scholarly journals Predictive factors of epilepsy outcome in a sample of Egyptian pre-elderly and elderly population

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Steven Emil Gerges ◽  
Mahmoud Hemeda El Rakawy ◽  
Naglaa Mohammed El Khayat ◽  
Yousry Abo Elnaga Abdelhamid ◽  
Ahmed Mohammed Hazzou ◽  
...  
Keyword(s):  
Predictive Factors ◽  
Elderly Population ◽  
Laboratory Data ◽  
The Elderly ◽  
Medical Comorbidities ◽  
Mri Brain ◽  
Group Data ◽  
History Of ◽  
Eeg Changes ◽  
International League

Abstract Background Elderly people with epilepsy are large, but neglected group. Data on the predictive factors for recurrent seizures in the elderly population are inconclusive or are not known for the majority of patients. This is especially true for the Egyptian population as no specific study was concluded to address this issue before. Objectives The aim of this study was to detect the predictive factors of epilepsy outcome in a sample of Egyptian aged population. Materials and methods A total of 100 patients aged 50 years or older with epilepsy diagnosed according to International League Against Epilepsy (ILAE) latest definition were included in the study and followed up for 6 months as regards seizure control. All participants were prospectively evaluated for epidemiological, clinical, radiological, electrodiagnostic, and laboratory data. Results The outcome was statistically significant affected in relation to absence of medical comorbidities (P = 0.037), seizure etiology (P = 0.007), history of status epilepticus (P <  0.001), MRI brain findings (P = 0.005), EEG changes (P <  0.001), Ca (P = 0.01), and Mg level (P = 0.046). Conclusion We conclude that aged Egyptian epileptic population with no medical comorbidities, normal MRI brain, or normal EEG can be predicted to have good outcome of their epilepsy while patients with post stroke epilepsy, abnormal MRI brain, and abnormal EEG, with low serum Ca or Mg level can be predicted to have poor outcome.

scholarly journals Isolated Cecal Necrosis: Report of 2 Cases

2021 ◽  
Author(s):  
Nizar Kardoun ◽  
Zied Hadrich ◽  
Rahma Daoud ◽  
Houssem Harbi ◽  
Salah Boujelben ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Appendicitis ◽  
Rare Variant ◽  
Ischemic Colitis ◽  
Elderly Population ◽  
The Elderly ◽  
Female Patients ◽  
History Of

Isolated cecal necrosis is a rare variant of ischemic colitis which typically simulates the presentation of acute appendicitis. The elderly population is the most affected. We report 2 cases of isolated caecal necrosis, which were preoperatively diagnosed, in 2 female patients with a history of hypertension and renal failure.

scholarly journals Background Factors Involved in the Epidemiology of Functional Constipation in the Japanese Population

2021 ◽  
Author(s):  
Sayuri Yamamoto ◽  
Wataru Ohashi ◽  
Yoshiharu Yamaguchi ◽  
Shunsuke Inamoto ◽  
Akira Koshino ◽  
...  
Keyword(s):  
Japanese Population ◽  
Elderly Population ◽  
Clinical Symptoms ◽  
Functional Constipation ◽  
The Elderly ◽  
Internet Survey ◽  
Comprehensive Management ◽  
History Of ◽  
Characteristic Features

Abstract Background: Little is known about the prevalence and epidemiology of functional constipation (FC), a functional bowel disorder with symptoms of constipation. This study aimed to examine the prevalence, population composition, lifestyle, quality of life, and clinical characteristics of individuals with and without FC and of individuals with a strong or weak awareness of constipation. Methods: An internet survey revealed that 262 (8.7%) out of 3,000 respondents from the general Japanese population were diagnosed with FC. Moreover, all respondents were classified according to their awareness of constipation (i.e. strong or weak), and their characteristic features were compared. Results: FC occurrence was associated with the elderly population, females, and homemakers. Its onset was associated with a change in the frequency of bowel movement, sensation of incomplete or hardly any evacuation, and the use of manual maneuvers, which are consequential clinical symptoms of FC. Subjects with FC also frequently skipped breakfast, had insufficient sleep, had more severe constipation, and had purchased laxatives in pharmacies or online more often than individuals without FC. A strong awareness of constipation was significantly more prevalent among women and homemakers. A history of anemia and cardiovascular disease was significantly more frequent in the strong awareness group, whereas a history of hypertension was more frequent in the weak awareness group.Conclusions: Based on the understanding of the characteristic features of FC, appropriate and comprehensive management considering the patient’s symptoms and lifestyle should be provided.

