International Journal of Aging Research

Introduction: Population aging has increased over the years and directly affecting the health system. Latin America is considered to be a region where good information about dementia is lacking. Objective: The objective of this study was to evaluate the cognitive profile of the elderly with complaints of memory impairment. Method: The study was performed with patients who were being followed up at a public hospital in Recife – PE. Data were collected through the CERAD neuropsychological battery. Results and Discussion: 42 elderly people were evaluated in the first half of 2018, of which 13 were men and 29 were women with a mean age of 74.12 years. The majority, 74.36%, did not present scores compatible with GDS depression and MMSE was normal in 69.05% of the elderly; 66.67% presented alterations in the design of the clock and the majority presented alterations in the evocations of immediate and late words and also in the recognition of words. The CDR scores for 34.15% were compatible with mild dementia and moderate dementia classified 24.39% by CDR. Conclusions: Measures to diagnose the cognitive profile in the elderly are fundamental for the elderly to have a good quality of life and qualified treatment from health professionals.

Digital games can help older adults to entertain themselves, socialize with others, engage their cognitive functions, and enhance emotional states. This study surveyed 463 older Canadian adults to identify the digital games they had played and investigate whether playing them was associated with perceived socioemotional and cognitive benefits. The most widely reported socioemotional benefits were developing self-confidence, dealing with loneliness, and connecting with family. The most widely reported cognitive benefits were focusing, memory improvement, improved reaction speed, and problem solving. In the socioemotional category, connecting with current friends and connecting with family were both associated with strategy games, while connecting with current friends was also associated with sport games. In the cognitive category, both problem solving and speed in reacting/responding were associated with arcade games. Results show that playing digital games has the potential to be an intervention tool to improve older adults’ wellbeing. Funding: This study was supported by the Social Sciences and Humanities Research Council of Canada (grant number 435-2012-0325) and AGE-WELL NCE Inc., a member of Canada’s Networks of Centres of Excellence (grant number CRP 2015-WP4.2).

Background: Aging as a natural physiological process is accompanied with nutritional and metabolic changes that is reflected by the anthropometric indices furthermore loss of muscular and fat masses rises. elderly individuals it is complex, and sometimes impossible, to measure standing height precisely because of standing straight difficulties arising from underlying mobility issues Anthropometric indices and measuring formulas are greatly trustworthy when compared with more sophisticated methodologies such as hydro densitometry, electronic bio impedance. Aim: To assess which one of the three anthropometric measures (demi-span, ulna length and knee height) is the most accurate for height estimation in Egyptian elderly males, and to provide a nationally representative regression equation for stature prediction that could be applied to Egyptian elderly males. Methodology: A cross sectional research study was conducted to estimate height in community dwelling Egyptian ambulant elderly males. The study sample consisted of 226 community dwelling elderly males. Results: The model for using knee height to estimate standing height of Egyptian elderly males [Height = 57.345 + 2.131 (Knee height in cm)], was found to be statistically significant reflecting 63.3% of standing height changes. [Table (5)] Besides there was strong statistically significant positive correlation between measured standing heights and study predicted standing heights (P value < 0.001). [Table (6)] Finally it was revealed and displayed that by using the study equation, there is no statistically significant difference between measured and predicted heights. Conclusions: In the current research study, knee height was found to be more accurate than demi-span and ulna length for estimating height of Egyptian elderly males.

The human population is continuously ageing and previous studies suggest that one’s attitude towards ageing predicts ageing outcome. While several factors have been shown to influence attitude towards ageing, the current study investigated the influence of self-esteem and gender on attitude towards ageing. The study adopted a cross sectional design and a total of two hundred and five (205) civil servants were randomly selected from state Civil Service Secretariats and Local Government headquarters in Enugu, Anambra and Ebonyi states respectively. Self-report measures including the Rosenberg Self-Esteem Scale and a Self-Developed Attitude towards Ageing Scale were used for data collection. A Two-Way Analysis of Variance was used for the data analysis. The findings revealed that our first proposition that self-esteem as a psychological mechanism will significantly predict attitude towards ageing was not supported meaning that self-esteem whether high or low does not matter in how individuals respond to ageing consciousness. Whereas, the second proposition that gender will greatly influence attitude towards ageing was confirmed. In other word, the result further confirmed that female show more positive attitude about ageing than the male. The findings are discussed.

