Some studies have associated Parkinson’s disease with specific personality traits. We aimed to analyze personality profiles in Parkinson’s disease based on the Five- Factor Model, using the following 3 instruments as parameters: NEO Personality Inventory, revised NEO Personality Inventory, and NEO Five-Factor Inventory. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The PsycINFO, PubMed, Scopus, and Web of Science databases were searched. The initial search resulted in 232 studies, and 11 studies were selected for full-text review. The personality traits most commonly associated with Parkinson’s disease were high neuroticism and low extraversion and conscientiousness. These results cannot be attributed only to Parkinson’s disease because other associated diseases were present in the included studies. Evidence from these studies is insufficient to state that there is a typical personality profile associated with Parkinson’s disease, given that this profile is nonspecific and found in many psychopathological disorders that differ considerably from each other. This study was registered with PROSPERO (registration number CRD42021271526).
一些研究将帕金森病与特定的人格特征联系起来。我们的目的是基于五因素模型分析帕金森病的人格特征，使用以下3种工具作为参数:NEO人格量表、修订NEO人格量表和NEO五因素量表。根据系统评价和荟萃分析的首选报告项目进行系统评价。检索了PsycINFO、PubMed、Scopus和Web of Science数据库。最初的检索结果为232项研究，并选择了11项研究进行全文综述。与帕金森病最常见的人格特征是高神经质和低外向性和尽责性。这些结果不能仅仅归因于帕金森氏病，因为在纳入的研究中也存在其他相关疾病。这些研究的证据不足以说明存在与帕金森病相关的典型人格特征，因为这种特征是非特异性的，并且在许多彼此差异很大的精神病理障碍中发现。本研究已在PROSPERO注册(注册号CRD42021271526)。
{"title":"Five-factor model of personality and Parkinson’s Disease: a systematic review","authors":"Thayná Laís de Souza Arten, A. C. Hamdan","doi":"10.53886/gga.e0230022","DOIUrl":"https://doi.org/10.53886/gga.e0230022","url":null,"abstract":"Some studies have associated Parkinson’s disease with specific personality traits. We aimed to analyze personality profiles in Parkinson’s disease based on the Five- Factor Model, using the following 3 instruments as parameters: NEO Personality Inventory, revised NEO Personality Inventory, and NEO Five-Factor Inventory. A systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The PsycINFO, PubMed, Scopus, and Web of Science databases were searched. The initial search resulted in 232 studies, and 11 studies were selected for full-text review. The personality traits most commonly associated with Parkinson’s disease were high neuroticism and low extraversion and conscientiousness. These results cannot be attributed only to Parkinson’s disease because other associated diseases were present in the included studies. Evidence from these studies is insufficient to state that there is a typical personality profile associated with Parkinson’s disease, given that this profile is nonspecific and found in many psychopathological disorders that differ considerably from each other. This study was registered with PROSPERO (registration number CRD42021271526).","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71152392","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}
This article is published in Open Access under the Creative Commons Attribution license, which allows use, distribution, and reproduction in any medium, without restrictions, as long as the original work is correctly cited. For decades, investment in research and public policies related to oral health and geriatric dentistry were neglected, and billions of people currently lack access to prevention and treatment of oral diseases.1-3 According to the World Health Organization (WHO), almost half of the world’s population (3.5 billion people) suffers from oral disease, and its burden globally is about 1 billion higher than those from mental disorders, cardiovascular disease, diabetes mellitus, chronic respiratory diseases, and cancers combined.2 Given that most oral diseases are preventable and can be treated in their early stages,4 and that oral health affects essential abilities (such as speaking, smiling, tasting, swallowing, as well as conveying a range of emotions through facial expressions), its implications for health, well-being, and quality of life are clear, particularly in the oldest old living in lowand middle-income countries (LMIC) and those living in long-term care facilities (LTCF).3,5,6 The impact of poor oral health in older adults reflects profound imbalances among countries, mainly attributable to differences in socioeconomic conditions and the availability of and access to oral health services.2,7 Utilization of dental care is low, especially among those from low-income populations.2,6 Barriers may include the inability to perceive a need to visit the dentist, fear, anxiety, past negative experiences, and lack of awareness of dental problems. Sometimes, the need for dental care is perceived only in persons with natural teeth, while edentulous individuals believe they no longer need such care. To foster and promote access to health services that include comprehensive oral health care, it is essential to understand that oral care incurs high out-of-pocket costs for individuals and their families, notably in LMIC, which are not usually reimbursed or co-financed by the government. The impetus to prevent oral health disorders has only recently prompted educational efforts (e.g., in schools) seeking to modify practices rooted in decades of neglect of oral self-care;8 as a result, most older adults did not have access to prevention and education practices for oral health care.9 The delivery of oral health care largely depends on highly specialized services and providers, expensive equipment, and technologies which may not be well integrated into primary health care models.4 In addition, most LMIC have deficient information and surveillance systems and low priority for developing research and policies that add to public health and oral health.4 For this reason, a Universidade Estadual Paulista – Botucatu (SP), Brazil.
