drug therapy in the elderly

... 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, ... 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, ... 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

... Potential Drug Interactions Major drug interactions associated with memantine include drugs which increase the pH in urine (e.g carbonic anhydrase inhibitors) Exercise caution when prescribing memantine ... 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 ... 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...

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 ... 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 present study,...

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

... 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

... rifabutin dose was decreased in response to antiretroviral therapy then stops taking the interacting drug (e.g., ritonavir), the resulting rifabutin concentrations are likely to be sub-therapeutic These ... evaluated The rifamycin class upregulate (induce) the synthesis of several classes of drug transporting and drug metabolizing enzymes With increased synthesis, there is increased total activity of the ... in drug- metabolizing enzymes Therefore, drug interactions and their relevance may not be the same in different populations Third, in the attempt to provide the most up-to-date information we include...

Ngày tải lên: 06/03/2014, 04:20

... 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 ... malignancies The differences in the presentation of pulmonary TB among the elderly can therefore be explained by the already known physiologic changes that occur with aging, and they must be kept in mind ... latent infection and that these individuals presumably acquired the infecting organism during the time prior to the availability of effective antituberculous chemotherapy Hence, unless the older...

Ngày tải lên: 06/03/2014, 04:20

... 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 ... 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 risk factors ... 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

... 13.Grundy SM, Cleeman JI, Rifkind BM, Kuller LH Cholesterol lowering in the elderly population: Coordinating committee of the National Cholesterol Education Program Arch Intern Med 1999;159:1670-8 ... antihypertensive drug treatment in older persons with isolated systolic hypertension: Final results of the Systolic Hypertension in the Elderly Program (SHEP) JAMA 1991;265:3255-3264 8.USPSTF Screening for ... Cancer screening in older women Cancer 1994 (suppl) :200915 13.Finison KS, Wellins CA, Wennberg DE, Lucas FL , Screening mammography rates by specialty of the usual care physicain Eff Clin Pract...

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 ... is the health status for individual i in Round 2; Mi1 is a vector indicating the status of inappropriate drug use for individual i in Round 1; Ni1 represents the total number of prescription drugs ... model, the key intervention variable is whether an individual used any inappropriate prescribed drugs Inappropriate drug use was defined as exposure to any drug on the updated Beers list of 26 drugs...

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 ... 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 ... 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...

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 ... asleep within 20 min, they are asked to repeat the process Sleep restriction therapy aims to increase sleep efficiency by limiting the amount of time the patient is allowed to stay in bed Typically,...

Ngày tải lên: 22/03/2014, 14:20

... 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

... reached The other statins marketed in Sweden, representing the remaining 17% of the market share, are atorvastatin, rosuvastatin, pravastatin, and fluvastatin Of these, atorvastatin is the most ... to adhere to the treatment and to receive the full benefits of statin therapy The aims of the present study were: • to investigate adherence and side effects of statin therapy in elderly patients ... double-blind randomised trial Lancet 2010;376: 1658–69 Healthy Aging & Clinical Care in the Elderly 2011:3 Adherence to statin therapy among the elderly Cockcroft DW, Gault MH Prediction of creatinine...

Ngày tải lên: 22/03/2014, 14:20

... surfaces, are involved in falls among the elderly Many of these factors can be modified Figure shows how intrinsic and extrinsic factors can combine to change the likelihood of falling in the elderly ... programs can reduce the rate of falls in the elderly In one study,34 the interactive group had a relative risk of falling of 0.39 compared with the control group Interventions included the modification ... multifactorial intervention to reduce the risk of falling among elderly people living in the community N Engl J Med 1994;331:821-7 In watching patients perform the "Up & Go" test or the "Get-Up...

Ngày tải lên: 22/03/2014, 14:20

... Similar declines occur in other organ systems What would be the full range of e€ects if declines in the immune and in ammatory systems were prevented or reversed in the setting of declines in other ... towards intrinsic factors The formally assigned ``cause of death'' becomes increasingly irrelevant compared with the underlying frailty, the inability of the aging organism to withstand even a minor ... one-half the amount of disability in 1587 the last one or two years of life The same results obtained in males and in females, and in those without disability in 1962 and 1986 This 100% decrease in...

Ngày tải lên: 22/03/2014, 14:20

... therapy Individual psychotherapy Supportive psychotherapy Cognitive behavioral therapy Group therapy Family therapy Caregiver support group therapy Treatment Evidence-based research minimal Elderly ... of daily living Feeding, Bathing, Dressing, Transferring, Toileting Instrumental activities of daily living Finances, Telephone, Medications, Shopping, Cooking Housework, Ambulating, Laundry ... 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