Hospitalisation for Bipolar Disorder: Comparison between Young and Elderly Patients

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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53500#.VMci6izQrzE

ABSTRACT

Although Bipolar Disorder (BD) often affects young subjects, the number of elderly patients suffering from BD is rising as life expectancy increases. Few studies addressed the hospitalisation characteristics according to patient age. The goal of this preliminary study was to compare the hospitalisation characteristics of young and elderly patients suffering from BD admitted in a psychiatric hospital. The data were selected from the French nation-wide hospital database for psychiatry. The study included patients hospitalised in a French psychiatric hospital from January 2002 to December 2012. The hospitalisation characteristics were compared between young (YBD) and elderly bipolar patients (EBD). A total of 1842 patients were hospitalised during the 11-year period. Among them, 707 (38.4%) were 60 years old and over. The mean length of stay was significantly longer for the EBD group than for the YBD group (48.1 vs 30.4 days, p < 0.0001). Among the patients first hospitalised in 2002, the readmission rate was significantly higher for the EBD (67.9%) than for the YBD (55.2%) group (p = 0.026). In contrast, the rate of compulsory hospitalisations was higher among the YBD than among the EBD group. Our findings confirm that BD in old age remains a severe disease requiring longer hospitalisations than for BD in younger patients. Future prospective studies are needed to better understand the origin of these differences.

Cite this paper

Rouch, I. , Marescaux, C. , Padovan, C. , D’Amato, T. , Saitta, B. , Laurent, B. , Rey, R. , Lepetit, A. & Dorey, J. (2015). Hospitalisation for Bipolar Disorder: Comparison between Young and Elderly Patients. Psychology, 6, 126-131. doi: 10.4236/psych.2015.61011.

References

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http://dx.doi.org/10.1176/appi.ps.55.9.1014                                                                     eww150127lx
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Colorectal Cancer Surgery in Extreme Elderly Population

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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52682#.VKC8gcCAM4

Author(s)

Javier Gallego Plazas1*, Elena Asensio1, Juan C. Navalon2, Inmaculada Lozano1, Jose M. Navarro2, Guillermo Ricote1, Montse Olcina2, Almudena Cotes1, Henry M. Ore1, Alejandra Magdaleno1, Maria C. Ors1, Maria J. Escudero1, Miguel A. Morcillo2

Affiliation(s)

1Servicio de Oncología Médica, Hospital General Universitario de Elche-Hospital Vega Baja, Alicante, Espana.
2Servicio de Cirugía General, Hospital Vega Baja, Alicante, Espana.

ABSTRACT

Background: Colorectal cancer surgery in extreme elderly population (380 years) is a growing problem and a subject in question. Experiences and results in this scenario are limited. Methods: Medical records of patients 380 years old hospitalized in General Surgery Department in Vega Baja Hospital between January 1st 2008 and December 31st 2012 were retrospectively reviewed. Patients diagnosed with colorectal cancer (CRC) were selected. Data regarding comorbidities, treatment performed, complications and survival were collected. Results: 95 patients (74 colon, 21 rectum) were identified: median age 83.0 years (80 – 93), 64.2% males. 93.7% of patients were operated on: median hospital and post-operative stay of 11 and 9 days, respectively; curative intention surgery 82.1%. 4.2% of patients were treated with interventionist procedures, and 2.1% of patients in a conservative way. 17.9% and 4.2% of patients came up with early and late complications, respectively. Early and late mortality occurred in 9.5% and 3.2% of patients, respectively. By March 2014, with a median follow up of 43.8 months, median overall survival for colorectal cancer patients was 2.7 years (95%IC, 2.0 – 3.2). Univariaye Cox Regresion analysis revealed the presence of cardiomyopathy (p = 0.024), the presence of chornic kidney disease (p = 0.025), the presence of comorbidities (vs absence) (0.026), the number of comorbidities (0.034), type of admission (p = 0.001), treatment with surgery (p = 0.001) and the incidence of early (p = 0.004) or late complications (p = 0.023) associated to overall survival with statically significance. Multivariate Cox Regression analysis showed number of comorbidities (HR = 1.104; 95%CI: 0.851 – 1.431; p = 0.456), treatment with surgery (HR = 4.928; 95%CI: 1.815 – 13.385; p = 0.002), programmed admission into hospital (HR = 2.316; 95%CI: 1.298 – 4.133; p = 0.004), and the incidence of late complications (HR = 4.629; 95%CI: 1.279 – 16.750; p = 0.020) independently associated with overall survival. Interaction test between number of comorbidities and early complication was performed (HR = 1.453; 95%CI: 0.971 – 2.175; p = 0.070). Conclusions: In our experience surgery for CRC patients may increase overall survival even in an extreme elderly population (380 years). Nevertheless when considering surgery for CRC in this subgroup of patients, factor such as type of admission into hospital and comorbidities should be taken into account in order to optimize treatment results in the effort to individualize CRC management in this growing population.

