Post-stroke Spasticity: A Review of Epidemiology, Pathophysiology, and Treatments
Publication date: Available online 19 June 2018 Source:International Journal of Gerontology Author(s): Chih-Lin Kuo, Gwo-Chi Hu Spasticity is a common condition in stroke survivors, and may be associated with pain and joint contracture, leading to poor quality of life and increased caregiver burden. Although the underlying mechanisms are not well-understood, it may be due to disruption of the balance of supra-spinal inhibitory and excitatory sensory inputs directed to the spinal cord, leading to a state of disinhibition of the stretch reflex. The treatment options include physical therapy, modality and pharmacological ...
Source: International Journal of Gerontology - June 28, 2018 Category: Geriatrics Source Type: research

Blood Glucose Management of Type 2 Diabetes in the Older People
Publication date: Available online 21 June 2018 Source:International Journal of Gerontology Author(s): Wei-Che Chen, Chun-Chua Lee, Ming-Nan Chien, Sung-Chen Liu, Chao-Hung Wang, Wei-Shiung Yang With the increasing number of aged individuals in the population and the elevated prevalence of diabetes worldwide, there are more and older people with type 2 diabetes. Unfortunately, the management of diabetes in the elderly is not easy. Older people are heterogeneous. Hypoglycemia and hyperglycemia crises are more frequent and dangerous to older patients. Comorbidities, functional impairment and the available support sys...
Source: International Journal of Gerontology - June 28, 2018 Category: Geriatrics Source Type: research

Mirizzi Syndrome Complicated With Transverse Colon Fistula Presenting as Colonic Tumor: A Case Report and Literature Review
Publication date: Available online 12 April 2018 Source:International Journal of Gerontology Author(s): Shih-Hsien Chuang, Ching-Wei Chang, Chen-Wang Chang, Cheng-Hsin Chu, Chien-Yuan Hung An 88-year-old man was admitted because of right upper quadrant abdominal pain and diagnosed as having acute cholecystitis. He underwent endoscopic retrograde cholangiography for jaundice and showed common hepatic duct narrowing with external compression compatible with Mirizzi syndrome. Owing to his age and fragility, he received only internal drainage with a plastic stent instead of operation. The right upper quadrant abdominal ...
Source: International Journal of Gerontology - April 13, 2018 Category: Geriatrics Source Type: research

Adult Day Care Services: Directions for Moving Forward
In conclusion, establishing adult day care services in Jordan needs an interdisciplinary collaborative approach among governmental and non-governmental organizations. These organizations need to contribute significantly in terms of offering the support needed to ensure quality of care for this vulnerable age group. (Source: International Journal of Gerontology)
Source: International Journal of Gerontology - April 13, 2018 Category: Geriatrics Source Type: research

Solitary Skull Base Plasmacytoma with Sella Turcica Extension
Publication date: Available online 12 April 2018 Source:International Journal of Gerontology Author(s): Isao Aoi, Wen-Zern Hwang, Tai-Ngar Lui A case of 65-year-old female with intrasellar mass was operated on under the diagnosis of pituitary adenoma. The final diagnosis of plasmacytoma was made by immunocytochemical stain of IgG and electron microscopical findings. Postoperatively, the radiological studies of systemic skeletal bone and cytology of bone marrow were normal. However, the serum IgG was high, and the urinary Bence-Jones protein (kappa type) was positive. Although these laboratory data normalized after ope...
Source: International Journal of Gerontology - April 13, 2018 Category: Geriatrics Source Type: research

Sorafenib-Induced Radiation in-Field Skin (SIRIS) Reaction: Unexpected Complication in Elder Hepatocellular Carcinoma Patients Received Sorafenib and Concurrent Radiation Therapy
We describe this phenomenon as Sorafenib induced radiation in-field skin (SIRIS) reaction, and the clinical course and radiation dosimetry of these patients were reviewed. The development of SIRIS reaction was primarily limited within the radiation treatment fields, and it occurred at a relatively low dose during the courses of RT. The SIRIS reaction progressed in a radiation dose-dependent manner and was recovered spontaneously after 3–4 weeks of radiation therapy. The SIRIS reaction implicates a unique phenomenon that systemic skin reaction of targeted therapeutics, such as sorafenib, might be limited or exacerbated in...
Source: International Journal of Gerontology - April 12, 2018 Category: Geriatrics Source Type: research

