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Drug-Induced Nutrient Deficiencies Among Older Adults 老年人药物引起的营养缺乏
Pub Date : 2020-01-01 DOI: 10.35248/2329-8847.20.08.235
E. Kose, N. Yasuno
The relationship between polypharmacy and malnutrition is based on several mechanisms. Long-term abuse of multiple drugs results in anorexia, which generally causes minor or more serious impairment of the digestive tract. Conversely, malnutrition often decreases the biological availability of drugs and changes their pharmacokinetic and pharmacodynamic properties. Polypharmacy and malnutrition are significant geriatric syndromes that need to be assessed and treated in all older adults; furthermore, they must be evaluated together rather than separately. Practitioners should be aware of the potential impact of individual medication classes as well as extreme polypharmacy on nutritional status and work to reduce the impact through targeted interventions.
多种药物与营养不良之间的关系基于几种机制。长期滥用多种药物会导致厌食症,厌食症通常会对消化道造成轻微或更严重的损害。相反,营养不良往往会降低药物的生物利用度,并改变其药代动力学和药效学特性。多种用药和营养不良是需要对所有老年人进行评估和治疗的重要老年综合征;此外,它们必须一起评估,而不是单独评估。从业者应该意识到个别药物类别以及极端多种药物对营养状况的潜在影响,并通过有针对性的干预措施减少影响。
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引用次数: 0
Aging Science: New Stage of Growing Old 衰老科学:衰老的新阶段
Pub Date : 2020-01-01 DOI: 10.35248/2329-8847.20.8.E225
Rajajeyakumar Manivel
EDITORIAL Aging Science deals with the stages that an individual face during late phase of his life. Journal of Aging Science is an open access peer review publisher which completed 8 years of publication. During this period we achieved in disclosing all the quality articles to the public where we can help researchers, scientists, professors etc. in updating the information every now and then. During the year 2019, we have published articles related to sedentary behavior, Centenarians, Older adults memory, bereavement in geriatrics, frailty among surgical patients and many more. The research article of Volume 7 issue 2 of Karlin NJ, et al. developed a typology towards understanding the cultural uniformity and components relayted aging which resulted in developing aging perception measure (questionnaire). This helps in investigating aging process world wide [1]. The review article of Scher LML, et al. summarized that there is an association between physical disability and sedenatry time in older adults [2].
编辑老化科学处理的阶段,一个人面对在他的生命的后期阶段。Journal of Aging Science是一家开放获取的同行评审出版商,已经出版了8年。在此期间,我们实现了向公众披露所有优质文章,我们可以帮助研究人员,科学家,教授等随时更新信息。在2019年,我们发表了有关久坐行为、百岁老人、老年人记忆、老年病学丧亲之痛、手术患者虚弱等方面的文章。Karlin NJ等人的第7卷第2期的研究文章开发了一种类型学来理解与衰老相关的文化统一性和组成部分,从而开发了衰老感知测量(问卷)。这有助于研究世界范围内的老化过程。Scher LML等人的综述文章总结了老年人身体残疾与久坐时间之间的关联[10]。
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引用次数: 0
Aging: Ongoing Process of Life 衰老:生命的持续过程
Pub Date : 2020-01-01 DOI: 10.35248/2329
Rajajeyakumar Manivel
Aging Science deals with the stages that an individual face during late phase of his life. Journal of Aging Science is an open access peer review publisher which completed 8 years of publication. During this period we achieved in disclosing all the quality articles to the public where we can help researchers, scientists, professors etc. in updating the information every now and then. During the year 2019, we have published articles related to sedentary behavior, Centenarians, Older adults memory, bereavement in geriatrics, frailty among surgical patients and many more. In 2020, we have published nearly 2 issues containing 7-8 articles.