{"title":"Challenges to achieve adequate oral health for older adults in low- and middle-income countries","authors":"P. Wachholz","doi":"10.53886/gga.e0230018","DOIUrl":"https://doi.org/10.53886/gga.e0230018","url":null,"abstract":"This article is published in Open Access under the Creative Commons Attribution license, which allows use, distribution, and reproduction in any medium, without restrictions, as long as the original work is correctly cited. For decades, investment in research and public policies related to oral health and geriatric dentistry were neglected, and billions of people currently lack access to prevention and treatment of oral diseases.1-3 According to the World Health Organization (WHO), almost half of the world’s population (3.5 billion people) suffers from oral disease, and its burden globally is about 1 billion higher than those from mental disorders, cardiovascular disease, diabetes mellitus, chronic respiratory diseases, and cancers combined.2 Given that most oral diseases are preventable and can be treated in their early stages,4 and that oral health affects essential abilities (such as speaking, smiling, tasting, swallowing, as well as conveying a range of emotions through facial expressions), its implications for health, well-being, and quality of life are clear, particularly in the oldest old living in lowand middle-income countries (LMIC) and those living in long-term care facilities (LTCF).3,5,6 The impact of poor oral health in older adults reflects profound imbalances among countries, mainly attributable to differences in socioeconomic conditions and the availability of and access to oral health services.2,7 Utilization of dental care is low, especially among those from low-income populations.2,6 Barriers may include the inability to perceive a need to visit the dentist, fear, anxiety, past negative experiences, and lack of awareness of dental problems. Sometimes, the need for dental care is perceived only in persons with natural teeth, while edentulous individuals believe they no longer need such care. To foster and promote access to health services that include comprehensive oral health care, it is essential to understand that oral care incurs high out-of-pocket costs for individuals and their families, notably in LMIC, which are not usually reimbursed or co-financed by the government. The impetus to prevent oral health disorders has only recently prompted educational efforts (e.g., in schools) seeking to modify practices rooted in decades of neglect of oral self-care;8 as a result, most older adults did not have access to prevention and education practices for oral health care.9 The delivery of oral health care largely depends on highly specialized services and providers, expensive equipment, and technologies which may not be well integrated into primary health care models.4 In addition, most LMIC have deficient information and surveillance systems and low priority for developing research and policies that add to public health and oral health.4 For this reason, a Universidade Estadual Paulista – Botucatu (SP), Brazil.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71152157","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}
Paulo José Fortes Villas Boas, José Vitor Polachini do Valle Villas Boas
The use of Generative Pretrained Transformer (ChatGPT), an artificial intelligence tool, for writing scientific articles has been reason for discussion by the academic community ever since its launch in late 2022. This artificial intelligence technology is becoming capable of generating fluent language, and distinguishing between text produced by ChatGPT and that written by people is becoming increasingly difficult. Here, we will present some topics to be discussed: (1) ensuring human verification; (2) establishing accountability rules; (3) avoiding the automatization of scientific production; (4) favoring truly open-source large language models (LLMs); (5) embracing the benefits of artificial intelligence; and (6) broadening the debate. With the emergence of these technologies, it is crucial to regulate, with continuous updates, the development and responsible use of LLMs with integrity, transparency, and honesty in research, along with scientists from various areas of knowledge, technology companies, large research funding bodies, science academies and universities, editors, non-governmental organizations, and law experts.
