The Relationship between Smoking and Sublingual Varices in the Elderly

Objectives: We investigated the existence of any connection between smoking and sublingual varices (SLV) in the older population. Methods: This case-control study was conducted in 2019 on adults > 65 years old at Kahrizak Charity Nursing Home, Alborz, Iran. We conducted clinical examination and inspection of 222 elderly patients. Both the case group and control group contained the same number of patients (n = 111). SLV were classified as grade 0 (few or none visible) and grade 1 (moderate or severe). The case group included patients with SLV and the control group consisted of those older adults without SLV and who were matched with the case group based on age, gender, blood pressure, denture wearing, and varicose veins in their legs. Cigarette smoking habits were investigated in both groups. Smokers were considered those who smoked at least one cigarette per day for more than six months. Chi-square and odds ratio (OR) were used to statistically analyze the exposure of participants to smoking in both groups. Results: Among 222 participants, 21.6% and 5.4% were smokers in the case and control groups, respectively. The results of our data analysis revealed that SLV were significantly associated with smoking (p < 0.001, OR = 4). Conclusions: Elderly patients with SLV are more likely to be cigarette smokers. Therefore, cigarette smoking cessation programs are recommended for older adults in society.

Download Full-text

Study of adverse drug reactions and clinical profile of elderly in relation to polypharmacy

Asian Journal of Medical Sciences ◽

10.3126/ajms.v10i6.22757 ◽

2019 ◽

Vol 10 (6) ◽

pp. 80-84

Author(s):

Nagaraja BS ◽

Keerthana Sharma

Keyword(s):

Older Adults ◽

Adverse Drug Reactions ◽

The Elderly ◽

Control Group ◽

Case Group ◽

Drug Reactions ◽

Age Related ◽

Improve Compliance ◽

Clinical Conditions

Background: Polypharmacy is a becoming more prevalent in older adults and adverse risk increases with age-related change. Adverse drug reactions (ADRs) are common in older adults and worrisome aspect of treatment in elderly. Aims and Objective: The study aimed to identify the common clinical conditions leading to polypharmacy and to compare the adverse drug profiles of the 2 groups. Materials and Methods: This case-control study was conducted in Hospitals attached to BMCRI, where 200 patients aged 65 or more were interviewed. 100 elderly patients using 5 or more drugs were identified as cases and assessed against a control group of 100 patients. Results: Our study found that ADRs were found to be three times higher in individuals on polypharmacy compared to the control group (OR 3.4675 95% CI 1.6241 to 7.4035). The most commonly occurring ADRs were dyspepsia (OR 1.9259), drowsiness (OR 3.5926) and fatigue (OR 1.5319) with increased incidence in the case group. The most common conditions associated with polypharmacy were found to be hypertension (53%), diabetes mellitus(46%), COPD(14%) and IHD(14%). 66% of the study group had two or more of the above diseases, whereas in the control group only 32% had multiple illnesses. The most commonly prescribed medications were antihypertensives (61%), hypolipidemics (44%), antiplatelets (41%) and antibiotics(40%). Conclusion: Polypharmacy in the elderly comes with a significant increase in adverse effects. The reduced pill burden will not only decrease ADRs and improve compliance, but will also result in greater patient satisfaction and mental health, thereby improving the quality of geriatric care.

Download Full-text

The effect of lavandula angustifolia in the treatment of depression

European Psychiatry ◽

10.1016/s0924-9338(11)72330-6 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 624-624 ◽

Cited By ~ 1

Author(s):

N. Parvin ◽

S. Farzaneh ◽

M. Nikfarjam ◽

N. Shahinfard ◽

N. Asarzadegan

Keyword(s):