衰老科学研究的是一个人在他生命的晚期所面临的阶段。Journal of Aging Science是一家开放获取的同行评审出版商,已经出版了8年。在此期间,我们实现了向公众披露所有优质文章,我们可以帮助研究人员,科学家,教授等随时更新信息。在2019年,我们发表了有关久坐行为、百岁老人、老年人记忆、老年病学丧亲之痛、手术患者虚弱等方面的文章。2020年共出版近2期,刊载文章7-8篇。
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引用次数: 0
Exploring the Views of Care Staff and of the Members of a Local Open Care Centre About Quality of Life (QoL) and Active Healthy Ageing 探讨护理人员及本地开放护理中心成员对生活质素及积极健康乐颐年的看法
Pub Date : 2020-01-01 DOI: 10.35248/2329-8847.20.08.227
E. Evangelou
The promotion of healthy and active ageing is nowadays a global challenge. This project explored several QoL domains of men and women over 60 yrs old, residents of Southern Attica, users of the Local Open Care Centre (LOCC) for older adults. It examined as well, the views of care staff about what are the wider determinants that affect QoL of older adults. Main objective of the study was to investigate the impact of the LOCC activities to the users’ well-being, as well as, to explore several life domains, such as, family and social relations, living conditions, finance, health status and leisure and their level of satisfaction from these domains. Results indicated that the views of the professionals and those of the LOCC users were compatible, in terms of life domains which have a positive impact to older people ’ s well-being. This commentary is part of a bigger project which aims at examining the ways of responding to local citizens’ complex needs, as they get older, so that they can enjoy a longer and healthier life.
促进健康和积极老龄化是当今一项全球性挑战。该项目探讨了60岁以上的男性和女性、南阿提卡居民、当地开放护理中心(LOCC)老年人的几个生活质量领域。它也检查了护理人员对影响老年人生活质量的更广泛决定因素的看法。本研究的主要目的是调查LOCC活动对用户幸福感的影响,并探讨家庭和社会关系、生活条件、财务、健康状况和休闲等几个生活领域及其满意度。结果表明,在对老年人幸福感有积极影响的生活领域方面,专业人员和LOCC使用者的观点是一致的。这篇评论是一个更大项目的一部分,该项目旨在研究如何应对当地居民的复杂需求,随着他们年龄的增长,使他们能够享受更长寿、更健康的生活。
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引用次数: 1
Schizoaffective Disorder: A Challenge 精神分裂情感障碍:一个挑战
Pub Date : 2020-01-01 DOI: 10.35248/2329-8847.20.08.221
Ueberberg Bianca, Assion Hans-Joerg
Schizoaffective Disorder (SAD) is a mental disorder characterized by symptoms of schizophrenia and affective disorder like depression and/or mania, which occur simultaneously or alternately. In the international classification of mental disorders, ICD-10, it is subsumed under the spectrum of schizophrenia, schizotypal and delusional disorders. However, the available research results do not allow a final decision whether SAD is more appropriate classified in the affective disorder chapter [1].
精神分裂情感性障碍(SAD)是一种精神障碍,其特征是精神分裂症和情感障碍的症状,如抑郁和/或躁狂,同时或交替发生。在国际精神障碍分类ICD-10中,它被纳入精神分裂症、分裂型和妄想障碍的范围。然而,现有的研究结果并不能最终决定SAD是否更适合归类于情感障碍章节bbb。
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引用次数: 2
Malnutrition is Associated with Cognitive Function, Tiredness and Sleep Quality in Elderly Living Nursing Home 老年人营养不良与认知功能、疲劳和睡眠质量的关系
Pub Date : 2020-01-01 DOI: 10.35248/2329-8847.20.08.233
Mehdi Kushkestani, Mohsen Parvani, Ki, okhtMoradi, M. Moghadassi
Background: The last studies have shown that aging is associated with an increase in the risk of malnutrition and related complications. The aim of this study was to investigate the relationship between malnutrition and cognitive function, tiredness and sleep quality in the elderly living in nursing home. Methods: The subjects of this study were 119 elderly people over the age of 65 living in nursing homes in Tehran. The demographic characteristics of the subjects were collected and recorded. Then, body composition and anthropometric indices including weight, body mass index [BMI], height and calf circumferences [CC], waist circumferences [WC] and hip circumferences were measured using a digital scale of OMRON and meter tape. nutritional status, cognitive function, sleep quality and level of tiredness were measured by Mini Nutritional Status, Mini-Mental State Examination, Pittsburgh Sleep Quality Index and FACIT-Fatigue scale, respectively. Results: The results of statistical analysis of the data showed a positive relationship between malnutrition with dementia [p<0.024],fatigue [p<0.000] and sleep quality [p<0.008]. Conclusion: Taken together, the use of strategies to improve the nutritional status of the elderly in nursing homes can play an important role in preventing the symptoms of geriatric syndrome and increasing the level of health in the elderly.
