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¿Es la fragilidad el mejor marcador de mal pronóstico en el paciente mayor con enfermedad pulmonar obstructiva crónica? [虚弱是慢性阻塞性肺病老年人预后不良的最佳标志吗?]
Q3 Medicine Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101565
Francisco José Tarazona-Santabalbina , Elsa Naval
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引用次数: 0
Aging: Disease or “natural” process? A glimpse from regenerative medicine 衰老:疾病还是 "自然 "过程?再生医学一瞥。
Q3 Medicine Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101543
Francisco Sotomayor-Lugo , Nataly Iglesias-Barrameda , Imilla Casado-Hernandez , Carlos Agustin Villegas-Valverde , Yendry Ventura-Carmenate , Rene Antonio Rivero-Jimenez
We explore aging as a global phenomenon, questioning whether it constitutes a treatable condition or follows a natural course. Acknowledging its multifactorial nature, we delve into the challenges and opportunities inherent in this intricate biological process. The inclusion of old age in the 11th International Classification of Diseases sparks debate, categorizing it as a disease based on mechanistic explanations, blood-based biomarkers, and anti-aging products. Ethical dilemmas arise, emphasizing the difficulty of defining the transition from normal to pathological states during this process. We suggest that aging should be regarded as a treatable condition without necessarily labeling it a ‘disease.’ While anti-aging research unveils promising interventions like Metformin, Rapamycin, and cellular therapy, achieving biological immortality remains a formidable challenge. The future promises to prolong life and enhance quality by comprehensively understanding aging's implications for human health.
我们将衰老作为一种全球现象进行探讨,质疑衰老是一种可治疗的疾病还是一种自然过程。认识到衰老的多因素性质,我们深入探讨了这一错综复杂的生物过程中固有的挑战和机遇。第 11 版《国际疾病分类》将老年纳入其中引发了争论,根据机理解释、基于血液的生物标志物和抗衰老产品,老年被归类为一种疾病。伦理困境由此产生,强调了在这一过程中难以界定从正常状态到病理状态的转变。我们建议将衰老视为一种可治疗的状态,而不一定要将其称为 "疾病"。虽然抗衰老研究发现了二甲双胍、雷帕霉素和细胞疗法等前景广阔的干预措施,但实现生物永生仍是一项艰巨的挑战。通过全面了解衰老对人类健康的影响,未来有望延长生命并提高质量。
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引用次数: 0
Preparación para afrontar la muerte de pacientes en profesionales geriátricos [卫生专业人员面对病人死亡的专业培训]。
Q3 Medicine Pub Date : 2024-10-05 DOI: 10.1016/j.regg.2024.101538
Aldo Medina Gamero
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引用次数: 0
Grosor del músculo recto femoral y músculo vasto intermedio en adultos mayores mexicanos con fragilidad y sarcopenia [患有虚弱症和肌肉疏松症的墨西哥老年人的股直肌和股间肌厚度]。
Q3 Medicine Pub Date : 2024-10-04 DOI: 10.1016/j.regg.2024.101557
Karen Lizeth Soto Mejía, Iván Luján Hernández

Background and objective

Frailty in older adults is a geriatric syndrome that has gained importance in the last decade. However, there is still no consolidated information regarding diagnostic tools that allow timely identification, and therefore, provide an appropriate therapeutic approach. The objective is to determine the Thickness of the Rectus Femoris Muscle (GMRF) and Thickness of the Vastus Intermedius Muscle (GMVI) in older Mexican adults with frailty and sarcopenia.

Material and methods

Cross-sectional, descriptive and comparative study in patients ≥65 years of age, admitted to the geriatrics service. The selection was according to the FRAIL (frail vs. non-frail) and SARC-F (high risk vs. low risk) classification; evaluating GMRF and GMVI by ultrasound. The data were analyzed through the statistical software Statistical Package for Social Sciences (SPSS) ver. 25.