scholarly journals Effects of the Application of a Program of Adapted Utilitarian Judo (JUA) on the Fear of Falling Syndrome (FOF) for the Health Sustainability of the Elderly Population

2018 ◽  
Vol 15 (11) ◽  
pp. 2526 ◽  
Author(s):  
Luis Toronjo-Hornillo ◽  
Carolina Castañeda-Vázquez ◽  
María Campos-Mesa ◽  
Gloria González-Campos ◽  
Juan Corral-Pernía ◽  
...  
Keyword(s):  
Elderly People ◽  
Experimental Research ◽  
Functional Assessment ◽  
Elderly Population ◽  
Intervention Program ◽  
Fear Of Falling ◽  
The Elderly ◽  
Quasi Experimental ◽  
History Of ◽  
Experimental Group

This research analyzes the fall history of a group of elderly people and studies the effects of an intervention program based on Adapted Utilitarian Judo (JUA) to teach fall control in subjects with fear of falling syndrome (FOF). We adopted a quasi-experimental research design with pre-post measurement of the experimental group, in a healthy, pre-fragile sample of 12 women aged 71.5 ± 8 years, chosen using non-probabilistic-incidental accessibility sampling. The WHO questionnaire was used for the functional assessment of the fall. To evaluate FOF, we applied the 16-item version of the Falls Efficacy Scale-International (FES-I), (pretest and posttest). This intervention program was based on Adapted Utilitarian Judo and conducted over 8 weeks, with two 60-minute sessions each week. After analyzing the scores obtained by the subjects in the pre and post FES-I, we found that the intervention with the JUA program had been significant for the experimental group with p ≤ 0.004, and there was an 11.9% decrease in the fear of falling (FES-I pos = 18.17). The results show that after the application of the JUA program there were significant improvements in subjects’ perception of FOF, with this being greater in those who had the highest levels of fear of falling before the intervention.

History of lifetime smoking, smoking cessation and cognitive function in the elderly population

2013 ◽  
Vol 28 (10) ◽  
pp. 823-831 ◽  
Author(s):  
Ute Mons ◽  
Ben Schöttker ◽  
Heiko Müller ◽  
Matthias Kliegel ◽  
Hermann Brenner
Keyword(s):  
Smoking Cessation ◽  
Cognitive Function ◽  
Elderly Population ◽  
The Elderly ◽  
History Of

scholarly journals Plasma lutein and zeaxanthin and the risk of age-related nuclear cataract among the elderly Finnish population

2011 ◽  
Vol 108 (1) ◽  
pp. 148-154 ◽  
Author(s):  
Jouni Karppi ◽  
Jari A. Laukkanen ◽  
Sudhir Kurl
Keyword(s):  
Elderly Population ◽  
Proportional Hazards Model ◽  
Disease Risk ◽  
Plasma Concentrations ◽  
The Elderly ◽  
Cox Proportional Hazards Model ◽  
Elderly Subjects ◽  
Nuclear Cataract ◽  
Age Related ◽  
History Of