KEYWORDS

Colorectal, Cancer, Surgery, Elderly

Cite this paper

Plazas, J. , Asensio, E. , Navalon, J. , Lozano, I. , Navarro, J. , Ricote, G. , Olcina, M. , Cotes, A. , Ore, H. , Magdaleno, A. , Ors, M. , Escudero, M. and Morcillo, M. (2015) Colorectal Cancer Surgery in Extreme Elderly Population. Journal of Cancer Therapy, 6, 12-20. doi: 10.4236/jct.2015.61002.

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Hemodynamic Response during Japanese-Style Bathing in Elderly Disabled Subjects

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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52665#.VKC0ocCAM4

ABSTRACT

Aims: Bathing in deep, Japanese-style bathtubs is associated with high rates of sudden death in the elderly in Japan. The predominant causes of death in such cases are cardiovascular events and drowning. Blood pressure changes induced by water pressure and high temperature during bathing may be an important cause of these accidents. Therefore, we investigated the changes in blood pressure, heart rate, and oxygen saturation (SpO2) before and after bathing in elderly Japanese individuals. Methods: Forty-eight elderly (average age, 86.4 ± 7.5 years) persons were enrolled in this study. Results: Changes in systolic blood pressure after bathing correlated negatively with baseline blood pressure before bathing, and participants with baseline systolic blood pressures of <125 mmHg experienced a greater elevation in blood pressure while bathing. Pulse rate was significantly increased after bathing, and the change in pulse rate correlated negatively with the baseline values. SpO2 did not differ significantly during bathing, but changes in SpO2 correlated negatively with baseline values. Lean participants showed a more marked elevation of SpO2, and those with hypertension showed reduced SpO2. Conclusion: These data suggest that the disabled elderly with low blood pressure experience trends in cardiovascular response during bathing which differ from those of young persons.

Cite this paper

Iwane, N. , Hano, T. , Koike, Y. and Nishihara, K. (2014) Hemodynamic Response during Japanese-Style Bathing in Elderly Disabled Subjects. Health, 6, 2999-3004. doi: 10.4236/health.2014.621337.

References

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http://dx.doi.org/10.1016/j.forsciint.2004.04.085
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http://dx.doi.org/10.1253/jcj.65.587                                                                                          eww141229lx

The Assessment of Depok as Age Friendly City (AFC)

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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=48974#.VJdymcCAM4

ABSTRACT

Depok has a big opportunity to become an age friendly city (AFC) because it has a large number of posbindu, increased elderly population, it does not have yet the pension security for the elderly people, and it does not have yet the number of infrastructure and social facilities needed for the elderly. Before Depok City becomes an age friendly city, an assessment of the eight-dimensional indicators of AFC had been carried out by a team of UI researchers from Center of Ageing Studies in collaboration with the Institute for Survey METER in March 2013. One of the main finding was the presence of the three indicators of AFC in Depok which still lack, they are buildings and open space, housing, and civil participation and employment. The purpose of the study was to assess the public’s opinion on the three indicators of AFC that still lack in Depok. The study shows that the majority of people and government as stakeholder assess that Depok is ready to become AFC as long as supported by the government of Depok City with the good coordination with related institutions for the budget and programs prioritizing the interests of the elderly. Moreover, the existence of Komda (Comission Area) of Elderly Depok City can support the establishment of a friendly city towards the elderly. The community prefers to choose the indicators of buildings and open spaces as a top priority for elderly-friendly city rather than chooses the indicators of housing and civil participation and employment for the elderly people. Therefore, hopefully Depok City Government with related institutions can build the building which is elderly-friendly as well as AFC socialization to the government and private sectors in order to achieve rapid implementation of Depok as an AFC.

Cite this paper

 , F. ,  , V. ,  , D. ,  , T. and Lasmijah, S. (2014) The Assessment of Depok as Age Friendly City (AFC). Journal of Biosciences and Medicines, 2, 5-11. doi: 10.4236/jbm.2014.26002.

References

[1] Fatmah (2010) Nutrition for Elderly. Erlangga Publisher, Jakarta.
[2] WHO (2007) Global Age Friendly-Cities: A Guide. WHO, France
[3] Surabaya of Age Friendly City (2012) Gapura XIV, 66, 15.
[4] BPS and Bappeda Depok City (2012) Depok in Number 2012. Bureau of Statistical Center, Depok.
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[7] Depok National Commission of Elderly (2013) Strategic Plan of National Commission of Elderly 2013-2017.
[8] Depok Issues (2014) PERGERI Supported Depok as Age Friendly City Concepts. Dated 27 January 2014. http://depokissue.co/index.php/kabar-kota/berita-kota/kesehatan/2139
[9] Neal, B.M. and Alan DelaTorre (2007) The WHO’s Age Friendly Cities Project in Portland, Oregon Summary Findings 2007. Portland University, Oregon.                                                                        eww141222lx

Case Report: Retirees’ Acceptance and Perceived Contribution of Smartphone in Chronic Disease Management

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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=48973#.VJdymcCAM4

Author(s)

Mei-Ju Chen

Affiliation(s)

Department of Prevention Medicine, Taipei City Hospital, Department of Family Medicine, Heping Fuyou Branch of Taipei City Hospital, College of Healthcare Administration and Management, National Taipei University of Nursing and Health Science.