Results

The number of patients evaluated in the study and control group were 136 respectively. Significant differences were found regarding frailty status in age (years) (Frail: 75.06 ± 7.92 vs. Non-frail: 71.60 ± 5.56; P<.001), GMRF (mm) (Frail: 8.41 ± 3.08 vs. Non-frail: 11.03 ± 3.50; P<.001) and GMVI (mm) (Frail: 6.53 ± 2.64 vs. Non-frail: 8.66 ± 2.68; P<.001); Considering sarcopenia, there were differences in age (years) (High risk sarcopenia: 75.17 ± 7.84: vs low risk sarcopenia; 71.49 ± 5.60; P<.001), GMRF (mm) (high risk sarcopenia: 8.45 ± 3.11 vs low risk sarcopenia: 10.98 ± 3.50; P<.001) and GMVI (mm) (High risk Sarcopenia: 6.67 ± 2.63 vs Low risk Sarcopenia: 8.52 ± 2.79; P<.001).

Conclusions

The results found show that there is a significant difference in GMRF and GMVI in Mexican older adults with respect to frailty and sarcopenia. In this way, the present investigation establishes clinical bases for the use of ultrasonography assessments in the geriatric population.
背景和目的:老年人体弱是一种老年综合征,在过去十年中日益受到重视。然而,目前仍没有关于诊断工具的综合信息,因此无法及时识别并提供适当的治疗方法。本研究旨在确定患有虚弱症和肌肉疏松症的墨西哥老年人的股直肌厚度(GMRF)和中间阔肌厚度(GMVI):横断面、描述性和比较性研究,研究对象为老年病科收治的年龄≥65 岁的患者。根据 FRAIL(虚弱与非虚弱)和 SARC-F(高风险与低风险)分类进行选择;通过超声波评估 GMRF 和 GMVI。数据通过社会科学统计软件包(SPSS)25 版进行分析。结果:研究组和对照组接受评估的患者人数分别为 136 人。在年龄(岁)方面,研究组与对照组的虚弱状态存在显著差异(虚弱:75.06±7.92 vs. 非虚弱:71.60±5.56;PC 结论:研究结果表明,虚弱状态与非虚弱状态存在显著差异:研究结果表明,在体弱和肌肉疏松症方面,墨西哥老年人的 GMRF 和 GMVI 存在显著差异。因此,本调查为在老年人群中使用超声波评估奠定了临床基础。
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引用次数: 0
Application of “Point-Of-Care-Ultrasound” (POCUS) in an Acute-Geriatrics-Unit: Case report 在急诊老年病科应用 "护理点超声波"(POCUS):病例报告
Q3 Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.regg.2024.101516
Myriam Teresa Aponte , Juan Ignacio González-Montalvo , Concepción Murillo Gayo , Paola Pastora Reinoso Párraga
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引用次数: 0
Ejercicio terapéutico en la persona adulta mayor. Revisión de alcance 老年人的治疗性运动。范围审查
Q3 Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.regg.2024.101515
Gabriel Hernán-Santana , María Sobrido-Prieto , M. Pino Quintana-Montesdeoca

The aim of this review was to know the existing scientific production on therapeutic exercise in older adults. A bibliographic search was carried out on 2023 January in Pubmed, Scopus, Web of Science and Sportdiscus databases. Selection criteria were: people aged 65 and above, healthy or with any pathology, and therapeutic exercise programs exclusive or associated with other complications. Language, publication date, and study design were not limited. Data extracted were: year, study type, design and methodology, country of the study and specialty of the journal where it was published.

1094 studies were obtained from 1967 to 2021. The scientific production had a slow evolution until the 2010s when the number of articles began to be significant. According to the types of study, 6.9% were systematic review, 90% research studies, 0.5% opinion studies, and 2.6% other types of studies. The most abundant specialties are geriatrics and gerontology (38.8%), and rehabilitation (16.1%), concentrating more than 50% of the total production. According to the study countries, only 4 concentrated 50% of the publications: the United States (29.16%), Australia (7.95%), Canada (7.31%) and the United Kingdom (6.95%).

