Analysis of the Effect of Midwives’ Psychological Care Intervention on the Progress of Labor and Cesarean Rate of Elderly Women in Labor

Objective:To analyze the effect of midwife psychological nursing intervention in the clinical care of elderly women in labor.Methods:According to the order of admission,74 elderly women were divided into the control group and the observation group.In addition to the routine perinatal nursing interventions,the observation group strengthened the implementation of midwives’psychological nursing interventions.The duration of labor,mode of delivery,psychological state,and stress response indexes of the two groups were analyzed and compared.Results:The observation group had a shorter duration of all labor stages and total duration of labor than the control group,a lower cesarean section rate than the control group,and a higher degree of improvement in anxiety,depression,and stress response indexes in the 3-day postpartum period as compared to the control group(P<0.05).Conclusion:The implementation of midwife psychological care intervention in perinatal care of elderly women can further shorten the duration of labor,reduce the cesarean section rate,and improve the psychological state and stress indicators,which is worth promoting.

Modified Gant procedure for treatment of internal rectal prolapse in elderly women

BACKGROUND Although rectal prolapse is not a life-threatening condition,it can cause defecation disorders,anal incontinence,sensory abnormalities,and other problems that can seriously affect quality of life.AIM To study the efficacy of the modified Gant procedure for elderly women with internal rectal prolapse.METHODS Sixty-three elderly female patients with internal rectal prolapse underwent the modified Gant procedure.The preoperative and postoperative anal symptoms,Patient Assessment of Constipation Quality of Life(PAC-QOL),Wexner incontinence score,incontinence quality of life score,and complications(massive hemorrhage,infection,anorectal stenosis,and anorectal fistula)were compared.RESULTS The improvement rates of postoperative symptoms were defecation disorders(84.5%),anal distention(69.6%),defecation sensation(81.4%),frequent defecation(88.7%),and anal incontinence(42.9%)(P<0.05).All dimensions and total scores of the PAC-QOL after the procedure were lower than those before the operation(P<0.05).The postoperative anal incontinence score and Wexner score were significantly lower than those before the procedure(P<0.05).The quality of life and total scores of postoperative anal incontinence were significantly higher than those before the procedure(P<0.05).There were no serious complications and no deaths.CONCLUSION The modified Gant procedure has significant advantages in the treatment of elderly women with internal rectal prolapse.

Clinical outcome analysis of 98 elderly women with early-stage breast cancer undergoing modified radical mastectomy or simple mastectomy

Objective: The aim of our study was to analyze the clinical results and prognosis for early elderly patients after surgery and to explore the rational treatment. Methods: Between January 1992 and December 2008, 98 early elderly breast cancer patients aged ≥ 65 years were treated with surgery, of which 52 patients received modified radical mastectomy and 46 patients received simple mastectomy. Results: Sixty-four (65.3%) patients had comorbidities including coronary heart disease, hypertension, diabetes, etc. After a median follow up of 56 months (21 to 280 months), the 5-year cumulative survival rate of breast modified radical mastectomy group and mastectomy group were 84.0% and 82.7%, separately (P = 0.653). The 5-year recurrence rate were 3.8% and 8.1%, separately (P = 0.504). Conclusion: The simple mastectomy is suitable for the treatment of early elderly breast cancer patients for its lower complication and recurrence rate. Early old women with breast cancer may be safely treated by simple mastectomy. Our findings suggest that modified radical mastectomy does not significantly increase the overall survival.

Characteristics of Body Composition and Relationship between Muscle Mass and Muscle Strength among Elderly Women in Different Age Groups

Age-related changes in the body composition of older adults differ among age groups. The purpose of the present study was to clarify the characteristics of body compositions in young (age, 65 - 74 years;yE group) and old (age, ≥75 years;oE group) elderly women, and compare the relationship between muscle mass and strength in elderly women with that in young women for preventing motor function loss in older adults. A total of 30 elderly and 45 young women aged ≥ 65 and 19 - 22 years, respectively, participated in this study. The participants underwent body composition measurement via bioelectrical impedance analysis and examinations of handgrip and leg muscle strength. The age-related body composition changes varied among age groups. Compared with young women, fat-free mass (FFM) in the yE group did not decrease significantly;however, fat mass (FM) and waist-hip ratio (WHR) were significantly greater. Compared with the yE group, decreases in FFM, FM, and WHR in the oE group were significant;furthermore, the decrease in FM measurements was attributed to the loss of FM in the trunk and limbs (upper and lower). The measurement results suggested that the greater FM decrease in the oE group was characterized by decreases in both visceral and subcutaneous fat. In the yE group, the muscle mass was comparable to that in young women;however, there was a remarkable reduction in the lower-limb muscle mass (9% - 10%). In the oE group, muscle mass was reduced in all body parts, including upper and lower limbs and trunk. In young women, significant positive correlations between muscle mass and muscle strength in the upper and lower limbs were observed. No such correlations in the lower limbs were found in elderly women, indicating that muscle mass is not proportionally reflected in muscle strength. In conclusion, for improving and maintaining the health of elderly women, especially those above the age of 75 years, it is important to maintain muscle mass, including muscle strength, and prevent the loss of muscle quality.