背景:最近的研究表明,衰老与营养不良及相关并发症的风险增加有关。摘要本研究旨在探讨营养不良与老年人认知功能、疲劳及睡眠质量的关系。方法:本研究的对象为119名居住在德黑兰养老院的65岁以上老年人。收集并记录受试者的人口统计学特征。然后,使用欧姆龙数字秤和米卷尺测量身体组成和人体测量指标,包括体重、体重指数(BMI)、身高和小腿围(CC)、腰围(WC)和臀围(臀围)。采用Mini nutrition status、Mini mental State Examination、Pittsburgh sleep quality Index和FACIT-Fatigue量表分别测量营养状况、认知功能、睡眠质量和疲劳程度。结果:数据统计分析结果显示,营养不良与痴呆[p<0.024]、疲劳[p<0.000]、睡眠质量[p<0.008]呈正相关。结论:综上所述,利用策略改善养老院老年人的营养状况,对预防老年综合征的症状,提高老年人的健康水平具有重要作用。
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引用次数: 12
TGF-Beta Signaling Pathways in the Study of Expression in Patients with Atrial Fibrillation Atrial Tissue tgf - β信号通路在房颤患者心房组织中的表达研究
Pub Date : 2020-01-01 DOI: 10.35248/2329-8847.20.08.228
Zhiliang Huang, Yu Gao, Dianchen Hua
Objective: To explore the relationship between TGF-beta signaling pathway and atrial fibrillation in patients with mitral valve disease, and reveal the mechanism of TGF-beta signaling pathway in development of atrial fibrillation. Methods: Firstly, the fibrosis extent of right atrial appendage tissues were tested by Masson’s trichrome staining. Secondly, the protein expression of TGF-beta1, TGF-beta RI, RII, RIII, P-Smad2/3, Smad2/3, Smad4, Smad7, TAK1, p38, ATF-2 were tested by Western blot. Results: There were significant difference between atrial fibrillation group and control group in fibrosis extent and the diameter of left atria (p0.05). The patients with atrial fibrillation are associated with the more serious fibrosis and larger diameter of left atria. For further study, the Western bolt results reveal that protein expression of TGF-beta1 and Smad4 were significant higher in atrial fibrillation and sever fibrosis group, other factors were no difference between trial and control group. Conclusion: There are severing atrial fibrosis in atrial fibrillation patients with mitral valve diseases. The over expression of TGF-beta1 and Smad4 maybe is an important reason that induces atrial fibrosis in atrial fibrillation, and the atrial fibrosis appears to play a role in the development of atrial fibrillation. Fibrosis response by TGF-beta1 initiating maybe only depends on mutations of the TGF-beta Smad signaling pathway.