Oxidative stress plays an important role in cataractogenesis. Previous studies have shown that long-term dietary intake of antioxidants (lutein and zeaxanthin) may decrease the risk of age-related cataracts. The aim of the present study was to examine whether plasma concentrations of lutein and zeaxanthin are related to age-related nuclear cataract in the elderly population. Subjects were participants in the Kuopio Ischaemic Heart Disease Risk Factor Study and they were classified into tertiles according to plasma concentrations of lutein and zeaxanthin. The association of plasma lutein and zeaxanthin concentrations with age-related nuclear cataract in 1689 elderly subjects (aged 61–80 years) was investigated in the present cross-sectional study by using the Cox proportional hazards model. A total of 113 cases of incident age-related cataracts were confirmed, of which 108 cases were nuclear cataracts. After adjustment for age, examination year, sex, BMI, smoking, alcohol consumption, serum LDL-cholesterol, serum HDL-cholesterol, years of education, use of oral corticosteroids, history of diabetes and history of hypertension with current use of antihypertensive medication, subjects in the highest tertiles of plasma concentrations of lutein and zeaxanthin had 42 and 41 % lower risks of nuclear cataract, respectively, compared with those in the lowest tertiles (relative risk (RR) = 0·58, 95 % CI 0·35, 0·98; P = 0·041 for lutein and RR = 0·59, 95 % CI 0·35, 0·99; P = 0·046 for zeaxanthin). In conclusion, we suggest that high plasma concentrations of lutein and zeaxanthin were associated with a decreased risk of age-related nuclear cataract in the elderly population.

An Unusual Cause of Refractive Chronic Bilateral Leg Ulceration

2004 ◽  
Vol 8 (6) ◽  
pp. 432-437 ◽  
Author(s):  
Laila M. Sabet ◽  
Denise Wexler ◽  
Samih Salama ◽  
Bing Siang Gan
Keyword(s):  
Conventional Treatment ◽  
Elderly Population ◽  
Unusual Case ◽  
The Elderly ◽  
Complete Healing ◽  
Venous Hypertension ◽  
Histopathologic Examination ◽  
Knee Amputation ◽  
History Of ◽  
The Right

Background: Ulceration of the lower extremities is a common disorder that can be very painful. It occurs most frequently in the elderly population as a result of venous hypertension. We report an unusual case of a 32-year-old man with an 11-year history of extensive, painful, bilateral leg ulcers resistant to conventional treatment necessitating above-knee amputation of the left leg. Eventually, the patient was treated with prednisone, which led to almost complete healing of the ulcers of the right leg. Objective: The objective of this report is to discuss a rare cause of chronic bilateral leg ulceration. Methods: Detailed histopathologic examination showed a complex pattern of overlapping features of several specific dermatologic conditions, including necrobiosis lipoidica (NL), necrobiotic xanthogranuloma (NXG), and the destructive form of granuloma annulare (GA). Conclusion: The characteristics of our patient suggest a variant of a cutaneous necrobiotic disorder that has not been previously reported. When clinicians are confronted with recalcitrant ulcerations in the lower extremity, this group of disorders should be considered in the differential diagnosis.

Binaural Interference and the Effects of Age and Hearing Loss

2017 ◽  
Vol 28 (01) ◽  
pp. 005-013 ◽  
Author(s):  
Bruna S. S. Mussoi ◽  
Ruth A. Bentler
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Hearing Aids ◽  
Elderly Population ◽  
Group Analysis ◽  
The Elderly ◽  
Normal Hearing ◽  
Group Data ◽  
Ear Advantage ◽  
Right Ear Advantage