Introduction: Acute myocardial infarction (AMI) is characterized as the cellular death of the muscle that involves the heart, causing ischemia, which is associated with the clinical presentation, presenting electrocardiographic compatibility and / or electrocardiographic changes typical of the reduction or interruption of blood flow to the myocardium. Myocardial revascularization (MRI) is a surgical procedure that connects mammary arteries, radial arteries, or saphenous veins. These “bridges” allow the blood to return to the coronary arteries preserving them, in any part of their follow-up. Objectives: To describe the casuistry of the patient with a diagnosis of acute myocardial infarction (AMI), developing for a post-surgical picture of chronic renal failure (CRI), including therapeutic management, specific care, criticism and referential confrontations. Methodology: This is a descriptive and casuistic study. The study was based on a review of recent and recent publications regarding the proposed theme, electronic search of articles and journals in the following databases: in the portal of CAPES and BIREME, LILACS, SCIELO, MEDLINE, conducting authors’ confrontation and exposition of a case carrying out the specific considerations. The data collection instrument consists of data collection and has as study period from May 2016 to September 2016. Results: Description and analysis of the clinical picture of the patient JJFG, male, 77 years old, hospitalized in a hospital of the private network , where he was hospitalized in this hospital for more than a hundred days. After the therapeutic interventions the patient presented decay in his clinical picture. With several associated complications that culminated in the death of the patient. Conclusion: The infection table and the old age were determining factors for the clinical decline of this patient.

Medication-related problems are common among home care patients who take many medications and have complex medical histories and health problems. The goals of home health care services are to help individuals to improve function and live with greater independence; to promote the client’s optimal level of well-being; and to assist the patient to remain at home, avoiding hospitalization or admission to long-term care institutions. Home care is an arrangement of care given by gifted experts to patients in their homes under the heading of a doctor. Home medicinal services administrations incorporate nursing care; physical, word related, and discourse dialect treatment; and therapeutic social administrations. Doctors may allude patients for home social insurance administrations, or the administrations might be asked for by relatives or patients. The scope of home social insurance benefits a patient can get at home is boundless. Contingent upon the individual patient’s circumstance, care can extend from nursing care to specific therapeutic administrations, for example, research facility workups. Normal analyses among home social insurance patients incorporate circulatory infection, coronary illness, damage and harming, musculoskeletal and connective tissue sickness and respiratory malady.

The expression “Home-based care” or basically home care might be characterized as a wide exhibit of various kinds of care gave in the home by a wide scope of gatherings. The continuum of various sorts of home-based care conveyed in the home shifts as far as various measurements, including sharpness, kind of care gave, and level of physician contribution. Home-based care incorporates both formal and casual individual care services, Medicare gifted home health, physician house calls, and even “emergency clinic at-home” services. Prescription related issues are essential among home care patients who take various drugs and have complex medical annals and medical issues. The destinations of home social protection organizations are to help individuals with improving limit and live with progressively noticeable opportunity; to propel the client’s optimal element of thriving; and to assist the patient with staying at home, keeping up a vital good way from hospitalization or admission to long haul care establishments. Home care is a game plan of care given by capable specialists to patients in their homes under the heading of a doctor. Home restorative services organizations join nursing care; physical, word related, and talk language treatment; and medical social organizations. Doctors may suggest patients for home therapeutic services organizations, or the organizations may be requested by relatives or patients. The extent of home human services benefits a patient can get at home is endless. Contingent upon the individual patient’s condition, care can reach out from nursing care to explicit medical organizations, for instance, research center workups. Essential investigations among home therapeutic services patients consolidate circulatory disease, coronary ailment, harm and hurting, musculoskeletal and connective tissue disease and respiratory disease.