{"title":"The use of ChatGPT in scientific publishing","authors":"Paulo José Fortes Villas Boas, José Vitor Polachini do Valle Villas Boas","doi":"10.53886/gga.e0230027","DOIUrl":"https://doi.org/10.53886/gga.e0230027","url":null,"abstract":"The use of Generative Pretrained Transformer (ChatGPT), an artificial intelligence tool, for writing scientific articles has been reason for discussion by the academic community ever since its launch in late 2022. This artificial intelligence technology is becoming capable of generating fluent language, and distinguishing between text produced by ChatGPT and that written by people is becoming increasingly difficult. Here, we will present some topics to be discussed: (1) ensuring human verification; (2) establishing accountability rules; (3) avoiding the automatization of scientific production; (4) favoring truly open-source large language models (LLMs); (5) embracing the benefits of artificial intelligence; and (6) broadening the debate. With the emergence of these technologies, it is crucial to regulate, with continuous updates, the development and responsible use of LLMs with integrity, transparency, and honesty in research, along with scientists from various areas of knowledge, technology companies, large research funding bodies, science academies and universities, editors, non-governmental organizations, and law experts.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71152334","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}
Pub Date : 2023-01-01DOI: 10.53886/gga.e2200098_en
Tatiana da Silva Sempé, Taiane Santos Garcia, Isabela Heineck
Objectives: To estimate the anticholinergic burden in geriatric patients using two scales and to assess the degree of agreement between them. Methods: Data from an observational study conducted in a primary health care service were used. Anticholinergic burden was assessed using the Belgian Scale Muscarinic Acetylcholinergic Receptor ANTagonist Exposure Scale and the Brazilian Scale of Medicines with Anticholinergic Activity. The cumulative anticholinergic burden score was classified using a categorical approach: Brazilian scale (0: none; 1 – 2: low; ≥ 3: high) and Belgian scale (0: none; 0.5 – 1.5: low; ≥ 2: high). The degree of agreement between the two instruments was obtained through Cohen’s kappa coefficient. Results: A total of 374 older people were included, most of them female and aged between 60 and 69 years. At least one potentially inappropriate drug with anticholinergic activity was used by 60.70% of patients according to the Brazilian scale and 32.89% by the Belgian scale. On average, 20.85% were under high anticholinergic exposure. Overall, on both scales, the most commonly recurrent medications were those indicated for the treatment of psychiatric disorders. Agreement between the scales was moderate (Kappa = 0.43). Conclusions: A high percentage of older adults was exposed to drugs with an anticholinergic burden, posing risks to health and quality of life. Consensus is needed on how anticholinergic burden is calculated by these scores, as well as standardization of the list of included drugs.
{"title":"Assessment and comparison of anticholinergic exposure in older adults at a Basic Health Unit in Porto Alegre","authors":"Tatiana da Silva Sempé, Taiane Santos Garcia, Isabela Heineck","doi":"10.53886/gga.e2200098_en","DOIUrl":"https://doi.org/10.53886/gga.e2200098_en","url":null,"abstract":"Objectives: To estimate the anticholinergic burden in geriatric patients using two scales and to assess the degree of agreement between them. Methods: Data from an observational study conducted in a primary health care service were used. Anticholinergic burden was assessed using the Belgian Scale Muscarinic Acetylcholinergic Receptor ANTagonist Exposure Scale and the Brazilian Scale of Medicines with Anticholinergic Activity. The cumulative anticholinergic burden score was classified using a categorical approach: Brazilian scale (0: none; 1 – 2: low; ≥ 3: high) and Belgian scale (0: none; 0.5 – 1.5: low; ≥ 2: high). The degree of agreement between the two instruments was obtained through Cohen’s kappa coefficient. Results: A total of 374 older people were included, most of them female and aged between 60 and 69 years. At least one potentially inappropriate drug with anticholinergic activity was used by 60.70% of patients according to the Brazilian scale and 32.89% by the Belgian scale. On average, 20.85% were under high anticholinergic exposure. Overall, on both scales, the most commonly recurrent medications were those indicated for the treatment of psychiatric disorders. Agreement between the scales was moderate (Kappa = 0.43). Conclusions: A high percentage of older adults was exposed to drugs with an anticholinergic burden, posing risks to health and quality of life. Consensus is needed on how anticholinergic burden is calculated by these scores, as well as standardization of the list of included drugs.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135445353","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}
J. A. Silva, Diógenes Cândido Mendes Maranhão, N. B. Beltrão, Breno Quitella Farah, Vinicius de Oliveira Damasceno, Bruno Remigio Cavalcante, A. L. Pirauá
