... (NPH) Urinary incontinence: If urinary and gait problems occur early inthe course ofcognitive impairment, consider NPH Impaired instrumental activities of daily living: A prerequisite for the ... affecting their daily living • In cases where there is a suspicion ofcognitiveimpairment or concern about the patient’s cognitive status, and the SMMSE score is inthe “normal range” (24-30), the ... not attend a physician, those members ofthe public can be told to notify the Superintendent of Motor Vehicles of their concerns CognitiveImpairmentintheElderly – Recognition, Diagnosis and...
... Screening for CognitiveImpairmentintheElderly Prepared by Christopher Patterson, MD, FRCPC1 Cognitiveimpairment is a common finding in older people, as the prevalence of dementia increases ... screening for cognitiveimpairmentin 1989. Conclusions and Recommendations Despite the theoretical advantages of identifying individuals with cognitive impairment, there is no evidence to indicate ... to examine the results of screening and subsequent investigations In a three-phase study in Eastern Baltimore, Md, 78% of 3,481 subjects completed the National Institute of Mental Health Interview...
... morbidities These results show how vaginal approach had a similar outcome in selected patients We compared the clinical outcome ofthe vaginal versus the abdominal hysterectomy in a population ofelderly ... morbidity [8] Nevertheless, these procedures could be often severely contra-indicated in endometrial cancer patient, since they require a general anesthesia, which is contra-indicated in endometrial ... hysterectomy in place ofthe standard abdominal procedure Comparing this approach to the traditional procedure used in a control group, we got evidences of high-cure rate achieved inelderly patients...
... Depletion minus placebo score great as that seen inthe males receiving the lower dose drink In SMTS, the reduction inthe females receiving the higher dose was not as great as the increase inthe females ... to examine the effects of ATD on a range ofcognitive functions in a large group of healthy elderly participants The principal findings of this analysis are as follows: (a) There was an interaction ... exception ofthe placebo drink, which inthe 100 g strength contained an additional 2.3 g of L-TRP The composition ofthe 100 g drink as described by Young (14) was: L-alanine 5.5 g, L-arginine 4.9...
... representing the difference between mean scores at V2 and baseline divided by the standard deviation ofthe baseline visit The validity ofthe SCIP for a quantification ofcognitiveimpairmentin bipolar ... The construct validity ofthe SCIP for detection ofcognitiveimpairmentin bipolar disorder was supported by the extraction of a single significant factor, namely cognitive impairment, and the ... and the time required to complete the SCIP The reliability ofthe SCIP was assessed by examination of alternate form equivalence, the test-retest reliability, the internal consistency within the...
... symptoms inelderly patients with TB This results in a delay inthe presentation oftheelderly to health care facilities, thereby resulting in a delay inthe commencement of ATT The delay in presentation ... hence must be kept in mind during the diagnostic evaluation ofelderly patients.11 Several findings ofthe current study are in accordance with the results of this meta-analysis Inthe present study, ... the groups DISCUSSION Tuberculosis is becoming increasingly common intheelderly and burden ofthe disease in them is likely to continue to increase substantially.3,4 Moreover, with increasing...
... 1988) In a society where informal care provided by families accounts for most ofthe care burden, support for the old often takes the form of living together Another included indicator of social ... distance, managing money, and using the phone) measuring both the difficulties of activities of daily living (ADL) and instrumental activities of daily living (IADL) Again, relatively few of these community-dwelling ... groups of elders in Taiwan: the native Taiwanese1 and the Mainlanders (immigrants who moved from China's mainland to Taiwan around 1949 inthe aftermath ofthe Chinese Civil War) over the 11-year...
... that storing the disks in open air caused a loss of viability and death of Candida albicans Rinsing the dentures inthe evening and keeping them overnight inthe open air can indeed be the easiest ... been the most fundamental etiological factor for the dramatic increase in caries among the Finnish children inthe beginning ofthe 1950's (Rytömaa et al., 1980) Not surprisingly, increase inthe ... ranged from 58% ofthe newest denture group to 21% inthe oldest dentures The worsening ofthe stability with the increasing age ofthe denture was statistically highly significant inthe maxilla...
