overview of cancer surgery in the elderly

... compared the clinical outcome of the vaginal versus the abdominal hysterectomy in a population of elderly patients as treatment for endometrial cancer at an early stage Morbidity, mortality, rates of ... endometrial cancer were eligible for our study: 31 had vaginal surgery (group V); 37 underwent abdominal surgery (group A) Vaginal surgery was performed in 45.6% (31/68) of patients, abdominal surgery in ... Clinical and pathologic data relating to 68 patients undergoing vaginal or laparotomic surgery for endometrial cancer Abdominal surgery Vaginal surgery p (n = 37)% (n = 31)% value Abdominal surgery...

Ngày tải lên: 09/08/2014, 02:20

... 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, ... 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...

Ngày tải lên: 15/02/2014, 13:20

... illness Evaluation of Function Functional assessment Activities of daily living Feeding, Bathing, Dressing, Transferring, Toileting Instrumental activities of daily living Finances, Telephone, ... Phillipe Pinel, physician 1806 Citizen Pinel Orders Removal of the Chains of the Mad at the Salpêtriére Tony Robert-Fleury (1838–1911) 1876 painting Resources American Association of Geriatric ... therapy Individual psychotherapy Supportive psychotherapy Cognitive behavioral therapy Group therapy Family therapy Caregiver support group therapy Treatment Evidence-based research minimal Elderly...

Ngày tải lên: 22/03/2014, 14:20

... studies initiated in the 1940s by the US Forest Service to determine the growing space requirements of the upland oaks One of the most useful results of Gingrich’s work was the development of a ... second-growth stands of sprout origin Despite the high percentage of oak in these stands, most were understocked, unhealthy, and in a run-down condition as a result of indiscriminate cutting, grazing, fire, ... charts are routinely used to evaluate stand denstity in oak stands to determine the need for thin- ning In addition to developing the stocking chart, Gingrich also discovered that the greatest...

Ngày tải lên: 08/08/2014, 23:22

... that the specificity of the mechanism of falls in the elderly, particularly the impairment of postural reactions - either altered or delayed - could partly explain the higher incidence of hip ... involved in neurophysiology and regulates the metabolism of neurotransmitters including dopamine, acetylcholine, serotonin and gamma aminobutyric acid [70,78], and the synthesis of certain growth ... mg/day - Vitamin D: - Compliance: 54.5% at 24 months - No reduction of the incidence of fractures - No reduction of the rate of falls or the incidence of fractures No effect of serum vitamin D3 level...

Ngày tải lên: 19/06/2014, 08:20

... that storing the disks in open air caused a loss of viability and death of Candida albicans Rinsing the dentures in the evening and keeping them overnight in the open air can indeed be the easiest ... 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 ... ranged from 58% of the newest denture group to 21% in the oldest dentures The worsening of the stability with the increasing age of the denture was statistically highly significant in the maxilla...

Ngày tải lên: 05/03/2014, 18:20

... 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 in their own ... 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...

Ngày tải lên: 14/03/2014, 17:20

... with their lives and in 30% of them, lives are meaningless Be worried about the bad event in future observed in 66/5% of elderly More than 90% of them have enough free time which is spent in watching ... was meaningful Having a meaningful life and a feeling of happiness in all age groups has increased after the interventions (P= 0.00) In women aged 70 and older, Not being worried about the future, ... al: The Effectiveness of Educational… elderly Therefore, it is necessary to define ways of promoting health, nutrition and dietary allocations which has more influence in measuring the quality of...

Ngày tải lên: 14/03/2014, 20:20

... 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 ... overview of the prevalence estimates To gain insight into the effect of the differences in the criteria on the prevalence data, both definitions are applied to the LPZ data The LASA result for the independently-living ... on the subject each define in their own way what undernutrition is The definition chosen of course affects the results of the study This is also the case in the Dutch investigations into the...

Ngày tải lên: 22/03/2014, 13:20

... expression in the hippocampus is involved in Abinduced cognitive dysfunction [10] These findings together point to the need to increase our understanding of the role of MMPs in AD and their relation ... investigated the levels of different MMPs in plasma of AD patients [30] The increased levels of several MMPs in the CSF of individuals with increased risk for AD, as observed in the current study, ... fibrils both in vitro and in vivo [4,8,13] In light of these possible AD protecting effects of MMP-9, it has been suggested that the increased MMP-9 levels observed in AD might be of the inactive...

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 ... of death shifts from external towards intrinsic factors The formally assigned ``cause of death'' becomes increasingly irrelevant compared with the underlying frailty, the inability of the aging ... as shown in the second line of the ®gure If postponement of the age of onset of morbidity predominates, then morbidity is compressed and the average illness burden is less, the period of adult...