目的:探讨二尖瓣病变患者tgf - β信号通路与房颤的关系,揭示tgf - β信号通路在房颤发生发展中的作用机制。方法:首先采用马氏三色染色法检测右心耳组织纤维化程度。其次,采用Western blot检测tgf - β 1、tgf - β RI、RII、RIII、P-Smad2/3、Smad2/3、Smad4、Smad7、TAK1、p38、ATF-2蛋白的表达。结果:心房颤动组与对照组左心房纤维化程度、左心房直径差异有统计学意义(p0.05)。房颤患者的左心房纤维化程度越严重,左心房直径越大。进一步研究,Western bolt结果显示TGF-beta1和Smad4蛋白表达在房颤和重度纤维化组中显著升高,其他因素与对照组无差异。结论:房颤合并二尖瓣病变患者存在严重的心房纤维化。tgf - β 1和Smad4的过表达可能是房颤诱发心房纤维化的重要原因,心房纤维化似乎在房颤的发生发展中起作用。tgf - β 1启动的纤维化反应可能仅取决于tgf - β Smad信号通路的突变。
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引用次数: 0
Age Related Physiological and Psychological Behavior 与年龄相关的生理和心理行为
Pub Date : 2020-01-01 DOI: 10.35248/2329-8847.20.08.231
I. Sindhuja
DESCRIPTION Aging is a physiological deterioration in physiological functions that results in age related frailty, disability and disease leading ultimately to death. Aging causes increase in age specific death rate. Such aging process is widespread among all species. Some organisms like Hydra showed no signs of aging at all. Understanding of aging tells us about why and how aging evolved.Unknowing view is that aging is driven by genetic programme directly leading to decline of the body. Advantages of the aging is that it worn outs aged individuals from the competing resources with their progeny. Firstly evidence from natural populations proves that aging is a significant contribution to mortality in the wild. So with no doubts an individual lives long to experience senescence more vulnerable to predators.Wild populations indicate that mortality during the early and middle periods of life is usually so that only a small fraction of individuals survives loud enough
衰老是生理功能的生理退化,导致与年龄相关的虚弱、残疾和疾病,最终导致死亡。老龄化导致年龄组死亡率上升。这种衰老过程在所有物种中都很普遍。有些生物,比如九头蛇,根本没有衰老的迹象。对衰老的理解告诉我们衰老的原因和过程。未知的观点认为,衰老是由直接导致身体衰退的遗传程序驱动的。老龄化的好处是,它磨损了老年人从竞争资源与他们的后代。首先,来自自然种群的证据证明,衰老是野生动物死亡的重要原因。所以毫无疑问,一个人活得更久,更容易受到捕食者的攻击。野生种群表明,在生命的早期和中期,死亡率通常很高,因此只有一小部分个体存活下来
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引用次数: 0
Psychosomatic Health in Elderly People for Preventing Frailty: The role of IGF-1 and BDNF in the Muscle and the Brain 老年人身心健康预防衰弱:IGF-1和BDNF在肌肉和大脑中的作用
Pub Date : 2020-01-01 DOI: 10.35248/2329-8847.20.08.223
M. Hachisu, M. Obayashi, M. Kogo, K. Ihara
The elderly population of people aged > 65 years is rapidly growing up in developed countries, including Japan, and becoming a burden by increasing caregiving and social security costs. Prolonging a healthy life span without caregiver help would reduce the social burden. Frailty in elderly people can cause accidental falls causing them to be bed ridden, but constant exercise could help prevent such accidents. Various exercises enhance the synthesis and release of neurotrophic factors such as IGF-1 and BDNF; these neurotrophic factors enhance neuronal growth and survival in the brain prevent muscle atrophy and sometimes contribute to muscle hypertrophy in elderly people. These exercise-induced neurotrophic factors can thereby help prevent the lowering of cognitive performance, processing speed and mood in elderly people including those with Alzheimer’s disease or Parkinson’s disease. In this review, we emphasize that IGF-1 and BDNF work as anabolic growth factors for skeletal muscle, play a role in the neurogenesis, synaptogenesis, and neuronal survival in the brain, ameliorate cognition, and stabilize psychiatric mood. IGF-1, further, has activities in the elimination of amyloid-β protein by activating protein transportation at the choroid plexus and angiogenesis acting on brain vessels. Thus, elderly people are recommended to exercise regularly for their health and avoid the condition of frailty.
