RESUMEN Introducción. El cáncer colorrectal se considera un grave problema de salud pública, en especial en las personas mayores, y un reto para los sistemas sanitarios. Objetivo: Identificar la ...calidad de vida relacionada con la salud global y por dimensiones, las características epidemiológicas y de tratamiento en personas mayores con cáncer colorrectal atendidas en el Policlínico Universitario Héroes del Moncada. Métodos: Se realizó un estudio descriptivo, transversal, en el período 2019-2021. Se incluyeron 31 adultos mayores con cáncer colorrectal. Se estudiaron variables como edad, sexo, estado civil, escolaridad y tratamiento, calidad de vida, global y por dimensiones. Se aplicó el instrumento WHOQoL-Bref de la Organización Mundial de la Salud, validado en Cuba. Se emplearon medidas resumen para las variables cualitativas como el porcentaje; para las variables cuantitativas se empleó la media y la desviación estándar. Resultados: El 51,6 % de los pacientes estudiados tenía entre 70 y 79 años de edad, las mujeres representaron el 61,3 % y los pacientes con tratamiento quirúrgico el 96,8 %. Las dimensiones salud física y psicológica fueron percibidas como bajas (51,6 %), predominó la calidad de vida global media (74,2 %). Conclusiones: El estudio de la calidad de vida desde la perspectiva del adulto mayor con cáncer colorrectal aportó elementos para un mejor manejo y cuidado de estas personas. Se identificaron brechas que deben ser consideradas por los decisores de salud, lo que permitirá la toma de decisiones sobre bases científicas y así influir de manera positiva en la salud de estos pacientes.
Introduction. The disease caused by Clostridium difficile (CzcD - Clostridium difficile -associated disease) - was defined by the Centres for Disease Control and Prevention in Atlanta in 2007 in ...order to standardize monitoring conditions of diarrhea caused by the bacterium Clostridium difficile 1. It is a gram-positive bacterium forming part of intestinal flora that causes among others pseudomembranous colitis in elderly patients. Occur to the destruction of anaerobic flora through the application of antibiotics and mass colonization of the bacterium Clostridium difficile in the large intestine. The diarrhea may resolve spontaneously but in older people often causes a severe form of life-threatening condition. 2–3. The determinants which are the criteria for diagnosis of Clostridium difficile is a toxin A and/or B in the stool or demonstration of the presence of Clostridium difficile strain.Aim. The aim of the study was evaluation the bacterium Clostridium difficile infection in geriatric patients among hospitalized in Department of Geriatrics at Regional Hospital for Mental Diseases "Dziekanka" in Gniezno in the years 2015 - 2016 and compare the information of infections in the years 2012 - 2014 in the same department and the same hospital.Material and Methods. Studied material consisted of data from the medical records based on 1 342 patients from Regional Hospital for Nervous and Mental Patients “Dziekanka” in Gniezno. It was analyzed the following parameters: gender, age of the patient, duration of hospitalization, antibiotics before diarrhea, basic diseases and coexisting diseases.Results. The study included in total 1 342 patients. Clostridium difficile diagnosed in 4 people which is 0.3% of all diagnosed patients. Among the coexisting diseases was diagnosed heart failure (50%), anemia (75%) and renal failure (50%). First-line treatment was vancomycin and metronidazole.Conclusions. Must be taken prevention of infection with Clostridium difficile through early detection and implementation of medical procedures, medicines and sanitary-epidemiological procedures.
Aquatic walking, which is influenced by the physical characteristics of water such as buoyancy, resistance, water pressure, and water temperature, is known to be effective for reducing stress on ...joints and increasing muscular strength. However, there is no consensus on its influence on blood pressure changes in elderly people. To address this uncertainty, we researched the effects of aquatic walking on the blood pressure of elderly people. Study participants were 48 females enrolled in a class to prevent the need for nursing care. In accordance with the diagnostic criteria for hypertension, participants were divided into two groups based on initial blood pressure measurements: a “high blood pressure group” with 27 people and a control group with 21 people. Both groups did the following program once a week for five weeks: 10 minute warmup, 15 minutes of aquatic walking (forward, backward, and sideways walking), 10 minute break, and additional 10 minutes of aquatic walking. Systolic blood pressure, diastolic blood pressure, heart rate, and average blood pressure of the participants were recorded. Results showed that the high blood pressure group showed significant decreases in systolic blood pressure after one week, and significant decreases in both diastolic blood pressure and average blood pressure from three weeks onward. No significant change was evident in the control group. However, comparing values measured immediately before and after aquatic walking showed that the control group had a significant post-aquatic walking increase in both systolic and diastolic blood pressures as well as a significant decrease in heart rate. Similar significant post-aquatic walking increases in systolic and diastolic blood pressures as well as a significant decrease in heart rate was also evident in the high blood pressure group from five weeks onward, once their measured values had improved. These results suggest that continuing an aquatic walking program will lower the blood pressure of elderly individuals meeting the diagnostic criteria for hypertension, but it is necessary to be attentive to physical condition because blood pressure increases immediately after aquatic walking in non-hypertensive individuals.