Objective: We aimed to determine the feasibility and reliability of videoconference assessment of functional and cognitive status among older adults in the context of the COVID-19 pandemic. Methods: Thirty community-dwelling older adults (86.70% women) with a mean age of 69.77 (SD = 6.60) years who were physically independent and had no signs of cognitive impairment were included in the sample. An independent and experienced researcher assessed functional (chair rise test, chair stand test, sitting and rising test) and cognitive (Montreal Cognitive Assessment, parts A and B of the Trail Making Test, the Stroop test, the verbal fluency test) performance in real-time on the Google Meet platform on 2 non-consecutive days. The reliability of the measures was analyzed using the intraclass correlation coefficient (ICC), a paired t-test, or Wilcoxon and Bland-Altman analysis. The feasibility of the assessment was investigated using a standardized 14-item questionnaire. Results: All functional performance measures showed excellent intra-rater reliability, with ICCs from 0.90 (95%CI 0.78 – 0.95) for the sitting and rising test to 0.98 (95%CI 0.96 – 0.99) for the chair rise test. Our analysis also showed mixed levels of reliability across measures, including good ICC (ranging from 0.79 – 0.91) for the Montreal Cognitive Assessment, part B of the Trail Making Test, and the congruent and neutral trials in the Stroop test, but poor-to-moderate ICC (ranging from 0.42 – 0.58) for the other cognitive assessments. In general, the participants reported good feasibility for the assessment format. Conclusion: In healthy and highly educated older adults, videoconferencing is a feasible method of determining functional and cognitive performance. Functional measures showed excellent reliability indexes, whereas cognitive data should be interpreted carefully, since the reliability varied from poor to moderate.
{"title":"Videoconference assessment of functional and cognitive measures in Brazilian older adults: a reliability and feasibility study","authors":"J. A. Silva, Diógenes Cândido Mendes Maranhão, N. B. Beltrão, Breno Quitella Farah, Vinicius de Oliveira Damasceno, Bruno Remigio Cavalcante, A. L. Pirauá","doi":"10.53886/gga.e0230002","DOIUrl":"https://doi.org/10.53886/gga.e0230002","url":null,"abstract":"Objective: We aimed to determine the feasibility and reliability of videoconference assessment of functional and cognitive status among older adults in the context of the COVID-19 pandemic. Methods: Thirty community-dwelling older adults (86.70% women) with a mean age of 69.77 (SD = 6.60) years who were physically independent and had no signs of cognitive impairment were included in the sample. An independent and experienced researcher assessed functional (chair rise test, chair stand test, sitting and rising test) and cognitive (Montreal Cognitive Assessment, parts A and B of the Trail Making Test, the Stroop test, the verbal fluency test) performance in real-time on the Google Meet platform on 2 non-consecutive days. The reliability of the measures was analyzed using the intraclass correlation coefficient (ICC), a paired t-test, or Wilcoxon and Bland-Altman analysis. The feasibility of the assessment was investigated using a standardized 14-item questionnaire. Results: All functional performance measures showed excellent intra-rater reliability, with ICCs from 0.90 (95%CI 0.78 – 0.95) for the sitting and rising test to 0.98 (95%CI 0.96 – 0.99) for the chair rise test. Our analysis also showed mixed levels of reliability across measures, including good ICC (ranging from 0.79 – 0.91) for the Montreal Cognitive Assessment, part B of the Trail Making Test, and the congruent and neutral trials in the Stroop test, but poor-to-moderate ICC (ranging from 0.42 – 0.58) for the other cognitive assessments. In general, the participants reported good feasibility for the assessment format. Conclusion: In healthy and highly educated older adults, videoconferencing is a feasible method of determining functional and cognitive performance. Functional measures showed excellent reliability indexes, whereas cognitive data should be interpreted carefully, since the reliability varied from poor to moderate.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71150895","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}
L. R. Pinto, E. Ramos, Monira Samaan Kallás, F. Faot
Background and Objective: Parkinson’s disease is a neurological disorder that affects 1% of individuals aged 60 years and older. The associated symptoms can impose limitations on the available dental treatment options. Case description: This case report follows the CARE guidelines and presents an adapted and simplified technique to fabricate complete dentures for a 74-year-old male edentulous patient with Parkinson’s disease. This modified technique enabled the fabrication of complete dentures in 4 clinical sessions of approximately 40 minutes. The first session involved manufacturing a preliminary impression with fast-setting alginate. The base plates and occlusal rims were then adjusted for artificial teeth arrangement during the second session. The final prosthesis was completed in the third session, which involved a teeth try-in and fabrication of a functional impression with low-melting thermoplastic material and polyether. Finally, denture installation was performed in the fourth session and follow-up consisted of 3 weekly sessions. Discussion: Considering that the treatment provided satisfactory aesthetics and function, mastication and socialization benefits, and improved the self-esteem and well-being of the older patient with Parkinson’s disease, the authors suggest this adapted and simplified technique for fabricating complete dentures. Keywords: Parkinson’s disease; complete denture; aged.