在包括日本在内的发达国家,65岁至65岁的老年人口正在迅速增长,并因看护和社会保障成本的增加而成为一种负担。在没有照顾者帮助的情况下延长健康寿命将减轻社会负担。老年人身体虚弱可能会导致意外跌倒,导致他们卧床不起,但经常锻炼可以帮助防止此类事故的发生。各种运动可促进IGF-1、BDNF等神经营养因子的合成和释放;这些神经营养因子促进大脑中神经元的生长和存活,防止肌肉萎缩,有时有助于老年人的肌肉肥大。因此,这些运动诱导的神经营养因子可以帮助防止老年人认知能力、处理速度和情绪的下降,包括那些患有阿尔茨海默病或帕金森病的人。在这篇综述中,我们强调IGF-1和BDNF作为骨骼肌的合成代谢生长因子,在大脑神经发生、突触发生和神经元存活中发挥作用,改善认知,稳定精神情绪。此外,IGF-1通过激活脉络膜丛的蛋白质运输和作用于脑血管的血管生成,具有消除淀粉样蛋白-β的活性。因此,建议老年人经常锻炼身体,以保持健康,避免身体虚弱。
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引用次数: 2
Antidepressant Treatment for Depression in Alzheimerandrsquo;s Dementia: Systematic Review Article 抗抑郁药治疗阿尔茨海默氏痴呆患者的抑郁:系统综述文章
Pub Date : 2020-01-01 DOI: 10.35248/2329-8847.20.08.229
Andrei Buciuta, Vinasi Rc, H. Coman
Introduction: Alzheimer's Dementia (AD) is a neurodegenerative disease characterized by progressive cognitive decline. Neuropsychiatric symptoms (NPS) are frequently described in AD. Among the non-cognitive symptoms that can occur in AD, depression is the most common one. Objective: The aim was to review published studies in order to examine the efficacy and safety of antidepressant medication for depression in AD. Methods: An electronic database search was performed using the keywords: ” antidepressant ” , “ randomized controlled trial (RCT)”, “depression”, “dementia”, ”Alzheimer’s disease”. For the evaluation of efficacy, the reduction of scores on the evaluation scales of depression and the rate of response or remission were used and for the safety evaluation the rate of dropout and the rate of adverse effects were considered. The effect of antidepressant therapy on cognitive performances was also tracked. Results: According to inclusion criteria, 14 RCT studies that aimed at assessing the efficacy and safety of an antidepressant in the treatment of AD associated depression have been selected, as well as 6 additional studies that use two or more antidepressants. The results show a debatable efficacy of these treatments. Among the included antidepressants, selective serotonin reuptake inhibitors (SSRIs) have proven to be most tolerated and without negative effects on cognition. Conclusions: The available evidence does not provide sufficient support to uphold the efficacy and safety of antidepressant in the treatment of AD associated depression
简介:阿尔茨海默氏痴呆症(AD)是一种以进行性认知能力下降为特征的神经退行性疾病。神经精神症状(NPS)常被描述为阿尔茨海默病。在AD可能出现的非认知症状中,抑郁是最常见的一种。目的:目的是回顾已发表的研究,以检验抗抑郁药物治疗AD抑郁症的有效性和安全性。方法:以“抗抑郁药”、“随机对照试验(RCT)”、“抑郁症”、“痴呆”、“阿尔茨海默病”等关键词在电子数据库中进行检索。疗效评价以抑郁量表评分降低、缓解或缓解率为标准,安全性评价以中途退学率和不良反应发生率为标准。抗抑郁治疗对认知表现的影响也被追踪。结果:根据纳入标准,14项旨在评估抗抑郁药治疗AD相关抑郁症疗效和安全性的RCT研究,以及6项使用两种或两种以上抗抑郁药的额外研究被选中。结果显示这些治疗方法的疗效值得商榷。在包括的抗抑郁药中,选择性血清素再摄取抑制剂(SSRIs)已被证明是最耐受性的,对认知没有负面影响。结论:现有证据不足以支持抗抑郁药治疗AD相关性抑郁症的有效性和安全性
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引用次数: 0
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Journal of aging science
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