This text presents an overview of aging in Brazil and information that highlights the need to create instruments to deal with the exponential increase of the elderly population, particularly those ...who lose their physical, cognitive, mental/emotional, and social autonomy. Examples of public policies created by European countries, notably Spain, show how they act to protect the most vulnerable individuals and provide support to their families, especially to the informal caregivers. The whole process of protection for the long-lived is perceived as a form of social solidarity in which the State and sub-national entities, society, the families and the elderly people themselves participate.
Aquatic walking, which is influenced by the physical characteristics of water such as buoyancy, resistance, water pressure, and water temperature, is known to be effective for reducing stress on ...joints and increasing muscular strength. However, there is no consensus on its influence on blood pressure changes in elderly people. To address this uncertainty, we researched the effects of aquatic walking on the blood pressure of elderly people. Study participants were 48 females enrolled in a class to prevent the need for nursing care. In accordance with the diagnostic criteria for hypertension, participants were divided into two groups based on initial blood pressure measurements: a “high blood pressure group” with 27 people and a control group with 21 people. Both groups did the following program once a week for five weeks: 10 minute warmup, 15 minutes of aquatic walking (forward, backward, and sideways walking), 10 minute break, and additional 10 minutes of aquatic walking. Systolic blood pressure, diastolic blood pressure, heart rate, and average blood pressure of the participants were recorded. Results showed that the high blood pressure group showed significant decreases in systolic blood pressure after one week, and significant decreases in both diastolic blood pressure and average blood pressure from three weeks onward. No significant change was evident in the control group. However, comparing values measured immediately before and after aquatic walking showed that the control group had a significant post-aquatic walking increase in both systolic and diastolic blood pressures as well as a significant decrease in heart rate. Similar significant post-aquatic walking increases in systolic and diastolic blood pressures as well as a significant decrease in heart rate was also evident in the high blood pressure group from five weeks onward, once their measured values had improved. These results suggest that continuing an aquatic walking program will lower the blood pressure of elderly individuals meeting the diagnostic criteria for hypertension, but it is necessary to be attentive to physical condition because blood pressure increases immediately after aquatic walking in non-hypertensive individuals.
Objectives: Owing to the rapid growth in the aging population, it is considered important to develop models and assessment instruments on social care. The Japanese version of the self-completion ...adult social care outcomes toolkit (ASCOT) was developed to measure Social Care Related Quality of Life (SCRQoL). This study aimed to identify (1) the distribution of SCRQoL measured by ASCOT-SCT4(ASCOT four-level self-completion questionnaire), and (2) the variables related to SCRQoL by analyzing data obtained from community-living elderly people with long-term care needs in Japan.Methods: Data comprised responses of 819 people who were 65 years old or over, and who were using long-term care services at the time of this survey from those of 1141 people living in a municipality near the Tokyo metropolitan area. Responses to the ASCOT-SCT4 were converted to SCRQoL scores. A multiple regression analysis was performed to determine the factors related to the scores. The following two models were extracted: Model 1 comprised sex, age, care level, self-rated health, solitary or living together with someone, subjective economic conditions, frequency of going outside, and eating meals with others; in Model 2, care recipients' satisfaction with care services was added to Model 1.Results: The mean of SCRQoL scores were 0.58, respectively. In Model 1, the scores were significantly associated with sex, care-level, self-rerated health, subjective economic conditions, frequency of going outside, eating meals with others. In Model 2, the scores were significantly associated with care-level, self-rerated health, subjective economic conditions, frequency of going outside, eating meals with others and care recipients' satisfaction with care services.Conclusion: SCRQoL scores measured by the Japanese version of ASCOT-SCT4 was strongly associated with subjective evaluation, such as subjective economic conditions, self-rerated health, and satisfaction with care services. The frequency of social participation, such as going outside and eating with others, could contribute to higher SCRQoL scores. Therefore, this study suggests the need to promote social participation among potential clients with care needs.