Visual Impairment, Partially Dependent ADL and Extremely Old Age Could be Predictors for Severe Fall Injuries in Acute Care Settings
Conclusion Visual impairment, partial dependence in activities of daily living and 85 years of age or older could be useful predictors for severe fall injuries. (Source: International Journal of Gerontology)
Source: International Journal of Gerontology - April 6, 2018 Category: Geriatrics Source Type: research

Midline Lumbar Fusion Using Cortical Bone Trajectory Screws for Elderly Patients
Conclusions In our experience, MIDLF using CBT route seemed to reduce post-op wound pain significantly, so that elderly patients could ambulate earlier. It also had less screws loosening, especially for elderly or osteoporotic patients. (Source: International Journal of Gerontology)
Source: International Journal of Gerontology - April 6, 2018 Category: Geriatrics Source Type: research

Association between Osteoporosis, Bone Mineral Density Levels and Alzheimer's Disease: A Systematic Review and Meta-analysis
Publication date: Available online 3 April 2018 Source:International Journal of Gerontology Author(s): Xiao-Ling Lv, Jing Zhang, Wen-Yan Gao, Wen-Min Xing, Zhou-Xin Yang, Ying-Xing Yue, Ya-Zhen Wang, Guo-Fu Wang We aimed to perform a systematic literature research and meta-analysis to explore the association between osteoporosis/bone mineral density (BMD) and Alzheimer’s disease (AD). PubMed, Embase, and Web of Science were searched up to 31 December 2016, and the reference lists of relevant articles were also checked. Association between osteoporosis and AD was qualitatively analyzed, and BMD with AD was analy...
Source: International Journal of Gerontology - April 3, 2018 Category: Geriatrics Source Type: research

Correlation between Body Composition and Physical Performance in Aged People
Conclusions DXA analysis for body fat percentage is negatively associated and muscle mass percentage is positively associated with physical capacity in women older than 50 years, but not in their male counterparts. (Source: International Journal of Gerontology)
Source: International Journal of Gerontology - March 30, 2018 Category: Geriatrics Source Type: research

Malignancy Risk of Endometrial Polyps Among Geriatric Women
Conclusion In our study, we detected an prevalence of endometrial cancer among 9% of geriatric women with endometrial polyps. Hence, it is important to conduct a pathological evaluation of endometrial polyps in such patients. (Source: International Journal of Gerontology)
Source: International Journal of Gerontology - March 30, 2018 Category: Geriatrics Source Type: research

Computed Tomography Scan for the Etiologies of Dysphagia
Publication date: Available online 26 March 2018 Source:International Journal of Gerontology Author(s): Yi-Hsueh Chan, Chien-Yuan Hung, Tze-Yu Shieh, Ming-Jen Chen (Source: International Journal of Gerontology)
Source: International Journal of Gerontology - March 27, 2018 Category: Geriatrics Source Type: research

Higher Energy and Protein Intake from Enteral Nutrition May Reduce Hospital Mortality in Mechanically Ventilated Critically Ill Elderly Patients
Conclusion Very high percentage (91.1%) of medical intensive care (MICU) elderly patients were in HNR. Those who EN calorie achieved ≥80% prescription had lower ICU and hospital mortality. Increased EN protein intake only lowered hospital mortality. (Source: International Journal of Gerontology)
Source: International Journal of Gerontology - March 27, 2018 Category: Geriatrics Source Type: research

Plasma Amino Acid Profile in Severely Frail Elderly Patients in Japan
Conclusion Severely frail patients had multiple health impairments. BMI and nutritional status were most significantly associated with low EAA levels. (Source: International Journal of Gerontology)
Source: International Journal of Gerontology - March 27, 2018 Category: Geriatrics Source Type: research

Investigation and Analysis of Sleep Status in Patients with Vascular Depression
Conclusion The characteristic PSG findings of the NVD patients were shortening REM sleep latency and REM disinhibition. Characteristics of VD with PSG patients were sleep-related breathing disorders (SRBD) and daytime sleepiness, and disorders of 24-h sleep structure. (Source: International Journal of Gerontology)
Source: International Journal of Gerontology - March 25, 2018 Category: Geriatrics Source Type: research