heart failure in the elderly

... 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 ... aging ‹NIMH 1:5 diagnosed with mental illness „ Growing population mentally ill ‹65+ 20 million in 1970 (7 million) ‹65+ predicted 70 million in 2030 (15 million) Mental Health Issues in Aging

Ngày tải lên: 22/03/2014, 14:20

... minimize the injuries sustained from falls was recommended Williams-Johnson, Wilks, and McDonald further illuminate the situation regarding falls among the elderly in Jamaica [15] In examining ... preceding 1 year period, the expert provided further opinions, insights and data, based on experience at the University Hospital of the West Indies, the leading tertiary care and medical teaching institution ... of the West Indies Mona, Jamaica Trang 2Abstract Falls among the elderly is increasingly being recognized as an issue of concern in both developed and developing countries Falls in the elderly

Ngày tải lên: 28/03/2014, 16:20

... independently in the community Dichotomous; omitting ‘mixed’ residence Institutional living: elderly live in an institution and are dependent on care Mixed living: elderly live in either an institution ... onwards that evaluated the antibody response to the influenza vaccine in the elderly were identified through a MEDLINE search using the terms “influenza”, “vaccine”, “vaccination”, “elderly”, “antibody ... *Percent of elderly having received influenza vaccination in the previous year; **percent of elderly having ever received influenza vaccination. h Community living elderly; I: institutionalized elderly;

Ngày tải lên: 28/03/2014, 20:20

... Increased fall risk in elderly individuals According to the World Health Organization, a fall is defined as the action of finding oneself involuntarily on the ground The prevalence of falls in ... vitamin D in the elderly: an overview of the key role of the non-bone effects Abstract Preventing falls and fall-related fractures in the elderly is an objective yet to be reached There is increasing ... Trang 2death in the elderly [1-3,24] The severity of the fall isdetermined by its consequences including non-vertebral fractures, which essentially depend on the fall mechan-ism resulting in a variable

Ngày tải lên: 19/06/2014, 08:20

... varia-bility in the healthy elderly is lower than that in the falls risk elderly Higher mean MFC in the falls risk elderly group supports our previous findings [4] which showed that increasing the MFC ... problem, and compare the results with those obtained using Poincaré plot indexes analysis Minimum foot clearance (MFC) during walking Figure 1 Minimum foot clearance (MFC) during walking Verti-cal ... than the preceding MFC data point, and points below the line of identity indicate a shorter MFC distance than the previous The MFC Poincaré plot typi-cally appears as an elongated cloud of points

Ngày tải lên: 19/06/2014, 10:20

... Disorders in the ElderlyThe developed world has an increasingly aging population, with approximately 10% of the population aged over 65 years As the incidence and prevalence of blood disorders increases ... that the number of elderly is increasing There is general agreement that the aging of the population will lead to a substantial cost in health care for at least three reasons: • Increased incidence ... proposing that older individuals should not receive the best medical care in the name of economic considerations We are simply highlighting the need to minimize the cost of care by choosing the

Ngày tải lên: 10/08/2014, 16:22

... daily living (IADL) ADLs include trans-ferring, bathing, dressing, eating, toileting, and continence; dependence in one or more of these activities, with the exception of incontinence, indi-cates ... answers For instance, does aging begin at birth, at which point development has culminated in an independently functioning individual, or does it begin at puberty, when the individual has attained reproductive ... on the other hand posits that individual cells are the targets of the aging process, via a time-dependent increase in homeostatic dysfunction The potential mecha-nisms include increases in the

Ngày tải lên: 10/08/2014, 16:22

... immuno-therapy and effective control over viral infections in the elderly [92] Trang 4The research described in this chapter has been supported in part by the NIH and the UCLA Center on Aging Dr ... reported in older individuals [9–15] Despite these changes, hematopoiesis appears adequate to maintain the homeostasis of the periph-eral blood elements both in healthy elderly persons and in aging ... [10,11,91] During the last two dec-ades there has been much progress in understanding the role of the immune system, pro-infl ammatory cytokines [13], gene interactions [92], point muta-tions,

