cardiovascular+disease+in+the+elderly

... of daily living Feeding, Bathing, Dressing, Transferring, Toileting Instrumental activities of daily living Finances, Telephone, Medications, Shopping, Cooking Housework, Ambulating, Laundry ... therapy Individual psychotherapy Supportive psychotherapy Cognitive behavioral therapy Group therapy Family therapy Caregiver support group therapy Treatment Evidence-based research minimal Elderly ... Assessment ADLs • mobility, dressing, hygiene, feeding and toileting IADLs • independent living, shopping, cooking, telephone, housekeeping (light), medications, finances, transportation Evaluation...

Ngày tải lên: 22/03/2014, 14:20

... understanding of the dynamics of family caregiving to low-income and frail elderly individuals living in the community It is examining how community and home care services diminish the effect ... Impact in a community setting continues Further evidence of the effectiveness of the CDSMP can be found in a study funded by Kaiser Permanente One year after completing the CDSMP, participants in the ... AHRQ Pub No 01-0009 eating, or using the toilet.8 Many elderly people can maintain or improve their functional ability by attending the CDSMP and practicing its principles CDSMP improved health...

Ngày tải lên: 05/03/2014, 21:20

... similar to those in the World Health Organization MONICA (Multinational Monitoring of Trends and Determinants in Cardiovascular Disease) project, in which the highest rates of myocardial infarction ... RF, ranging from 61% in Germany to 90% in Argentina Extra-articular disease was present in 24% of patients, ranging from less than 15% in Italy and the Netherlands to 34% in Denmark (Table 1) ... negative according to the local reference values any time over the course of the disease No training as to how to collect data or to perform joint counts was provided, and the study was intended to...

Ngày tải lên: 09/08/2014, 10:23

... Other cytokines T cells The in ammatory cytokine TNF-α appears to play an important role in the initiation and perpetuation of atherosclerotic lesions in the general population It increases the ... role for these antibodies in the triggering of unstable angina and acute coronary syndromes Other autoantibodies Autoantibodies against regulatory proteins in the atherogenic cycle in SLE may ... synthesis of various proinflammatory cytokines and metalloproteinases [40,41] These findings indicate that type I IFNs could potentially be involved in atherosclerosis development not only in autoimmune...

Ngày tải lên: 12/08/2014, 15:22

... treating single de novo lesions in patients with symptomatic coronary artery disease has been examined in the first four trials of the ongoing ENDEAVOR clinical trials program The results of these ... angiograms The glycoprotein IIb/IIIa inhibitor (Tirofiban) was administered at the operator’s discretion All patients maintained anti-platelet therapy following the procedure (aspirin 300 mg/d ... were free to use the stent approach and either the ZES or PES stent that they considered to be best Study End Points and Definitions The primary clinical efficacy end points included major adverse...

Ngày tải lên: 25/10/2012, 11:18

... 40) In some studies the relation between hypoalbuminemia and CVD is the reflection of inflammation induced malnutrition The underlying mechanism behind this includes appetite suppression and increased ... rapidly growing interest in the relation between kidney disease and the risk of CVD and is the focus of several recent studies These studies have shown that the association of CKD to CVD is independent ... chronic kidney disease This multifactorial disease introduces new challenges in predicting and treating patients early in course of CKD to positively alter patient outcome There is definitely a high...

Ngày tải lên: 03/11/2012, 11:52

... Trevino SC, Ybarra D The effect of a multivitamin on the immunologic response to the in uenza vaccine in the elderly Infectious Diseases in Clinical Practice Vol 10, Lippincott Williams & Wilkins, ... and deaths from in uenza Description of the intervention Vaccines have been the main global weapon to minimise the impact of in uenza in the elderly for the last four decades In the year 2000, ... good coverage in those who most need it or the diluting effect on vaccines for in uenza of other agents circulating in the community (causing ILI, clinically indistinguishable from in uenza), might...

Ngày tải lên: 13/02/2014, 18:20

... an initial open-ended approach, e.g asking: “What you think the change in your memory and thinking is due to?” b In setting up the visit for disclosure, consider patient privacy and ask whether ... driving and to instruct these patients to stop driving If the physician learns that the patient continues to drive despite this instruction, the physician is required to notify the Superintendent ... Alzheimer’s Disease The product monograph advises against the use of memantine in patients with renal disease, cardiovascular disease and seizure disorders Adverse effects of memantine may include:...

Ngày tải lên: 13/02/2014, 18:20

... the groups DISCUSSION Tuberculosis is becoming increasingly common in the elderly and burden of the disease in them is likely to continue to increase substantially.3,4 Moreover, with increasing ... symptoms in elderly patients with TB This results in a delay in the presentation of the elderly to health care facilities, thereby resulting in a delay in the commencement of ATT The delay in presentation ... ageing and hence must be kept in mind during the diagnostic evaluation of elderly patients.11 Several findings of the current study are in accordance with the results of this meta-analysis In the...

Ngày tải lên: 15/02/2014, 13:20

... albicans Rinsing the dentures in the evening and keeping them overnight in the open air can indeed be the easiest way to carry out "disinfection" (Stafford et al., 1986) However, 10 minute soaking in ... been the most fundamental etiological factor for the dramatic increase in caries among the Finnish children in the beginning of the 1950's (Rytömaa et al., 1980) Not surprisingly, increase in the ... habits in the home-living elderly J Oral Rehabil 1997;May;24(5):332-7 V Nevalainen MJ, Närhi TO, Ainamo A Five-year follow-up study on the prosthetic rehabilitation of the elderly in Helsinki, Finland...