本综述旨在了解有关老年人治疗性运动的现有科学成果。1 月 2023 日,在 Pubmed、Scopus、Web of Science 和 Sportdiscus 数据库中进行了文献检索。选择标准为:65 岁及以上、健康或患有任何病症的人群,以及治疗性运动项目不包括或与其他并发症相关的人群。语言、出版日期和研究设计不受限制。提取的数据包括:年份、研究类型、设计和方法、研究国家以及发表期刊的专业。科研成果的发展缓慢,直到 2010 年代,文章数量才开始显著增加。根据研究类型,系统综述占 6.9%,研究占 90%,观点研究占 0.5%,其他类型研究占 2.6%。数量最多的专业是老年医学和老年学(38.8%)以及康复学(16.1%),集中了总产量的 50%以上。从研究国家来看,只有 4 个国家集中了 50%的出版物:美国(29.16%)、澳大利亚 (7.95%)、加拿大(7.31%)和英国(6.95%)。
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引用次数: 0
Síndrome de Capgras en paciente anciano con infección del tracto urinario 老年尿路感染患者的卡普格拉斯综合征
Q3 Medicine Pub Date : 2024-09-01 DOI: 10.1016/j.regg.2024.101498
Carlos Gala Serra, María Elena Castro Vilela, Miguel Sánchez Ortiz, María Bernardino Cano
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引用次数: 0
Fe de errores sobre artículos publicados en Revista Española de Geriatría y Gerontología [对发表在《Revista Española de Geriatría y Gerontología 》上的文章的更正]。
Q3 Medicine Pub Date : 2024-08-09 DOI: 10.1016/j.regg.2024.101554
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引用次数: 0
Programa de estimulación cognitiva en línea para pacientes adultos mayores con deterioro cognitivo leve: estudio de factibilidad [针对轻度认知障碍(MCI)老年人的在线认知刺激计划:可行性研究]。
Q3 Medicine Pub Date : 2024-07-29 DOI: 10.1016/j.regg.2024.101526
Ana Shizue Aoki Morantte , Martha Valeria Medina-Rivera , Humberto Nicolini

Background

Mild Cognitive Impairment (MCI) is considered a decline in cognitive functions, which becomes more pronounced with age. These patients may benefit from cognitive treatments that help attenuate or slow down a potential progression towards dementia.

Objective

To assess the feasibility, fidelity, satisfaction, and effectiveness of the Memory Training and Cognitive Stimulation Program (PEMEC, by its Spanish acronym) in individuals with MCI in an online setting.

Method

A non-probabilistic convenience sample of 14 patients with MCI received the PEMEC (PEMEC online) through an electronic device, were assessed with MoCA, NEUROPSI Brief, Yesavage Geriatric Depression Scale before and after treatment, comparing these measurements with those of a waiting list control group.

Results

92,85% completed the treatment; with an average of 92% fidelity to the original intervention, an average of 91,61% for satisfaction with the activities of each session and the perceived usefulness was 97,98%. Statistically significant differences were found in the NEUROPSI Brief and the MoCA, before and after treatment in the intervention group and, when comparing the scores with the waiting list control group, a statistically significant difference was found in the MoCA scores.

Conclusion

Following the cultural adaptation of the program (from a Spanish to a Mexican treatment group), these results establish a precedent that systematic group cognitive interventions are feasible and effective in virtual tele-neuropsychology contexts for older adults.

背景:轻度认知功能障碍(MCI)被认为是认知功能的衰退,随着年龄的增长而变得更加明显。这些患者可能会从认知治疗中受益,因为认知治疗有助于减轻或延缓痴呆症的潜在进展:评估记忆训练和认知刺激计划(西班牙语缩写为 PEMEC)在在线环境下对 MCI 患者的可行性、忠实度、满意度和有效性:14名MCI患者通过电子设备接受了PEMEC(在线PEMEC),在治疗前后接受了MoCA、NEUROPSI Brief、Yesavage老年抑郁量表的评估,并将这些测量结果与候补对照组的测量结果进行了比较:92.85%的受试者完成了治疗;平均92%的受试者忠实于最初的干预措施,平均91.61%的受试者对每次治疗活动感到满意,97.98%的受试者认为治疗有用。在干预组治疗前后,NEUROPSI Brief 和 MoCA 在统计上有明显差异;在与候补对照组的分数比较时,发现 MoCA 分数在统计上有明显差异:这些结果开创了一个先例,即在针对老年人的虚拟远程神经心理学环境中,进行系统的团体认知干预是可行且有效的。
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引用次数: 0
Carcinoma escamoso cutáneo sobre liquen escleroso vulvar [外阴硬皮病引发的皮肤鳞状细胞癌]。
Q3 Medicine Pub Date : 2024-07-24 DOI: 10.1016/j.regg.2024.101535
Miguel Mansilla-Polo , Daniel Morgado-Carrasco
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引用次数: 0
期刊
Revista Espanola de Geriatria y Gerontologia
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