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Manicura gualda, lo que esconden las uñas 黄色的指甲:指甲隐藏了什么。
Q3 Medicine Pub Date : 2024-12-23 DOI: 10.1016/j.regg.2024.101615
Sergio García-González, Sara Pilar Martínez-Cisneros, José González-Fernández, Victoria Lezcano-Biosca
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引用次数: 0
El envejecimiento en poblaciones indígenas de la Amazonía peruana: una agenda pendiente de investigación [秘鲁亚马逊地区土著人口老龄化:一项未决的研究议程]。
Q3 Medicine Pub Date : 2024-12-17 DOI: 10.1016/j.regg.2024.101585
Dafne Lastra Landa , Oscar Flores-Flores , José F. Parodi
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引用次数: 0
Neumovejiga y Neumaturia secundarios a Infecciones Enfisematosas del Tracto Urinario, signos poco comunes [继发于肺气肿性尿路感染的肺膀胱和肺尿症,罕见体征]。
Q3 Medicine Pub Date : 2024-12-17 DOI: 10.1016/j.regg.2024.101578
José María Ortega Morente, Leopoldo Bárcena Goitiandia, Salvador Cuevas Durón, José Luter Llanque Callata, Juliana Zuluaga Gómez, Johanna Pamela Vázquez Grande
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引用次数: 0
Efficacy and safety of osteoporosis treatment in older adults. Approach for the secondary prevention of fractures in older populations. A proposal by SEFRAOS 老年人骨质疏松症治疗的有效性和安全性。老年人骨折的二级预防方法。SEFRAOS的提案。
Q3 Medicine Pub Date : 2024-12-17 DOI: 10.1016/j.regg.2024.101582
Leonor Cuadra-Llopart , Teresa Pareja Sierra , Pilar Sáez-López , Iñigo Etxebarria-Foronda , José R. Caeiro Rey
Osteoporosis is a systemic skeletal disease characterized by low bone mass and deterioration of the microarchitecture, resulting in bone fragility and risk of fractures.
As the life expectancy of the population increases, fragility fractures are expected to become more common. Indeed, the incidence rate for major fracture (hip, vertebra, pelvis, etc.) is highest among the population of adults aged 80 and over. Despite this, in Spain, three out of four patients who have experienced a fragility fracture do not receive drug treatment for the secondary prevention of new fractures. Therefore, it is crucial to raise awareness among healthcare professionals of the need to assess imminent fracture risk in older patients who have already sustained a fragility fracture and to initiate a rapid, appropriate, effective, and safe secondary fracture prevention strategy.
The various clinical guidelines on secondary prevention of fragility fractures published to date do not reflect the heterogeneity of older adults.
The aim of this paper is to provide a brief description of the available scientific evidence on the efficacy and safety of pharmacological treatments for osteoporosis in older adults and to submit a position paper proposed by the Spanish Society of Osteoporotic Fractures (SEFRAOS), which places greater emphasis on the specifics of the approach to and treatment of older adults who have sustained a fragility fracture.
骨质疏松症是一种全身性骨骼疾病,其特征是骨量低和微结构恶化,导致骨脆性和骨折风险。随着人口预期寿命的增加,脆性骨折预计将变得更加普遍。事实上,主要骨折(髋部、椎体、骨盆等)的发病率在80岁及以上的人群中最高。尽管如此,在西班牙,四分之三的易碎性骨折患者没有接受药物治疗以预防新发骨折。因此,提高医疗保健专业人员对已经发生脆性骨折的老年患者评估即将发生骨折风险的必要性的认识,并启动快速、适当、有效和安全的二级骨折预防策略是至关重要的。迄今为止发表的关于脆性骨折二级预防的各种临床指南并没有反映老年人的异质性。本文的目的是简要描述现有的关于老年人骨质疏松症药物治疗的有效性和安全性的科学证据,并提交一份由西班牙骨质疏松性骨折学会(SEFRAOS)提出的立场文件,该文件更加强调老年人脆性骨折的具体方法和治疗。
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引用次数: 0
Colitis colágena en una paciente octogenaria: a propósito de un caso 老年胶原性结肠炎1例。
Q3 Medicine Pub Date : 2024-12-17 DOI: 10.1016/j.regg.2024.101581
Constanza Sepúlveda Gallardo , Carlota Toapanta Gaibor , Emilio Sacanella Meseguer , Marta Arroyo-Huidobro
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引用次数: 0
El arte como aliado para mejorar la calidad de la asistencia en geriatría [艺术作为提高老年病学护理质量的盟友的作用]。
Q3 Medicine Pub Date : 2024-12-17 DOI: 10.1016/j.regg.2024.101586
Yanira Aranda Rubio , Juan Alberto García de Cubas , Francisco Javier Gómez Pavón
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引用次数: 0
Un modelo de panel de las relaciones entre soledad y depresión en personas mayores [老年人孤独与抑郁关系的面板模型]。
Q3 Medicine Pub Date : 2024-12-17 DOI: 10.1016/j.regg.2024.101572
Susanna Sirigu , José M. Tomas , Sara Enrique , Sylvia Georgieva , Patricia Sancho