Indonesia is the fourth most populous country in the world. An increase number in the proportion of elders is accompanied by an increase of degenerative diseases and disabilities, including Alzheimer’s disease (AD). Prevalence of dementia in Indonesia is 1.2 million cases in 2015 and will keep increasing up to 3,980,000 in 2050. This study discusses data on the prevalence of dementia’s risk factors in Indonesia, calculates population-attributable risks (PAR) to identify the number of dementia cases that could be prevented, and determines which intervention strategies will have the most significant effect in reducing Alzheimer’s Disease (AD) cases. Prevalence of potentially modifiable risk factors for AD such as low education, hypertension, diabetes, obesity, and mental disorders are still high. Moreover, the prevalences keep increasing for the last five years. Low education has the highest estimated PAR, which could significantly lower new AD cases if it is being improved. Ten and thirty percent of risk factor reduction can decrease AD cases by 18,000 and 66,000 cases. In addition, reducing physical inactivity by 10% and 30% can reduce 19,000 and 55,000 cases of AD respectively; lowering 10% prevalence of midlife hypertension and diabetes can reduce 2400 and 1600 cases of AD. Decreasing 10% of all risk factors is estimated to reduce 22,000 of new AD cases. By reducing these modifiable risk factors, especially by improving access to education, the incidence of AD could be greatly reduced. This review is expected to give suggestion to the government in determining the priority scale of controlling risk factors for reducing the social and economic burden caused by AD.

Objectives: To identify the incidence of cognitive decline (CD) in an urban community-dwelling population aged 50 years and older in a 4-year follow-up period and its prospective association with sociodemographic factors, lifestyle and health conditions as well as with changes in these factors. Methods: This is a prospective cohort with a representative sample of people aged 50 years and older (n = 206) from Cambé, PR, where baseline data collection occurred in the year 2011 and the follow-up occurred in 2015. The incidence of CD was the outcome of this study, and its evaluation occurred through the Mini-Mental State Examination. Results: The incidence of CD was 13.1% over the 4 years of follow-up, and adjusted Poisson regression models (sex, age and age range) showed that this condition was prospectively associated with depression (adjusted relative risk (RR) = 3, 50, 95% CI = 1.65-7.43). When analyzing the effect of sociodemographic factor changes on CD, it was verified that the risk of CD was 2.86 times higher among the group that stopped having a companion in the 4 years of follow-up when compared to the group that maintained a companion in that same period, independent of confounding factors. Conclusion: The data suggest that the CD process begins before the age of 60 y and that aggravation is associated with potentially modifiable factors that can be approached by health services from the perspective of promotion, prevention and care.

Background: Memory disorders have been characterized by being a devastating long term incurable diseases with a huge social impact in addition to a diminished efficient available medical treatments. Deep Brain stimulation via using neuroprotective inducers for treatment of brain structure degenerative diseases such as Alzheimer’s disease (AD) can be considered as being a promising successful therapy due to its various targets and underlying mechanisms for improving brain dysfunction. Objectives: The main aim of this study is to suggest therapeutic protocol having the potentials for restoring normal neurons diverse population and modifying neuropathological deposited hallmarks including both positive and negative lesions. Materials and Methods: Rats were divided into nine groups: (G1) control ;(G2) rats received LPS as a method of inducing nongenetically manipulated AD;(G3)AD rats received NaHS;(G4) AD rats received MSCs intracerebrally;(G5) AD rats received MSCs+NaHS;(G6)AD rats received kefir+GB;(G7)AD rats received MSCs+kefir+GB;(G8)AD rats received NaHS+kefir+GB; (G9) AD rats received MSCs+NaHS+kefir+GB. Results: AD induction resulted in down-regulation of CBS expression and GSH brain tissue level accompanied with overexpression in amyloid-β protein, MAPK, tau protein, ACAT expression and MDA brain tissue level in addition to elevated caspase-3 serum level. Conclusion: The implantation of amyloid reliving therapy that do have a wide clinical impact if initiated at benign plaques stage before irreversible brain damage occurs. The following effects have been observed following the administration of suggested medical protocol where a decrease in AD pathological deposited hallmarks has been observed with maintaining inflammatory brain factors by functioning as a potent neuroregenerative.