iatrogenic malnutrition in the elderly

... 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

... exclusion in the study g *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 ... markers in predicting responsiveness to influenza vaccination in elderly individuals J Virol 2001;75:12182–7 Beyer WE, Palache AM, Baljet M, Masurel N Antibody induction by influenza vaccines in the elderly: ... compared to the community-dwelling elderly, in some cases as well as the younger adults At least one other study has commented on this phenomenon, suggesting that the elderly living in institutions

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 ... elderly subjects in physical activity was their lack of interest in physical activity In view of these two difficulties, together with the high financial cost of setting up population-based intervention ... Experimentally, in animals, vitamin D is involved in neurophysiology and regulates the metabolism of neurotransmitters including dopamine, acetylcholine, serotonin and gamma aminobutyric acid [70,78], and the

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- ... maturity, the putative endpoint... fell in D2 mice while they continued to rise in the B6 mice Thus, we surmised that the aging of the stem cells in these two strains differed according ... decline in community-dwelling elderly. .. aging may affect the staining profiles of HSCs and their What is aging? When does it begin? What are its targets? These are questions for which there

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

... benefi t in 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 ... 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 ... 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

... 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 ... appropriate At the time of the study, non-invasive ventilation or continuous positive airway pressure was not performed in the elderly in the ED, but they were performed in the ICU when the patients ... [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

Ngày tải lên: 12/08/2014, 23:23

... regulated in skin. Again, this novel finding may be important in light of the role of arginase in modulating the balance between inflammation and matrix deposition during healing, and in the progression ... repair occurs in the elderly [2]. Insulin deg- radation in diabetic wounds has been associated with delayed healing [19] and insulin-degrading enzyme (IDE) is down- regulated 20-fold in the aged and ... samples. In all cases the real-time findings confirmed the array results (Fig- ure 3 and data not shown). We then examined the expression of these genes by qPCR in normal skin and wounds to deter- mine

Ngày tải lên: 14/08/2014, 08:21

... 000 diagnosed cases in the USA annually [1] While incremental improvements in treating CLL have been observed in the past decade [2], the majority of clinical trials leading to these treatment approaches ... of 32.6 months OS was inferior in elderly CLL patients in any LOT group Given the predictably inferior OS in the elderly due to competing co-morbidities and deaths from other causes, we compared ... leukemia, LOT1 first line of therapy, LOT ≥ 2 second line of therapy or greater Trang 10different therapies The small size of the cohort and theinclusion of only 181 patients in the prognostic model

Ngày tải lên: 19/09/2020, 21:31

... 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

... 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