Depression Score ◽

Control Group ◽

Case Group ◽

Double Blind Study ◽

Control Groups ◽

Chi Square ◽

Double Blind ◽

Treatment Of Depression ◽

Severity Of Depression ◽

And Control

Background and aimMedical plants have been used for centuries as a medicinal agent in treatment of depression and anxiety. The purpose of this study was to explore the effects of the lavendula officinalis on depression in patients using citalopram.MethodsThis clinical trial study was performed in Hajar hospital, Shahrekord, Iran. In this study eighty patients randomly allocated into two groups (40 patients in each group). Patients who complained from depression were studied during a two-month double-blind study. In control group, patients were given 20 mg citalopram twice daily plus placebo and case group were treated with 5 g arial part of dried Lavendula officinalis and citaloperam (20 mg, twice per day). After 4 and 8 weeks, patients were followed for evaluations of their depression and complications. Depression severity was scored using standard Hamilton’s depression questionnaire. Data were analyzed using Chi square and Paired-t test.ResultsAfter 1 month treatment, mean depression score in case and control groups were 15.2 ± 3.6 and 17.5 ± 3.5, respectively (P < 0.05). After 2 months the mean score of depression in case and control groups was 14.8 ± 4 and 16.8 ± 4.6, respectively (P < 0.01). The most common side effects in two groups were confusion and dry mouth, which were not significantly different between two groups.ConclusionLavendula officinalis has a positive effect on depressed patients and may be useful to decrease the severity of depression in patients using other antidepressants.

Download Full-text

HUBUNGAN ANTARA KOMPONEN RUMAH DENGAN KEJADIAN PENYAKIT ISPA DI WlLAYAH KERJA PUSKESMAS WONOKUSUMO KOTA SURABAYA

GEMA LINGKUNGAN KESEHATAN ◽

10.36568/kesling.v11i3.214 ◽

2013 ◽

Vol 11 (3) ◽

Author(s):

Maramis Puji Darma ◽

Khambali . ◽

Setiawan .

Keyword(s):

Home Environment ◽

Health Workers ◽

Sampling Technique ◽

Control Group ◽

Case Group ◽

Living Room ◽

Analysis Method ◽

Chi Square ◽

And Control ◽

Assessment Result

Home environment give influence on upper way respiration disease (ISPA) asenvironment based disease indicated by improving ISPA incidence because of unhealthy homeand residential. Wonokusumo public health center during last five years ISPAalways positionedfirst ranking in Top 10 diseases with average more than 10.000 cases. This research done torecognize correlation between home component and ISPA incidence in Wonokusumo publichealth center Surabaya region in 2013.Analytic research method done with case control. This research compare between casegroup and control group. Sample taken as many 94 houses for case group respective andcontrol group with population 10.013 patients. Sampling technique using simple randomsampling with data analysis method using chi square test.The assessment result explain that house component assessment aspects which meetrequirement house component assessmentaspects are ceilings, wall, floor, living room window,and lighting. While unmeet requirement are bedroom aspects, ventilation, and kitchen fumecavity. Most of case group have home component is unmet requirements with percentage79.8% and most of control group as many 74.5%. The result of the research indicating thatthere are no correlation between house components and ISPAdisease incidence.Suggested health workers give information, citizen hoped to keep house cleanliness andheld contest about health home in order to citizen more motivated again for more improvinghouse that meeting healthy requirements.Keywords: House component, ISPAincidence, health house.

Download Full-text

HUBUNGAN PENGETAHUAN, SIKAP, DAN BUDAYA DENGAN PERILAKU PENGGUNAAN AIR SUNGAI (Studi Di Wilayah Kerja Puskesmas Martapura 2)

The Indonesian Journal of Public Health ◽

10.20473/ijph.v13i2.2018.234-245 ◽

2019 ◽

Vol 13 (2) ◽

pp. 234

Author(s):

Sharah Monica

Keyword(s):

Public Health ◽

Water Use ◽

Control Group ◽

P Value ◽

Case Group ◽

Domestic Water ◽

Chi Square ◽

Work Area ◽

Use Behavior ◽

And Control

Diarrhea is one of the most common infectious diseases. It has related three factors such ass environment, food and contact with an infected person. One of the environmental factor of diarrhea is the domestic water use behavior. The main objective of this study was to analyse the relation between knowledge, atitude and habit to domestic water use behavior in Martapura 2 Public Health Center, work area Pasayangan Selatan Village, sub-district of Martapura, Banjar, South Kalimantan Province. Case control study design was used in this study. The population of the study were all diarrhea patients in Martapura 2 Public Health Center work area from february 2017 until february 2018. The Lemeshow was used to determine research sample size. The study sample consisted of 45 case diarrhea patients and 45 control non diarrhea patient. Samples were taken from all eligible cases and controls on specified inclusion and exclusion criteria. Data will analysed use Chi Square. Based on the results of this study comparing between case group and control group, most of the respondents in the case group have knowledge in poor knowledege was 25 people (55.6%) and the control group in good knowledge that was 35 people (77.8) with Chi Square, all p < 0,001. Attitudes of respondents in the case group were in the not good category is 26 people (58.0%) and control group in good category that was 32 people (71,1%) with (p value 0,000 in case and control 0,004). Utilitation habit respondents in the case group were in the non-existent category of 26 persons (57.8%) and the control group in the category of no 37 people (82.2%) with (p value in case 0.006 and control 0.000). Conclusively, the variable of knowledge, attitude and habit have very significant relation on the group of case and control.