AbstractThe existence of binaural interference, defined here as poorer speech recognition with both ears than with the better ear alone, is well documented. Studies have suggested that its prevalence may be higher in the elderly population. However, no study to date has explored binaural interference in groups of younger and older adults in conditions that favor binaural processing (i.e., in spatially separated noise). Also, the effects of hearing loss have not been studied.To examine binaural interference through speech perception tests, in groups of younger adults with normal hearing, older adults with normal hearing for their age, and older adults with hearing loss.A cross-sectional study.Thirty-three participants with symmetric thresholds were recruited from the University of Iowa community. Participants were grouped as follows: younger with normal hearing (18–28 yr, n = 12), older with normal hearing for their age (73–87 yr, n = 9), and older with hearing loss (78–94 yr, n = 12). Prior noise exposure was ruled out.The Connected Speech Test (CST) and Hearing in Noise Test (HINT) were administered to all participants bilaterally, and to each ear separately. Test materials were presented in the sound field with speech at 0° azimuth and the noise at 180°. The Dichotic Digits Test (DDT) was administered to all participants through earphones. Hearing aids were not used during testing. Group results were compared with repeated measures and one-way analysis of variances, as appropriate. Within-subject analyses using pre-established critical differences for each test were also performed.The HINT revealed no effect of condition (individual ear versus bilateral presentation) using group analysis, although within-subject analysis showed that 27% of the participants had binaural interference (18% had binaural advantage). On the CST, there was significant binaural advantage across all groups with group data analysis, as well as for 12% of the participants at each of the two signal-to-babble ratios (SBRs) tested. One participant had binaural interference at each SBR. Finally, on the DDT, a significant right-ear advantage was found with group data, and for at least some participants. Regarding age effects, more participants in the pooled elderly groups had binaural interference (33.3%) than in the younger group (16.7%), on the HINT. The presence of hearing loss yielded overall lower scores, but none of the comparisons between bilateral and unilateral performance were affected by hearing loss.Results of within-subject analyses on the HINT agree with previous findings of binaural interference in ≥17% of listeners. Across all groups, a significant right-ear advantage was also seen on the DDT. HINT results support the notion that the prevalence of binaural interference is likely higher in the elderly population. Hearing loss, however, did not affect the differences between bilateral and better unilateral scores. The possibility of binaural interference should be considered when fitting hearing aids to listeners with symmetric hearing loss. Comparing bilateral to unilateral (unaided) performance on tests such as the HINT may provide the clinician with objective data to support subjective preference for one hearing aid as opposed to two.

scholarly journals Age-friendly city: future perspectives for the Brazilian cities

2021 ◽  
Vol 15 (3) ◽  
pp. 295-298
Author(s):  
Patricia de Oliveira Lopes ◽  
Simone Rezende da Silva ◽  
Tathianni Cristini da Silva ◽  
Yara Dadalti Fragoso ◽  
Angelina Zanesco
Keyword(s):  
Elderly Population ◽  
The Elderly ◽  
Decision Makers ◽  
Urban Spaces ◽  
World Health ◽  
World Population ◽  
The World ◽  
Two Cities ◽  
History Of ◽  
Health Organization

ABSTRACT The world population is aging fast and not all cities are prepared to cope with the needs of the elderly people. Cities need to develop strategies for senior citizens including the aspects of health, nutrition, consumer protection, housing, transportation, environment, social welfare, income, employment, safety, and education. The World Health Organization (WHO) created a program dedicated to older adults called the age-friendly city. This program is about creating the environment and opportunities that enable older people to be and do what they value throughout their lives. Most of the elderly population lives in urban spaces, and aging represents a challenge as well as opportunities to the cities all over the world. Recently, only 16 Brazilian cities have received the seal of international certification by meeting the requirements stipulated by the WHO. In the State of Sao Paulo, only two cities have been qualified for this seal. Therefore, the aims of this article are (a) to provide a brief history of this important initiative taken by the WHO and (b) to urge the decision-makers of Brazilian municipalities to develop effective initiatives for their cities to be prepared for this demographic modification.