{"title":"A simplified technique for fabricating complete dentures for patients with Parkinson’s disease: a case report","authors":"L. R. Pinto, E. Ramos, Monira Samaan Kallás, F. Faot","doi":"10.53886/gga.e0230009","DOIUrl":"https://doi.org/10.53886/gga.e0230009","url":null,"abstract":"Background and Objective: Parkinson’s disease is a neurological disorder that affects 1% of individuals aged 60 years and older. The associated symptoms can impose limitations on the available dental treatment options. Case description: This case report follows the CARE guidelines and presents an adapted and simplified technique to fabricate complete dentures for a 74-year-old male edentulous patient with Parkinson’s disease. This modified technique enabled the fabrication of complete dentures in 4 clinical sessions of approximately 40 minutes. The first session involved manufacturing a preliminary impression with fast-setting alginate. The base plates and occlusal rims were then adjusted for artificial teeth arrangement during the second session. The final prosthesis was completed in the third session, which involved a teeth try-in and fabrication of a functional impression with low-melting thermoplastic material and polyether. Finally, denture installation was performed in the fourth session and follow-up consisted of 3 weekly sessions. Discussion: Considering that the treatment provided satisfactory aesthetics and function, mastication and socialization benefits, and improved the self-esteem and well-being of the older patient with Parkinson’s disease, the authors suggest this adapted and simplified technique for fabricating complete dentures. Keywords: Parkinson’s disease; complete denture; aged.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71151245","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}
Vinícius Augusto Andrade Freitas, Sharlene Lopes Pereira
Objective: To compare information on the risks of potentially inappropriate medications (PIMs) for older adults in the Beers criteria with data in the package inserts made available by the Brazilian Health Regulatory Agency. Methods: This is an observational, cross-sectional study that compared information on the package inserts of 33 brand-name drugs in the Brazilian market with specific recommendations for older adults contemplated in the Beers criteria, categorizing them into: complete, incomplete, absent, or discrepant. Results: Among the analyzed package inserts, 21.21% did not present a specific section dedicated to the use of these drugs by older adults and data were scattered throughout the text; 63.64% were classified as incomplete; 33.33% lacked data; and 3.03% had discrepant information. Conclusion: The analyzed package inserts presented incomplete data or lacked information characterizing the drugs as PIMs for older adults. This study demonstrated that some package inserts of drugs used in Brazil are not satisfactory, warranting higher caution in the medical community when prescribing these medications and guiding patients.