Exclusive Hormonal Therapy in Breast Cancer in Elderly Women:Clinical Response and Survival over 10 Years

Breast cancer is the first cancer of women in the world and in France.In very elderly patients,the treatment options are often very limited.Neoadjuvant hormone therapy has shown similar or even better results than chemotherapy.This is why we decided to evaluate the clinical response following exclusive hormonal therapy and the 5,then 10 years survival in these very elderly women.This was a retrospective,longitudinal cohort-type study with descriptive and analytical purposes.The study population consisted of 59 patients,with an average age of 85 years.Fifteen(15,25%)of our patients had a complete clinical response after two years of treatment,16(27%)a partial clinical response,23(39%)lesion stabilization and 5(9%)cancer progression.The presence of metastasis at diagnosis increased the risk of cancer progression by 2.84.Overall 5-year survival was 72.5%,and breast cancer mortality 5.88%.The 10-year survival was 27.5%and breast cancer mortality 15%.In the age group 85 and over increased the risk of death by 3.25 in the first 10 years of treatment.The clinical response after 2 years was marked by a low rate of cancer progression.Mortality over 5 and 10 years was mostly related to patient comorbidities.

Practices and Knowledge on the Prevention of Cervical Cancer in Elderly Women

Cancer is a public health problem, primarily in developing countries. Elderly women are more prone to contracting different diseases, including sexual related neoplasms. The aim of this study was to determine the strategies used and knowledge regarding the prevention of cervical cancer in elderly women. This is a cross-sectional observational study. The sample was comprised of elderly women residents from the Brazilian Northeastern city who attended a coexistence group for elder people. After sample, calculation was obtained N of 209 participants. Associations between the independent and dependent variables were analyzed using the chi-squared test, considering p ≤ 0.05 as significant. The following programs were used for statistical analyses: Excel (Microsoft Office?), to tabulate the data and prepare the tables and Bioestat? 5.3 to test the associations. The prevalent age range was 60 to 70 years;most of the subjects were retired and had secondary schooling. Although a large number of those interviewed knew about cervical cancer, their knowledge was insufficient to take preventive measures. It is important that the elderly undergo a Pap smear, since the number of increasing cervical cancer cases is known to increase in this age range. In the coming decades, Brazil will have a significant elderly population, reaffirming the growing need for educational campaigns related to the health of elderly women, encouraging self-care and prevention in old age.

Parity and carotid atherosclerosis in elderly Chinese women

Background The relationship between parity and atherosclerosis has been reported in some ethnic populations.However,results regarding Chinese women are still lacking.This study aimed to investigate the association of parity and carotid atherosclerosis,which has a predictive value of subsequent atherosclerotic events in elderly Chinese women.Methods A total of 2,052 participants from the medical examination center of the Third Xiangya Hospital were enrolled in the study.A standardized,structured questionnaire was administered to collect information on subjects’demographic characteristics,socioeconomic status,and cardiovascular risk factors.High-resolution ultrasound was used to examine carotid plaques and carotid intima-media thickness(IMT).Results The mean age of participants was 66.1±5.5 years.Women with more birth appeared to have a higher risk of carotid artery plaques.A multivariate-adjusted model yielded an odds ratio of 1.38(95%CI:12%-70%,P=0.003)per birth.A positive association was observed between parity and common carotid IMT(β±SE:0.029±0.006,P<0.001),and internal carotid IMT(β±SE:0.011±0.005,P=0.03)in a univariate model;however,these associations became non-significant in multivariate-adjusted models.When common carotid IMT was classified into an IMT≥1 mm group and an IMT<1 mm group,higher parity was associated with more obvious thickening both in the unadjusted model(OR=1.61,95%CI:1.29-2.00,P<0.001)and in the fully adjusted model(OR=1.43,95%CI:1.09-1.88,P=0.01).Conclusions There is a positive association between parity and risk of carotid plaques,as well as between parity and risk of obvious thickening for common carotid IMT in elderly Chinese women,indicating multiparous women might experience more atherosclerotic challenges.