Download Full-text

HUBUNGAN KECENDERUNGAN DEPRESI DENGAN STATUS GIZI PADA LANSIA DI UPTD GRIYA WERDHA SURABAYA[Correlation of Depression Tendency and Nutritional Status of Elderly in UPTD Griya Werdha Surabaya]

Media Gizi Indonesia ◽

10.20473/mgi.v14i1.87-94 ◽

2019 ◽

Vol 14 (1) ◽

pp. 87

Author(s):

Hasna Rosida Putri ◽

Triska Susila Nindya

Keyword(s):

Nutritional Status ◽

Geriatric Depression Scale ◽

Depression Scale ◽

The Elderly ◽

Control Group ◽

Case Group ◽

Geriatric Depression ◽

Depression Status ◽

Spearman Correlation Test ◽

And Control

Malnutrition is one of the causes of health problems in the elderly. Nutritional status of the elderly can be affected by many factors, such as food intake, comorbidities, drugs consumption, physical activity, and depression. Depression status has a relationship with the nutritional status of the elderly by influencing the intake of the elderly. The purpose of this study was analyze the correlation and the risk of depression tendency with elderly nutritional status at UPTD Griya Werdha Surabaya. This study was a case-control design. The number of respondents were 30 elderly consist of 15 elderly in each case and control groups. The case group was elderly who had MNA score <24 points, while the control group was elderly who had MNA score of ≥24 points. Depression were measured by Short Geriatric Depression Scale (GDS). Spearman correlation test was used to analyze the data. Most of the elderly do not experience depression (GDS<5). There was a correlation between depression with nutritional status of the elderly (p=0.007). Depression elderly were 9.75 times more likely to malnourished than nutritional status [OR=9.75, 95% CI =`1.63 (1.45-1.81)]. Nutritional status was correlated with the tendency of depression in the elderly. It is necessary to increase more activities at the UPTD Griya Werdha Surabaya to reduce the risk of depression among elderly.

Download Full-text

HUBUNGAN KECUKUPAN VITAMIN C DAN ZAT BESI DENGAN KEBUGARAN JASMANI ATLET PENCAK IPSI LAMONGAN

Media Gizi Indonesia ◽

10.20473/mgi.v12i2.134-140 ◽

2018 ◽

Vol 12 (2) ◽

pp. 134

Author(s):

Kartika Indaswari Dewi ◽

R. Bambang Wirjatmadi

Keyword(s):

Vitamin C ◽

Physical Fitness ◽

Control Design ◽

Case Control ◽

Statistical Test ◽

Control Group ◽

Case Group ◽

Chi Square ◽

And Control ◽

The Relationship

Pencak silat is a sport that requires agility, speed, balance and body slenderness. Vitamin C and iron are part of the micronutrients that can support the athlete’s physical fitness. The aims of this study was to determine the relationship between the adequacy of vitamin C and iron with physical fitness of pencak silat athletes IPSI Lamongan. This study used observational analytics with case-control design with 20 samples of athletes, divided into 10 cases and 10 controls. The result of analysis from 2×24 hour food recall method in each case group was 9 (90%) athletes did not meet the requirement of vitamin C (<77%) and 8 (80%) athletes did not meet the requirement of iron and control group there were 7 (70 %) Athletes are not sufficient for vitamin C (<77%) and 6 (60%) of athletes are inadequate for iron (<77%). From the statistical test using chi-square, it was found that there was no significant relationship between vitamin C and iron adequacy with physical fitness (TKJI) with p=0.580 and p=0.620. Conclusion: adequacy level of vitamin C and iron of pencak silat athletes IPSI Lamongan is not meet their requirement yet.

Download Full-text

VARIATION OF COGNITION AND CEREBRAL ACTIVITY WITH SEVERITY OF AIRFLOW OBSTRUCTION IN COPD

International Journal of Advanced Research ◽

10.21474/ijar01/13089 ◽

2021 ◽

Vol 9 (06) ◽

pp. 860-868

Author(s):

Jessy John ◽

◽

C.V. Shaji ◽

P. Venugopal ◽

◽

...