{"title":"Medication package inserts do not present adequate information on potential risks for older adults in Brazil","authors":"Vinícius Augusto Andrade Freitas, Sharlene Lopes Pereira","doi":"10.53886/gga.e0230011","DOIUrl":"https://doi.org/10.53886/gga.e0230011","url":null,"abstract":"Objective: To compare information on the risks of potentially inappropriate medications (PIMs) for older adults in the Beers criteria with data in the package inserts made available by the Brazilian Health Regulatory Agency. Methods: This is an observational, cross-sectional study that compared information on the package inserts of 33 brand-name drugs in the Brazilian market with specific recommendations for older adults contemplated in the Beers criteria, categorizing them into: complete, incomplete, absent, or discrepant. Results: Among the analyzed package inserts, 21.21% did not present a specific section dedicated to the use of these drugs by older adults and data were scattered throughout the text; 63.64% were classified as incomplete; 33.33% lacked data; and 3.03% had discrepant information. Conclusion: The analyzed package inserts presented incomplete data or lacked information characterizing the drugs as PIMs for older adults. This study demonstrated that some package inserts of drugs used in Brazil are not satisfactory, warranting higher caution in the medical community when prescribing these medications and guiding patients.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71151587","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}
A. Miranda, Rodrigo Alexandre Félix, Josiane Costa Rodrigues de Sá, Maria Liz Cunha de Oliveira
Objective: To assess the systemic and oral health status of geriatric patients hospitalized in an intensive care unit (ICU). Methods: A cross-sectional descriptive study of a convenience sample of 78 older ICU inpatients. A single calibrated examiner collected demographic and clinical data by analyzing patients’ records and assessing their oral cavities. Descriptive data analysis was performed to a 5.00% significance level. All patients provided informed consent and were conscious during the oral health assessment. Results: The mean age was 77.69 years and 51.28% of the sample were male. The main reasons patients were admitted to the ICU investigated were postoperative conditions (23.08%) and cardiac abnormalities (20.51%). Systemic arterial hypertension (69.23%) was the most prevalent comorbidity and patients were being treated with anticoagulants (57.69%) and antimicrobials (53.85%). Most patients did not receive oral care (64.10%), while 29.49% of them received it only once, and 57.69% were denture users. The mean decayed, missing, and filled teeth index was 23.74 (17.44 missing teeth, on average) and majorities had tongue biofilm (71.79%) and unsatisfactory oral hygiene during their time in hospital (84.62%). Conclusion: The oral status of hospitalized geriatric patients was characterized by poor hygiene and edentulism.
{"title":"Systemic and oral health status of older adult inpatients in an intensive care unit","authors":"A. Miranda, Rodrigo Alexandre Félix, Josiane Costa Rodrigues de Sá, Maria Liz Cunha de Oliveira","doi":"10.53886/gga.e0230014","DOIUrl":"https://doi.org/10.53886/gga.e0230014","url":null,"abstract":"Objective: To assess the systemic and oral health status of geriatric patients hospitalized in an intensive care unit (ICU). Methods: A cross-sectional descriptive study of a convenience sample of 78 older ICU inpatients. A single calibrated examiner collected demographic and clinical data by analyzing patients’ records and assessing their oral cavities. Descriptive data analysis was performed to a 5.00% significance level. All patients provided informed consent and were conscious during the oral health assessment. Results: The mean age was 77.69 years and 51.28% of the sample were male. The main reasons patients were admitted to the ICU investigated were postoperative conditions (23.08%) and cardiac abnormalities (20.51%). Systemic arterial hypertension (69.23%) was the most prevalent comorbidity and patients were being treated with anticoagulants (57.69%) and antimicrobials (53.85%). Most patients did not receive oral care (64.10%), while 29.49% of them received it only once, and 57.69% were denture users. The mean decayed, missing, and filled teeth index was 23.74 (17.44 missing teeth, on average) and majorities had tongue biofilm (71.79%) and unsatisfactory oral hygiene during their time in hospital (84.62%). Conclusion: The oral status of hospitalized geriatric patients was characterized by poor hygiene and edentulism.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71151928","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}
Eliz Cassieli Pereira Pinto, Ana Maria Rigo Silva, M. Cabrera, A. Baldoni, D. Alfieri, Renne Rodrigues, Edmarlon Girotto
Objective: To investigate the relationship between anticholinergic load (ACL) and self-perceived general health in adults in a medium-sized municipality in southern Brazil. Methods: This cross-sectional study was based on 2015 data from a medium-sized municipality in southern Brazil. All respondents aged 44 years or older who reported using drugs in the 2 weeks before the interview were included (n = 662). The Anticholinergic Drug Scale was used to measure the ACL. Self-perceived health was categorized as positive self-perception (PSP) or negative self-perception (NSP). Crude and adjusted Poisson regression analyses were conducted to investigate the association between ACL and self-perceived health. Results: NSP was found in 50.91% of 662 respondents. Significant ACL, older age, lower economic status, lower education, polypharmacy, and depression correlated with a higher frequency of NSP. Individuals with significant ACL had a prevalence of NSP of 1.27 (95% confidence interval: 1.02 – 1.58), and each additional ACL level represented a 6.10% higher chance of worse self-perceived health, regardless of confounding factors. Conclusions: An association was found between significant ACL and NSP, with an effect dependent on ACL level.