Antecedents and objective

The declining birth rate and increasing life expectancy have led to an aging population, causing challenges at the economic, social and healthcare levels. Ensuring and maintaining high levels of well-being and mental health in older adults is crucial for successful aging. Given that previous literature indicates that perceived loneliness and depressive symptoms constitute significant obstacles to their quality of life, the aim of this study is to examine how perceived loneliness and depression intertwined in community-dwelling older adults over time.

Methodology

For this purpose, we conducted a longitudinal research study with a total of 46,317 European older adults (57.40% women), using the SHARE database (Survey of Health, Ageing and Retirement in Europe), at waves 6, 7, and 8, spanning a recent four-year period from 2016 to 2020. Several cross-lagged panel models were estimated using the structural equation modeling package Mplus.

Results

The results show that loneliness and depression are bidirectionally related, which is difficult to combat because of their feedback and stability over time.

Conclusions

We discuss the practical implications of these findings concerning the potential double-edged sword of these reciprocal relationships on treatment and preventive interventions, as well as the study's limitations and future research directions.
前因和目标:出生率下降和预期寿命增加导致人口老龄化,在经济、社会和保健层面造成挑战。确保和维持老年人高水平的福祉和心理健康对于老龄生活的成功至关重要。鉴于先前的文献表明,感知到的孤独和抑郁症状对他们的生活质量构成了重大障碍,本研究的目的是研究随着时间的推移,社区居住的老年人如何感知孤独和抑郁交织在一起。方法:为此,我们使用SHARE数据库(欧洲健康、老龄化和退休调查)对46,317名欧洲老年人(57.40%为女性)进行了一项纵向研究,研究时间跨度为2016年至2020年的近四年,分别为第6,7和8波。利用结构方程建模软件包Mplus对多个交叉滞后面板模型进行了估计。结果:研究结果表明,孤独感和抑郁症是双向相关的,由于它们的反馈和稳定性,很难对抗。结论:我们讨论了这些发现的实际意义,即这些互惠关系对治疗和预防干预的潜在双刃剑,以及研究的局限性和未来的研究方向。
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引用次数: 0
Marco conceptual y perspectiva histórica de la atención intermedia [中间护理的概念框架和历史视角]。
Q3 Medicine Pub Date : 2024-12-16 DOI: 10.1016/j.regg.2024.101575
Elena Romero Pisonero , Alicia Calle Egusquiza , Ingrid Bullich Marin , Luis Tejedor López , Carlos Gala Serra , Ainhoa Esteve Arríen , Blanca Garmendia Prieto , Sebastià J. Santaeugénia González
The aging of the population is raising the need to make structural changes in the National Health System. First, the need to increase geriatric services in all hospitals. Second, implement and integrate intermediate care (IC), and Third and last, guarantee medical care in long-term care.
IC is characterized by a wide range of resources located between acute hospital care and primary care, which include hospitalization devices, both with and without admission or confinement, home and outpatient care, which help to provide continuity and time-limited transition of care. The main objective of IC is an integral (multidimensional) and integrated (interdisciplinary and coordinated between different care levels) care of the older adults, based on the specialized geriatric care.
