Correlation of Depression with the Functional Profile of Elderly People Living in Homes for the Aged

Introduction: Due to the growth of the elderly population, there is a notable lack of preparation among family members and society to face the challenges of this new reality, resulting in an increasing demand for homes for the aged (HA). It is necessary to understand how the impairment of physical health, mental health and the level of depression can affect the functional capacity of the institutionalized elderly who live in homes for the aged. Objective: To describe the correlation between depression and functionality of elderly people who live in homes for the aged. Method: A cross-sectional, descriptive study with 70 elderly people of both sexes, aged 60 years or older, who live in HA in the state of Rio de Janeiro. Result: It was verified that the female gender was predominant in the HA consulted. The majority of elderly live in HA voluntarily 48.6% and that 41.43% did not complete elementary school. The majority of the elderly 81.43% had the ability to perform basic activities of daily living and the elderly 52.86% had normal psychological pictures. The worsening of the depressive picture is associated with the worse functioning of elderly who live in HA (p < 0.02). Conclusion: Depression is a factor that is associated with the functional capacity of the institutionalized elderly. The worse the functional level of the institutionalized elderly, the greater the chances of presenting a depressive state.

A Well-run Home for the Aged

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Welfare for the Aged in Nigeria,a Sustenance for the Declining Older Population and Aged Male in Nigeria

A buttress on the need for welfare program in Nigeria and the important obligation to consider the Economics’and CIA’s contextual position for the dependency ratios,both total and elderly dependency ratio alongside the consideration of the age structure and demography statistics of Nigeria relatively to other economies,particularly as an elixir for the declining older population in Nigeria and the aged male contraction in the nation.Although,older female population is higher in every country as obtainable globally,the Nigerian case is that of drastic contraction in both aged male and older population generally.Therefore,the submission is that the government has to consider the total dependency ratio to the elderly dependency ratio,which is all-encompassing in order to cater for the declining older population and to appropriate the requisite welfare cum benefits programs in the nation.

The dilemma and reasons of Chinese Private Institutions for the Aged

China has entered the aging society, huge elderly population base, rapid growth in the elderly population and increasingly showing aging, empty nest trend. The population of Disability and half-disabled elderly who need take of is growing. The pressure of the government pension is huge. At the same time, the Private Institutions for the Aged supply gap is big, the trend of demand exceeds supply is increasing day by day. Private Institutions for the Aged has gradually become the mainstream, to become a good way to solve the problem of pension in the future. However, due to the system of China＇s old-age service is not perfect, the social security institution is not clear, the implementation of social security experience and so on. Those has brought the very big resistance to the development of private institutions for the aged. we need analyze the dilemma of private institutions for the aged, identify the underlying reasons, and continue to deepen market-oriented pension services.

Analysis on the industry of tourism for the aged

The problem of aging, as a severe test in the world, has attracted wide attention all over the world. This article will study the development of the tourism pension industry on the basis of traditional old-age mode, compare the experience of the development of foreign tourism for the aged, and finally put forward some suggestions and thinking for the development of China＇s special color.

HELICOBACTER PYLORI-RELATED GASTRITIS AND LYMPHOID TISSUE HYPERPLASIA IN THE AGED

Objective To examine the relationship between Helicobacter pylori-related gastritis and the development of lymphoid tissue hyperplasia in the antral mucosa and to pursue its evolution after eradication of H.pylori in the aged. Methods Gastric antral mucosa biopsy specimens for microscopic study were obtained from 101 chronic gastritis patients over 60 years old with H.pylori-positive in the period from 2000 to 2001, and meanwhile those from 124 H.pylori-positive chronic gastritis patients under the age of 60 served as controls. Four to six weeks after a course of anti-H.pylori therapy, biopsy specimens were again obtained. Lym- phoid follicles and aggregates were counted and other pathologic features were scored according to the updated Sydney System for classification of chronic gastritis. Results The prevalence and density of lymphoid follicles and aggregates were significantly lower in the aged as compared with those in the control group, being 36.6%(37/101) and 0.41 vs. 72.5%(90/124) and 0.81, respectively(P<0.0001). The prevalence and density of lymphoid follicles and aggregates correlated strongly with the activity and severity of gastric antral mucosal inflammation in both groups. Eradication of H.pylori resulted in a decrease in the prevalence and density of lymphoid follicles and aggregates in both groups, especially in the aged group. Conclusion The prevalence and density of lymphoid follicles and aggregates in gastric antral mucosal biopsies correlated closely with H.phlori infection in the aged, therefore, anti-H.pylori treatment would be of importance to the aged patients infected with H.pylori.