... health ofthe elderly, thus extending the period of physical autonomy, and retarding the onset ofthe effects of aging The fact that the majority ofelderly people are currently living in their own ... important factor inthe decline of autonomy Indeed, the fear of falling can result in changes in motor function inthe elderly, for example in walking behavior (Maki, 1997) Theelderly frequently ... Multiple factors are involved inthe risk of falling These factors may be intrinsic to the person and the aging process, behavioral, or found inthe person’s immediate environment The main risk factors...
... the differences inthe numbers ofelderly people inthe different care settings, the LPZ results that concern data from all participating elderly people are dominated by the findings in nursing ... overview ofthe prevalence estimates To gain insight into the effect ofthe differences inthe 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 ofthe study This is also the case inthe Dutch investigations into the...
... Similar declines occur in other organ systems What would be the full range of eects if declines inthe immune and in ammatory systems were prevented or reversed inthe 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 ofthe aging ... as shown inthe second line ofthe ®gure If postponement ofthe age of onset of morbidity predominates, then morbidity is compressed and the average illness burden is less, the period of adult...
... illness Evaluation of Function Functional assessment Activities of daily living Feeding, Bathing, Dressing, Transferring, Toileting Instrumental activities of daily living Finances, Telephone, ... therapy Individual psychotherapy Supportive psychotherapy Cognitive behavioral therapy Group therapy Family therapy Caregiver support group therapy Treatment Evidence-based research minimal Elderly ... Phillipe Pinel, physician 1806 Citizen Pinel Orders Removal ofthe Chains ofthe Mad at the Salpêtriére Tony Robert-Fleury (1838–1911) 1876 painting Resources American Association of Geriatric...
... Based on the Hellenic Society for the Study of Hypertension guidelines (2008) the aim ofthe screening of blood pressure inthe hypertensive subjects under 65 years old is to maintain the blood ... disease inthe developed countries, whereas in some of these countries it occurs inthe 20-30% ofthe adult population Arterial hypertension is highly prevalent inthe Epidemiology of hypertension in ... conducted inthe special infrastructures for the protection oftheelderlyin Greece, it has been reported that 72.9% ofthe males and 77.1% of females had high blood pressure 15, nevertheless,...
... also observed inthe subgroup of 28 elderly patients Despite efforts in including theelderlyin RCTs, most tudies on the use of laxatives intheelderly 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 inthe 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...
... four of its nine windows lit The participant was instructed to memorize the position ofthe illuminated windows In 36 subsequent presentations ofthe house, one ofthe windows was illuminated ... Discussion The present study investigated the effect of Centella asiatica extract on thecognitive performance and mood intheelderlyThe results from this study suggest that the ingestion of single ... occur via the modulation of dopamine and norepinephrine in prefrontal cortex together with the modulation of acetylcholine and serotonin in hippocampus However, the possible underlying mechanisms...
... that the specificity ofthe mechanism of falls inthe elderly, particularly theimpairmentof postural reactions - either altered or delayed - could partly explain the higher incidence of hip ... related to vitamin D insufficiency - and cognitive decline Although the hypothesis of a simple temporal relationship is possible in this study, the hypothesis of an action of vitamin D on cognitive ... 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...
... activation of fronto-parietal networks by incrementing demand in a working memory task Cereb Cortex 1997, 7:465-471 Klingberg T: Limitations in information processing inthe human brain: neuroimaging of ... parameters were recorded using only the footprint ofthe participants, thereby eliminating the need for external sensors attached to the body or lower limbs that may interfere with the gait performance ... current research ofcognitive decline, falls, and dementia [29-31], our results are of particular relevance since the presence ofcognitiveimpairmentin our population did The ICCs for the six variables...
... 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 ... inthe falls risk elderly group supports our previous findings [4] which showed that increasing the MFC height is one ofthe possible strategies used by elderly individuals to minimize tripping ... values The value of ApEn reflecting the degree of irregularity, randomness and complexity ofthe MFC time series data, could therefore, indicate the degree of stability inthe control of foot...
... of pharmacological possibilities the debate regarding prescribing ought to be as prominent as ever Concerning theelderly patient there must be a crusade finding the breaking point were the intention ... participated inthe statistical analysis and the drafting ofthe manuscript PE participated inthe design ofthe study and the drafting ofthe manuscript All authors read and approved the final manuscript ... 3Faculty of Health Sciences, Linköping University, SE- 581 83 Linköping, Sweden Authors’ contributions INO participated inthe design ofthe study, the statistical analysis and the drafting of the...