The integration of the IC in the current health system is based on the establishment of two coordinated work dynamics with primary care and acute hospital care, AI becoming key, inside several devices, to prevent hospital admissions (prevent entry -Step Up- focus to give access to primary care to avoid unnecessary hospital admissions) and to facilitate early discharge in acute hospitals (Step Down- focus to promote the best autonomy and functional recovery after a complex acute care).
With these objectives in mind, as members of the Intermediate Care Group of the Spanish Society of Geriatrics and Gerontology, the authors propose the following work aiming to revise the current status of available IC resources in Spain, to analyze the context, historical background and its conceptual framework. All these will allow to highlight the undeniable value of IC to healthcare professionals and managers.
人口老龄化提高了对国家卫生系统进行结构性改革的必要性。首先,需要增加所有医院的老年科服务。二是实施和整合中间护理(IC),三是保障长期护理中的医疗服务。综合医疗的特点是在急症医院护理和初级保健之间有广泛的资源,其中包括住院和非住院或禁闭的住院设备、家庭和门诊护理,这有助于提供连续性和有时间限制的过渡护理。IC的主要目标是在专门的老年护理的基础上,对老年人进行综合(多维)和综合(跨学科和不同护理水平之间的协调)护理。集成智能在当前卫生系统中的整合是基于建立初级保健和急性医院护理两种协调的工作动态,人工智能成为几个设备内部的关键,以防止住院(防止进入-加强-重点提供初级保健以避免不必要的住院)和促进急性医院的早期出院(降低-重点促进复杂急性护理后的最佳自主权和功能恢复)。考虑到这些目标,作为西班牙老年病学和老年学协会中间护理小组的成员,作者提出了以下工作,旨在修订西班牙现有IC资源的现状,分析背景、历史背景及其概念框架。所有这些都将突出IC对医疗保健专业人员和管理人员的不可否认的价值。
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引用次数: 0
Envejecer con sentido. Un estudio cualitativo y multicultural [有意义的老龄化:定性和多元文化研究]。
Q3 Medicine Pub Date : 2024-12-16 DOI: 10.1016/j.regg.2024.101573
Mariona Gifre Monreal , Pilar Monreal-Bosch , Oriol Turró-Garriga , Gloria Pla Comas , Roger López Girao , Alexandra Devesa Fàbrega , Pere Plaja-Roman

Introduction

Currently in Catalonia, multiculturalism is increasing, also among older people. However, little is known about the aspects that give meaning to aging or whether there are differences by origin and culture.

Objectives

Identify what it means to age meaningfully for people over 50 years of age from different origins and cultures.

Method

We present a study carried out with people over 50 years of age from different cultures who live together in the Alt Empordà region (Girona). We have worked with qualitative methodology, 7 focus groups and 2 in-depth interviews.

Results

We identified 9 factors to age meaningfully: 1- Having basic needs covered. 2- Spirituality. 3- Family. 4- Contributing socially/feeling useful. 5- Carrying out leisure activities. 6- Accepting aging. 7- Being able to choose where and how to grow old and die. 8- Visualize the elderly and 9- Personalized attention. The differences between the priorities of these 9 factors have led us to describe three ways of aging with meaning: a) Aging of contemplation, b) Aging enjoying opportunities and c) Aging claiming to be full-fledged agents.