A Home for the Aged in a Rural Community

Both in their mid-70s, Shan Baorui and his wife are now living at a model home for the aged in north China.The couple lives in a single room with heating in winter and an indoor toilet. Outside is a garden-like compound with flowers colorfully bright in the refresh- ing breeze.

Living Buddha-Run Home of Respect For the Aged

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Effect of Astragalus Injection on Plasma Levels of Apoptosis-related Factors in Aged Patients with Chronic Heart Failure

Objective： To investigate the effect of Astragalus injection （AI） on plasma levels of apoptosis-related factors in aged patients with chronic heart failure （CHF）. Methods： Seventy-two CHF patients were randomly divided into the AI group （36 cases） treated with AI and the control group （36 cases） treated with conventional treatment. Plasma levels of soluble Fas （sFas）, soluble Fas ligand （sFasL）, tumor necrosis factor alpha （TNF-α） and interleukin-6 （IL-6） were measured by enzyme-linked immunosorbent assays （ELISA） with monoclonal anti-human antibodies. Besides, New York Heart Association （NYHA） grading was assessed according to improved symptoms and left ventricular end-diastolic volume （LVEDV）, left ventricular end-systolic volume （LVESV） and left ventricular ejection fraction （LVEF） were assessed by echocardiogram after 4 weeks of treatment. Results： After 4 weeks of treatment, NYHA grading was markedly improved in the two groups, but it was significantly better in AI group than that in the control group （P〈0. 05）. As compared with the control group, sFas, sFasL,TNF-α and IL-6 in the AI group were obviously lower, the difference between the two groups and between before and after treatment were significant （ P〈0. 05 or P〈0. 01 ）. Moreover, in AI group, LVESV and LVEDV decreased, LVEF increased, which was significantly different than that before treatment （P〈0. 05）, respectively. Conclusion： Al could lower plasma levels of apoptosis- related factors, and is one of the effective drugs in improving cardiac function in the aged patients with CHF.

Effect of Astragalus Injection on Left Ventricular Remodeling in Aged Patients with Acute Early-stage Myocardial Infarction

Objective: To observe the effect of Astragalus Injection (AI) on left ventricular remodeling in aged patients with acute myocardial infarction (AMI). Methods: Patients with AMI were randomly divided into the AI group (46 cases) treated with AI and the control group (46 cases) treated conventionally. Left ventricular end-diastolic volume index (LVEDVI), left ventricular end-systolic volume index (LVESVI), anterior endocardial segmental length (ASL) and posterior endocardial segmental length (PSL) were all assessed by echocardiogram after 1 week and 4 weeks treatment. The cardiac systolic and diastolic functions were detected by nuclide gating cardiac blood pool imaging at the 4th week. Results: After four weeks' treatment, no obvious change of LVEDVI, LVESVI and ASL in the AI group was found, but these indexes increased significantly in the control group, with significant difference shown between the two groups (P<0. 05). As compared with the control group, the left ventricular ejection fraction (LVEF), left ventricular peak ejecting rate (LVPER) and left ventricular peak filling rate (LVPFR) were heightened, the time for peak filling rate (LVTPFR) in the left ventricle was shortened in the AI group. Conclusion: AI is one of the effective drugs in reversing left ventricular remodeling in aged patients with AMI.

Science and the practice of cardiovascular medicine in the geriatric population

1 Why is the demograpy important? In the half century 2000-2050,there will be a virtual tsunami of aging in the United States.The anticipated increase in the population older than age 65 is 140%,and for the population older than age 85,389%.More than half of the current U.S.population can anticipate living to age 80,with a contemporary life expectancy at age 75 of 11 years,and at age 85 of 6 years.

The study of urban community endowment service problem in China --Demand of the elderly in Taiyuan city

China＇s ageing, the service for elderly pension is become a serious problem, and the traditional way of pension is not enough to meet the needs of existing. In this case, the community endowment to its unique advantages to be the new choice to solve the problem of China＇s pension. Taiyuan city, Shanxi Province in China based on as the breakthrough point, to study the community endowment service of Taiyuan city. For multiple community in Taiyuan city by using the method of field survey and some residents to investigate analyze the present situation of Taiyuan city community endowment. Through the research that Taiyuan city community endowment exists does not reach the designated position on propaganda, unbalanced development, lack of funds, community service and social participation is not high, and even the poor community health care can＇t satisfy the elderly need to all sorts of problems. Put forward the corresponding suggestion, according to the issues can be solved through policy support, strengthen the propaganda, broaden the sources of funding, training and service team, strengthening community health service and diversified development, community service projects, so that the community endowment in China better development.

A centenarian transcatheter aortic valve implantation case

Aortic stenosis （AS） has become a leading cause of morbidity and mortality among a growing population of older adults. The number of elderly patients with severe symptomatic AS requiring aortic valve replacement has been significantly increasing in recent years.