Ngày tải lên: 22/03/2014, 14:20

... Based on the Hellenic Society for the Study of Hypertension guidelines (2008) the aim of the screening of blood pressure in the hypertensive subjects under 65 years old is to maintain the blood ... disease in the developed countries, whereas in some of these countries it occurs in the 20-30% of the adult population Arterial hypertension is highly prevalent in the Epidemiology of hypertension in ... conducted in the special infrastructures for the protection of the elderly in Greece, it has been reported that 72.9% of the males and 77.1% of females had high blood pressure 15, nevertheless,...

Ngày tải lên: 28/03/2014, 19:21

... also observed in the subgroup of 28 elderly patients Despite efforts in including the elderly in RCTs, most ­ tudies on the use of laxatives in the elderly are s limited because of small sample ... ­ paring of neuronal nitric oxide in human colon.20 These fi ­ ndings suggest an increase in inhibitory neurons in the aging colon, affecting gut motility However, the ­ ignificance of s these ... straightening the anorectal angle Simultaneously, the voluntary efforts of bearing down increases the intra-abdominal pressure, facilitating the development of a stripping wave, resulting in stool...

Ngày tải lên: 28/03/2014, 20:20

... corresponding Poincaré plot (D) pendicular to the line -of- identity reflects the level of short-term variability [12] The dispersion of points along the line -of- identity is thought to indicate the level ... in the falls risk elderly group supports our previous findings [4] which showed that increasing the MFC height is one of the possible strategies used by elderly individuals to minimize tripping ... values The value of ApEn reflecting the degree of irregularity, randomness and complexity of the MFC time series data, could therefore, indicate the degree of stability in the control of foot...

Ngày tải lên: 19/06/2014, 10:20

... increased risk of ovarian cancer of 1.6 (95% CI 1.12-2.09) These data are consistent with other studies highlighting the increased risk of ovarian cancer in endometriosis patients [6,7,18] Since ... residents in the Estrie region of Quebec It covers 300 383 individuals, and it is principally based on clinical and pathological reports Cancer incidence was coded according to the second edition of the ... endometriosis-associated ovarian cancer, the test of Chi-Square was used or Fisher Exact test when frequency are smaller than It was interesting to study if the number of subjects increased in each of the groups by...

Ngày tải lên: 20/06/2014, 07:20

... of pharmacological possibilities the debate regarding prescribing ought to be as prominent as ever Concerning the elderly patient there must be a crusade finding the breaking point were the intention ... participated in the statistical analysis and the drafting of the manuscript PE participated in the design of the study and the drafting of the manuscript All authors read and approved the final manuscript ... 3Faculty of Health Sciences, Linköping University, SE- 581 83 Linköping, Sweden Authors’ contributions INO participated in the design of the study, the statistical analysis and the drafting of the...

Ngày tải lên: 20/06/2014, 15:20

... successfully applied in [4,10,13] and many other studies Taking into account the increasing interest in the problem of audio segmentation, on the one hand, and the existence, on the other hand, of a rich ... using a hierarchical organization of the detection process One of the most important decisions when using this kind of architecture lies in the orderings of the detection modules, since some of ... “Music.” The second row of the confusion matrix indicates that 26.5% of the hypothesized speech is in fact “Speech over noise.” This is the main reason of the high proportion of false alarms for the...

Ngày tải lên: 21/06/2014, 02:20

... results of diagnostic measures and surgical interventions For vasopressor therapy, norepinephrine is the drug of first choice in our institution Mortality refers to death in the hospital Page of Table ... of chronic renal insufficiency and use of heparin, acetylsalicylic acid and clopidrogel The type of primary surgery was retrieved The chart of the rethoracotomy was evaluated for evacuation of ... reintervention The SOFA score evaluates organ function over time [16] and we assessed the CV component of the score considering this most relevant for our study goal The CV component of the SOFA...

Ngày tải lên: 10/08/2014, 09:21

... observed infrequently [9] The efficacy findings of the trial (Table 1) prompted the Independent Data Monitoring Committee to recommend unblinding the trial at the time of the interim analysis and the ... of other signaling pathways may play a role in the emergence of CRPC The interaction of endothelin-1 (ET-1) with the G-protein coupled endothelin-A (ETA) receptor has been implicated in carcinogenesis, ... expressing these variants were found to be inhibited by MDV3100 despite the absence of a ligandbinding domain in some ARs [20] These findings suggest that MDV3100 could partly prevent some of the...

Ngày tải lên: 10/08/2014, 21:23

... during histological examination Risk of infection is increased in Figure Punch biopsy of one papule demonstrating inflammatory infiltrate H&E-stained cross section of one papule demonstrating infiltrating ... aware of the initial injury and at times, deeply penetrating splinters cannot be visualized In these cases, unfortunately, the only indication of retained foreign material might be swelling, tenderness, ... to arrive at the diagnosis of foreign body splinters of the skin This report underscores the importance of evaluating wounds and/or lesion that penetrate the skin for the presence of foreign bodies...

Ngày tải lên: 11/08/2014, 12:20