{"title":"Relationship between anticholinergic load and self-perceived health in a population aged 44 years or older","authors":"Eliz Cassieli Pereira Pinto, Ana Maria Rigo Silva, M. Cabrera, A. Baldoni, D. Alfieri, Renne Rodrigues, Edmarlon Girotto","doi":"10.53886/gga.e0230029","DOIUrl":"https://doi.org/10.53886/gga.e0230029","url":null,"abstract":"Objective: To investigate the relationship between anticholinergic load (ACL) and self-perceived general health in adults in a medium-sized municipality in southern Brazil. Methods: This cross-sectional study was based on 2015 data from a medium-sized municipality in southern Brazil. All respondents aged 44 years or older who reported using drugs in the 2 weeks before the interview were included (n = 662). The Anticholinergic Drug Scale was used to measure the ACL. Self-perceived health was categorized as positive self-perception (PSP) or negative self-perception (NSP). Crude and adjusted Poisson regression analyses were conducted to investigate the association between ACL and self-perceived health. Results: NSP was found in 50.91% of 662 respondents. Significant ACL, older age, lower economic status, lower education, polypharmacy, and depression correlated with a higher frequency of NSP. Individuals with significant ACL had a prevalence of NSP of 1.27 (95% confidence interval: 1.02 – 1.58), and each additional ACL level represented a 6.10% higher chance of worse self-perceived health, regardless of confounding factors. Conclusions: An association was found between significant ACL and NSP, with an effect dependent on ACL level.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71152474","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}
Aline Gabrício Marçola, G. Cipolli, Danyela Casadei Donatelli, Nivaldo Carneiro Júnior, V. Nascimento
The objective of this study was to systematically investigate and review studies on the concept of vulnerability associated with the health of the older population. Articles were selected, filtered, and analyzed following the steps recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Screening and data extraction were performed independently by 2 reviewers using templates developed by the authors. Data extracted included specific details about population, interest, and context. Studies were eligible for inclusion if they: 1) were cross-sectional or prospective, 2) involved community-dwellers aged ≥60 years, 3) were published in the last 10 years, and 4) had as a concept vulnerability associated with the health of the older population. A total of 833 studies were identified and screened, 26 of which were included. Most included studies addressed vulnerability in older adults as an individual aspect, whether biological or psychological. The remaining studies reported vulnerability as affecting socio-environmental, health care system, and multifactorial aspects. Therefore, the concept of “vulnerability in older people” was not properly defined in the biomedical scientific community. When we return to the guiding question of this review, we can conclude that the conditions of vulnerability of older people are being treated broadly and diversely, producing different methodological strategies. The systematic review was conducted in the United States National Library of Medicine (PubMed), Latin American and Caribbean Health Sciences Literature (LILACS), and Scientific Electronic Library Online (SciELO) databases between August and December 2020 and updated in September 2022, with registration number CRD42022361649.
{"title":"A look at vulnerability in the older population in health sciences studies: a systematic review","authors":"Aline Gabrício Marçola, G. Cipolli, Danyela Casadei Donatelli, Nivaldo Carneiro Júnior, V. Nascimento","doi":"10.53886/gga.e0230021","DOIUrl":"https://doi.org/10.53886/gga.e0230021","url":null,"abstract":"The objective of this study was to systematically investigate and review studies on the concept of vulnerability associated with the health of the older population. Articles were selected, filtered, and analyzed following the steps recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Screening and data extraction were performed independently by 2 reviewers using templates developed by the authors. Data extracted included specific details about population, interest, and context. Studies were eligible for inclusion if they: 1) were cross-sectional or prospective, 2) involved community-dwellers aged ≥60 years, 3) were published in the last 10 years, and 4) had as a concept vulnerability associated with the health of the older population. A total of 833 studies were identified and screened, 26 of which were included. Most included studies addressed vulnerability in older adults as an individual aspect, whether biological or psychological. The remaining studies reported vulnerability as affecting socio-environmental, health care system, and multifactorial aspects. Therefore, the concept of “vulnerability in older people” was not properly defined in the biomedical scientific community. When we return to the guiding question of this review, we can conclude that the conditions of vulnerability of older people are being treated broadly and diversely, producing different methodological strategies. The systematic review was conducted in the United States National Library of Medicine (PubMed), Latin American and Caribbean Health Sciences Literature (LILACS), and Scientific Electronic Library Online (SciELO) databases between August and December 2020 and updated in September 2022, with registration number CRD42022361649.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71152498","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}
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