Objective Intervention using a reminiscence-based approach involving nostalgic songs was provided for the elderly living in the community, and its psychological effects were examined. Methods The ...subjects were 18 elderly people who tended to withdraw from social life. Prior to and following the abovementioned intervention, Wilcoxon signed-rank tests were conducted, using the HDS-R, MMSE, PGC, Subjective Wellbeing Inventory (SUBI), GDS-15, and basic check list. Results Following intervention, there were significant improvements in HDS-R scores, "withdrawal from social life" of the basic checklist, PGC scores including "attitudes toward aging" - the second factor, and "feelings" / "financial situations" - subordinate categories of the SUBI. Conclusion Intervention using a reminiscence-based approach involving nostalgic songs improved their cognitive functions, withdrawal, feeling of happiness toward aging, and sense of well-being in relation to their feelings and financial situations. Although a large number of previous studies examined the results of reminiscence-based intervention provided once a week, the psychological effects of the reminiscence-based approach implemented once a month have also been established.
It is known that cancer develops in about 1〜2% of thyroglossal duct cysts, and in many cases onset occurs before menopause. Also, there have been no reports of cases in Japan where distant metastasis ...has occurred. We report a case of thyroglossal duct carcinoma with bone metastasis in a late-elderly person. An 89-year-old male underwent tumor resection by the Sistrunk method and right cervical dissection, laryngeal elevation and tracheotomy for a 55-mm large anterior cervical tumor and right cervical lymph node metastasis. He was diagnosed with left cervical lymph node metastasis and microcancer in the thyroid right lobe after 6 months and underwent left cervical dissection and thyroid right lobectomy. Since right femoral bone metastasis appeared after surgery, he received irradiation and continued to take denosumab. Thyroglossal duct carcinoma also causes bone metastasis as well as thyroid cancer. Also, in the case of onset in the elderly, it is necessary to select therapy in consideration of comorbidities and swallowing functions.
Background. Elderly age, as one of the stages of human life, due to the increase in life expectancy, has become a significant and fulfilling period. This stage is still characterized for the Russian ...reality by a reduced range of resources and opportunities to ensure an average level of life quality. As a result, representatives of the third-age group are on the periphery of public life, acting as an economically untenable category of citizens in need of support and care at least from the family and the state. Materials and methods. The work is based on the results of quantitative sociological research (questionnaire) conducted as part of the research group of the Department of sociology of social work of the Saratov State University in 2018–2019 in Saratov and Saratov region (the total sample population was 421 people). Results. The article, based on the results of quantitative research, presents an analysis of modern practices of care for the elderly people by relatives, organizations of various profiles, and private, civil initiatives. Some problem areas of various forms of assistance and care are described, further prospects of their development are indicated. Conclusions. Among the sources that implement practices for the care of elderly people identified: traditional – the state and the family; modern, acquiring the systematic nature of the civil initiative (the legal entity) and neighborly help and care. In terms of importance, family and relatives remain the dominant sources of care for elderly family members. Citizens living in the neighborhood constitute the second most important support tier. And in third place is the state practice, characterized as formal but systematic.
Depuis ces dernières années, le phénomène de vieillissement et des maladies associées est devenu un problème de santé publique très préoccupant. Le vieillissement, qu’il soit normal ou pathologique, ...suscite de fait un réaménagement psychique et social. Celui-ci est articulé avec la mise à mal des assises narcissiques du sujet, débouchant ainsi par le recours incessant à la mort. En effet, beaucoup de travaux montrent, que contrairement en Afrique, la personne âgée en Occident s’inscrit dans une dynamique d’anticipation de la mort. Cette quête de la mort intervient entre autres dans un contexte de fragilité psychique occasionné par la perte d’un conjoint, par un éloignement géographique des enfants, etc. À quelle lecture psychopathologique et interculturelle ce phénomène se prête-t-il ?
For these last years, the phenomenon of ageing and the related diseases have become an alarming major problem of public health in society. Whether normal or pathological, ageing entails in fact a psychological and social readjustment. This one is articulated with a certain disorder caused in the bases of the subject's narcissism, resulting in the ceaseless recourse to death. Indeed, many psychological researches show that elderly persons in Western societies, unlike in Africa currently, start to fall under a dynamics of anticipation of death. This search for death intervenues, among others, in a context of psychological brittleness caused by the loss of a spouse or by a geographical distance of the children. Which psychopathological and clinical reading this phenomenon is related to?
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