heart failure in the elderly

... for their diagnosis just before the patient was leaving the emergency room for either the observation unit of our ED or another ward, including the ICU According to the final diagnosis made by the ... [10,11] The objectives of this study were therefore to determine the causes of ARF in elderly patients, the accuracy of the initial diagnosis suspected by the emergency physician, the impact of initial ... less than eight hours in the emergency room before their admission into another ward In accordance with standard practice in our institution for ARF in elderly patients, the performance of thoracic...

Ngày tải lên: 12/08/2014, 23:23

... pneumonia in the elderly compared with younger patients [8] Diseases therefore have atypical presentations in the geriatric population, and the diagnostic and therapeutic management of elderly ... patient/family wishes Competing interests The author declares that they have no competing interests References Hobbs F, Damon BL, Taeuber CM: Sixty-five Plus in the United States Washington, DC: US Department ... function and the difficulty in instrumental activity It is worthy of notice that patients surviving year after ICU admission had regained their previous health status and their further survival...

Ngày tải lên: 13/08/2014, 01:20

... LV stroke work [57] Furthermore, when stoke volume was increased comparably, dobutamine increased heart rate more than epinephrine Epinephrine, dobutamine and dopamine all increase myocardial oxygen ... is the principal investigator of the ongoing investigator initiated study: The TEAM-project: multi-center trial on the effect of anesthetics on morbidity and mortality in patients undergoing ... intravenous inotropes and/or IABP are necessary to maintain SBP >80 mmHg and/or CI >1.8 L/minute/m2 without clinical improvement Failure to wean from inotropes (decreasing inotropes results in...

Ngày tải lên: 13/08/2014, 19:20

... 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

... 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 ... 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...

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 ... regarding an increase in the presence of constitutional symptoms in elderly patients with TB This results in a delay in the presentation of the elderly to health care facilities, thereby resulting ... 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 ... enhanced control of heart failure in another AHRQ-funded study Patients over the age of 30 who were taking medication to control their heart failure underwent an exercise program of walking at home days...

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 ... 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 ... the inadequacy of host defenses in containing TB infection This failure of containment can occur in either re- 128 M Zevallos, J.E Justman / Clin Geriatr Med 19 (2003) 121–138 activation of the...

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 ... 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 ... 1995;92)suppl):1672 12.Byrington RP, Jukema JW, Salonen JT et al Reduction in cardiovascular events during pravastatin threapy: Pooled analysis of clinical events of Pravastatin Atherosclerosis Intervention...

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 ... 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 ... across the different model specifications, suggesting the relative robustness and reliability of the full Model F In specifying the full model, there was a concern about multicollinearity within the...

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

... 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

... 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