Ngày tải lên: 10/08/2014, 16:22

... express the IL-6 mRNA, and support the hypothesis of autocrine synthesis of IL-6 in these patients Most investigators, however, agree that the contribution of autocrine IL-6 is minimal, and there ... bromode-oxyuridine (BRD-URD) incorporation and double immunoenzymatic labeling on cytological smears [86] The BRD-URD is incorporated into the nucleus of cells synthesizing DNA The plasma-cell labeling index ... receptor interaction in the absence of interleukin-6 Eur Cytokine Netw 1999; 10: 43–8. 39 Gaillard JP, Liautard J, Klein B, Brochier J Major role of the soluble interleukin-6/interleukin-6 receptor

Ngày tải lên: 10/08/2014, 16:22

... roportin, a protein responsible for carrying the iron from the gastrointestinal tract into the circulation.Incidence and prevalence of cobalamin defi ciency increase with age [23,24], due to inability ... epi-demiologic study initiated by the National Institute of Aging involving elderly people living in several different areas of the USA As with other studies, IL-6 levels were higher in an elderly population ... infl ammatory cytokines in elderly subjects was compared with young healthy residents of Framingham As in other studies [63,64], the investigators found that IL-6 production was increased in the

Ngày tải lên: 10/08/2014, 16:22

... Pgp overexpression in the elderly supports the fi nding that conventional induction therapy in the elderly is less effi cacious than in younger adults Therapeutic strategies to inhibit Pgp cellular ... survival with other anthracyclines, daunorubicin remains the standard anthracycline of choice in elderly patients when given with cytarabine The optimal dose of daunorubicin in elderly patients ... remains investigational However, because of the high preva-lence of the MDR1 phenotype in the elderly popu-lation, there is continued investigation into the use of more potent and specifi c inhibitors

Ngày tải lên: 10/08/2014, 16:22

... Franchini M, Krampera M, Pizzolo G Low-dose epirubicin in combination with phosphamide, vinblastine and prednisone (mini-CEOP) for the treatment of aggressive non-Hodgkin’s cyclo-lymphoma in elderly ... Trang 4The Ann Arbor staging system, originally developed for Hodgkin lymphoma, is an important adjunct to the WHO classifi cation in the initial evaluation of the patient with NHL (Table 22.2) There ... THP-doxorubicin (pira-rubicin) [140–142], epirubicin [143,144], and idaru-bicin [143], have been investigated Unfortunately, in these studies, the control arm was not CHOP, did not include an anthracycline,

Ngày tải lên: 10/08/2014, 16:22

... reappraised? Is there a place for maintenance therapy with fl udarabine? Is there an optimal combination – and sequencing – for administering fl udarabine and an alkylating agent as combined therapy? The National ... and by the International Workshop on CLL [39]; they differ from the Rai sys-tem in detail but not in principle and they produce similar clinical results In North America the Rai sys-tem is the most ... vitamin-C-containing vehicle, as the ascorbic acid is a reducing agent and can inactivate the alkylating agent Two randomized trials conducted in France have addressed the value of treatment in indolent (Binet

Ngày tải lên: 10/08/2014, 16:22

... In all other patients, the ICH rates were similar between the two groups remains uncertain whether this is due in part to the prehospital administration of fibrinolysis and the initial ... [35] The. .. Antithrombotic therapy The pharmacology and management of the vitamin K antagonists Initiation and maintenance dosing Following the administration of warfarin, an initial ... in ammatory cytokines cytomegalovirus (CMV) infection 87 cytoplasmic... that may increase in the elderly (e.g., the baseline risk for a stroke in patients with AF increases in the

Ngày tải lên: 10/08/2014, 16:22

... working within the existing structure of the network as we conducted the intervention Our original intent was to use a lagged design, introducing the intervention to the comparison half of the ... only in the intervention hospitals The reminders were installed in the intervention hospitals within a month after the kickoff meeting, although there was considerable variation among the intervention ... organizational readiness to change, and discussed the aggregate findings in the context of preparing system change They were trained in the installation and use of reminders and were provided with the necessary

Ngày tải lên: 11/08/2014, 05:21

... of the interviews was then analyzed The second step Trang 3involved holding four focus groups with the same partici-pants to refine the findings and to define the expected key features of the intervention ... complement the data obtained through interviews and focus groups Indeed, the defining characteristics of the intervention were identified on the Table 1: Description of the participants in the interviews ... specific findings into the design of the intervention itself [12,20] Several key research questions about the intervention development process remain, including how to develop strategies for gathering

Ngày tải lên: 11/08/2014, 05:21

... 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

... 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