Effect of core stability training on balance in elderly women

Objective:The study investigated the effect of core stability training on balance in elderly women.Method:Sixty female volunteers 61-70 years of age were divided into training(n=30)and control groups(n=30).Core stability training was given to patients in the training group,and walk-ing exercise was given to patients in the control group.The function of static and dynamic balance was detected before training and 30 weeks after training.Results:The time of standing on one foot with eyes closed after training in the training group was significantly longer than the control group,and the stellate balance test with stretching the lower limbs straight ahead,behind,and laterally in the training group was significantly better than the control group.The performance of two lower limbs during the training in the straight ahead di-rection,behind,and to the outer side in the training group was significantly better than the control group.Significant differences also occurred when the left leg was supported on the outer rear,and the right leg was supported on the medial front and rear.Conclusion:Core stability training is more beneficial than walking exercises in improving balance in elderly women.

Many Poor, Elderly Women Lack Access to Food

本文再次告诉人们,美国不是天堂。那里的老人中相当一部分正过着“食不果腹”的日子。这不是宣传,也不是夸张,这篇“数字化”的文章极富说服力。当然,有色人种的境遇就更悲惨了: Nearly 50％ of non-white women compared with just over 13％ of white women reported financial difficulty obtaining food.】

The General Situation of Chinese Elderly Women Today

CURRENTLY there are more thar 50 million Chinese women over the age of 60, making up nine percent of the total female population. This number is increasing at the rate of about 2.8 percent per year. It is estimate that by the end of this century, one of every 10 women will be over the age of 60. This group of older women, with its own characteristics and demands, needs the attention and help of society. Over half a century ago when these women were born, China was still

Safety and predictors of adherence of a new rehabilitation program for older women with congestive heart failure

Objectives To assess the safety of a cardiac rehabilitation program for older women with Congestive Heart Failure （CHF） and determine if certain factors influence adherence. Methods Women over the age of 65 with CHF attended an exercise program supervised by a physiotherapist. Quality of life was measured by the Minnesota Living with Heart Failure Questionnaire （MLHFQ） and severity of disease by the New York Heart Association （NYHA） Class. Subjects were classified into those who attended 90% or more of the sessions and those who attended less than 90% of the sessions. Results Fifty-one subjects were studied. Eight subjects did not attend any sessions. Of the 43 attendees, the average percentage of sessions attended was 87%. There were no significant differences between the two groups in age, MLHFQ or NYHA Class. There was only one adverse event out of 280 participant attendances. Conclusions The program had a high level of adherence in this population. Age, MLHFQ or NYHA Class did not impact on session attendance. Our data suggests this program is safe for this population. Further research is needed to determine other predictors of attendance and the examination of safety issues and long-term adherence to exercise in this population.

Advances in research on factors of intracranial aneurysm formation:review and hypotheses

Subarachnoid hemorrhage caused by Intracranial Aneurysms(IA)is characterized by high morbidity and mortality.The mechanism of formation,development,and rupture of IA has not yet been established.It is generally believed to be related to congenital hereditary connective tissue diseases,acquired hemodynamic factors,vascular inflammation,and oral pathogens.In addition,gender,age,hypertension,and psychological status are also important factors.Some relevant studies have shown that patients with IA have a significantly lower quality of life,and psychological factors,especially depression,should be studied in more depth.Currently,and for a specific group of people,the intracranial aneurysm formation process is still relatively few studies.Therefore,in this paper,by compiling and analyzing the literature and experiments published in recent years,we propose a hypothesis for the process of intracranial aneurysm formation in middle-aged and elderly women with depression.We also analyze these factors that may contribute to the symptoms that patients experience to elucidate some potential mechanisms,raise social awareness,and inspire subsequent related studies.

Conditions of Elderly Chinese Women

ACCORDING to the fourth national census in 1990, the population of women over the age of 60 had reached 51 million. With the increasing population of elderly people, the number of elderly women is becoming larger and larger The number of women who are 80 or more. is twice that of men over age 80. The problems of elderly women are attracting public attention. The information given in this article mainly comes from the 1990 national census except where noted otherwise.