planning to possible preventive treatment. As such, the main objective of this paper is to explore the transient stage between normal aging and dementia (centered on AD)—how its conceptualization has evolved throughout the past, present, and future. At the core lies the term “mild cognitive impairment” (MCI) as the paper traces its history, current standing, and topics of debate in the field. Its future implications as framed under the impending DSM-5 are discussed.


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