Outcome of the depressed elderly living in the community in Liverpool: a 5-year follow-up

1998 ◽  
Vol 28 (6) ◽  
pp. 1329-1337 ◽  
Author(s):  
V. K. SHARMA ◽  
J. R. M. COPELAND ◽  
M. E. DEWEY ◽  
D. LOWE ◽  
I. DAVIDSON
Keyword(s):  
Elderly Population ◽  
Depressive Disorders ◽  
The Elderly ◽  
Structured Interview ◽  
Depression Score ◽  
History Of ◽  
Elderly Living ◽  
Selection Of

Background. Comparatively little is known about the long-term natural history of depressive disorders in the elderly living in the community. This is a follow-up of a subsample of the Continuing Health in the Community study random sample of the elderly population living in Liverpool.Methods. The investigators followed up 120 cases of depression identified by a semi-structured interview schedule (GMS) for a period of 5 years. A similar number of other subjects defined as subcases of depression, other cases of mental illness and a random selection of non-cases were also included.Results. The 5-year outcome for the cases of depression was worse than the outcome of the non-cases (relative mortality risk of 2·1, 95% confidence interval 1·1 to 3·9). Thirty-four per cent of the cases of depression died and 28% had dropped out during the follow-up. Of the 46 cases of depression who had a complete follow-up, 22% recovered from their symptoms, 30% were found to be AGECAT cases at one of the three follow-up waves, 24% were AGECAT cases at two of the three follow-up waves and the remaining 24% were AGECAT cases at each follow-up wave. Fifteen per cent of the surviving cases of depression were organic cases at the follow-up. Their anxiety co-morbid state and depression score were identified as predictors of poor outcome.Conclusion. The findings of this study indicate that depressive disorders (most of which were untreated) found in the elderly community have a poor prognosis.

scholarly journals PELAKSANAAN DIET DAN STATUS GIZI SERTA KEMANDIRIAN PENDERITA HIPERTENSI LANSIA DI DESA BONTO MARANNU

2019 ◽  
Vol 26 (1) ◽  
pp. 122
Author(s):  
Hendrayati Hendrayati ◽  
Putri Indah Nirmalasari
Keyword(s):  
Elderly Population ◽  
Analytical Study ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Dependency Ratio ◽  
Age Group ◽  
Cross Sectional ◽  
South Sulawesi ◽  
History Of ◽  
Very High

ABSTRACTIncreased Life Expectancy (UHH) in Indonesia is a success in the field of health and welfare. UHH can increase the elderly population (elderly) by decreasing mortality. The 2015 Central Bureau of Statistics (BPS) report, UHH in 2015 became 70.8 years and will increase to 72.2 years in 2030-2035, while in Maros district in 2015 for UHH increased to 68.55 years. The aging process in the elderly has the risk of non-communicable diseases, such as hypertension. The results of the Basic Health Research (Riskesdas) in 2013, showed that the health problems in the highest elderly were Hypertension with the category age of 55-64 years of 45.9%, 65-74 years of 57.6% and 75 years and over 63.8 %.Hypertension in the elderly can affect the level of dependence on the surrounding environment. The dependency ratio of Indonesia's elderly population in 2016 was 13.65%. This means that every 100 people of productive age must bear about 14 elderly residents. The dependency ratio in South Sulawesi is 14.62%, which means that every 100 productive residents in South Sulawesi must bear around 15 elderly residentsThis study is an analytical study with a cross sectional study design. The population in this study were all elderly  aged 60-80 years. Sampling using purposive sampling with sample criteria as follows: 60 - 80 years old, have a history of hypertension and / or have high blood pressure (≥ 140/90 mmHg) at the time of measurement, Willing to be interviewed, Not having hearing and memory disorders (senile) and can be invited to communicate clearly. Samples that fit the criteria in this study were 47 people.Research result is a disobedience to the hypertension diet in elderly people with very high hypertension reaches 91.5%, and insignificant relationship between nutritional status and the independence of the elderly both the age group <75 years and the age group ≥75 years with a significant value of each p = 0.619 and p = 0.191.There is a non-significant relationship between hypertension and the independence of the elderly both in the age group <75 years and the age group ≥75 years with a significant value of p = 0.447 and p = 0.362.The elderly with hypertension sufferers should always be given counseling and / or nutritional consultation to increase their understanding of the diet being undertaken

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