Keyword(s):

Slow Wave ◽

Disease Risk ◽

Airflow Obstruction ◽

Control Group ◽

Chronic Obstructive ◽

Chi Square ◽

Cognitive Domains ◽

Number Of Patients ◽

Chi Square Test ◽

And Control

Introduction: Cognitive dysfunction is one of the important systemic effect of Chronic Obstructive Pulmonary Disease that affects various cognitive domains in these patients. Aim: Assessment of cognitive function in specific cognitive domains in COPD with various stages of severity as observed by airflow obstruction. Methods: N=68 COPD patients and N=20 controls were matched for age and education. EEG changes, SpO2 and rSO2 were compared between COPD and control group. Cognitive scores and EEG wave patterncompared among different stages of severity in COPD group. Statistical analysis: Was done using SPSS version 18. Two independent t test was used for bivariate testing between COPD and control group. Chi square test applied to assess the frequency distribution of variables among each group. One way analysis of variance (ANOVA) was used to compare mean values of cognitive scores and Chi square test for number(%) of patients with abnormal scores in cognition and slow waves in EEG across groups with different severity of airflow obstruction (FEV1% Predicted). ResultsOncomparison of EEG slow wave, (rSO2) and (SpO2) among COPD and age matched control group, electroencephalographic(EEG) study in COPD group showed slower wave pattern than their age matched healthy counterpart which was statistically significant at p<0.001, so was true about rSO2 of right frontal region in the study group. Among the COPD groups with different severity (moderate, severe, and very severe grades), patients with severe and very severe airflow obstruction performed poorly with Folstein MMSE (statistically significant at p<0.001), more than 50 % of patients had abnormal scoring with CDT in all the three groups and with TMT-A in severe and very severe group. Conclusions:We found relative frontal hypoxemia and EEG slow wave in COPD group compared to healthy control. With severegrades of disease risk of cognitive impairment was noted. Thus, suggesting that low lung functioning may contribute to cognitive disorders by decreasing the oxygen delivery to brain neurons.

Download Full-text

Outcome after resective epilepsy surgery in the elderly

Journal of Neurosurgery ◽

10.3171/2021.4.jns204013 ◽

2021 ◽

pp. 1-10

Author(s):

Attila Rácz ◽

Kathryn Menne ◽

Valeri Borger ◽

Kevin G. Hampel ◽

Hartmut Vatter ◽

...

Keyword(s):

Elderly Patients ◽

Epilepsy Surgery ◽

Seizure Control ◽

Surgical Complication ◽

The Elderly ◽

Neurological Deficits ◽

Control Group ◽

Chi Square ◽

Postoperative Seizure

OBJECTIVE The objective of this study was to compare complications, seizures, and neuropsychological outcomes after resective epilepsy surgery in patients ≥ 60 years of age who underwent operations to younger and matched controls. METHODS Charts of 2243 patients were screened for operated patients in the authors’ center between 2000 and 2015. Patients with available postsurgical follow-up data who were operated on at the age of 60 years or older and matched (by gender, histopathology, and side of surgery) controls who were between 20 and 40 years of age at the time of surgery were included. Outcomes regarding postoperative seizure control were scored according to the Engel classification and group comparisons were performed by using chi-square statistics. RESULTS Data of 20 older patients were compared to those of 60 younger controls. Postoperative seizure control was favorable in the majority of the elderly patients (Engel classes I and II: 75% at 12 months, 65% at last follow-up), but the proportion of patients with favorable outcome tended to be larger in the control group (Engel classes I and II: 90% at 12 months, p = 0.092; 87% at last follow-up, p = 0.032, chi-square test). The surgical complication rate was higher in the elderly population (65% vs 27%, p = 0.002), but relevant persistent deficits occurred in 2 patients of each group only. Neuropsychological and behavioral assessments displayed considerable preoperative impairment and additional postoperative worsening, particularly of verbal skills, memory (p < 0.05), and mood in the elderly. CONCLUSIONS The overall favorable postsurgical outcome regarding seizure control and the moderate risk of disabling persistent neurological deficits in elderly patients supports the view that advanced age should not be a barrier per se for resective epilepsy surgery and underscores the importance of an adequate presurgical evaluation and of referral of elderly patients to presurgical assessment.

