Dehydration Prevention and Diagnosis: A Study in Long-Term Geriatric and Palliative Care
Prof. Jochanan E Naschitz, MD
Article Type: Research Article | First Published: May 02, 2019
Study Part I is a cross-sectional point of care assessment of data which might distinguish dehydrated from euhydrated subjects. Twelve potential markers of dehydration were evaluated: inadequate fluid intake, vomiting, diarrhea, bleeding, diuretic treatment, serum sodium, serum urea and creatinine, urea/creatinine ratio, estimated glomerular filtration rate, hemoglobin and serum albumin. Study Part II is a longitudinal survey of patients at risk of dehydration under changing clinical conditions....
Physical Approach towards the Problem of Aging
Article Type: Commentary | First Published: April 29, 2019
In the beginning of the century L. Boltzmann was the first to represent the increasing entropy process as a time flowing characteristic. Besides, he pointed at a possible time reversion process in micro systems. A symbol of aging of any system - alive or inanimate is the entropy increasing. Is this process reversible? For short periods - yes and biological systems represent examples of it. Unfortunately, any reversing of the entropy sign in these systems is possible only for short periods of tim...
Improvement in Nutritional Status is Associated with Achieving an Adequate Gait Speed at Discharge in Elderly Patients Hospitalized with Acute Heart Failure
Satoru Sakuragi, Nobuhisa Kodera, Toshihiro Iida, Takashi Yamada, Mitsutaka Nakashima, Atsushi Mori, Yuji Koide, Tadashi Wada, Kenji Kawamoto, Machiko Tanakaya and Yusuke Katayama
Article Type: Original Article | First Published: April 24, 2019
Elderly patients have impaired physical function, which is further reduced by the incidence of hospitalization for heart failure. In these patients, nutritional status also deteriorates during hospitalization, which may cause impairment in their physical function. In this study, we repeatedly measured physical function using gait speed (GS) during hospitalization, and evaluated the factors including nutritional status that are associated with GS at discharge in elderly patients with acute heart ...
Combined Spinal Epidural Anesthesia in a Geriatric Patient Undergoing Hartmann Colostmy
Atilla Tutak, oznur Uludag, M Bahattin Pektas, Recai Kaya, Mevlut Dogukan, Ayse sahin Tutak
Article Type: Case Report | First Published: April 04, 2019
Geriatric age group; Increased sensitivity to anesthetic drugs, respiratory, general anesthesia due to cardiac complicatioans and cognitive dysfunction in the postoperative period is restricted. Combined spinal epidural anesthesia compared to general anesthesia and cardiac and respiratory stabilization, the extension of the duration of anesthesia, rapid mobilization, postoperative pain control, the advantages of early discharge and a reduction in costs. High doses of spinal or epidural anesthesi...
Predicting Suicide Attempt Risk in Older Adults
David Sanchez-Teruel and Maria Auxiliadora Robles-Bello
Article Type: Research Article | First Published: April 03, 2019
Suicide attempts double death by suicide rates. To date it remains the only behavior that predicts more harmful future reattempts or deaths from suicide. However, few studies have analyzed the sociodemographic and clinical profiles of older adults who have suffered self-inflicted injuries or attempted suicide. To assess which sociodemographic and clinical variables are more predictive of a high-lethality or definitive future suicide reattempt in older adults who have suffered self-inflicted inju...