ABSTRACT

Objectives: As smartphones become more popular, so do their applications. However, expectations of the elderly regarding the contribution of smartphone in controlling chronic diseases remain unclear. This research aims to understand senior retirees’ smartphone acceptance, perceived contribution of smartphone application in facilitating chronic disease control and their association. Findings from the study provide insights for the development of mobile applications in chronic disease management. Methods: convenience sampling was conducted to recruit 110 senior retirees who worked as volunteers in a regional hospital in Taipei. Data was collected through a structured questionnaire. Descriptive, chi-square and logistic regression statistics were applied to analyze data. Results: A total of 108 completed questionnaires were collected with a return rate of 98.2%. Mean age was 65.34 ± 9.59 years old. Of all respondents, 40.7% reported acceptance of internet-enabled smartphones and 54.6% expected that smartphones would facilitate chronic disease management in the future. However, a statistically significant 37.3% of those expecting smartphone to play a role in disease management did not accept smartphones yet. After controlling for age and education, logistic regression analysis showed that older adults with higher smartphone acceptance were more likely to expect use of smartphone in case management (OR = 7.439, p < 0.001). Conclusions: The research presented a scope for smartphone application to control chronic disease in the future. Despite a relatively lower level of smartphone acceptance, the elderly still expected a positive role for mobile appliances to play in chronic disease management.

KEYWORDS

Smartphone, Elderly, Chronic Disease Management

Cite this paper

Chen, M. (2014) Case Report: Retirees’ Acceptance and Perceived Contribution of Smartphone in Chronic Disease Management. Journal of Biosciences and Medicines, 2, 1-4. doi: 10.4236/jbm.2014.26001.

References

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Vaccinations Rates in the Elderly with Diabetes Mellitus

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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=49381#.VI53wcnQrzE

ABSTRACT

Infections are a major cause of morbidity and mortality in the elderly. Improvements in health care prevention including vaccinations and treatment have led to an increase in the birth life expectancy. The vaccines that are now recommended for people over 60 are influenza, herpes zoster and a vaccine combining tetanus toxoid, reduced diphtheria toxoid, and pneumococcal vaccine. Our aim was to estimate the prevelance of vaccination among diabetic patients attending in Tepecik Training Hospital and in Ege University Faculty of Medicine. Patients and Methods: Individuals at or over the age of 60 who were attending to Tepecik Training Hospital and at Ege University Faculty of Medicine. Department of Internal Medicine was targeted from February to May 2014. Our data are collected from the patients face to face by questionnaire. Results: A total of 274 elderly patients with a mean ± SD (range) age of 72 ± 6 (62 – 93) years were questioned. The vaccination ratios were determined as 34% (93) for influenza, 9.5% (26) for pneumococcal, 10.6% (27) for tetanus vaccine. The patients were divided in two groups as diabetics and non-diabetics. The influenza vaccination rate is 38.1% in diabetic patients, rate of 31.8% in non-diabetic patients, the pneumococcal vaccine rate is 13.4% in diabetic patients, rate of 7.39% in non-diabetic patients. The tetanus vaccination rate is 9.28% in diabetic patients, rate of 11.36% in non-diabetic patients. No statistically significant difference between two groups was determined.

Cite this paper

Sahin, S. , Tasar, P. , Guclu, Y. , Sengul, H. , Bozkurt, N. , Garip, A. , Duman, S. and Akcicek, F. (2014) Vaccinations Rates in the Elderly with Diabetes Mellitus. Advances in Aging Research, 3, 293-296. doi: 10.4236/aar.2014.34038.

References

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Dysexecutive Performance of Elderly Patients with Chronic Hepatitis C Virus Infection

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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=49379#.VI53vcnQrzE

ABSTRACT

Chronic infection with hepatitis C virus (HCV) is one of the most important causes of chronic liver disease, which can progress to cirrhosis and hepatocellular carcinoma (HCC). It is well established that advanced forms of the disease are accompanied by overt and global cognitive deficits (hepatic encephalopathy) but now there is a growing evidence that the alterations in cerebral function in patients with chronic HCV infection may appear long before the development of severe liver cirrhosis, it has been hypothesized that it is related to a direct effect of HCV on the brain; or the neurotoxic effect of HCV-related systemic inflammation. The purpose of the study was to assess the possible existence of executive dysfunction in chronic HCV infected patients. One hundred elderly patients aged 60 years and above agreed to participate in this study; 50 patients were HCV positive (cases) and 50 patients were HCV negative (controls). All participants were subjected to the following: diagnosis of HCV by detection of HCV antibodies using ELISA technique, non-invasive assessment of liver condition, and evaluation of executive functions using 5 neuropsychological tests. The study showed that there was a significant difference between cases and controls regarding 2 executive function tests related to the phonological loop component of working memory among HCV positive patients. The study concluded that chronic HCV infection is accompanied by dysexecutive performance.

Cite this paper

Abdel Rahman, T. , Abdel Guaad, M. and Mortagy, A. (2014) Dysexecutive Performance of Elderly Patients with Chronic Hepatitis C Virus Infection. Advances in Aging Research, 3, 285-292. doi: 10.4236/aar.2014.34037.

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