Download Full-text

The Prevalence of Anticholinergic Drugs and Correlation with Pneumonia in Elderly Patients: A Population-Based Study in Taiwan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17176260 ◽

2020 ◽

Vol 17 (17) ◽

pp. 6260

Author(s):

Chien-Ying Lee ◽

Yih-Dih Cheng ◽

Wei-Yuan Cheng ◽

Tung-Han Tsai ◽

Kuang-Hua Huang

Keyword(s):

Elderly Patients ◽

Conditional Logistic Regression ◽

The Elderly ◽

Population Based ◽

Control Group ◽

Anticholinergic Medication ◽

Case Group ◽

Anticholinergic Drugs ◽

Final Sample ◽

Study Population

Anticholinergic drugs may increase the risk of serious respiratory infection, especially in the elderly. The study aims to investigate the prevalence of anticholinergic drugs and the correlation of incident pneumonia associated with the use of anticholinergic drugs among the elderly in Taiwan. The study population was 275,005 elderly patients aged ≥65 years old, selected from the longitudinal health insurance database (LHID) in 2016. Among all the elderly patients, about 60% had received anticholinergic medication at least once. Furthermore, the study selected elderly patients who had not been diagnosed with pneumonia and had not received any anticholinergic drugs in the past year in order to evaluate the correlation between pneumonia and anticholinergic drugs. The study excluded elderly patients who died or had received related drugs of incident pneumonia during the study period and selected elderly patients receiving anticholinergic drugs as the case group. Propensity score matching (PSM) on a 1:1 scale was used to match elderly patients that were not receiving any anticholinergic drugs as the control group, resulting in a final sample of 32,215 patients receiving anticholinergic drugs and 32,215 patients not receiving any anticholinergic drugs. Conditional logistic regression was used to estimate the association between anticholinergic drugs and pneumonia after controlling for potential confounders. Compared with patients not receiving anticholinergic drugs, the adjusted odds ratio of patients receiving anticholinergic drugs was 1.33 (95% confidence interval: 1.18 to 1.49). Anticholinergic medication is common among elderly patients in Taiwan. Elderly patients receiving anticholinergic drugs may increase their risk of incident pneumonia. The safety of anticholinergic drugs in the elderly should be of concern in Taiwan.

Download Full-text

FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN BAYI BERAT LAHIR RENDAH DI KECAMATAN SEMAMPIR SURABAYA

Media Gizi Indonesia ◽

10.20473/mgi.v13i1.71-80 ◽

2018 ◽

Vol 13 (1) ◽

pp. 71

Author(s):

Amima Fajriana ◽

Annas Buanasita

Keyword(s):

Gestational Age ◽

Descriptive Analysis ◽

Premature Baby ◽

Reproductive Age ◽

Control Group ◽

Case Group ◽

Tobacco Exposure ◽

Chi Square ◽

Chi Square Analysis ◽

And Control

Low Birth Weight (LBW) is one of the biggest causes of neonatal mortality in Indonesia. The prevalence of LBW at Semampir District in Surabaya tended to increase from 5.74% in 2013 to 13.65% in 2015. LBW caused by multi-factors including internal factors such as fetal, placental and maternal, and also external factors such as lifestyle and environment. This study aimed to analyze the association between maternal age, gestational age, Mid Upper-Arm Circumference (MUAC), Hemoglobin (Hb) levels, environmental tobacco exposure and LBW at Semampir District, Surabaya. The respondents were mothers at Semampir District who gave birth in 2016. The design of this study was case control. The sample consisted of 22 mothers from the control group and 22 mothers from the case group. The result of descriptive analysis respectively showed that in case group (40.6%) and control group (13.6%) were not pregnant in healthy reproductive age. 59.1% and 18.1% gave birth when the gestational age <37 weeks. 41% and 9.1% were suffered of chronic energy malnutrition (MUAC <23.5). 40.9% and 22.7% were anemic. Moreover, 90,9% and 77,2% were exposed to tobacco smoke (secondhand smoke exposure). Chi square analysis with α=0,05 showed that there were significance associations between gestational age (p=0,006) (OR=6,198; CI 95%=1,61-27,88) and MUAC (p=0,018) (OR=6,623; CI 95%=1,327-51,2) with LBW. It is concluded that mother who gave birth to a premature baby were 6,2 times more likely to have LBW, whereas mother who suffered from chronic energy malnutrition were 6,6 times more likely to have LBW baby.

Download Full-text