Conclusions

The group of older people is heterogeneous in the same way as the rest of society. This heterogeneity implies different ways of understanding old age with meaning as well as the needs that arise. It is important to work with social and health professionals so that they understand the need to know the person and their interests to better personalize care.
目前在加泰罗尼亚,多元文化主义正在增加,在老年人中也是如此。然而,关于赋予衰老意义的方面,或者是否存在起源和文化的差异,人们知之甚少。目标:确定50岁以上不同出身和文化背景的人如何有意义地变老。方法:我们提出了一项研究,对50岁以上的人进行了研究,他们来自不同的文化,共同生活在阿尔恩波尔顿地区(赫罗纳)。我们采用了定性方法,7个焦点小组和2个深度访谈。结果:我们确定了有意义的9个因素:1-基本需求得到满足。2-精神,3-家庭,4-社会贡献/感觉有用。(五)开展休闲活动。6 .接受衰老。7-能够选择在哪里以及如何变老和死亡。8-想象老年人9-个性化的关注。这9个因素的优先顺序的不同,使我们有意义地描述了三种衰老方式:a)沉思的衰老,b)享受机会的衰老,c)声称自己是成熟的代理人的衰老。结论:老年人群体与社会其他群体一样具有异质性。这种异质性意味着理解老年的意义和需求的不同方式。重要的是要与社会和卫生专业人员合作,以便他们了解了解患者的必要性和他们的兴趣,以便更好地进行个性化护理。
{"title":"Envejecer con sentido. Un estudio cualitativo y multicultural","authors":"Mariona Gifre Monreal ,&nbsp;Pilar Monreal-Bosch ,&nbsp;Oriol Turró-Garriga ,&nbsp;Gloria Pla Comas ,&nbsp;Roger López Girao ,&nbsp;Alexandra Devesa Fàbrega ,&nbsp;Pere Plaja-Roman","doi":"10.1016/j.regg.2024.101573","DOIUrl":"10.1016/j.regg.2024.101573","url":null,"abstract":"<div><h3>Introduction</h3><div>Currently in Catalonia, multiculturalism is increasing, also among older people. However, little is known about the aspects that give meaning to aging or whether there are differences by origin and culture.</div></div><div><h3>Objectives</h3><div>Identify what it means to age meaningfully for people over 50 years of age from different origins and cultures.</div></div><div><h3>Method</h3><div>We present a study carried out with people over 50 years of age from different cultures who live together in the Alt Empordà region (Girona). We have worked with qualitative methodology, 7 focus groups and 2 in-depth interviews.</div></div><div><h3>Results</h3><div>We identified 9 factors to age meaningfully: 1- Having basic needs covered. 2- Spirituality. 3- Family. 4- Contributing socially/feeling useful. 5- Carrying out leisure activities. 6- Accepting aging. 7- Being able to choose where and how to grow old and die. 8- Visualize the elderly and 9- Personalized attention. The differences between the priorities of these 9 factors have led us to describe three ways of aging with meaning: a) Aging of contemplation, b) Aging enjoying opportunities and c) Aging claiming to be full-fledged agents.</div></div><div><h3>Conclusions</h3><div>The group of older people is heterogeneous in the same way as the rest of society. This heterogeneity implies different ways of understanding old age with meaning as well as the needs that arise. It is important to work with social and health professionals so that they understand the need to know the person and their interests to better personalize care.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101573"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Metástasis en coraza de adenocarcinoma de próstata 【前列腺腺癌皮肤转移】。
Q3 Medicine Pub Date : 2024-12-16 DOI: 10.1016/j.regg.2024.101580
María Zulaika-Lloret, Ana Gil-Villalba, Marta Cebolla-Verdugo, Ricardo Ruiz-Villaverde
{"title":"Metástasis en coraza de adenocarcinoma de próstata","authors":"María Zulaika-Lloret,&nbsp;Ana Gil-Villalba,&nbsp;Marta Cebolla-Verdugo,&nbsp;Ricardo Ruiz-Villaverde","doi":"10.1016/j.regg.2024.101580","DOIUrl":"10.1016/j.regg.2024.101580","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101580"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Revista Espanola de Geriatria y Gerontologia
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