Health care exploration work for the military empty nest old cadres

In recent years, the retired veteran cadres have grown older and older, and their numbers have also increased year by year. In this case, how to maintain the physical and mental health of empty nest veteran cadre, and further improve the quality of their life has been a realistic problem many primary health care doctors have to face and solve.

The Experience and Enlightenment of the Development of Old-age Care Services in Russia

Through the analysis of the history and current situation of Russia＇s old-age care services system, this paper analyzes and studies the old-age care services system in Russia. By means of law and social policy, Russia can promote the active participation of the elderly in politics, economy, culture and other activities to promote the positive image of the elderly. The active aging policy in Russia and the development trend of the old-age care service to promote the social adaptation and re-employment of the elderly are of positive significance to the development of our country＇s old-age care service.

Electrophysiology and heart rhythm disorders in older adults

1 Introduction Heart rhythm disorders, including bradyarrhythmias, atrial fibrillation （AF）, and ventricular arrhythmias, become increasingly common with aging and represent important causes of morbidity and mortality among older adults.[1-3] Older adults are particularly predisposed to these conditions due to the high prevalence of cardiovascular disease in con- junction with age-related changes that occur in the heart and cardiac conduction system.

Uncontrolled hypertension in older patients： markers and associated factors to masked and white-coat effect

Background Hypertension is the main risk factor for cardiovascular diseases, affecting more than half the elderly population. It is essential to know if they have proper control of hypertension. The aim of this study was to identify the associated factors to masked uncon- trolled hypertension and false uncontrolled hypertension in older patients. Methods Two-hundred seventy-three individuals （70.1±6.7 years-old） had blood pressure （BP） measured at the office and by ambulatory BP monitoring （ABPM）, with the definition of controlled group （C）, individuals with high office BP and adequate ABPM, called white-coat effect group （WCE）, uncontrolled （UC）, and subjects with ap- propriate office BP and elevated ABPM denominated masked effect group （ME）. Age, body mass index, diabetes, pulse pressure （PP） and BP dipping during sleep were evaluated （Kruskal-Wallis test and logistic regression models）. Results Age was higher in UC than in C and ME （P 〈 0.01）, and 24-h ABPM PP was lower in C （48± 7 mmHg） and WCE （51±6 mmHg） than in UC （67±12 mmHg） and ME （59±8 mmHg） （P 〈 0.01）. Sleep systolic BP dipping was lower in ME than in C （P = 0.03）. Female gender was associated with a greater chance of being of ME group, which showed a higher PP and lower BP dipping during sleep. Conclusions In older individuals, office BP measure- ments did not allow the detection of associated factors that would permit to differentiate WCE from UC group and C from ME group. ABPM favored the identification of a higher PP and a lower BP dipping during sleep in the masked effect and uncontrolled groups.

Syncope in older adults

Syncope, defined as a self-limited transient loss of con- sciousness and postural tone due to global cerebral hypoperfusion, is a common reason for emergency room visits, with a third of these visits leading to an inpatient admission.

Low dose oral haloperidol does not prolong QTc interval in older acutely hospitalised adults： a subanalysis of a randomised double-blind placebo-controlled study

Background Haloperidol is the most frequently prescribed antipsycbotic for delirium symptoms. The risk of QTc prolongation often raises concerns, although the effect of haloperidol on QTc interval has not yet been investigated in a randomised placebo-controlled fixed-dose study. Methods A subanalysis of a randomised double-blind placebo-controlled study was conducted to evaluate the effect of prophylactic haloperidol 1 mg or placebo 1 mg orally twice-daily （maximum of 14 doses） on QTc interval in patients aged 70 years and over. Bedside, 12-lead ECGs were recorded before, during and after the one-week intervention period. Automatic QTc measurements were ob- tained in addition to manual measurements of QT and RR intervals, blinded for treatment status. Manual measurements were corrected （QTc） using Bazett （QTc-B）, Framingham （QTc-Fa）, Fridericia （QTc-Fi） and Hodges （QTc-H） methods. Mixed model analyses were used to test for differences in longitudinal course of QTc between patients receiving haloperidol and placebo. Results ECG recordings of 72 patients （haloperidol n = 38） were analysed, 45.8% male. Median （range） haloperidol serum concentration on day 4 was 0.71 （0.32-1.82） μg/L （n = 23）. Longitudinal course of mean QTc did not significantly differ between treatment arms for any of the automatic or manually derived QTc values. Conclusions Low dose oral haloperidol did not result in QTc prolongation in older acutely hospitalised patients. Results may not be generalizable to patients with existing ECG abnormalities such as atrial fibrillation.