Ngày tải lên: 05/03/2014, 18:20

... (39%), the rest of them – in households of several individuals In Timisoara the majority of the elderly live in couples, the size of other households is about the same, but the proportion of the single ... Healthy Lifestyle in the Elderly s View in Romania and Latvia Figure Number of individuals in the households of the elderly in Latvia and Romania Figure Size of the homes of the elderly in Jelgava and ... with their community residents, than it is in Latvia Both the elderly in Dumbravita and those in Jelgava feel well in their homes, and they like their apartments or houses In Jelgava 73% of the elderly...

Ngày tải lên: 05/03/2014, 21:20

... from 6025 cases in 1992 to 3534 cases in 2000 [1] Despite these declines in absolute numbers, the proportion of cases among the elderly has remained stable, with the elderly accounting for 23% of ... fact that TB in the elderly usually results from re-activation of a latent infection and that these individuals presumably acquired the infecting organism during the time prior to the availability ... cases in the United States has been observed within the last 10 years Despite these declines in absolute numbers, the elderly continue to account for a disproportionate share of the cases The high...

Ngày tải lên: 06/03/2014, 04:20

... falling Multiple factors are involved in the risk of falling These factors may be intrinsic to the person and the aging process, behavioral, or found in the person’s immediate environment The main ... important factor in the decline of autonomy Indeed, the fear of falling can result in changes in motor function in the elderly, for example in walking behavior (Maki, 1997) The elderly frequently ... improvement in the health of the elderly, thus extending the period of physical autonomy, and retarding the onset of the effects of aging The fact that the majority of elderly people are currently living...

Ngày tải lên: 14/03/2014, 17:20

... Pravastatin Atherosclerosis Intervention Program Circulation 1995; 92:2419-2425 13.Grundy SM, Cleeman JI, Rifkind BM, Kuller LH Cholesterol lowering in the elderly population: Coordinating committee ... 2000 26 .The Long Term Intervention with Pravastin in Ischemic Disease (LIPID) Study Group Prevention of cardiovascular events and death with pravastin in patients with coronary heart disease ... physical examination and testing Ann Intern Med 2002 May 136:652-9 4.Goldberg TH, Chavin SI, Preventive Medicine and Screening in Older Adults, JAGS March 1997, vol 45, no 27 Data from Mayo Clinic,...

Ngày tải lên: 14/03/2014, 20:20

... toward the null, indicating the strong confounding effect of the total number of prescriptions taken Adding predisposing and enabling variables in Model C, the coefficient remained virtually the ... one of these diseases, other diseases, and no diseases Functional condition variables included help needed in activities of daily living, help needed in instrumental activities of daily living, ... control for the underlying confounding problem and therefore help minimize the endogeneity The full Model F adds in the prior health-status and health-condition variables The coefficient of inappropriate...

Ngày tải lên: 14/03/2014, 20:20

... associated with the likelihood of not receiving VKAs in the multivariate analysis was increasing age No other single factor, including the presence of contraindications to oral anticoagulation influenced ... impact on the quality of anticoagulation, frequently assessed by the percentage of INR values in the therapeutic interval and expressed as the “time in the therapeutic range” (TTR) Even in clinical ... is therefore recommended For anticoagulation in the therapeutic range, dabigatran etexilate was compared to warfarin in the RE-LY study including AF patients and in the RE-COVER study including...

Ngày tải lên: 14/03/2014, 20:20

... in the elaboration of the criterion for unintentional weight loss and in the fact that reduced food intake is indeed included in the LPZ as criterion, but not in the LASA study Further, in the ... differences in the numbers of elderly people in the different care settings, the LPZ results that concern data from all participating elderly people are dominated by the findings in nursing and care ... in the elderly The prevalence estimates are presented in Table A3 To gain insight into the effect of the differences in the criteria between the LPZ and LASA on the prevalence data, both definitions...

Ngày tải lên: 22/03/2014, 13:20

... success in the elderly (Figure 4) include use of physiotherapy and motor training to improve mobility, constraint-induced movement therapy (14), swallowing therapy for dysphagia, speech therapy ... Learning objectives ●● ●● ●● ●● Gain insight into the prevalence, incidence and economic impact of stroke in the elderly Learn about the role of age in stroke outcomes and burden Be aware of the ... Defining the elderly population 1.5 Summary 1.6 References Acute stroke care 2.1 Intravenous alteplase therapy 2.2 Very elderly in clinical trials 2.3 Outcomes of thrombolytic therapy in the...

Ngày tải lên: 22/03/2014, 13:20

... insomnia include sleep onset insomnia (difficulty initiating sleep), sleep maintenance insomnia (difficulty maintaining sleep throughout the night), early morning insomnia (early morning awakenings ... up later in the evening, despite begin sleepy and despite continuing to wake up too early in the morning This can result in restricted sleep and daytime sleepiness similar to that in insomnia ... usually begins with conducting a complete sleep history focusing on EDS, unintentional napping, snoring, and other sleep disorder symptoms If possible, obtaining information from the patient’s...

Ngày tải lên: 22/03/2014, 14:20

... burning and tingling of the hands and feet (parasthesia), dementia, glossitis and chelosis Low vitamin B12 is also an independent risk factor in developing venous thromboembolic disease in men ... more common for institutionalised elderly than independently living elderly – with more than 50% of people living in hospitals or nursing homes affected.15 Obtaining adequate vitamin D can be a ... malnutrition in the elderly – the shared role of GPs and APDs • noting that a BMI

Ngày tải lên: 22/03/2014, 14:20